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Care Home: Cressingham House

  • 19 - 25 Cressingham Road Wallasey Wirral CH45 2NS
  • Tel: 01516394626
  • Fax:
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Cressingham House is converted from four mid-terraced houses and is located in a quiet residential area, close to local shops and New Brighton promenade. The home does not have a garden but there is a pleasant courtyard at the back of the building which residents can use. Accommodation is on the ground and first floor. The communal areas consist of two lounges and a spacious dining room. All rooms are single occupancy and a number are arranged as bedsitting rooms. There are bathing facilities on both floors and a two-stage stair lift gives access to the first floor.

  • Latitude: 53.437000274658
    Longitude: -3.0460000038147
  • Manager: Ms Susan Sherwen
  • Price p/w: -
  • UK
  • Total Capacity: 16
  • Type: Care home only
  • Provider: Wallasey Free Women`s Church Council (Cressingham House)
  • Ownership: Charity
  • Care Home ID: 5152
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 21st May 2008. CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

For extracts, read the latest CQC inspection for Cressingham House.

What the care home does well Residents spoken to said they always receive their medication on time and as prescribed by their GP. They confirmed staff respond promptly to their health care needs. One relative`s questionnaires noted `the staff are extremely helpful and attentive. The meals are very good and the staff make an effort to engage the residents so that they are well looked after and mentally stimulated`. Another questionnaires noted `the home provides a pleasant and caring atmosphere`. Residents confirmed staff treat them with respect and their right to privacy is always upheld particularly when carrying out personal care. One resident said `the staff are very good when they help me have a bath, they are all very discreet`. All of the residents spoken to praised the staff team for their hard work and kind and caring nature. One resident said `the staff are very good, nothing is ever any trouble`. A range of social activities is provided to give residents an opportunity to meet the other people living in the home and to prevent them from becoming bored. One resident said `I always enjoy the activities and chatting with the staff, they are all lovely`. Another resident said `I don`t want to join in with the activities, I am happy going out on my own`. Residents are helped to exercise choice and control in their lives. Friends and family are welcome to visit at any time so that residents can maintain personal relationships. Although the home has a Christian ethos, residents from different religious backgrounds are welcome and their needs can be catered for. An inter-denominational service takes place each month for residents who wish to join in. Residents spoken to said they enjoy their meals and always have plenty to eat. One resident said `the food is very good`, another said `I always enjoy my meals, in fact I get too much food`. Diets based around residents` medical, cultural and religious needs can be catered for. The residents spoken to said they know who to contact if they wish to make a complaint, they all said they were happy with the care they receive and had no complaints to make. Residents said the staff are extremely kind and caring and they have never experienced them being rude or abusive. The location and layout of the home is suitable for its purpose and provides a comfortable and homely environment for residents to live. There are sufficient staff on duty to look after the residents in accordance with their particular needs. Staff turnover is low; this is a positive aspect of the home and ensures continuity of care. The staff spoken to said they enjoy their work and feel well supported in their role. The staff spoken to confirmed they have completed a range of training to support them in their role. Both relatives` questionnaires returned to us indicated the staff have the right skills and experience to look after people properly. One questionnaire noted `all of the staff seem to be well trained and versed in the skills of helping old people to make the most of their stay`. There are clear lines of management and accountability in the home, which is run for residents` best interest. Staff spoke well of the manager saying she is always available for advice and support. What has improved since the last inspection? Staff have been provided with more training and improvements have been made to the environment. Record keeping has improved as has the training programme provided to staff when they are first employed. What the care home could do better: More information needs to be included in the care plans, including risk assessments, so that staff know how to look after the residents properly and keep them safe and well. The home`s policy and procedure for investigating and dealing with alleged abuse needs to be updated to ensure it reflects current good practice and theWirral adult protection procedures. All staff, including ancillary staff, must complete training on how to safeguard residents from abuse and harm CARE HOMES FOR OLDER PEOPLE Cressingham House 19 - 25 Cressingham Road Wallasey Wirral CH45 2NS Lead Inspector Inger Moynihan Key Unannounced Inspection 21st May 2008 08:45a X10015.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 Cressingham House DS0000018880.V363668.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. 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. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cressingham House Address 19 - 25 Cressingham Road Wallasey Wirral CH45 2NS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of manager(if applicable) Type of registration No. of places registered (if applicable) 0151 639 4626 kccressingham@aol.com Wallasey Free Womens Church Council (Cressingham House) Susan Sherwen Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th September 2007 Brief Description of the Service: Cressingham House is converted from four mid-terraced houses and is located in a quiet residential area, close to local shops and New Brighton promenade. The home does not have a garden but there is a pleasant courtyard at the back of the building which residents can use. Accommodation is on the ground and first floor. The communal areas consist of two lounges and a spacious dining room. All rooms are single occupancy and a number are arranged as bedsitting rooms. There are bathing facilities on both floors and a two-stage stair lift gives access to the first floor. Cressingham House DS0000018880.V363668.