Inspection on 25/04/06 for The Croft Unit

This inspection was carried out on 25th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 16 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Croft Unit 24/02/09

The Croft Unit 02/04/07

The Croft Unit 26/10/05

The Croft Unit 12/05/05

The Croft Unit 18/01/05

The Croft Unit 28/09/04

The Croft Unit 25/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 The Croft Unit 25-29 Ashburnham Road Hastings East Sussex TN35 5JN Lead Inspector Jeanette Denereaz Unannounced Inspection 25th April 2006 09:00 The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 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 Unit DS0000021241.V289547.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 Adults 18-65. 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 Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Croft Unit Address 25-29 Ashburnham Road Hastings East Sussex TN35 5JN 01424 434921 01424 435893 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) www.craegmoor.co.uk Parkcare Homes (No. 2) Limited Mrs Valerie Riedel Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twelve (12) Service users must be aged between forty-five (45) and sixty five (65) on admission Service users with pre-senile dementia only to be accommodated Date of last inspection 26th October 2005 Brief Description of the Service: The Croft Units are registered to accommodate younger adults with a pre senile dementia type illness. The property is detached and is set in a residential area of Hastings. The property is on four floors and the first two floors are registered as Kilncroft, a home for older people with a dementia type illness. The top two floors are separately registered as the Croft Units. Both homes operate independently of each other although there is only one registered manager. The whole building is owned by Parkcare Homes Limited, which in turn is owned by Craegmoor Healthcare Limited. The home is registered for 12 service users. The home has local shops and amenities close by, and is approximately one-mile form the centre of Hastings. The current scales of fees are a minimum of £500 per week. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection including a site visit, for the year running from April 1st 2006 to March 31st 2007. Time was spent with the manager, residents, staff and an evaluation of gathered information. Two staff were formally interviewed during the visit; 2 telephones calls were made to service users’ relatives and they willingly gave their observations of the service. All service users were sent a ‘Have you say’ survey about The Croft Units, 9 were returned, but no service user request to speak to the Inspector. However, during the visit two new residents agreed to be interviewed. The pre-inspection questionnaire, staffing rota and a selection of menus were also received. Due to the nature of some of the service, it is difficult to reliably incorporate accurate reflections of the service in the report. Some judgements about quality of life and choices were taken from direct conversation with service users, information received and observation followed by discussions with the manager, service users, staff members and evidencing records held in the home. What the service does well: What has improved since the last inspection? The manager and staff have endeavoured to meet the requirements, and improved the service’s ethos and environment. Many areas of the home have been re-decorated, including the modernising of one bathroom, and new lounge furniture has been purchased. The manager and staff have undertaken Dementia care training, and the trainer did discuss Korsakoff’s syndrome during the session. The manager has The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 6 started to introduction of Person Centred Planning (PCP) and it was evident residents are going out more into the community. The menus have been revised and all cooking is now done in the units and residents are being encouraged to have more of an interest in the preparation and cooking of the meals. What they could do better: The manager has an understanding of what is needed to improve the home, and with the staff are working toward changing the culture. However, without the expertise, training and support from the Craegmoor organisation in working with people suffering from Korsakoffs syndrome and other relating pre-senile dementia conditions the service users’ needs will not be met. The manager and staff ensure that the health and personal care it undertaken, however, they do not have the expertise or training to give the residents the support with their emotional and mental health needs, and there is a lack of mental health support for the home. The home must continue to establish an identity and ethos, giving the appropriate service to the residents and recognised that they are younger adult. The manager must encourage the staff and residents to recognise that the Croft Units are separate from the adjacent home for older people. For some prospective service users there has been a lack of information and multi disciplinary work to ensure that the home can meet their needs. This is evident for one new resident at The Croft Units. The home is not meeting his psychological and mental health needs, and it was evident he is not being intellectually stimulated and does not mix with other residents. There are areas relating to the improvement of the environment. . There is still serious dampness in one residents bedroom, the resident informed the inspector that he has had to move his television become of the water. There has been a surveyor to look at this serious problem and some work was undertaken, but has not yet been rectified, but the resident continues to live in a room that is seriously damp. The manager needs to have comprehensive information on all staff working within the home to ensure that residents are safe and treated with respect and dignity. Two staff members have recently been relocated to the Croft Units The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 7 from another Craegmoor home without any personal files and therefore the manager had limited information regarding their working history. The home they came from has now closed and most of the senior management has left the organisation 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 Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 3 The home does not fully met the needs of this