Inspection on 31/01/07 for The Croft Nursing Home

This inspection was carried out on 31st January 2007.

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 Nursing Home 21/02/08

The Croft Nursing Home 06/07/07

The Croft Nursing Home 24/05/06

The Croft Nursing Home 17/02/06

The Croft Nursing Home 02/08/05

The Croft Nursing Home 11/01/05

The Croft Nursing Home 03/08/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Croft Nursing Home, 43-44 Main Street Stapenhill Burton On Trent Staffordshire DE15 9AR Lead Inspector Mrs Sue Mullin Key Announced Inspection 31 January 2007 10:30 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 The Croft Nursing Home, DS0000022321.V325291.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. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Nursing Home, Address 43-44 Main Street Stapenhill Burton On Trent Staffordshire DE15 9AR 01283 561227 01283 562535 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) Tawnylodge Limited Ms Jane Measey Care Home 30 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (30), of places Physical disability (1), Physical disability over 65 years of age (15) The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 15 PD (E) - 1 may be PD over 42 years Care Manager commences NVQ level 4 in management within 12 months of registration July 06 Date of last inspection Brief Description of the Service: The Croft Nursing Home is registered to provide personal and nursing care for the following categories- Old age 30 beds. Physical disability aged over 65 years of age, 15 beds. Dementia over 65 years of age 2 beds. Accommodation is provided on the ground floor and first floor served with stairs and a shaft lift. There are 14 single bedrooms and 8 double bedrooms. One bedroom has an en-suite facility and the rest have a washbasin installed. There are three assisted bathrooms and one shower room; toilets are conveniently situated throughout the home. There is a large main lounge, a dining room and a conservatory on the ground floor. The home is located in the residential area of Stapenhill, Burton on Trent and is close to amenities and served by public transport. The home has limited garden areas due to its hilly incline but there is space for several cars to park. Weekly fees were from £280 up to £378 Additional charges are made for newspapers/magazines, telephones, toiletries and hairdressing services. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this announced Key inspection and the registered manager, registered individual and the regional manager were present throughout the inspection. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, and residents. A sample tour of the environment was also undertaken. At the end of the inspection, feedback was given to the management, outlining the overall findings of the inspection. Residents spoken with were positive about the care they were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. Comment cards received from relatives were very complimentary of the service, they included remarks such as they were `very satisfied with all of their relative’s care’, `staff are very helpful’, and `my mother is treated with respect and supported by staff at all times’.’ My mother and stepfather appear happy and content at The Croft’. A comment card completed by a local GP stated ‘No problems to report, any issues are dealt with promptly and efficiently’. What the service does well: The registered care manager and staff within the home all contributed to a good standard of service provided within the home. Care plans and associated records enable staff to be clear about the needs of the service users and how those needs should be met. Recording within the care plans was thorough and meaningful. Health care needs were met promptly and these were clearly recorded. Visitors were welcomed and staff were friendly and open towards them. There was very good interaction between staff and service users, and service users were supported and encouraged to make their own choices and decisions about their own lives. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 6 Service users were treated respectfully and with dignity. One service user spoken to was very happy and complimentary about all the staff and the kindness shown to her. 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. The summary of this inspection report can be made available in other formats on request. The Croft Nursing Home, DS0000022321.V325291.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 The Croft Nursing Home, DS0000022321.V325291.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The individual health, personal and social cares needs of residents had been established and these were being met by the staff, which were evidenced to have the necessary skills and experience to carry out their role. EVIDENCE: The Statement of Purpose and Service user Guide were available but these were both in the process of being updated. These will be thoroughly checked on the next inspection. Contracts were in place for private funded residents and those funded by Social Services. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 9 Staff continued to complete full assessments of individuals prior to admission. Prospective service users details and findings of the assessment were recorded on appropriate documentation. A letter to confirm that their needs could be is in the process of being provided to the service user/representative prior to moving into the home. The Croft Nursing Home, DS0000022321.V325291.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual health, personal and social care needs had been established. Staff possessed sound knowledge of individual service users needs. EVIDENCE: Each service user had a documented care plan, which provided comprehensive details of all aspects of daily living for each individual. These were reviewed monthly and were meaningful and well laid out. Risk assessments were in place and these were also reviewed monthly. Service users had access to a wide range of health professionals including: a GP, chiropodist, optician, social worker, physiotherapist etc. Two health care professionals returned completed questionnaires about the quality of the service provided at The Croft and each one identified a good level of satisfaction. One commented as follows: ‘I generally find staff caring, helpful and competent. I worked closely with staff re a particularly challenging client The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 11 and family during the past year and developed a very good understanding of planned care with the Matron’. Observation and service users confirmed that they were treated respectfully and that their privacy was upheld. Staff and service users were observed having a friendly and courteous relationship with each other. The Croft Nursing Home, DS0000022321.V325291.