Inspection on 06/03/06 for The Croft Village

This inspection was carried out on 6th March 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 Village 05/01/07

The Croft Village 19/09/05

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 Announced Inspection 1:00 6 March 2006 th The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 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 Village DS0000022631.V267724.R01.S.doc Version 5.0 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 Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Croft Village Address Hawcoat Lane Barrow-in-furness Cumbria LA14 4HE 01229 820090 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) The Croft Care Trust Mrs Lorraine Morris Care Home 23 Category(ies) of Learning disability (23), Physical disability (6) registration, with number of places The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include two named persons over the age of 65 Date of last inspection 20th September 2005 Brief Description of the Service: The Croft Village is a purpose built care home that provide 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, a 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 landscaped with decorative features, including water features and bridges. All areas of the village are accessible for wheelchair users. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 6th March 2006. The inspector looked around the village and workshops and spoke with the residents. The manager and care staff were spoken with. Records required by regulation were examined and care planning records. CSCI investigated a complaint made to them in October 2005 regarding withdrawal of some activities and visits and limitations on a resident’s freedom. The complaint was upheld. The requirements made were monitored at this inspection for compliance. What the service does well: What has improved since the last inspection? The home has access to a new bus, bought for the use of residents in both homes, to provide even more opportunities for travel and recreation for residents. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 6 The home has created a new medication room for the storage of medicines and associated records and stock. This has improved the standard of storage for resident’s medicines especially the temperature for storage and it is a much better working environment for staff preparing and checking those medications. 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 DS0000022631.V267724.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 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 the following standard(s): 2 and 3 The needs and aspirations of residents are considered and assessed before admission and these are being met. EVIDENCE: Residents are admitted to the home following a detailed assessment of their individual needs, their preferences, baseline daily living information and advice and support from other agencies and specialist services involved in the individuals care. The home obtains copies of the care management plans for the residents who are admitted under such arrangements. Specialist needs are assessed prior to admission and there is evidence of speech and language therapy, physiotherapy, wheelchair services, specialist nursing services and occupational health involvement at the assessment stage and later. Staff have a range of skills and experience needed to provide care and support. Staff were observed communicating effectively with residents and are aware of the particular communication methods preferred by different residents. Methods of preferred communication for residents are stated. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 9 The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 and 8 A consistent care planning system is in place giving guidance on changing personal and health needs and individual goals to provide staff with the information they need to support residents in their choices and meet their care needs. EVIDENCE: The individual care plans are clear, up to date and are being regularly reviewed with the care plans reflecting changes. Family, residents and key workers and specialist services are involved in the development of individual plans as well as agencies advising on particular behaviours or conditions as the need arises. Plans make it clear where risks are assessed and where limitations may be needed on individual freedoms. This was evident for one resident where aspects of behaviour could pose a risk to them and others and so an assessment was in place with guidelines to follow to manage that risk. It was also evident for another resident, their care plan is clear and explicit about what they wanted in their care, the kind of support they want, their medication and family involvement. Choices and decision making processes are clear. Picture symbols to help residents communicate their choices and needs are in use for those who wanted them. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 11 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): 12, 14 and 17 The home supports residents well in making decisions and choices in their lives and to take part in activities inside and outside the home. The meals in the home are good offering residents choice and variety and meeting special dietary needs. EVIDENCE: Residents have their own personal activities schedules and those who wanted to attended local day services, social clubs and the local adult education college enabling them to mix with the other people, gain life skills, qualifications and participate in the activities on offer there. Within the home staff are heavily involved in supporting residents in social and leisure activities and personal interests. Programmes of activities show some activity is available to residents every day if they chose to take it up. The home organises frequent group trips out to destinations chosen by residents and holidays. Residents say that they enjoy these and are involved in planning them. Minutes of the residents meeting show that residents are asked what trips and outings they wanted. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 12 It is evident from the certificates and pictures on display that residents do take part in a variety of educational and recreational activities, including food hygiene courses, cookery, crafts and computer courses. The home’s commitment to providing activities appropriate to residents needs was evident in the efforts the manager was making to ensure one resident had access to greater training and developmental courses and be supported to do that. Menus seen showed a choice and range of nutritious foods and special and therapeutic diets. Residents, where possible, help prepare some meals such as breakfast. One resident told the inspector about their weekly cookery sessions in the home and that their speciality meal was spaghetti bolognaise but also they liked to cook and eat beef burgers. The main meals for residents are prepared in the main kitchen in the nearby nursing home and transported the short distance in heated containers. Residents said that the food is “very good” and they could choose what they wanted. