Inspection on 11/10/05 for The Croft Residential Home

This inspection was carried out on 11th 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 Residential Home 17/01/07

The Croft Residential Home 09/02/06

The Croft Residential Home 24/02/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Croft Residential Home The Croft 22 College Road Newton Abbot, Devon TQ12 1EG Lead Inspector James Rose Announced 11 October 2005 th 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 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 Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Croft Residential Home Address The Croft, 22 Collge Road, Newton Abbot, Devon, TQ12 1EG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01626 207265 Mrs Cheryl Ann Howe Mrs Cheryl Ann Howe Care home 14 Category(ies) of Dementia - over 65 years of age (13), Dementia registration, with number (1), Old age - not falling within any other of places category (14) The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 18/01/05 Brief Description of the Service: The Croft is a detached residential home that provides 24-hour care for up to 14 persons. The home is Registered to take people that need care by reason of confusion or old age. There are eight single occupancy rooms and three double rooms; the bedrooms are situated over two floors. The home is equipped with stairlifts for service users that have difficulties with mobility. A large comfortably furnished communal television lounge is provided and meals are taken in a separate dining room at small tables. At the front of the home there is a terrace where service users are able to sit outside, from here there are views across the valley. Hard standing off road parking is provided at the side of the home, which has the capacity to take several vehicles. At the rear of the building there is a large sloping garden, which can be used to provide fresh vegetables when they are in season. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken over 5.25 hours on the 11th October 2005. A pre inspection questionnaire had been completed by the manager of the home. A complete tour of the building was completed and a sample of care records examined. As the residents at the Croft have a degree of confusion and are not able to express a meaningful opinion their relatives were asked to complete a survey of their views of the service provided. One visitor was interviewed in private during the inspection and the two district nursing teams that provide a service to the home were consulted over the telephone. The way care was delivered was observed and the manger assisted throughout the inspection. What the service does well: What has improved since the last inspection? Continued improvements have been made to the environment of The Croft, the large windows in the lounge and dinning room have had the glass replaced by the toughened type to assure residents safety. The kitchen has been The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 6 completely refurbished and a bathroom has been redeveloped and a new low level bath has been fitted with a new pillar hoist. A fire escape corridor has been provided and the garden area of the home continues to be redeveloped. The running extensive redecoration programme is still in place and new easy chairs have been provided in the lounge. 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 Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 standard(s) 3 and 6 Good quality comprehensive assessments are in place for each person receiving care at The Croft. EVIDENCE: Detailed assessments are carried out by the manager on a visit undertaken to the prospective resident prior to admission to The Croft. Four assessments were examined during the inspection and these were found to contain all the needs of the residents, consultation had been undertaken with the families, health and social care professionals as necessary and these documents then provided the foundation for the care planning process to ensure that all the needs of a resident are met by the service provided. In circumstances where an emergency placement had been undertaken and no assessment had been possible prior to the person being admitted an assessment is undertaken as a priority within the first 24 hours to ensure the residents needs are met. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 9 Consultation with the two district nursing services that provide healthcare support to the home and with families of residents demonstrated that there were no unmet needs. Standard 6 refers to a service not provided at The Croft. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and 10 Good quality detailed care plans were available for each resident in the home that covered health, personal and social needs. Health needs of residents were fully met. If the home had a resident that was able to self medicate they would be able to do so, currently none of the residents is capable and the administration of medication is carried out in such a way as to ensure the protection of residents. Service users were treated with respect and their privacy was maintained at the home. EVIDENCE: A detailed care plan was available for each person receiving care at the home and these were all stored under secure conditions to ensure confidentiality was maintained. Four care plans were examined in detail; these contained needs in the areas of health, personal and social and demonstrated how these needs were met at the home. Monthly reviews are undertaken to ensure the records are up to date, more often if the resident concerned is going through a period of rapid change. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 11 Health needs are fully met and the home works in harmony with two district nursing teams who confirmed that they have a good relationship with the home and were confident that they would be consulted in good time about any health issue a resident may have. If a resident was capable of administering their own medication they would be able to do so subject to a risk assessment process to ensure they were safe. Most of the residents at the home have a degree of confusion and the administration of medication is undertaken by the home, a clear complete set of records is maintained and appropriate secure storage is used for all medication to ensure residents are free of risk. Residents at the home were relaxed and outgoing, it was clear from observations undertaken that they were treated with respect and dignity and their privacy was maintained at all times. One visitor of a resident was interviewed in private during the inspection and said she was very confident that the service provided at The Croft was the best she could get for her mother. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15 Residents were very happy with the lifestyle at The Croft and all their needs were met. The home has no restrictions on visiting and residents can maintain their contact with the local community if they wish. Great care is taken to assist residents to exercise choice and control over their lives and a wholesome diet is provided in pleasant surroundings. EVIDENCE: It was clear from observations made during the inspection that residents were happy and relaxed and enjoyed a good relationship with their carers. Sensitive care was seen to be provided with good use made of divertional and reality therapies. One resident that was becoming anxious was seen to have the intervention of a carer on a one to one basis for a few minutes and this enabled the resident to change her mood. Another resident was heard to have a conversation about a reality that had long passed with a carer and this enabled her to maintain her confidence and well being. Residents’ needs and behaviours were clearly well known to carers and good strategies were in place to ensure residents’ needs were met. The home has a policy of unrestricted visiting and residents are enabled to maintain their contact with the local community as they wish. One visitor The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 13 confirmed that she could visit her mother at anytime and was always made welcome by staff and the manager. Time and care was seen to be taken by staff to ensure that residents were given time to make their own decisions about issues that affected them. If a resident was aggressive they were left alone for a few minutes and then approached again with a different presentation, which often paid dividends. The whole atmosphere of the home was relaxed and pleasant with goodnatured banter always apparent between residents and their carers. A wholesome meal was served on the day of the inspection, which was much appreciated by the residents. Cakes and most of the puddings are produced in the homes kitchen. A four week menu system is operated at the home and a resident can change their mind at anytime about what foods they would like to consume. Cooked breakfasts are always available if requested. Because of the nature of the client group the home undertakes to provide hot food on a 24-hour basis. The amount and type of food and drink that is consumed by a resident is closely monitored to ensure that they are getting sufficient. Apart from a good range of foods the home also ensures that a wide range of drinks are always available for residents. Meals are served in a pleasant, well lit dining room at tables seating up to six residents. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 The home deals with complaints appropriately and residents are protected from all types of abuse. EVIDENCE: The home has a clear complaints procedure in place and visitors were confident that any issue raised would be taken seriously and rectified quickly to their satisfaction. Residents were seen to raise issues and these were always followed up by staff and resolved. No complaints were made to the inspector during the inspection. A clear comprehensive adult protection policy and procedure that meets all the legislation was available in the home and all staff were trained in its use. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 standard(s) 19 and 26 The Croft is safe, well-maintained, comfortable environment that is clean, pleasant and hygienic. EVIDENCE: A complete tour of the building was undertaken during the inspection, it was clear that the redecoration programme is continuing to run and many improvements have been made to the environment. New easy chairs have been provided for the lounge and the kitchen and a bathroom have been completely refurbished with a low level bath and new hoist fitted. Since the new owners took over a sustained substantial investment has been made in the environment to ensure a safe pleasing home is provided for residents. High standards of hygiene were evident throughout the building, no malodour was found, the home presents as well equipped and well cared for with a very The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 16 pleasing atmosphere. The district nursing teams and visitors all commented on the vast improvement in the environment. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 There are always sufficient numbers of staff on duty to ensure that residents’ needs are met. Appropriate recruitment procedures are undertaken and carers are trained and competent to do their jobs. EVIDENCE: The staffing levels at the home remain at their previous level and there are always sufficient carers to ensure that residents’ needs are met. The home has a comprehensive recruitment procedure that ensures that appropriate references are in place and that all checks are completed before a new member of staff is able to work unsupervised. New carers are given a comprehensive induction and then ongoing training is available. Currently the home undertakes to ensure that all carers undertake training on an annual basis of the administration of medication, fire precautions, dementia care, food hygiene, dementia awareness, infection control, POVA, first aid and manual handling to ensure that residents are in safe hands. NVQ training is undertaken in addition at level 2 and 3 as appropriate for carers. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 The Croft is run in the best interests of service users who always come first. The home does not deal with any finances of any resident. Health and safety issues are given appropriate priority and all systems are up to date. EVIDENCE: From observations made at the time of the inspection it was clear that residents’ needs took precedence over the running routines of the home. As previously mentioned two district nursing teams were consulted and residents’ relatives, all were clear that the home was run in the interest of the residents. At the time of the inspection the home did not assist in any of the finances of the residents. Health and safety issues are seen as very important by the management of the home and the following systems were all up to date to ensure the safety of The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 19 residents. Fire precautions, electrical system and appliances, water testing, the storage of chemicals and the reporting of dangerous events, pharmacy checks, clinical waist and the servicing of hoists and stairlift. The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A 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 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 21 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 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. 1. Refer to Standard Good Practice Recommendations The Croft Residential Home D54-D07 S60959 The Croft Residential Home V231722 111005 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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. 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