Inspection on 17/01/07 for The Croft Residential Home

This inspection was carried out on 17th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 09/02/06

The Croft Residential Home 11/10/05

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 Unannounced Inspection 09:00 17 January 2007 th 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 Residential Home DS0000060959.V324362.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 Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Residential Home Address The Croft 22 College Road Newton Abbot Devon TQ12 1EG 01626 207265 01626 207265 thecroftresidentialhome@blueyonder.co.uk 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) Mrs Cheryl Ann Howe Mrs Cheryl Ann Howe Care Home 14 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (13), Old age, not falling within any other of places category (14) The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 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 stair lifts 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 weekly cost of care at The Croft is: lowest £306.00 and the highest £400.00 The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over six hours during January 2007, samples of care records were examined and four residents were consulted individually about the service provided. Three visitors to the home were asked for their views and healthcare professionals were consulted. Evidence was also taken from questionnaires that had been returned to the Commission. The registered manager assisted throughout the inspection process and two carers were interviewed individually in private. Observations were also made of the way care was delivered to residents. What the service does well: What has improved since the last inspection? Since the last inspection the substantial investment in the home has continued, the basement area of the home has been completely refurbished and new rooms made. A new laundry and drying room has been provided and a food storage area complete with three new freezers. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 6 In addition the home has continued with a good quality redecoration programme and the home is now very well presented. The front garden of the home has been remodelled with additional decking areas provided and an ornamental stream and pond. New fencing has also been erected down the side of the drive, which has improved the environment for residents. 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 Residential Home DS0000060959.V324362.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 Residential Home DS0000060959.V324362.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): 3 and 6. Quality in this outcome area is excellent. Detailed assessments are undertaken of prospective residents that cover all the persons needs. Standard 6 refers to a service not provided at The Croft. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four assessments were examined during the inspection; two of these were of the last admissions into the home. Details of needs were recorded in the areas of health, personal and social and these then provided a comprehensive foundation for the construction of the care planning processes. Families also provided information and healthcare professionals were consulted where necessary. Particular care was taken to ensure that all the person’s needs were known; sometimes this was undertaken over several visits prior to the offer of a place at the home being made available. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 9 Residents and visitors that were consulted as part of the inspection process advised that their needs were well known and agreed that a comprehensive assessment was provided prior to them being admitted. 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 DS0000060959.V324362.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, 9 and 10. Quality in this outcome area is good. Detailed comprehensive service user plans were available for each resident. Health needs were fully met and the administration of medication was appropriate. Residents consulted felt that they were treated with respect and their privacy was upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has continued to develop the service user plans and a simplified approach has been produced that provides all the information necessary to ensure that a persons needs are well known and demonstrates how these are met. Needs in the areas of health, personal and social are well covered. The healthcare professionals that were consulted as part of the inspection process were particularly complimentary about the service provided at The Croft. All the residents consulted and their visitors confirmed that all their needs were met and that they received a very good service at the home. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 11 Residents were able to self medicate subject to a risk assessment approach to ensure they have the capacity. Currently no resident is able to manage their own medication. The recordings of the administration of medication undertaken by the home were examined. These were found to be complete, clear and up to date, medication was checked and booked in when received and all unused medication was appropriately recorded and returned to the pharmacist. All medication was stored under appropriate secure conditions. The administration of all medication undertaken by The Croft is of a high standard and ensures that residents are safe. 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. Time was freely given by staff to residents when they were asked a question to allow them to answer and particularly when they were being assisted with their mobility. Three visitors were interviewed in private during the inspection and said they were very confident that the service provided at The Croft was the best available. One resident remarked, “This is very good, I’m not just saying that, they are not all like this” another said “The staff are wonderful and will always help no matter what it is, this is my home”. The Croft Residential Home DS0000060959.V324362.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, 14 and 15. Quality in this outcome area is excellent. The residents at The Croft experience a lifestyle that meets their expectations and satisfied their needs, they are also able to maintain their contact with family and friends. The care team encourage and assist residents to exercise their choice and take control of their lives. The meals at the home are wholesome and provide a balanced diet that is to the liking of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents in the home were happy and relaxed and expressed their views in an open way. All the residents consulted advised that they liked life at The Croft and one resident said, “I certainly would not like to go anywhere else”. The home provides a variety of activities that is offered on an individual basis as this has been found to be the most beneficial rather than taking a group approach. Some of the activities undertaken are: cooking, aromatherapy, jigsaws and games. Some residents like to assist with homely tasks and the staff accommodates them. Regular trips out are organised every two weeks in the summer, less often in the winter depending on the weather. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 13 Residents advised that they had enough activities available and did not wish to add any other choices when they were asked. Staff take care to ensure that good use is made of divertional therapy when a resident is becoming agitated and provide one to one care for a short period to help a resident over a difficult period. These events are well recorded in the homes records to ensure carers remain well informed and offer good continuity of service to residents. The home has an unrestricted visiting policy and procedure and residents are able to come and go as they wish. Three visitors were consulted as part of the inspection process and they advised that they were always made welcome when the arrived at the home and were able to have a meal if they wanted with their relative without being charged. It was clear from observations made during the inspection that time was taken by staff to encourage people to make their own decisions about matters that affected them. One visitor advised that the home had gone out of their way to meet her mother’s wishes to stay in the dining room after the lunch because she preferred it. The meals at the home are varied and wholesome and were to the liking of the residents. Meals were provided over a four-week menu system; however, residents were able to exercise choice about what they would like to have and when and where they would like to eat it. A range of hot snacks and drinks were available on a twenty-four hour basis. Meals were usually served in the dedicated dining room with family sized dining arrangements. All the residents and visitors consulted were very complimentary about the foods provided. The Croft Residential Home DS0000060959.V324362.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 and 18. Quality in this outcome area is good. Residents and visitors were confident that any issue raised would be taken seriously and resolved without delay. Residents are protected from all types of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints procedure in place and visitors and residents 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. Two of the care staff were interviewed individually in private during the inspection about the abuse policy and procedure and they were both clear on the types of abuse possible and what action should be taken if this was ever discovered. The Croft Residential Home DS0000060959.V324362.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. The Croft offers a comfortable, safe environment to the residents. The home is clean, pleasant and hygienic throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the building and grounds was undertaken as part of the inspection process. No malodour was apparent anywhere in the building, which is commendable given the demanding client group. The comprehensive redecoration programme has continued in the home and all rooms were well presented. The basement area of the home has been completely refurbished and new laundry rooms provided complete with equipment. A food storage area has also been made available complete with three new freezers. The home also has The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 16 a well-equipped training room for staff and a room for cleaning products and wheelchair and aids storage. This developed area enables the ground floor of the home to be spacious for residents and free of hazards. Outside the front garden of the home has been remodelled and new decking areas have been provided along with an artificial stream and fishpond. New fencing has also been erected down the side of the drive, which helps to provide a safer environment for residents. The home was clean throughout with high standard of hygiene apparent. The Croft Residential Home DS0000060959.V324362.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. There are always sufficient numbers of staff on duty to ensure that residents’ are safe and their needs are met. Appropriate recruitment procedures are undertaken and carers are trained and competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels at the home remain at their previous level and there are always sufficient experienced carers to ensure that residents’ needs are appropriately met and they are safe. In addition to the basic training carers at the home regularly attend coursed in dementia and alzheimers to ensure they are kept well informed. 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. Three personnel files wee examined as apart of the inspection process and these were found to be complete which ensures that residents are in safe hands. New carers have a comprehensive induction and further training is then available as NVQ2 and 3. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 18 The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 19 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, 33, 35 and 38. Quality in this outcome area is excellent. The registered manager of The Croft is experienced, qualified, of good character and fit to be in charge. The home is run in the best interests of the residents and their financial interests are safeguarded. Health and safety and welfare issues are given priority and everyone is appropriately protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of The Croft has had ten years experience of working in care and has gained the Registered Managers Award and the appropriate care qualifications. She also is qualified in first aid and has attended courses on dementia. The healthcare professionals that were consulted were very complimentary about the way The Croft is run and it is clear that the The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 20 management of the home is of a high standard. All the systems used in the home are continually developed and healthcare professionals are consulted to find out if there is anything that could be improved to give a better service. The home has a quality assurance system that is used twice a year to gain the views of residents, their visitors and healthcare professionals to ensure that the best service possible is in place. Currently the home does not assist any of the residents with their finances. If a purchase is made on behalf of a resident the home retains the receipt and then gets the cash reimbursed. Welfare and health and safety issues are seen a most important by the management of the home and these are given appropriate priority. The recordings of the fire precautions undertaken by the home were examined and were found to be clear, complete and up to date. The systems were in place for dealing with harmful chemicals and reports were made of any dangerous event as necessary. The water in the home was tested regularly for unwanted bacteria and all the waste was disposed of appropriately. All these systems ensure that the home is run correctly and that residents are safe. The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 21 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 4 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 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 4 X 3 X 3 X X 4 The Croft Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 22 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 Residential Home DS0000060959.V324362.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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