Care Home: Croft House

What the care home does well The owner has been proactive in addressing the requirements and recommendations that were issued at the last key inspection carried out by the Commission for Social Care Inspection (CSCI). There was a list of activities and forthcoming events advertised on the homes notice board and it was apparent that an increase in the provision of meaningful and appropriate activities is being provided. This helps to show that the provider is committed to providing stimulating and motivational leisure pursuits for people using the service. The staff members on duty expressed their pleasure that improvements within the home continue to be made. During the visit decorators were observed painting the outside fencing, making the home and grounds look much more attractive. What the care home could do better: Certain information was not available during the visit, therefore it is advised that if the registered manager is not going to be present during normal working hours. It would be beneficial to ensure that the senior staff on duty have access to necessary information that is required for inspection purposes. Random inspection report Care homes for older people Name: Address: Croft House 26 Kirkham Road Freckleton Preston Lancashire PR4 1HT one star adequate service 07/10/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Phil McConnell Date: 0 7 0 5 2 0 0 9 Information about the care home Name of care home: Address: Croft House 26 Kirkham Road Freckleton Preston Lancashire PR4 1HT 01772633981 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ammram Limited care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 22 Date of last inspection Brief description of the care home Croft House Care home provides residential care for up to 22 older people. It is situated in the village of Freckleton, which is close to the city of Preston.Leisure amenities are close by as well as local shops and a public transport system. The home is on two floors and there is a chair lift in place.There are a number of aids and adaptations in place throughout the care home suitable for the age range and Care Homes for Older People Page 2 of 11 0 7 1 0 2 0 0 8 Brief description of the care home needs of the people living there. There are twenty single rooms and one double room, at present only one bedroom has en suite facilities. Care Homes for Older People Page 3 of 11 What we found: A Random Inspection was carried out on the 7th of May 2009, following some concerns that had been raised regarding staff recruitment, staff rotas and service users wellbeing. The present staffing levels and rotas were examined and they were found to be satisfactory, with sufficient numbers of staff being on duty. The inspection was also undertaken to determine if the previous requirements issued by the Commission for Social Care Inspection (CSCI) had been appropriately addressed. This included the provision of radiator covers, window restrictors on the upper floors and some redecorating of various areas throughout the home. It was evident that many of the issues previously identified had been addressed. These improvements demonstrate that the comfort and health and safety of people living at Croft House is positively being considered. The registered manager was not available during the inspection visit, due to her being on leave and one of the senior carers was the responsible person on duty throughout the visit, however there was the opportunity to have a telephone conversation with the manager and a telephone conversation the following day with the owner to discuss the staffing concerns that had been raised. There was the opportunity to have discussions with the senior carer and with other members of staff. All of the discussions were open and honest, with staff confirming that they do not work excessive hours and they receive their salary on time. There was also the opportunity to have brief conversations with some of the service users and to observe the support and care that was being delivered and it was apparent that people were being treated with dignity and respect. Peoples care plans now contain more detailed, appropriate and relevant information, helping to give the assurance that people using the service will receive their assessed needs. There was a good atmosphere in the home and it was apparent that a number of improvements have been carried out. Unfortunately the filing cabinets that contained all of the recruitment documentation and staff rotas were locked, with the registered manager having the keys. What the care home does well: The owner has been proactive in addressing the requirements and recommendations that were issued at the last key inspection carried out by the Commission for Social Care Inspection (CSCI). There was a list of activities and forthcoming events advertised on the homes notice board and it was apparent that an increase in the provision of meaningful and appropriate activities is being provided. This helps to show that the provider is committed to providing stimulating and motivational leisure pursuits for people using the service. The staff members on duty expressed their pleasure that improvements within the home continue to be made. During the visit decorators were observed painting the outside fencing, making the home and grounds look much more attractive. Care Homes for Older People Page 4 of 11 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 15 A service users care plan should contain detailed information that is initially obtained at the assessment process. The care plan should also be kept under review. This is to help ensure that a personsassessed needs are clearly documented in their care plan, in order to give the carers the necessary information to provide a good quality service. 30/11/2008 2 12 16 6(n) Consult service users about the programme of activities arranged by or on behalf of the care home and provide facilities for recreation including,having regards to the needs of service users,activities in relation to recreation,fitness and training. Meaningful and varied activities should be provided to promote stimulation and motivation. 31/12/2008 3 18 18 (1) (i) Staff to be suitably trained in 31/12/2007 `Safeguarding Adults? (Previous timescale not met) Care Homes for Older People Page 6 of 11 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 4 18 18 The registered person shall ensure that persons employed at the care home receive training appropriate to the work they are to perform. Safeguarding training is needed to help ensure that people are protected from harm or abuse. 31/12/2008 5 19 23 All areas of the home should 31/01/2009 be decorated to a reasonable standard. This is needed to provide a comfortable and pleasant environment. 6 19 23 23 (2) (e) (f) (l)Suitable storage facilities should be provided for service users. This will increase floor space in bedrooms, helping to prevent falls and maintain and promote respect and dignity for vulnerable people. 30/11/2008 7 26 23 The home must be kept 30/11/2008 clean and kept in a good state of repair externally and internally. This will help maintain a safe and hygienic environment. 8 28 18 The registered person should 31/01/2009 ensure that appropriate training is provided to staff. A minimum of 50 of the staff need to achieve the Care Homes for Older People Page 7 of 11 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action NVQ award at level 2 or equivalent. 9 29 19 The registered person should 30/11/2008 ensure that all relevant Police clearance checks are made and available for inspection by CSCI. This to help ensure that everything possible is done to protect vulnerable people from harm. 10 30 18 (1) (a) (c) Ensure that appropriate 31/01/2008 training is regularly provided, including safeguarding adults and NVQ training. 19 The registered person should 31/12/2008 ensure that at all times suitably qualified and competent persons are working at the home. Overall the limited training made available to staff is placing people at risk. 12 31 12 The registered person should 30/11/2008 ensure that the care home is conducted so as: to promote and make proper provision for the health and welfare of service users. Ensure that the home is sufficiently and responsibly well run on a day to basis,in order to help ensure that peoples welfare is maintained and promoted. 11 30 Care Homes for Older People Page 8 of 11 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 13 33 26 Monthly visits carried out by 30/11/2008 the proprietor, with a completed report sent to the Commission. This is to ensure that regular monitoring of the service is being carried out, helping to ensure that the best interests of the service users are being monitored and considered. Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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