Inspection on 06/07/06 for The Croft

This inspection was carried out on 6th July 2006.

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 01/08/05

The Croft 05/05/05

The Croft 25/08/04

The Croft 20/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Croft, The The Croft 20 Castlecroft Road Finchfield Wolverhampton West Midlands WV3 8BT Lead Inspector Mr Ian Harris Unannounced Inspection 6th July 2006 08:00 06/07/06 08:00 X10015.doc Version 1.40 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 Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 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 Older People. 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. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft, The Address The Croft 20 Castlecroft Road Finchfield Wolverhampton West Midlands WV3 8BT 01902 380022 01902 380022 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) Croft Residential Ltd Mrs Patricia Parkes Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005 Brief Description of the Service: The home is situated in a residential area of Finchfield approximately three miles from Wolverhampton city centre. Local amenities are within walking distance, about a quarter of a mile away. The home was built as a private residence in the 1980s In 1990, following extensive alterations, the premises was registered as a residential care home for 16 older people. The home has since been improved and extended at the rear of the premises to provide additional accommodation. The home is now registered for 24 older people.The staff team are committed to improving their knowledge and skills through training. the home ensures that all residents medical needs are met by visiting G.Ps and paramedical services. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5 hours. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 members of staff 8 residents were spoken to. It was noted that the fees range from £365 to £405 per week. This is an excellent home providing the highest standard of care On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. There was very good interaction between staff and residents. All the residents spoken to who could express themselves in a meaning full way expressed their satisfaction with the care they received and there were comments as follows “ “I very happy here ” the food is good here” “We are well looked after here” “You will have to go a long way to beat this home” this is a very nice home it’s beautiful here.” I love the garden” What the service does well: The very high standard of decoration, fixtures and fittings are a main feature of the Croft, which create a very warm and comfortable environment. The Croft continues to provide a very high standard of care for the residents. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain their independence through social activities both within and outside the home. The attentive staff ensures that residents wishes are being met. The home has a good staff- training programme, which all staff are involved in, this ensures that they are improving their knowledge and skills to meet the changing needs of the residents. The well maintained garden and grounds are also a great asset to the home, which the residents enjoy. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 There is a good assessment procedure of residents needs in place and there is evidence that they are being followed. The home does not provide intermediate care. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the files that all the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. The residents, who are self funding are assessed by the Care Manager, using the homes assessment forms. Two residents relatives confirmed that they had been involved in the assessment process The home does not provide intermediate. It was noted that a number of service agreements need updating to include room numbers and current fees. Residents are encouraged to visit the home prior to admission. An Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 9 introductory visit is always offered to prospective residents, on some occasions the visits are declined and relatives visit on behalf of the prospective resident prior to admission. A trial period is included in the statement of terms and conditions of residence and the homes contracts. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, and 10 Each resident has a very good comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are well met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are well met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being followed and reviewed on a monthly basis. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 11 Medication is administered by means of a monitored dosage system. The system appears to be working very well. The home receives good support from the local pharmacist who does a three monthly audit of the homes medication. Senior Care Staff have been trained to use the system before they are allowed to administer medication. The home has good policies and procedures, regarding the safe handling of medication. All the residents have single rooms with en-suite. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Five of the residents who could express themselves in a meaningful way said that the staff were very helpful and kind. Consultation with health care and social care professionals is carried out within treatment room or the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the quite lounge. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, and 15 The home provides a excellent programme of social activities within and outside of the home, which are designed to meet the resident’s capabilities, which, the staff encourage the residents to pursue. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The residents and staff stated that the residents are consulted regarding the day-to-day running of the home through informal residents meetings, reviews and by feedback from their Key-worker. The Key-workers also identify interests that the residents wish to pursue. The minutes of the residents meetings indicate that residents are able to express their views, which are acted upon particularly regarding menus and outings. Many resident have good contact with their relatives and a small number of Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 13 residents go out with their family on a regular basis. Family and friends are welcomed at the home and are invited to attend parties, jumble sales, fetes, and other celebrations, which are well attended. There is a very good programme of activities both within and outside of the home and there are trips arrange to go to West Park, Local garden centre, and Bantok Park. The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the residents’ individual preferences. All of the comments made by residents regarding the quality, quantity of food provided are complimentary The staff at the home, encourage regular contact between residents’ and their relatives by inviting them to coffee mornings, parties, fetes and celebrations. It was noted that approximately, 16 residents’ are regularly taken out by their relatives. The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the residents’ individual preferences. Comments made by residents regarding the quality, quantity and variety of food provided were highly complimentary. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has a satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a very good complaints procedure and all complaints are recorded in a, complains book. Residents and their families are given a copy, of the complaints procedure at admission and there are copies readily available in the reception area. It was noted that one complaint has been recorded since the last inspection. This was regarding the change of room of a resident. This has been dealt with and resolved amicably. The home has good policies regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which includes, a Whistle-Blowing policy. These issues are also covered in the N.V.Q. training, which the Staff are undertaking. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 The standard of the environment within the home and the garden is very high providing the residents with a very attractive, comfortable, homely and safe place to live. The quality outcome in this area is excellent. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has been established for a number of years and has undergone alterations in order to provide appropriate accommodation for older people. The home is maintained to a very high standard as is the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that 5 residents’ bedrooms have been redecorated. New carpets have been fitted throughout the home, which has improved the quality of the décor for the residents. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 16 All the accommodation is single rooms with en-suite facilities. It was noted that all the bedrooms have been personalised with the resident’s own personal possessions. This gives the appearance of a very comfortable environment. The home is furnished to a high standard throughout. All the bedrooms are well furnished and close attention has been paid to detail. The home offers excellent facilities and communal space. There is a choice of lounges and sitting areas within the home that are decorated and furnished to a very high standard. All the shared spaces within the home provide a warm, friendly, safe and comfortable environment. It is recommended that the bathroom on the ground floor that is little used. Is converted into a shower room. This would benefit the residents and provide them with a choice of a bathroom or shower room. The home has very good hygiene and infection control policies and all the care and catering staff have undergone Food Hygiene training .The domestic staff have undergone C.O.S.H.H. training. All the staff are conscious of the risks of cross infection. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which is being followed. There is a good training programme in place that ensures staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The Care Manager and staff are committed to developing their knowledge and skill through training. The home has a good induction programme and training programme. In addition to the N.V.Q 2 and 3 training programme staff have attended training courses on the following subjects. Care Practices, Manual handling and lifting, Fire prevention, First Aid and Basic Food Hygiene, Safe Handling of Medication, infection control and dementia care. The home operates a very efficient recruitment procedure and is registered in order to complete the appropriate checks on staff. There was evidence within the homes files that all the checks are being carried out. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The manager has very good leadership skills and has a clear development plan and vision for the home, which he has effectively communicated to the residents’, staff and relatives. The Residents’ finances, are being handled appropriately by a designated senior staff member The home is very well managed, where service users interests and welfare are well promoted and protected. The home has good heath and safety polices and all staff are aware of their responsibilities regarding these issues. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 19 EVIDENCE: The Care Manager has been in post for a good number of years and is qualified in both practice and management and has considerable experience in caring for older people, in a residential home setting. There are clear lines of accountability within the home and the manager is well supported by the proprietor. Observations made and discussions with residents and staff indcated that the Care Manager is very approachable and operates an open door policy and is proactive in meeting all the residents on a daily basis. The staff and residents who could express themselves stated that they are happy to approach the Care Manager with any problems they might have and are confident that they will be resolved. The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence to show that staff consult with the residents regarding the choice of meals and activities within the home. There are regular resident meetings where residents are consulted about menus and entertainment etc. Most of the records and administrative procedures within the home that was, inspected were found to be well ordered and maintained. However the residents case files and staff files could be improved by ensuring all information is kept on a single individual resident/ staff file. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All safety equipment is check and well maintained. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 21 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 OP2 Regulation 5 (1) (b) Requirement The registered person must ensure that all resident’s service agreements/ contracts are updated so they include current fees and room numbers. The registered person must ensure that staff files are updated to ensure they meet schedule 2 requirements The registered person must ensure that all information regarding residents is place on an individual case file. Timescale for action 01/09/06 2 OP37 Schedule 2 17 (1) (a) 01/09/06 3 OP37 01/09/06 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 OP19 Good Practice Recommendations The registered person converts the little used bathroom on the ground floor into a shower room. Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Croft, The DS0000020886.V297429.R01.S.doc Version 5.2 Page 23 - 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!