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 star. This means the people who use this service experience good quality outcomes. Information about the home was obtained through an Annual Quality Assurance Assessment (AQAA) and discussion with the manager and members of the staff team. Policies, procedures and supporting documentation were looked at along with a selection of residents’ case files. A part of the inspection process includes sending questionnaires to residents, staff and health care professionals to obtain their views on the standard of the service. Comments made in these questionnaires are included in the report and contribute to the basis of any judgments made. Fees - £375.00 per week What the service does well: Residents spoken to said they always receive their medication on time and as prescribed by their GP. They confirmed staff respond promptly to their health care needs. One relatives questionnaires noted the staff are extremely helpful and attentive. The meals are very good and the staff make an effort to engage the residents so that they are well looked after and mentally stimulated. Another questionnaires noted the home provides a pleasant and caring atmosphere. Residents confirmed staff treat them with respect and their right to privacy is always upheld particularly when carrying out personal care. One resident said the staff are very good when they help me have a bath, they are all very discreet. All of the residents spoken to praised the staff team for their hard work and kind and caring nature. One resident said the staff are very good, nothing is ever any trouble. A range of social activities is provided to give residents an opportunity to meet the other people living in the home and to prevent them from becoming bored. One resident said I always enjoy the activities and chatting with the staff, they are all lovely. Another resident said I dont want to join in with the activities, I am happy going out on my own. Residents are helped to exercise choice and control in their lives. Friends and family are welcome to visit at any time so that residents can maintain personal relationships. Although the home has a Christian ethos, residents from Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 6 different religious backgrounds are welcome and their needs can be catered for. An inter-denominational service takes place each month for residents who wish to join in. Residents spoken to said they enjoy their meals and always have plenty to eat. One resident said the food is very good, another said I always enjoy my meals, in fact I get too much food. Diets based around residents medical, cultural and religious needs can be catered for. The residents spoken to said they know who to contact if they wish to make a complaint, they all said they were happy with the care they receive and had no complaints to make. Residents said the staff are extremely kind and caring and they have never experienced them being rude or abusive. The location and layout of the home is suitable for its purpose and provides a comfortable and homely environment for residents to live. There are sufficient staff on duty to look after the residents in accordance with their particular needs. Staff turnover is low; this is a positive aspect of the home and ensures continuity of care. The staff spoken to said they enjoy their work and feel well supported in their role. The staff spoken to confirmed they have completed a range of training to support them in their role. Both relatives questionnaires returned to us indicated the staff have the right skills and experience to look after people properly. One questionnaire noted all of the staff seem to be well trained and versed in the skills of helping old people to make the most of their stay. There are clear lines of management and accountability in the home, which is run for residents best interest. Staff spoke well of the manager saying she is always available for advice and support. What has improved since the last inspection? What they could do better: More information needs to be included in the care plans, including risk assessments, so that staff know how to look after the residents properly and keep them safe and well. The homes policy and procedure for investigating and dealing with alleged abuse needs to be updated to ensure it reflects current good practice and the Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 7 Wirral adult protection procedures. All staff, including ancillary staff, must complete training on how to safeguard residents from abuse and harm 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. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care needs are assessed so they know they will receive the care they need. EVIDENCE: Before a resident moves into the home, an assessment of their care needs and any risk factors affecting their well-being is carried out. Residents and their family or carers are included in the assessment process so they can be involved in any decision-making. The assessment documentation gives staff the information they need on the residents care needs and particular likes and dislikes. Through discussion it was clear that the manager understood residents individual care needs and issues relating to equality and diversity such as a persons age, disability and gender are addressed. However, she acknowledged that more detailed information needs to be included in this documentation so that staff are sure they can provide the best plan of care and keep the resident safe and well. Intermediate care is not provided at Cressingham House. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are set out in an individual plan of care to ensure they are identified and planned for. EVIDENCE: The care plans cover a range of issues relating to residents care needs and provide staff with information on how they should be looked after. The manager acknowledged that improvements need to be made to the care plans as they held only basic information relating to residents physical care needs and did not include information on how residents emotional or social care needs are met. Although the care plans had been reviewed, no information was recorded on how the review was carried out and in some instances any changes made to the plan of care. Although staff monitor and record details of residents daily welfare, the records held minimal information and did not always include anything specific about the individual residents. In light of this, the care plans need to be updated to ensure residents receive the care they need. The manager is advised to take up the offer of care plan training. