Inspection on 05/10/05 for The Croft

This inspection was carried out on 5th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Croft 14/12/06

The Croft 16/02/06

The Croft 16/02/05

The Croft 28/09/04

The Croft 02/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Croft 11a Albany Road Morecambe Lancashire LA4 4JY Lead Inspector Mrs Joy Howson-Booth Unannounced Inspection 5th October 2005 02:00 The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Croft Address 11a Albany Road Morecambe Lancashire LA4 4JY 01524 410972 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Mahendranath Bhowruth Mrs Krisnawatee Bhowruth Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2005 Brief Description of the Service: The Croft is a small registered home for up to 6 people of either sex who have a learning disability. The home provides a domestic-type environment of care within a family style home. The home is owned and managed by Mr & Mrs Bhowruth, both people being trained nurses. There is one carer who assists with providing care in the home, although Mr & Mrs Bhowruth’s family provides some non-personal care support. Each service user is enabled to maintain and develop their lifestyles with support as necessary from Mr & Mrs Bhowruth, the member of staff and/or or other professionals. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which meant that the registered owner and the residents did not know it would be taking place until the inspector arrived. The inspection was carried out over two visits, the first visit was spent generally talking with the registered owner and the second visit in the evening when the 5 residents were spoken with. As well as looking at documents and records in the home, the home was the residents rooms were also seen. The inspection lasted approximately 3.5 hours. What the service does well: What has improved since the last inspection? What they could do better: The care files could provide information over each individual resident’s daily routines, likes and dislikes. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 6 The damp area identified during this inspection needs to be addressed and the cause of the damp dealt with. The member of staff employed at the home should receive formal supervision 6 times a year and this should be recorded. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The assessment arrangements for any prospective resident are good with information being sought to enable informed decisions to be taken. EVIDENCE: No new residents have been admitted to the home since the last inspection but there are clear procedures in place to ensure any referral is supported by comprehensive information and the home’s own assessment. In addition to this, the registered provider would ensure any prospective resident would have the opportunity to have a number of trial visits, which would mean they would be able to meet the current residents, to experience life at the home and to allow compatibility to be judged. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 There are clear and very comprehensive care documents in place, which enable risks to be identified, and residents needs met. EVIDENCE: Three of the care files were examined and found to contain a clear plan of care which identifies goals set, actions by whom, short term and longer term goals along with a timescale. All evidenced involvement of the resident and, where appropriate, have been signed by the resident concerned. Discussions with the residents confirmed that they are able to make choices and decisions about their lifestyles and receive support from the registered provider when necessary. Risk assessments are carried out and evidence of these was seen on file. The registered provider ensures that any new venture is supported by her and risk assessed, for example, if a resident attends a new college course. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 10 From discussions with residents, they are free to enjoy life and partake in community activities – this include out to Church, College courses, social and other community activities, line dancing and swimming. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards within this section were assessed during this inspection EVIDENCE: The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 The healthcare needs of residents are well met with evidence of good multdisciplinary working taking place. EVIDENCE: From discussions with the residents they are all very happy with the care provided at the home and are able to maintain their independence as much as possible, with support as needed. Residents confirmed their routines are flexible and of their own choosing and this is endorsed by the relaxed atmosphere in the home. Whilst information on routines is generally known, it was recommended that each individual person’s preferences and routines should be recorded in the care file and reviewed to make sure the resident is still happy with them. Each of the residents has their own clothing and assistance is given to make sure their appearance is appropriate. Observations made during a recent visit were passed onto the registered provider who is to make sure these are addressed in the future. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 13 The care files examined evidence that each person’s healthcare is maintained and, from previous discussions, the registered provider acts as a strong advocate for each of the ladies accommodated. Appointments for various specialist input is also recorded including – dentist, blood tests, EEG, Clinic, chiropodist, dermatologist, District Nurse and the yearly healthcare check up each person is offered. Medication records were examined and found to be accurately maintained. There are consent forms on files for the residents in the home. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents can speak up and feel that they are listened to and are confident their views will be acted upon EVIDENCE: Discussions with residents confirmed that all feel their views are listened to and acted on. Observations during the inspection confirmed that the interaction between residents and between the residents and the registered provider is excellent, with opinions and views being sought and freely expressed. The residents all know that if there is a problem they can talk with the registered provider or their social worker. The home has a complaints procedure in place. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The standard of the environment within this home is good providing residents with a homely, comfortable and attractive place to live. EVIDENCE: The home is warm, comfortable and maintained to a good standard. All areas of the home are kept clean and hygienic. Residents have their own room, which is decorated and furnished and personalised. The registered provider is intending to redecorate and refurbish the communal lounge prior to Christmas and this was discussed with the residents during this inspection visit. The registered provider was made aware of an area of damp in one resident’s room, which requires attention. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 The residents are cared for by a competent member of staff who is able to meet the needs of the residents EVIDENCE: Residents spoken with confirmed they were happy with the care given by the one member of staff at the home. Observations made during a recent visit to the home were discussed with the registered provider who is to talk with the member of staff and give further guidance. The member of staff has undertaken the Learning Disability Awards Framework (LDAF) training, a formal induction programme, Food Hygiene and First Aid course. A training course for moving and handling has also been booked. No new members of staff have been recruited but the home has an appropriate procedure in place to ensure all the required checks are carried out prior to commencement of employment for any future staff. Supervision is usually every 3 months but has lapsed of late. The registered provider confirmed supervision for the one member of staff would recommence once she has returned from annual leave. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 Experienced and qualified persons run the home. Residents live in a well managed home. EVIDENCE: The registered provider achieved National Vocational Qualification Level IV in March 2005 and the Registered Managers Award in April 2005. As well as this, both registered providers have managed the home for a number of years and are very well experienced in the care of people who have a learning disability. Additional training courses have been attended and it was recommended that the registered provider try to access a course in “person centred approach” care planning offered by a local trainer. The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Croft Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000010065.V258266.R01.S.doc Version 5.0 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 24 Regulation 23 Requirement Timescale for action 30/11/05 2 36 18 The damp in the resident’s room identified during this inspection must be treated and the cause of the damp rectified as appropriate The member of staff employed at 30/11/05 the home must receive supervision 6 times a year RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 18 Good Practice Recommendations The resident’s individual routine and preferences should be recorded in their individual care files The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Croft DS0000010065.V258266.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!