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 13 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 and 19 There are systems in place to monitor and consistently meet resident’s personal care needs and preferences and their physical and emotional needs with specialist advice and instructions for staff to follow. EVIDENCE: Individual care plans record individual service user choices on personal support, regarding individual limitations and risks, their preferences for daily routines and care and moving and handling needs, along with assessments and instructions for staff to follow. All residents have a key worker they know well and who have a good understanding of them and their individual needs. Routine health screening by GPs and checks and immunisation are available and resident’s made their own choices, with support, about taking some or all of these up. Some residents have stated very specific details about what they wanted regarding their health care and medication. The home has a resident held health record system to promote confidentiality and resident control of their health records. These also have pictorial formats. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 14 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 and 23 The home has a satisfactory complaints system available in different formats to suit resident’s needs. There are adult protection procedures in place 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. CSCI received one complaint regarding the withdrawal from one resident of certain activities and visits and restrictions on choice. These were upheld. The home has acted on the findings of that complaint to prevent it happening again. The home has its own adult protection procedures and these have been updated in line with current multi agency guidance and policies for the protection of vulnerable adults. Training records indicate that training is due to take place to update staff on behaviour management and adult protection. There are procedures in place to safeguard resident’s financial interests. These involve families and representatives in supporting residents in dealing with their finances The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 15 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 and 30 The standard of the environment and maintenance in the home is good providing residents with an attractive, comfortable, clean and homely place to live. EVIDENCE: The houses and bungalows in the village are clean, tidy and provided a homely and domestic place to live with attractive, light and comfortable communal areas. Private bedrooms are furnished and decorated according to resident’s preferences. Specialist equipment and adaptations are provided in the home to assist residents and promote their independence and mobility in the home. The home has a well-equipped laundry away from communal areas with domestic washing- machines that residents, who want to, can use. A new medication room has improved facilities to store and prepare medication. There are policies and procedures in place for infection control and procedures 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 aim to promote an independent way of life for residents and that residents do not routinely require commodes and urinals to meet continence needs it is judged following observation, examination and discussion of individual needs The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 16 that is not necessary to provide this facility. At the time of this inspection, the desired outcome for residents was being achieved without the need for a sluice facility. Washing machines have a sluice facility for linen. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 17 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): 31 and 33 There is a stable, well trained and well supported staff group that works well with residents to promote independence and quality of life. EVIDENCE: The Croft Village has a stable staff group with established induction and training programmes covering mandatory training and giving access to a variety of planned training opportunities. Roles and responsibilities are clear and there is a clear and open management approach for staff and residents. The home had a high percentage of staff with NVQ qualifications at level 2 and above. Staff rotas show sufficient numbers of staff are on duty to meet resident’s needs during the day and night. Staff know the residents well, their personal interests and backgrounds. There is a high level of personal commitment by staff to improving the quality of life for residents evidenced in the time staff spend outside their paid employment supporting and allowing residents to achieve their potential. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 18 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, 40 and 42 The home reviews aspects of its procedures and performance and seeks the views of residents, staff and relatives. There is consistent, open management and direction for staff to make sure that residents receive a consistently safe and good standard of care EVIDENCE: The manager provides clear leadership and guidance for staff and is accessible to residents who said they felt listened to by staff members and manager. The home’s annual review of policies and procedures is in progress and these are updated if needed and are signed and dated by the manager. Staff have access to all policies and procedures and different formats are available for residents if required. A sample of records required by regulation for the protection of residents were examined and found to be up to date and accurate. Records and servicing contracts indicated that the home had systems in place and established practices and procedures to promote resident health and safety; this included appropriate staff fire training and moving and handling The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 19 instruction. There is evidence that appropriate testing and cleaning is being carried out. The Croft Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 20 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 X 3 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 4 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Croft Village Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X 3 X DS0000022631.V267724.R01.S.doc Version 5.0 Page 21 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 Village DS0000022631.V267724.R01.S.doc Version 5.0 Page 22 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. 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