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 11 Residents spoken to confirmed they see their GP when necessary and staff respond promptly to their health care needs. One of the residents questionnaires returned to us indicated they always receive the care and support (including medical support) they need and that staff listen and act on what they say. The other questionnaire however, indicated they usually receive the care and support they need and staff do not always act and listen to what they say. This questionnaire indicated they usually receive the medical support they need. One of the relatives questionnaires noted the staff are extremely helpful and attentive. The meals are very good and the staff make and effort to engage the residents so that they are well looked after and mentally stimulated. The other questionnaires noted the home provides a pleasant and caring atmosphere. Residents spoken to said they always receive their medication on time and as prescribed by their GP. Systems are in place for the safekeeping and handling of residents’ medication and only trained staff are allowed to administer medication. Staff have access to the homes medication policy and procedure so they are clear on their responsibilities with regard to this area of care. Safe storage facilities are in place for residents medication. A couple of issues arose in relation to the way homely remedies are managed which the manager agreed to address straightaway. Residents confirmed staff treat them with respect and their right to privacy is always upheld particularly when carrying out personal care. One resident said the staff are very good when they help me have a bath, they are very discreet. All of the residents spoken to praised the staff team for their hard work and kind and caring nature. One resident said the staff are very good, nothing is ever any trouble. Another resident said the staff are lovely; they go out of their way to help me. They will often pick things up from the shops for me when they go out Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes routines are flexible which means residents can exercise choice and control in their lives. A varied and nutritious diet is provided to ensure residents interest and good health. EVIDENCE: A range of social activities is provided. This gives residents an opportunity to meet other people living in the home and stop them from becoming bored. Activities include board games, arts and crafts, videos and reminiscence groups. Staff spend time with residents on an individual basis and arrangements are made for them to go to the local shops or promenade. The manager has organised two trips out this summer, one to Knowsley Safari Park and the other a drive around the Wirral and a meal out. A number of residents attend community social clubs. Some of the residents spoken to said they enjoy the activities and others said they tend not to join in and staff respect their decision. One resident said I always enjoy the activities and chatting with the staff, they are all lovely. Another resident said I dont join in with the activities, I am happy going out on my own. The residents questionnaires returned to us indicated their are sometimes activities Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 13 arranged by the home. One questionnaire recorded with my sight impairment its difficult to participate, I enjoy my talking books and joining in any singing. Residents are helped to exercise choice and control over their lives. Friends and family are welcome to visit at any time so that residents can maintain personal relationships. Residents spoken to said the homes routines are flexible and they are treated as individuals. Residents can get up and go to bed when they want and they can go about the home and organise their day as they choose. Residents handle their own financial affairs for as long as they want to and they confirmed they had opportunity to vote in the recent local election. Residents can bring their personal possessions with them when they move into the home, which goes some way to easing the transition into a residential care setting. Although the home has a Christian ethos, residents different religious preferences are catered for. An inter-denominational service takes place each month for residents who wish to join in. Residents spoken to said they enjoy their meals and always have plenty to eat. One resident said the food is very good, another said I always enjoy my meals, in fact I get too much food. One of the residents questionnaires indicated they always enjoy the meals, the other questionnaire indicated they usually enjoy their meals. Diets based around residents medical needs are catered for. At the moment none of the residents have dietary requirements relating to their religion or culture, although the manager said this can be catered for. The cook confirmed she is kept up to date with residents changing dietary needs. She confirmed there is always sufficient food available for the number of people living at the home and the food is of a good quality. The kitchen was clean and tidy and fresh vegetables and home-made meals are provided. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure residents are protected from abuse. EVIDENCE: The home has not received any complaints about the standard of the service they provide. We have not received any complaints about this service. The residents spoken to said they know who to contact if they wish to make a complaint, they all said they were happy with the care they receive and had no complaints to make. Residents questionnaires returned to us indicated they know who to contact if they are unhappy about their care. Staff know what to do if they receive a complaint. During discussion staff demonstrated a basic understanding of the different types of abuse that can occur and the action they should take if they suspect or know an incident of abuse has happened. Residents spoke highly of the staff team saying they are extremely kind and caring. They said they had never experienced staff being rude or abusive. The homes policy and procedure for investigating and dealing with alleged abuse needs to be updated to ensure it reflects current good practice and the Wirral adult protection procedures. This will ensure all staff know what to do in these circumstances and allegations of abuse are dealt with correctly. Most but not all staff have completed training on how to safeguard residents from abuse and harm, this training has not been provided for the cook and domestic staff. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 15 While arrangements have been made for some care staff to attend an update in this training, the manager must ensure the ancillary staff are included. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. A comfortable and homely environment is provided for residents to live. EVIDENCE: The location and layout of the home is suitable for its purpose and provides a comfortable and homely environment for residents to live. There is a programme of improvement and maintenance in the home. Since the last visit ramps and handrails have been fitted around the home which means residents can get in and out of the home more easily. The grounds are kept tidy, safe and attractive and are accessible to all residents. At the back of the home is a pleasant courtyard with flowers and shrubs, this provides a pleasant area for residents to sit when the weather is good. The home would benefit from further cosmetic work to the top floor corridor and back staircase, as they looked rather unwelcoming. These areas would look better if the strip lights were replaced with something more homely and some pictures and ornaments were added. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 17 All parts of the home are clean and tidy and on the day of the visit the home was comfortably warm. There are sufficient laundry facilities to cater for the number of people living at home. The laundry would benefit from some refurbishment as the floor and walls were damaged. The AQAA indicated that policies and procedures are in place to prevent the spread of infection. Both residents questionnaires returned to us noted the home is always kept fresh and clean. All of the residents spoken to said they had everything they needed in their room. Window restrictors were not in place in all bedrooms. If this arrangement has been agreed with the resident then a risk assessment must be in place to ensure their safety and welfare. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to know how to look after the residents properly. EVIDENCE: There are sufficient staff on duty to look after the residents in accordance with their particular needs. There are also sufficient domestic and catering staff to ensure the home is kept clean and tidy and good food is provided. Staff turnover is low. This is a positive aspect of the home and ensures continuity of care. The staff questionnaire returned to us indicted there are enough staff on duty, this was also confirmed by the staff spoken to during the visit. The staff spoken to said they enjoy their work and feel well supported in their role. The AQAA indicates that 50 of staff are qualified to National Vocational Qualification level 2 or above with more staff currently working towards this award. This is in line with the National Minimum Standards for Older People recommendation and ensures staff are up to date with current good practice. The homes recruitment and selection procedure is effective for the purpose of recruiting good quality staff. Staff files indicated that appropriate checks are carried out on staff before they are employed and all the necessary information is held on file. The manager must ensure that issues relating to equality and Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 19 diversity are addressed during the recruitment procedure to ensure she can establish to some degree an applicants views and understanding of issues relating to a persons age, disability, gender, race, sexual orientation and religion or belief. Last year the manager carried out a training need analysis of each staff member and has since developed a plan of training for the forthcoming year. This includes training on safeguarding residents from abuse, health and safety, medication procedures, care planning and equality and diversity. The staff spoken to confirmed they have attended a range of training to support them in their role. A senior member of staff identified that she had not completed any training since 2006. The manager was aware of this situation and plans were being made for this issue to be addressed. Both of the relatives questionnaires returned to us indicated the staff have the right skills and experience to look after people properly. One questionnaire noted all of the staff seem to be well trained and versed in the skills of helping old people to make the most of their stay. Staff are provided with induction training when first employed to ensure they know how to care for the residents in accordance with the particular needs and current good practice. Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is run by a person who is fit to be in charge and who ensures the residents are well cared for. EVIDENCE: There are clear lines of management and accountability in the home, which is run for residents best interest. The manager is competent and qualified to run the home for the residents best interests. Staff spoke well of the manager saying she is always available for advice and support. Quality assurance systems are in place to ensure the ongoing efficient and effective running of the service. This includes monitoring and supporting staff, reviewing administrative systems and consulting with residents and their Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 21 carers about the care provided. The home is proactive in improving the service and ensuing residents care needs are met. Generally residents manage their own money, although staff will do this for them if they want. Monthly fees are dealt with by the organisations head office. Staff meet regularly with their manager to discuss their development in their role. Safe working practices are promoted throughout the home. Staff are provided with ongoing training in this area of care and are given sufficient materials to carry out their work safely. Staff can access policies and procedures on health and safety to ensure they are clear on their responsibilities with regard to keeping themselves and the residents safe. Documentation indicated that regular health and safety checks are carried out and accidents are recorded. Workplace risk assessments had been completed although the manager was aware they needed to be developed. She agreed this work would be completed by the end of July 2008. Cressingham House DS0000018880.V363668.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 2 x x n/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 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 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement More detailed information needs to be included in the assessments and risk assessments to ensure staff have all the information they need on how to look after the residents in accordance with their particular care needs and keep them safe from harm. (Previous timescale of 18/11/07 not met) Care plans need to hold more detailed information so that staff know how to look after the residents in accordance with their particular care needs. (Previous timescale of 18/11/07 not met) To ensure residents safety, a risk assessment must be completed when it has been agreed that a window restrictor will not be not fitted. The homes safeguarding procedures must be updated to ensure all staff are aware of the action they must take in the event of an allegation of abuse. DS0000018880.V363668.R01.S.doc Timescale for action 31/07/08 2. OP7 15 31/07/08 3. OP26 13 31/07/08 4. OP18 13 30/06/08 Cressingham House Version 5.2 Page 24 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 Cressingham House DS0000018880.V363668.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor 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.northwest@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 Cressingham House DS0000018880.V363668.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. 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