Care Home: Crawshaw Hall Nursing Home

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What the care home does well Admission procedures were thorough to ensure that the assessed needs of each resident could be met at the home. Members of staff approached residents in a calm and friendly manner and were able to gain their cooperation before attending to them. Members of staff were also observed spending time talking to residents and encouraging them to be aware of their surroundings. The relative of one resident said the care was good. Another visitor said they had regular meetings with the manager to review the care plan and discuss the care of his relativeVisitors were welcomed into the home at anytime. One visitor said he was always offered refreshments. All the residents asked said meals were good. The menus were varied and a choice was available at each meal. What has improved since the last inspection? Care plans identified and addressed the health and social care needs of each resident. Wound care records provided detailed information about the care and condition of the wound. Records for the management of medication were in place and up to date. Regular checks were carried out to make sure that medicines were handled safely in accordance with procedures. A range of leisure activities suitable for residents suffering from dementia and mental health problems were organised at the home. Members of staff engaged residents in conversation and made every effort to meet their individual needs. The recent refurbishment of the home has increased the number of single rooms and provided more en-suite facilities. All bedrooms are equipped with a wall mounted flat screen television, radio/CD player, and telephone and Internet access. The provider made unannounced visits to the home every month and completed a written report for the manager detailing any action that needed to be taken in order to improve the standard of care for the residents. CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Crawshaw Hall Nursing Home Burnley Road Crawshaw Booth Rossendale BB4 8LZ Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 1st July 2008 10:00 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Crawshaw Hall Nursing Home DS0000022508.V368262.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 Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crawshaw Hall Nursing Home Address Burnley Road Crawshaw Booth Rossendale BB4 8LZ 01706 228694 01706 215670 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 Jainarain Buluck Care Home 23 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (23), Mental disorder, excluding learning of places disability or dementia (6), Mental Disorder, excluding learning disability or dementia - over 65 years of age (23) Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Under Annex 2, a max of 6 service users aged 50 years and above requiring nursing care who fall into the category of MD or DE Staffing will be accordance with the Notice issued dated 7 August 2001 The registered provider shall, at all times, employ a suitably qualified and experienced person who is registered with the National Care Standards Commission as manager of Crawshaw Hall Nursing Home. 4th January 2008 Date of last inspection Brief Description of the Service: Crawshaw Hall Nursing Home provides 24-hour care for people who suffer from a mental disorder or dementia. Although the majority of people are over 65 years the home can admit up to 6 people who are under the age of 65 years old. The home is a large detached grade 2 listed building with extensive grounds. There is a secure garden area, which is easily accessible to residents when the weather permits. A parking area for use by visitors and staff is available at the front of the building. The home is situated on the outskirts of the village of Crawshawbooth and near to the local amenities provided in the village. Rawtenstall is approximately 2 miles away. Accommodation is provided in 16 single and 4 twin-bedded rooms. All the single rooms and 1 twin-bedded room have en-suite facilities. Communal lounges and dining rooms are located on the ground floor. All the rooms are spacious and airy and there are many unique decorative features in keeping with the age of the building. The current fees charged at Crawshaw Hall Nursing Home are £387 - £803 per week. Additional charges are payable for hairdressing, chiropody, toiletries, magazines, newspapers and outings. A copy of the statement of purpose and service user guide is available at the home. Crawshaw Hall Nursing Home DS0000022508.V368262.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 at Crawshaw Hall Nursing Home on 1 and 4 July 2008. Two random inspections have been made since the last key inspection of 4 January 2008. The first one on 12 March 2008 to monitor compliance with requirements made at the key inspection and the second one on 21 May 2008 to monitor compliance with the statutory notices issued following the first random inspection. The manager completed an annual quality assurance assessment several weeks before the key inspection of 4 January 2008. This document was still relevant and provided important information about how the home is being managed. At the time of this inspection 12 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. Wherever possible the views of residents were obtained about their life at the home. Due to memory and communication difficulties, many of the residents were unable to make any comments about their experience of living in the home. Therefore, a period of one and a half hours was spent closely observing how staff communicated and attended to certain residents and how they reacted to this. What the service does well: Admission procedures were thorough to ensure that the assessed needs of each resident could be met at the home. Members of staff approached residents in a calm and friendly manner and were able to gain their cooperation before attending to them. Members of staff were also observed spending time talking to residents and encouraging them to be aware of their surroundings. The relative of one resident said the care was good. Another visitor said they had regular meetings with the manager to review the care plan and discuss the care of his relative. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 6 Visitors were welcomed into the home at anytime. One visitor said he was always offered refreshments. All the residents asked said meals were good. The menus were varied and a choice was available at each meal. What has improved since the last inspection? 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 Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (older people) and 2 (adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured sufficient information was obtained in order to identify the needs of each resident. 