Inspection on 09/02/06 for The Croft Residential Home

This inspection was carried out on 9th February 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 Residential Home 17/01/07

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 9th February 2006 09:30 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 Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 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.V263026.R01.S.doc Version 5.1 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 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.V263026.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2005 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 Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4.5 hours on Thursday 9th February 2006. The communal areas of the home were seen and a sample of the care records was examined. Three residents were consulted and the way care was delivered was observed. The registered manager of the home assisted throughout the inspection process. What the service does well: What has improved since the last inspection? The proprietors have continued with their investment programme and two new gas boilers have been fitted to provide hot water and drive the central heating system. Should one of the boilers fail the other boiler is set to cut in immediately to ensure the continuity of service. A dedicated staff training room has been provided that has been suitably furnished and a new secure area has also been finished that will provide suitable storage for cleaning materials. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 6 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 DS0000060959.V263026.R01.S.doc Version 5.1 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.V263026.R01.S.doc Version 5.1 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 The Croft undertakes detailed assessments that cover all the needs of prospective residents prior to them being offered a place at the home. EVIDENCE: Three assessments were examined at random as part of the inspection process; these demonstrated that details were taken of all needs in the areas of health, personal and social needs. Health care professionals and families were also consulted if necessary. 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.V263026.R01.S.doc Version 5.1 Page 9 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): 7,9 and 10 An appropriate detailed individual care plan was available for each resident at the home that covered all their health, personal and social needs. Residents that are able can self medicate subject to a risk assessment process. The administration issue record of medication at the home had some deficits. EVIDENCE: A detailed care plan was available for each person receiving care at the home and these were stored under secure conditions to ensure confidentiality. Three 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 resident concerned or their representative signs the care plan to demonstrate their agreement to the approach undertaken by the home. The recordings maintained by the home of the administration of medication were examined and some gaps were apparent in the issue record, this is a serious issue and has the potential to put residents at risk. A requirement has been raised in this report to ensure that this rectified and a complete record is The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 10 maintained. It is acknowledged that in all other respects the administration of medication undertaken by the home is appropriate and complete with secure storage always used. Residents are able to self medicate at the home subject to a risk assessed process that ensures they are capable and safe. Currently there are no residents that have the capacity. 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 given to residents to allow them to make their own decisions and they were not rushed when they were mobile. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 11 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): 15 Good quality wholesome meals are provided that are nutritionally balanced and are served in the well appointed dedicated dining room. EVIDENCE: 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 adequate quantities 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. Visitors are able to enjoy a meal with their relative at the home if they so wish as no extra cost. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 12 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 deals with complaints appropriately and residents are protected from all types of abuse. EVIDENCE: The home has a clear complaints procedure in place 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 this approach ensure that residents are safe at the home. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 13 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 and 26 The Croft provides a well-maintained environment that is safe and comfortable. The home was clean and pleasant throughout with high standards of hygiene apparent. EVIDENCE: As this was an unannounced inspection the communal areas only of the home were seen, these were well decorated and comfortably furnished. Two residents commented that they liked their rooms and felt at home. The building was well maintained throughout and free of hazards. Two new boilers have recently been installed in the home to provide hot water and drive the central heating; this has been undertaken in such away that should one boiler fail the other one would take over to ensure continuity of service. A large room in the basement of the home has been decorated and well furnished and is going to be used as a training room. New secure facilities have also been provided for the safe storage of cleaning chemicals etc. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 14 All toilets and bathrooms were inspected along with the communal rooms, the home was clean and well maintained, no malodour was apparent and high standards of hygiene were evident throughout. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 15 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 and 29 There are always sufficient numbers of experienced staff on duty to meet the residents’ needs. 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 met. All the carers at the home regularly attend coursed in dementia and alzheimers to ensure they are 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. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 16 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): 35 and 38 Residents’ financial interests are appropriately safeguarded. Health and safety issues are seen as most important by the management and are given appropriate priority. EVIDENCE: The home does not get involved with the finances of residents. If a purchase is made on behalf of a resident the home retains the receipt and then gets the cash reimbursed. Health and safety issues are clearly given a high priority by the management of the home and the welfare of residents and staff is protected. The recordings of the fire precautions undertaken were examined and were found to be complete and up to date. Hazardous chemicals were securely stored and dangerous occurrences were reports as required. Electrical appliances were The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 17 regularly tested to ensure that they were safe and the home has a current safety certificate for the electrical installation of the building. Gas appliances, hoists and stair lifts are appropriately serviced and the water at the home is tested for unwanted bacteria to ensure residents are safe. The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 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 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 19 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. 1 Standard OP9 Regulation 13 Requirement The registered manager must ensure that staff adheres to the policy and procedure for the correct administration of medication. Timescale for action 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton 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. Extracts may not be used or reproduced without the express permission of CSCI The Croft Residential Home DS0000060959.V263026.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!