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was providing residents with a good quality of life. Residents were provided with a varied lifestyle, which took consideration of individual’s wishes and previous interests. Meals were of a reasonable standard and provided residents with choice. EVIDENCE: A range of activities was provided for the benefit of the service users and these were currently being reviewed to ensure there was more variety of activities/hobbies available within the home. These will be checked on the next inspection. Staff stated that relatives and friends of the service users were welcomed into the home and offered hot drinks. One service user spoken to confirmed that she was able to make her own choices regarding her personal lifestyle. Menus were examined and seen to provide a reasonably well-balanced and nutritional diet for the benefit of the service users. Comments made to the The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 13 Commission from service users about the food were varied but mostly positive comments were made. Residents are offered snacks and drinks at regular intervals throughout the day, including cold drinks, tea and biscuits, and cake. A supply of fresh fruit is also available for this purpose. The care staff assists those Residents who require support whilst feeding. The Croft Nursing Home, DS0000022321.V325291.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided a complaints procedure made available to any person wishing to raise a concern. Staff training records ensured that the staff are provided with the appropriate training to protect the residents. EVIDENCE: There had been no complaints made about this home to the Commission since the last inspection. The home had a robust complaints process, which could be accessed by relatives and residents. Staff confirmed that they were involved in ongoing training via various courses. Records evidenced that 6 staff had completed NVQ level II in Care and several more were involved in the process. Training for the protection of vulnerable adults is ongoing which provides staff with skills to inform management of any concerns in this respect. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 15 Training in this field will protect the service user and staff alike. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were provided with a warm comfortable home where they can continue their life style assisted by the staff team. EVIDENCE: Externally the home was neatly presented with small but well-maintained gardens, which were inviting to the residents and their families. Internally, the home was again showing signs of improvement but work needs to continue to bring up the standard throughout. The home was clean, warm and comfortable and more area are lined up for refurbishment. It was understood that this is an ongoing project within the home and will be checked on the next inspection. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 17 Some items of furniture in the home still need replacing, these include comfortable chairs in the lounge, small tables, and items of bedroom furniture. This was discussed at the inspection and the inspector was informed that these items would be replaced within a rolling programme of maintenance. The communal lounges are pleasantly arranged to offer a choice of seating and surroundings. Bedrooms were nicely personalised and safely arranged. Assisted bathrooms and toilets were in working order and in a hygienic state. Specialist equipment is provided for the residents as required and serviced as necessary to ensure safety. The emergency lighting, water temperatures and boilers are all regularly tested and all were satisfactory. Laundry facilities were to the standard required for good working conditions. The ancillary staff were working hard to ensure the environment was of a good clean standard. Domestic staff had knowledge of COSSH requirements relating to the cleaning products they were using. The domestic staff make regular checks to ensure the standards of the homes cleanliness is acceptable. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix are adequate to meet the needs of the current service users. The training programme continues to meet the development needs of all the staff employed at the home EVIDENCE: This care home with nursing was previously registered under South Staffs Health Authority and the levels and skill mix of staff required at 31 March 2002 are maintained. At the time of the inspection there were 27 service users in residence, 12 of which required nursing care. Some of the time there is between one and two qualified nurses on duty on the early shift. Generally, the care manager has up to two supernumerary days a week to undertake management duties. For the rest of the 24 hours a day there is one qualified nurse on duty and additionally, on the: • Early shift (7.30 – 2.30) there are 4/5 care staff DS0000022321.V325291.R01.S.doc Version 5.2 Page 19 The Croft Nursing Home, • • Late shift (2.30 – 9.30) there are 3/4 care staff Night shift (9.30 – 7.30) there are two care staff Two domestics a day One Laundry staff per day Handymen/gardeners where needed One cook per day with sufficient kitchen assistants The home has an in house administrator. On the day of the inspection it was determined that there were appropriate staffing levels and skill mix on duty. The staff complement and their deployment were discussed with the staff on duty and it was generally considered that there were sufficient staff available to meet identified needs. A newly employed staff member confirmed that she was undergoing a full induction programme, which was documented and in line with the national minimum standards to be completed within their first six weeks of appointment to their posts. Training programmes are much improved and are ongoing. All mandatory training is being delivered to all disciplines of staff. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was managed and run by a person and of good character. Staff supervision was ongoing. The health and safety of service users and staff was maintained to a good standard. EVIDENCE: The registered care manager confirmed she was undertaking the Registered Manager’s Award. Staff were clear about their responsibilities and the manager is now actively encouraging service user, relative and staff involvement in the development of the service provided. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 21 Regular staff meetings were now taking place and records from those meetings evidenced that communication between all disciplines has improved. Staff spoken to stated that they were more involved in the planning of care and that they generally felt more valued. Formal staff supervision sessions were taking place and being recorded. Progress on this will be checked on the next inspection. The records in the home showed that safe working practices protected the health and safety of service users and staff. Health and safety checks of equipment and systems within the home were evidenced to be in order. Accident and incident recording was completed in line with requirements. The owner of the home confirmed that all outstanding requirements and recommendations made following a fire safety officer’s visit has been complied with. The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 22 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 3 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 3 3 3 X X 3 X 3 The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Croft Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Nursing Home, DS0000022321.V325291.R01.S.doc Version 5.2 Page 25 - 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. 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