service user group, and for some prospective service users there is lack of information and multi disciplinary work to ensure that the home can meet their needs. EVIDENCE: There have been three new service users to The Croft Units since the last inspection two of these residents’ records and care plans that were inspected in depth to ensure their care needs were being met. The findings were that the manager had undertaken a pre-assessment at the hospitals where the resident were admitted. There were no visits to the home for the prospective residents, however, due the nature of the individuals mental state at this time and location of the hospitals this could have been problematic and cause more stress. The information received from professionals varied with one assessment being comprehensive to another that was only one side of paper. The manager recalls that the visit to this gentleman the nursing staff asked her to take him on that day. She refused. It is evident from conversations with the resident, his family and the manager This home is not appropriate for him, the home is not meeting his psychological and mental health needs. He is not being intellectually stimulated and does not mix with other residents. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 10 Comparing the two gentlemen highlighted that the gentleman who was given a full psychological assessment whilst in hospital, and full support from his care manager is very settled and told the inspector he is really happy living at The Croft Units and especially likes living in Hastings. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 The manager has an understanding of what is needed to improve the home, and with the staff are working toward changing the culture. However, without the expertise and training and support from the Craegmoor organisation in working with people suffering from Korsakoffs syndrome and other relating pre-senile dementia conditions the service users’ needs will not be met. EVIDENCE: Since the last inspection the manager and staff had had training in Dementia and for part of the course the trainer explored the Korsakoffs syndrome, which has been the diagnosis for the majority of the residents living at The Croft Units. The manager has also introduce elements of Person Centred Planning, which is a personalised form of care planning, using the life history, interests and aspirations of the individual. This needs to be expanded and for the staff to have comprehensive training in the use of this approach. Residents are going out more into the community and the culture of doing things for residents is slowly changing. However, the manager and staff still need more support, training and expert advice to process appropriate lifestyles for these younger adults. The observations made by the inspector collaborated by evidential material that the main activities are going to the shops, and the The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 12 terminology used by staff (which is stated and spoken) Taking resident to the shops. This terminology was also related in the residents’ survey, in which a resident stated I get taken out for a walk on most days. There are positive activities that were recorded in the daily reports and individual care plans which included going out for meals, one resident has joined the local video shop and another has started to email his relatives and has frequent replies. The residents confirmed these activities. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 & 17 The residents who have lived in the Croft Units for many years have lead a very a sedentary lifestyle, and the exertise and training for the manager and staff has been lacking to stimulate the residents. The manager has the enthusiasm to change this but support and specialised training continues to be needed if the residents at the Croft Units are to have an appropirate and fulfilling lifestyles in and outside the home, which reflects their ages and status. EVIDENCE: When arriving at the home the inspector knocked at the front door of The Croft Units, but was not answered, therefore the inspector had to go to the front door of Kilncroft. The manager assured the inspector that the residents able to use stairs and staff have been using the entrance to the Croft Units, and there is now a visitor’s book. However, there were very few entries made by visitors compared to the visitors’ book in Kilncroft. The manager has reviewed all care plans since the inspection, and she has introduced elements of Person Centred Planning (PCP). One new resident had The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 14 completed his own life history, but due to his illness there were gaps, he would need support to complete this task to become a valuable document. The cooking of meals is now undertaken within the units and the manager confirmed residents are at times contributing. The inspector was given copies of the menus which is a four weekly menu, with set dishes and alteratives. The residents interviewed said the food was good to adequate. Five residents have had major medication reviews and there was a noticable movement for people around the home. However, as stated previously the main activity for residents is going to the local shops with staff support. The manager has introduced a book for recording any mention by residents of things that interest or did interest them, and she hoping to build upon this information to develop more interesting lifestyles for the residents. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20 The manager and staff ensure that the health and personal care it undertaken. They do not have the expertise or training to give the residents the support with their emotional and mental health needs, and there is a lack of mental health support within the home. EVIDENCE: The manager had instigated a major medication review for 5 residents and most had medication reduced and 1 is now only on vitamins, and the resident did look and act more alert than at other inspections. For one resident the decision was made to stop medication given by injection. It was observed and from documentation that the manager and staff are sensitive to the personal needs of the residents, and residents interviewed praised the staff . However, this is a specialised establishment for people with mental disorder but there very little input for mental health professsionals. This was confirmed at the interview with a new resident, who has only seen the GP for his initial new patient appointment and has not had any other medicial interviews or input for mental health professional since he arrived at The Croft Units The personal care and support from the staff is good and this is clearly identified in care plans, but the facilities of the home do not include en-suite bathrooms, so these facilities are shared. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 16 The training of the staff has improved but still is based on caring for older people, and with this service sharing the same building and some facilities as the adjacent home for older people this will be inherant in the service given. The identify of the home as an separate home has improved, but links are still maintained with Kilncroft in that the main office for both homes are in Kilncroft. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents are generally safeguarded by a well informed and trained staff team in the areas of adult abuse. However, residents could be at risk if recuitment procedures and information regarding staff who have transferred from other Creagmoor homes are not given to the manager by the Creagmoor organisation. EVIDENCE: The home has a comprehensive complaints procedure and residents who replied to the CSCI survey that they would always speak to the manager if they had a concern or were unhappy. All staff including new staff have undertaken training in the protection of vulnerable adults. However, for the two new staff this was only hearsay has there was no written evidence of their training whilst at employed at a previous Creagmoor home. They had came to the Croft Unit without any personal files and therefore the manager had limited information regarding their working history, and the home they came from has now closed and most of the senior management has left the organisation. During the visit the inspector observed the staff treating residents with respect by talking to them appropriately, except for one incident when a staff member spoke to a resident in an abrupt manner. Also one resident informed the inspector that he was not happy with the language of some residents and the attitude of one staff member. These issues were raised with the manager during the feedback. This highlights training areas for certain staff, and the manager will investigate further. Outcomes from these standards are poor. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 18 The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28 & 30 The manager and staff have endevoured to make the environment more homely and less insitutional. They need to recognise the significance of promoting the Crofts Units own identity to give residents self-esteem and worth. The Craegmoor organisation needs to response and rectify major repairs within the home to safeguard the residents. EVIDENCE: The inspector toured the home and observed that the re-decorating programme continues to be undertaken; the kitchens and bathrooms have been upgraded and are less institutionalised. There has been new lounge furniture purchased. The bedrooms seen have improved and are now more personal, the manager has encouraged residents to go with staff support to choice curtains and matching bed linen. The two residents interviewed had many personal items in their bedrooms. There is still serious dampness in one residents bedroom; the resident informed the inspector that he has had to move his television because of the The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 20 water. There has been a surveyor to look at this serious problem and some work was undertaken, but has not yet been rectified, but the resident continues to live in a room that has serious damp. As stated previously, the identity of the home is still questionable, and it could not be proven during this visit,except that the door was not answered, and the staff and residents are regurlary using the Kilncroft entrance. The staff member interviewed is bank staff and works when home from university, she positively stated that since her last visit the Croft Units are more homely and residents are getting out more. The exterior of the building is in need of repair and repainting to maintain the building. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 The manager needs to have comprehensive information on all staff working within the home to ensure that residents are safe and treated with respect and dignity. This is in relation to staff from another Craegmoor establishment that has now closed and have been allocated to The Croft Units without appropriate interview or information including references and working histories. EVIDENCE: The home usually has a stable staff team, but recently there were two vacancies, the manager advertised and short listed possible candidates, however, Craegmoor head office informed the manager she must take two staff from an establishment for people with learning disabilities that had closed end of March 2006. The two staff files were not passed on to the manager and she had limited information regarding these people, and they only had a Health and Safety induction to date. The manager will be seeking further information and compile staff files including checking references and CRB, and both staff will undertake a full induction. All staff engaged by the manager have staff files with relevant information, they all have had an induction, mandatory training and five have or are completing NVQ 2/3. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 22 Supervisions are undertaken two monthly and supervision documents were seen by the inspector. The manager has a training matrix and this is in order with recent training recorded and future training booked. The weakness continues to be staff not having the appriopirate expertise and training in mental health especially related to Korsakoffs type diagnoses to met the special needs of the residents. Outcomes from these standards are adequate. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38,39,41 & 42 The manager is very committed and enthusiastic, but her expertise is not in the field of mental health for younger adults. As the registered manager she is qualified having completed the Registered Managers Award, and therefore the day to day management of the home is good and residents live in a safe and friendly envioronment. However, the home should have staff trained in mental health to ensure a quality service meeting the needs and aspirations of the residents, which could lead to more independent lifestyles. EVIDENCE: The Creagmoor organisation have formal quality assurance surveys sent to resident and relatives twice a year, this information is collated and sent to the homes. The manager in the future will forward this information to the CSCI. During this inspection procedure relatives and friends were contacted to ask for their views on the service. Unfortunately most of the resident have no contact with family or friends. However, two relatives were contacted and The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 24 their views and concerns were discussed with the manager. The concerns were areas that she had also had concerns, especially regarding the lack of contact with families, and there have been discussion with residents about going on holidays and part of this would be to visit family. One resident has been supported to arrange his family from aboard to visit him in Hastings. The most serious concern regarding the inappropriate placement, the manager will be supporting this resident to find a more suitable accommodation. The manager is trained to teach Health and Safety and this is part of the training programme for all staff, there is mandatory training booked throughout the year for new staff and refresher training for other staff. Health and safety and the maintenance of records were found to be in order. Outcomes from these standards are adequate The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 2 3 2 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 1 ENVIRONMENT Standard No Score 24 2 25 1 26 3 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 1 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 2 12 2 13 3 14 2 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 2 3 X 2 3 X The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 26 Are there any outstanding requirements from the last inspection? YES 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 YA1 Regulation 14(1) Schedule3 (1)(a) Schedule 1,4 5 14(1) Schedule3 (1)(a) Schedule 1,4 5 14(1)(a) 12,18(1)(a) Requirement The Registered Manager should ensure that sufficient and relevant information is gathered from professional data during the pre-assessment to establish that the home can fully met the needs of all the service users. The Registered Manager should ensure that the home can meet the assessed needs of prospective residents, and to ensure the staff have the skills and experience to deliver the service and care. Since the last inspection 26/10/2005 the manager has been working towards meeting these objectives and was much improved at this inspection. However, work needs to be continued to meet the standard Timescale for action 25/05/06 1 YA2 25/05/06 2 YA3 25/07/06 2 YA3 14(1)(a) 12,18(1)(a) 25/07/06 The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 27 3 YA6 15(1) Sc 3(1)(b) 12(2) 3 YA7 15(1) Sc 3(1)(b) 12(2) The Registered Manager should ensure that the staff have the appropriate training in writing care plans and the information to enable positive outcomes for the residents. The residents should be given the opportunity; information and assistance to make decisions about they own lives. Since the last inspection 26/10/05 the manager has continued to work towards meeting these objectives and was much improved at this inspection. However, work needs to be continued to meet the standard The Registered Manager should ensure that staff help and support residents to find appropriate day activities that are more fulfilling to the individual. Also the Registered Manager should ensure the daily routines of the home promote the residents’ independence. Since the last inspection 26/10/05 the manager has been working towards meeting these objectives and was much improved at this inspection However, work needs to be continued to meet the standard. The Registered Manager should ensure that staff support residents to access and choose appropriate leisure activities. 25/07/06 25/07/06 4 YA16 16(2)(m)(n) 30/08/06 4 A11 16(2)(m)(n) 30/08/06 4 A12 16(2)(m)(n) 30/08/06 5 YA14 16(2)(m)(n) 25/07/06 The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 28 5 YA14 16(2)(m)(n) Since the last inspection 26/10/05 the manager has been working towards meeting these objectives and was much improved at this inspection. However, work needs to be continued to meet the standard. 25/07/06 6 YA19 12 13(1)(a) & (b) 7 YA23 13(6) 19 see Schedule 2(7) 7 A34 13(6) 19 see Schedule 2(7) 16(2)(2)(k) The Registered Manager 25/07/06 should ensure that the healthcare needs of residents are assessed and recognised and that procedures are in place to address them. The registered Manager 01/06/06 should ensure that all staff employed at the home have had satisfactory interviews, work records and training in ensuring the protection of service users. This is in relation to staff 01/06/06 coming from other Craegmoor homes. The Registered Manager 01/06/06 with the authorisation of the Craegmoor organisation, should ensure the dampness in the resident’s bedroom is 01/06/06 rectified with urgency to ensure the residents lives in a safe and comfortable room The Registered Manager 25/07/06 should ensure the home has a planned maintenance and renewal programme for the repairing and redecorating of the premises, which should also include the external of the building, The plan and Version 5.1 Page 29 8 YA25 8 YA24 16(2)(2)(k) 9 YA24 16(2)(k) 23 The Croft Unit DS0000021241.V289547.R01.S.doc 10 YA32 18(1)(a)(c) Sch.2(4) timescales should be presented to the CSCI. The Registered Manager should ensure that the staff have the competencies, qualities and training required to meet residents’ needs and have a comprehensive knowledge of this client group. Since the last inspection 25/10/05 the manager has been investigating teaching resources for the staff team, and has introduced recording formats. However, work needs to be continued to meet the standard 30/08/06 10 YA35 18(1)(a)(c) Sch.2(4) 30/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA41 Good Practice Recommendations It is recommended that the registered manager encourage residents, staff and visitors to use the Croft Units entrance, which should be clearly named. The home should have its own identity and does not intrude into Kilncroft. The Croft Unit DS0000021241.V289547.R01.S.doc Version 5.1 Page 30 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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