Care Home: Crawshaw Hall Medical Centre

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What the care home does well All the residents asked said daily routine was flexible and they could get up and go to bed when they wanted. Members of staff were observed attending to residents in a caring and friendly manner. One resident said, "The staff are brilliant, they treat me properly and listen to my opinion." The relative of one resident said, "The staff are great with her." Residents were encouraged to pursue their own interests and hobbies. One resident liked reading and another liked playing an interactive game on the television. A variety of leisure activities were organised in the home and trips out to the local shops and pub were arranged. All the residents asked said they had a choice of menu and the meals were good. One resident said, "The meals are smashing." What has improved since the last inspection? Members of staff have received training in safeguarding vulnerable adults. Two care workers were questioned about this during in the inspection. They both knew the procedure to follow if allegations of abuse were made. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 6Fire drills take place regularly and members of staff are required to watch a training DVD and answer questions. This ensures all members of staff know what to do in the event of a fire. The microwave oven and fridge in the kitchenette in the dining room were clean. The temperature of the fridge and freezer were checked and recorded daily. This ensures food is stored correctly and handled safely. What the care home could do better: It is important that medication is managed correctly, this means a record of all medication received into the home must be kept. CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Crawshaw Hall Medical Centre Burnley Road Crawshawbooth Rossendale Lancashire BB4 8LZ Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 7th April 2008 10:15 Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 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 Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and 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. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crawshaw Hall Medical Centre Address Burnley Road Crawshawbooth Rossendale Lancashire BB4 8LZ 01706 228695 01706 215670 enquiries@crawshawhall.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Eileen Karoo Mr Adrian Mark Andrew Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (21) of places Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing for service users requiring nursing care will be in accordance with the Notice issued dated 7 December 2001 The registered provider shall at all times, employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Crawshaw Hall Medical Centre Within the overall total of 21 a maximum of 10 service users requiring personal care who fall into the category of PD. A maximum of 21 service users requiring nursing care who fall into the category of either OP or PD. Within the overall total of 21 a maximum of 1 service user requiring personal care who falls within the category of OP. The total number of service users within these categories must not exceed 21 (twenty one). 19th June 2007 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Crawshaw Hall Medical Centre is registered to provide either nursing or personal care for up to 21 residents. Older and younger adults may be admitted to the home. Accommodation is provided in single rooms on the ground and first floors. A large communal lounge with dining area is located on the ground floor. There is a smaller lounge on the first floor where smoking is permitted. A passenger lift facilitates access to all areas of the home. The home is a grade 2 listed building with extensive grounds. Crawshaw Hall is situated on the outskirts of Crawshawbooth with shops and a public house. There is a reasonable bus service to the area. The current fees charged at Crawshaw Hall Medical Centre are £650 - £850 per week. Additional charges are payable for chiropody, hairdressing, magazines, toiletries, activities outside the home and holidays. A copy of the statement of purpose and service user guide was available to prospective residents and their relatives on request. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted on the 4 April 2008. No additional visits have been made since the last inspection. One completed survey was received from the relative of a resident and nine from members of staff. This relative commented that the staff were very good. All nine members of staff indicated they had been given the training necessary in order to meet the individual needs of the residents. At the time of this inspection 17 residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? Members of staff have received training in safeguarding vulnerable adults. Two care workers were questioned about this during in the inspection. They both knew the procedure to follow if allegations of abuse were made. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 6 Fire drills take place regularly and members of staff are required to watch a training DVD and answer questions. This ensures all members of staff know what to do in the event of a fire. The microwave oven and fridge in the kitchenette in the dining room were clean. The temperature of the fridge and freezer were checked and recorded daily. This ensures food is stored correctly and handled safely. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (adults 18-65) and 3 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured the needs of people using the service were identified and met. EVIDENCE: A copy of the statement of purpose and service user guide is available to prospective residents and their relatives on request. These provide information about the care and facilities provided at the home. The manager said residents were usually referred from social services and the social worker supplied a summary of the resident’s care needs. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 9 The manager or proprietor also visited and assessed prospective residents in hospital or their own home prior to admission. The care records of a resident admitted recently to the home were inspected. These records contained a detailed pre-assessment admission. These assessments provided important information for the care plans. Standard 6 (older people) is not applicable to this service. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 (adults 18-65) and 7,14 and 33 (older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Residents were encouraged and supported to make decisions about the care they received and their lifestyle. EVIDENCE: The individual care plans of two residents were inspected. These care plans identified and addressed the personal and healthcare needs of each resident and explained how these needs were met. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 11 Information for staff and individual residents about how to manage identified risks was also included in the care plans. Records relating to the care of a pressure sore for one resident included instructions for staff to follow about the dressing to use and how often the dressing should be changed. Details of the condition of the sore were recorded at each dressing change. Care plans and risk assessments were reviewed monthly and up dated when the needs of the resident changed. Residents and their relatives were invited to be involved in planning care in order to ensure they agreed with the care given. Independence for residents was promoted as much as possible. They were encouraged to make decisions about their lifestyle and activities. If a resident needed help and advice to make important decisions advocacy services were available. Information about how to these services was displayed in the home. Residents were encouraged and supported to manage their own finances. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 (adults 18-65) and 10,12,13 and 15 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 13 Resident’s decisions were respected and they were supported to have a fulfilling lifestyle. EVIDENCE: Residents were encouraged to pursue their own interests and hobbies. Two residents said they enjoyed watching television. One of these residents also enjoyed playing interactive games on the television. Another resident wanted to continue her education at Accrington College and tutors were helping to find a suitable course. One lady said she enjoyed reading. A variety of activities were organised in the home. These included, quizzes, bingo, dominoes, manicures and scrabble. A clothing company was visiting the home on 1 May for residents to choose and buy clothes if they wished. Trips out to the local shops, pub lunches and the occasional football match were also arranged. Two care workers explained how they spent time chatting to residents. Discussion with residents confirmed that the daily routine was flexible in order to meet the needs and preferences of the residents. One residnt said she liked to get up get up at 8.45am and have a bath. Another resident said he got up and went to bed when he wanted to do. Regular contact for residents with family and friends was considered to be an essential part of their daily life. Visitors were welcomed into the home at anytime and offered refreshments. All the residents asked said the meals were good. Two choices were offered for dinner and tea but alternatives to the menu were readily available. A pureed meal given to one resident at lunchtime looked appetising because all the components were liquidised separately. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 (adults 18-65) 8,9 and 10 (older people) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents individual healthcare needs were identified and met and their privacy and dignity promoted. Medication was managed safely. EVIDENCE: Personal care was carried out in the privacy of the resident’s own room or bathroom. Two care workers explained in detail how they promoted privacy and dignity for all residents. One resident said, “The staff are brilliant, I’m treated properly.” A visiting relative said he was happy with the care his wife Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 15 received. Members of staff were observed attending to residents in a polite and friendly manner. There were records of the involvement of GP’s and other healthcare professionals in the care of the residents. These included chiropodists, dieticians and opticians. Medication was stored correctly and administered by registered nurses. Records for the management of medication were in place. However, a record of the receipt of medication had not been kept for one resident. Controlled drugs were stored securely and a stock check was satisfactory. The manager has recently introduced a system to check all aspects of the management of medication. This will ensure any problems are identified and addressed. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 (adults 18-65) 16,18 and 35 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Complaints were taken seriously and investigated. Staff had the training necessary to ensure residents were protected from abuse. EVIDENCE: A copy of the complaints procedure was included in the statement of purpose, service user guide and displayed in the home. Records of complaints made since the last inspection were available. One visitor said he would speak to the manager if there were any problems. Policies and procedures relating to the safeguarding of vulnerable adults were in place. This was discussed with two care workers they said they had received training in safeguarding vulnerable adults. They also said they would report any concerns and knew the procedure to follow if allegations of abuse were made. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 (adults 18-65) 19 and 26 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. The premises provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: At the time of the inspection the home was reasonably clean and well maintained and provided the residents with a pleasant place to live. To further Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 18 improve the home the first floor lounge, which is a designated smoking area, has recently been redecorated. The ground floor bathroom is in the process of being refurbished and there are plans to redecorate the ground floor lounge and two of the bedrooms. A new carpet is to be fitted in the ground floor corridor. Residents were encouraged to bring personal items to display in their bedrooms. Several residents had their own computers, sound systems and televisions. The grounds and gardens were well kept and residents could sit outside if they wished when the weather permitted. All the laundry was done at the home. A suitably equipped laundry room ensured clothes were washed promptly and returned to the residents. Plastic gloves and aprons were available for staff to protect them and the residents from infection. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 (adults 18-65) and 27,28,29 and 30 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. Members of staff had the skills and knowledge necessary in order to meet the needs of the residents. Recruitment procedures were thorough. EVIDENCE: Inspection of the duty rota confirmed that a sufficient number of staff were on duty for all shifts in order to meet the assessed needs of the residents. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 20 Discussion with the manager and two care workers and inspection of training records confirmed that training was encouraged. This included, basic food hygiene, first aid, moving and handling, health and safety and infection control. Four care workers have an NVQ level 2 in care. One care worker is working towards NVQ level 2 and two are working towards level 3. The files of three members of staff appointed since the last inspection were examined. These files indicated that all the required pre-employment checks to ensure the protection of the residents had been completed before they started working at the home. The manager has obtained a copy of the ‘Skills for Care’ induction standards. This is a comprehensive induction programme which gives new and inexperienced care workers the skills and knowledge they need to provide person centred care for each resident. The manager explained these would be used in the induction training for two recent and all future new employees. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 (adults 18-65) and 31,33,35 and 38 (older people) Quality in this outcome are is good. This judgement has been made using available evidence including a visit to this service. The home has a competent manager. The views of residents are considered when decisions about the care and facilities provided at the home are made. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is an experienced nurse. He has successfully completed the NVQ assessor award. He keeps up to date with current practice by using the Internet, reading care journals and attending relevant training. The home has achieved the nationally accredited Investors in People Award. Residents and their relatives completed anonymous satisfaction questionnaires in February 2008. The manager had evaluated the questionnaires and written a report. Residents were encouraged to express their views about the home informally at anytime and at the regular resident’s meetings. At these meetings the menus, leisure activities and trips out were usually discussed. An annual business plan to help monitor the quality of the service and further improve outcomes for residents was in place. Fire alarms and emergency lighting were tested regularly. Fire drills took place monthly and a staff attendance record was kept. An up to date fire risk assessment was in place and the manager said this would be reviewed every three months. Records of the routine servicing of equipment were seen. These included up to date gas safety and electrical installation certificates. The microwave oven and fridge in the kitchenette in the dining room were clean. The temperature of the fridge and freezer were checked and recorded daily. This ensures food is stored correctly and handled safely. Records maintained by the cook included fridge, freezer and food temperatures. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 3 3 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Crawshaw Hall Medical Centre Score 3 3 2 X DS0000022511.V358941.R01.S.doc Version 5.2 Page 24 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 YA20 Standard Regulation 13(2) Requirement To ensure medication is managed correctly a record of the receipt of all medication received into the home must be kept. Timescale for action 02/05/08 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 Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Crawshaw Hall Medical Centre DS0000022511.V358941.R01.S.doc Version 5.2 Page 26 - 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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