Inspection on 19/09/05 for The Croft Village

This inspection was carried out on 19th September 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Croft Village 05/01/07

The Croft Village 06/03/06

The Croft Village 06/12/04

The Croft Village 07/06/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 The Croft Village Hawcoat Lane Barrow in Furness Cumbria LA14 4HE Lead Inspector Marian Whittam Unannounced 19 & 20 September 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Croft Village Address Hawcoat Lane Barrow in Furness Cumbria 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) LA14 4HE The Croft Care Trust Lorraine Morris Care Home 23 Category(ies) of 23 LD - Learning Disability registration, with number 6 PD - Physical Disability of places The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include two named persons over the age of 65 Date of last inspection 06 December 2004 Brief Description of the Service: The Croft Village is a purpose built care home that providing accommodation and care for up to twenty-three adults with learning and/or physical disabilities. The home is owned and run by the Croft Care Trust. The village has two bungalows named ‘Hope’ and ‘Peace’ and two houses named ‘Trust’ and ‘Love’. Nineteen of the 23 bedrooms are on the ground floor; the four first floor bedrooms are reached by stairs for suitably assessed residents. The village has its own clubhouse, workshops and craft rooms, chapel, a post and telephone box and a tuck shop that sells every day items. The residents also have the use of the hydrotherapy pool and light stimulation room in the Croft Nursing Home which is on the same site. The home is close to local bus routes, public houses, shops and amenities. The main kitchens are within the Croft Nursing Home. A private bungalow has recently been built on land that was previously part of the car park to the village. The gardens surrounding the bungalows/ houses are well maintained and extensively landscaped with decorative features, including water features and bridges. All areas of the village are accessible for wheelchair users. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 19th and 20th September 2005. The inspector looked around the village and workshops and spoke with residents. The manager and 4 care staff were spoken with. A number of records required by regulation and care planning and medication records were examined. What the service does well: What has improved since the last inspection? The home has improved access to the workshop areas and made it easier for wheelchair users to get in and move around. A new system of client’s personal healthcare records has been introduced so they have their own individual records they keep with them for medical visits and completion by healthcare professionals and that are confidential for them to hold themselves. This makes the resident more in control of this personal information and when sharing it with health professionals who write in it. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 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 Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 8 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 standard(s) 1, 2, 3, 4 and 5 There was information available about the home for residents before deciding to live there. Individual needs and aspirations had been considered and assessed before admission and these were being met. EVIDENCE: All new service users came to the home on a three month trial basis after which there was a full review, which included the resident, their family, social worker and other stakeholders in their care. The home encouraged introductory visits to meet staff and residents where possible and provided up to date information for prospective residents. Residents had been admitted to the home following an assessment of their individual needs, baseline daily living activities and information from other agencies and specialist services involved in care. The home had obtained copies of the care management plans for the residents who were admitted under such arrangements. Specialist needs and input had been assessed prior to admission and there was evidence of physiotherapy, wheelchair services, specialist nursing services and occupational health involvement at the assessment stage and beyond and consultation with residents and families. Methods of preferred communication for residents were stated. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 9 Staff were observed communicating effectively with residents and were aware of the particular communication methods of different residents. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 10 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 standard(s) 6,7, 9 and 10 A consistent care planning system was in place showing changing personal and health needs and individual goals to provide staff with the information they need to support residents, promote independence and meet their care needs. EVIDENCE: The individual care plans were clear, up to date and had been regularly reviewed with updated care plans reflecting changes. Family, residents and key workers and specialist services had been involved in the gradual development of individual plans as well as agencies advising on particular behaviours or conditions. There was evidence in the care plans that residents are assessed for potential and identified risks that might affect their personal choices and freedoms, such as the use of the hydrotherapy pool, use of equipment, leisure activities or regarding mobility and travel. Residents were involved in making clear their preferences and wishes and in making personal decisions about their life inside and outside the home. Where they had been unable to make their wishes clear their family members had been involved in supporting them in decisions. Information on advocacy was available and these services were available for residents. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 11 The staff group was stable and well supported by the manager. Picture symbols to help residents communicate their choices and needs were in use for those who wanted them. The home has developed procedures and practices to obtain resident consent and maintain confidentiality to reflect changes in legislation. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 12 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 standard(s) 11,12, 13,14, 15 and 16 The home supported residents in making decisions and choices in their lives and to take part in activities inside and outside the home and for individual development and to fulfil their leisure preferences. EVIDENCE: Residents have their own individual activities schedules and those who wanted to attended local day services and the local adult education college enabling them to mix with the other people, gain life skills, qualifications and participate in activities on offer there. There was evidence from the certificates and pictures on display that residents had taken part in a variety of educational and recreational activities, including food hygiene courses, cookery and flower arranging. Minutes of the residents meeting showed that residents were asked what trips and outings they wanted. On the day of the inspection residents had gone on a trip out. This had been discussed and decided at short notice. Many residents made use of the hydrotherapy pool in the Croft Nursing Home on the same site. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 13 Religious preferences were being respected and the home has its own small chapel offering a quiet place for those who wanted it, resident, families and staff. Staff were observed interacting with residents individually and speaking in a friendly and appropriate manner and engaging them in conversation. Those who wanted to attended the village’s workshop. The inspector was shown examples of their craft skills by those residents at work in the craft room. Residents who enjoyed music were able to attend musical events and the home had its own musical events as well. All activities and social and recreational interests residents enjoyed or took part in were recorded. Every month a list of forthcoming events was distributed with the home’s newsletter to residents for them to choose what they wanted to do or make suggestions. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 14 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 standard(s) 18, 19 and 20 There were systems in place to monitor and meet resident’s personal care preferences and physical and emotional healthcare needs and clear instructions for staff to follow. EVIDENCE: Individual care plans recorded service user choices on personal support, individual limitations and daily routines and care and moving and handling needs, along with assessments and instructions for staff to follow on. Routine health screening and checks and immunisation are available and resident’s made their own choices about taking some or all of these up. Some residents had very specific details about what they wanted regarding their health care and medication. Contact with medical, nursing and specialist services took place frequently due to the complexity of some resident’s needs and care records showed appointments, consultations and regular health monitoring. The home has a resident held health record system to promote confidentiality and resident control of their health records. These also had pictorial formats. Medication records were satisfactory and supported by the home’s policies. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 15 The home has a key worker system and flexible daily schedules reflecting individual activities. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 16 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 standard(s) 22 and 23 The home has a satisfactory complaints system available in different formats to suit resident’s needs. There were adult protection procedures in place but these should be updated in line with multi agency good practice to make sure staff know what to do to protect residents. EVIDENCE: The home had a clear complaint procedure, displayed and made available in pictorial formats. There is a logging system to record complaints received and the details of the investigation, outcomes and the actions taken. Information on advocacy was provided for residents in the home and obtained for anyone who asked. There are regular residents meetings that allowed residents to discuss matters in the home and activities they wanted and the monthly newsletter reflected their contributions to the life of the home. There was evidence that resident and family views are sought and affect what is going on in the home. A resident spoken with said there was plenty for them to do and that staff talked with him about what he wanted and listened to his ideas. The home has its own adult protection procedures but these need to be updated in line with current multi agency guidance and policies for the protection of vulnerable adults so staff had clear current good practice information to act upon. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 17 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 standard(s) 24, 25,26,27,29 and 30 The standard of the environment in the home was good providing residents with a well maintained, comfortable, clean and homely place to live. EVIDENCE: The houses and bungalows in the village were clean, tidy and provided a homely and domestic place to live with attractive communal and private rooms. Specialist equipment and adaptations were provided to assist residents and promote their independence in the home. The home has a well equipped laundry away from communal areas with domestic washing- machines that residents, who wanted to could use. There are policies and procedures in place for infection control and procedures were in place for the safe handling and disposal of any clinical waste. The home does not have a sluice facility, however, given the homes stated intention to promote an independent way of life for service users, it did not The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 18 generally use commodes and urinals to meet the continence needs of the residents. From observational evidence and after examination of individual needs in the care plans, it was judged that was not necessary, at the time of this inspection, that the home provided a sluice facility as the desired outcome was achieved without one. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 ,33 ,34 and 35 There is a stable, well supported and trained staff group that works with residents to promote independence and quality of life. Recruitment procedures are thorough with appropriate checks being carried out to protect residents. EVIDENCE: The Croft Village has a recorded induction and staff training programmes covering mandatory training and access to a variety of planned training opportunities for staff. The home had a high percentage of staff with NVQ qualifications at level 2 and above and staff trained within the Learning Disability Award framework. Staff rotas showed sufficient numbers of staff on duty to meet resident’s needs Staff spoken with were aware of their roles and responsibilities and knew residents care needs, preferences and different communication needs. Records showed a stable staff group and staff spoken with said there was good team working and support for staff. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 and 43 The home reviews aspects of the service regularly and seeks the views of residents, staff and relatives. There is clear leadership and direction for staff to make sure that residents receive a consistent quality of care EVIDENCE: Minutes of residents meetings suggested their views and ideas were acted upon and satisfaction surveys were in use. There is clear vision and planning in the home and regular staff meetings and the homes newsletter keep residents up to date with events and changes in the service. The manager provides clear leadership and guidance for staff and residents said they felt listened to. The Croft Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 2 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 N/A 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Croft Village Score 3 3 2 N/A Standard No 37 38 39 40 41 42 43 Score 3 3 3 N/A N/A N/A 3 F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 22 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 YA23 Regulation 12 (1) Timescale for action The home should ensure its adult 17.10.05 protection policies and procedures are in line with current multi agency good practice gudelines and policies for the protection of vulnerable adults. Requirement 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 Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Village F58 F10 s22631 croft village v235908 19200905 ui stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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