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 or a senior member of staff visited and assessed prospective residents in hospital or their own home prior to admission. The individual Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 9 records of two residents were inspected. Each contained a detailed preadmission assessment. These assessments provided important information for the development of their individual care plans. Standard 6 is not applicable to this service. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 (older people) and 6,9,16,19 and 20 (adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of each resident were identified and met. Medication was managed safely. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 11 EVIDENCE: The individual care plans of two residents were inspected. These care plans identified the personal and healthcare needs of each resident and gave clear directions for staff to follow to ensure their individual needs were met. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Information for staff about how to manage identified risks was also included in the care plans. Wound care records for one resident provided information about the condition of the wound and instructions for staff to follow about the care needed to promote healing. These instructions included details of the dressings to be used and how often the dressings should be changed. Care plans and risk assessments were reviewed monthly and updated when the needs of the resident changed. Where possible the resident or their relatives were involved in a review meeting every three months and signed the review sheet to indicate their agreement with the care provided. A written report about the care given to individual residents was completed during each shift. There were also records of the involvement of GP’s and other healthcare professionals in the care of the residents. These included the podiatrist, tissue viability nurse and psychiatrist. The majority of residents living at Crawshaw Hall Nursing Home due to dementia or mental health problems have difficulty expressing their views about the care they receive. A specialist observational tool was therefore used at this visit. This involved watching five residents for one and a half hours from mid-morning until almost lunchtime. The result of this observation indicated that all five residents appeared happy and content for all or some of the time and three residents were withdrawn and uninvolved in their surroundings for a short time. During the morning ‘toe-tapping’ music was being played and one member of staff chatted to the residents about this, asking if they had enjoyed dancing in their younger days. One member of staff spoke gently to a lady about a soft toy dog she was holding and encouraged her to stroke it. Members of staff were observed serving drinks and biscuits to residents and assisting with feeding if necessary. However, two members of staff remained standing when giving residents a drink. The weather was warm and sunny and members of staff suggested to each resident in turn that they might like to sit outside or go for a walk in the garden. Several residents agreed and were taken outside. Throughout the observation period residents were calm and responded positively to staff. The pharmacist inspector checked all aspects of the management of medication on 4 July and reported as follows: Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 12 Medicines were generally handled safely, the service showed good practice in some areas. Records were good for the receipt of medicines into the home and for the safe disposal of unwanted medicines. We looked at the medicines stock and records and found, with the exception of a rare discrepancy, these ‘added up’, showing medicines had been given correctly. Regular audits (checks) are carried out to make sure that medicines are handled in accordance with procedures. However, checks carried out by the manager are not recorded. This is recommended to help ensure the service has an overview of medicines handling at the home. The home kept mostly good records of communications with, and advice from, health care professionals such as doctors so, in most cases it was clear when medicines had changed. Where new medicines were prescribed arrangements were in place to ensure they were dispensed and started as soon as possible. The service has put protocols in place for giving ‘when required” medicines’ such as painkillers and sedatives to make sure people received them in the right dosage, and only when they were needed. The home had arrangements in place so that non-prescribed medicines for the treatment of minor ailments could be given. This benefits residents as they can receive treatment for conditions such as minor pain without delay and without the need to see the doctor. Controlled drugs handling was clearly recorded in a proper register and arrangements were in place for the proper (legal) controlled drugs cupboard to be fitted once keys were obtained. The homes medicines policy provides written guidance to staff in the handling of medication but needs updating in some areas as for example, some references are out-of-date. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 (older people) 12,13,15 and 17 (adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s decisions were respected and they were supported to have a fulfilling lifestyle. Meals were wholesome and appetising and residents enjoyed them. EVIDENCE: To ensure suitable leisure activities were arranged information about the interests and hobbies of each resident were recorded in their individual care Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 14 plans. Details of any religious beliefs and if the resident wanted to practice their chosen faith were also recorded. Leisure activities were advertised in the lounge, these included listening to music, watching old films on DVD, games, memory jogging and current affairs written about in the local paper. Residents were also encouraged to sit outside in the garden when the weather was nice. During the observational period residents were not left unsupervised by a member of staff for more than a few minutes at a time. A visitor explained that staff was always in the lounge to supervise residents. Regular contact for residents with their family and friends was considered to be an important part of their life. Residents said their visitors were welcomed into the home at anytime and offered refreshments. The meal served at lunchtime looked wholesome and appetising. Lunch was unhurried allowing residents to enjoy their meal. Blended meals were served with each item of food blended separately so residents could identify the food and experience the individual flavours. Members of staff were observed feeding residents in a patient and caring manner. All the residents asked said they were enjoying their lunch. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (older people) 22 and 23 (adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives felt able to express their concerns. Staff had a good understanding of protection issues. EVIDENCE: A copy of the complaints procedure was displayed in the home. No complaints have been made to the manager or the commission since the last inspection. One visitor said he would make a complaint to the manager if necessary. One member of staff said, “We have received complaint’s training.” Policies and procedures about the safeguarding of vulnerable adults were in place. Discussion with several members of staff confirmed they had received training in safeguarding vulnerable adults. They also had a good understanding of safeguarding and knew what to do if allegations of abuse were made. One member of staff said “I covered abuse training on my NVQ.” Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 (older people) 24 and 30 (adults 18-65). Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was equipped and furnished to a high standard and provided a very pleasant and safe place for residents to live. EVIDENCE: At the time of the inspection the home was clean, tidy and free from offensive odours. This provided a safe and comfortable environment for the residents. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 17 A major refurbishment of the home, which has been taking place over the last year and is almost complete. All areas of the home have been refurbishment has increased the number of single rooms and en suite facilities. All areas of the home have been redecorated and new carpets have been fitted. All bedrooms have new furniture, wall mounted flat screen television, radio/CD player, and telephone and Internet access. Residents were also encouraged to bring personal items for their bedrooms to make them more homely. These included, ornaments, photographs etc. A new nurse call system is in place, which enables staff to quickly identify which resident needs assistance. To prevent residents from being injured if they are in contact with hot radiators decorative covers have been fitted. The extensive grounds and gardens were well kept and accessible to all residents. All the laundry was done at the home. A suitably equipped laundry room ensured clothes were washed promptly and returned to the residents. Gloves and plastic aprons were available for staff to use in order to protect them and the residents from infection. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 (older people) 32,34 and 35 (adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members of staff were encouraged to acquire the skills and knowledge necessary in order to meet the needs of the residents. Recruitment procedures did not fully protect residents. EVIDENCE: The duty rota provided information about the grades and numbers of staff on duty for each shift. One member of staff said, “We always have plenty of staff working.” It was evident from discussion with members of staff and the manager that training was encouraged. This included, induction training for new employees, health and safety, basic food hygiene, first aid, dementia care, infection control and moving and handling. One member of staff said, “I have recently done Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 19 dementia awareness.” Another member of staff said, “Management are very good if you want to access training.” Three members of staff have NVQ qualifications at level 2 or above. In addition to this a further two members of staff were working towards NVQ level 2. The files of two members of staff appointed since the last inspection were examined. These files indicated that all the required pre-employment checks had been completed prior to appointment. However, the application form needed amending to request a full employment history, the reason for leaving all previous employment and the reason for any gaps in employment. The manager was also advised to explore any issues identified on the application form at interview. This ensures residents are protected from the employment of unsuitable staff. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38 (older people) and 37,39 and 42 (adults 18-65). Quality in this outcome area 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 and their relatives are considered when decisions about the care and facilities provided at the home are made. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager is an experienced nurse and keeps up to date with current practice by reading a variety of care journals, using the internet and attending relevant training courses. The manager is allocated twenty hours per week when another nurse is on duty. This allows time for him to meet the requirements of his role as registered manager. The home has achieved the nationally accredited Investors in People award. Residents and their relatives had been asked to express their views about the care and facilities provided at the home by completing satisfaction questionnaires in January 2008. These were then evaluated by the provider and manager and areas for improvement identified. The proprietor regularly visited the home and completed a written report for the manager detailing any action that needed to be taken in order to improve the standard of care for the residents. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place for residents to live. Fire alarms and emergency lighting were tested regularly. Fire drills took place regularly and a staff attendance record was kept. Records of the routine servicing of equipment were seen. These included up to date gas safety and electrical installation certificates and evidence that the testing of small electrical appliances had taken place in April 2008. Records maintained in the kitchen included fridge, freezer and food temperatures. This ensures food is stored correctly and handled safely. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 23 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. 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. 1 OP10 2 OP29 Refer to Standard Good Practice Recommendations To promote and dignity and prevent individual residents from feeling threatened members of staff should always sit down when assisting with eating or drinking. To ensure residents are protected from the employment of un suitable staff the application form should be amended to request a full employment history, the reason for leaving all previous employment and the reason for gaps in employment. Crawshaw Hall Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Regional Contact Team 3rd Floor Unit 1 Tustin Court Port Way 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 Nursing Home DS0000022508.V368262.R01.S.doc Version 5.2 Page 25 - 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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