Latest Inspection
This is the latest available inspection report for this service, carried out on 7th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Croftlands.
What the care home does well The AQAA sent in by the manager was completed in very good detail and gave plenty of evidence and examples to inform this report. For example it advised us that: We encourage feedback through a variety of channels of communication. We seek to maintain a robust complaints procedure all residents have been given a copy and this is gone through with staff as part of moving in procedure. We have resumed holding a morning meeting each weekday. The purpose of this is to give out information and reminders but also for the resident group to have a daily opportunity to state any complaints or suggestions. The manager recently carried out its own Quality Assurance exercise and Care Coordinators, who place people, gave positive feedback on the service. At the last we review we commented that the most significant change is a clearer shift towards recovery both as a concept and as a way of working. While the concept remains a good one we feel that many clients have now outgrown the current model that has been adopted, and we refer to improvements that could be made in the following section. As an aid to this we use the Outcome Star a way of working which uses a pictorial method of establishing clients current situations and monitoring progress. This includes individual responsibility and is a clearer method of identifying which areas require work to achieve progress towards individual goals and a clearer method of identifying specific difficulties that can be focused on. On the whole surveys returned by people living in the home were positive. Stating "Always" to the question Do the care staff and managers treat you well. And "Its a lovely place to live, very friendly and Activities are improving." The organisation, Croftlands Trust, has been given Investors in People accreditation following interviews with a cross section of staff and views of staff and managers acknowledging the support they receive. The staff group are gaining valuable skills at engaging people in their own recovery, and the following demonstrates how they do this: We spend time with our residents. We identify opportunities for contact where the outcome may result in more effective communication. An example of this is staff spending time with individual residents away from the project where we have found a different and more relaxed form of communication can take place. We have an agreed plan of care using information from CPA, information gathered from other professionals who have been involved in the persons care prior to their placements with us, and from our own needs and support assessments, recently changed and improved. These seek to stress the responsibility and involvement from residents in formulating all plans around their care and the crucial emphasis on residents involvement without which there is diminished chance of success. We emphasise and seek to inspire hope of recovery using research statistics to show that a large number of people recover or improve significantly enough to be able to live in their own homes, develop friendships and become involved in meaningful activities including gaining or regaining some form of employment. The manager has also made good improvements in focusing the staff team on being accurate in the care of medications. The AQAA tells how they support people with health care: "We offer assistance and support by assisting the making of appointments for care such as dental, podiatry, optician needs as well as blood tests and asthma nurse appointments and flag up to care coordinators if we have concerns about any of these matters that the resident chooses not to address and how best to manage this. We have consent to use medication arrangements for new residents. We have a plan of self administration and risk assessment for this with each resident. We monitor the mental health of residents especially after changes in medication and inform those prescribing of changes that may indicate concerning side effects that may be attributable to this." What the care home could do better: As described earlier, the staff team are using a tool to help people plot their progress while at the home. This is called an Outcome Star and has proved very useful with some people. Other people have found it less useful and others can see very slow progress using this tool, which then defeats the object. The tool currently used is for people living in a community setting and some areas are not relevant. It is recommended that the organisation uses the tool designed specifically for care homes in order to gain maximum benefit for people they are supporting. The organisation is using a one size fits all approach at the moment in an attempt to use the approach as a management tool to monitor the progress of each care home. They need to refocus on the needs of each person, and be more flexible in having a range of tools and approaches to achieve the best outcomes for people using their services. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Croftlands 41 Durranhill Road Carlisle Cumbria CA1 2SW two star good service 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: Elizabeth Kelley Date: 0 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Croftlands 41 Durranhill Road Carlisle Cumbria CA1 2SW 01228524296 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Barbara Johanna Dupuy Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Croftlands Trust care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 10 The registered person may provide the following category/ies 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: Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 10. Date of last inspection Brief description of the care home Croftlands accommodates up to 10 people who have difficulties in maintaining aspects of their mental health. The intention of the service is that people can live in the home for up to three years. The goal is to help service users move onto other accommodation where they can live as independently as possible. The premises is a
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home large detached three-storey Victorian style property, which has been modernised and converted for its current usage. The house is situated in a suburb of Carlisle and stands in its own walled gardens with a driveway leading up to the entrance. Each service user has an individual bedroom with wash hand basin, and each floor has a bathroom or shower room. There are two lounges and two kitchens on the ground floor. The home has a zero tolerance on illegal drugs. A shelter is provided in the garden for smokers. An office, staff room and staff sleep-in room is also provided. Croftlands is run by The Croftlands Trust; this is a non-profit making organisation, which runs a number of residential and community based services in the county for people with mental heath problems. Locally the home is also known as Durranhill . A Service Users Guide is available for prospective residents, with details of how to get the latest Inspection report. Placements and referrals are funded and managed via Mental Health NHS Trust. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was the first time we had visited this service since the last key inspection on 12/09/07. We have received annual updates about the service and have completed Annual Service Reviews since then. Some weeks before this unannounced visit we sent the manager a form called the Annual Quality Assurance Assessment, the AQAA. It is a legal requirement that registered services complete one of these annually. It asks for detailed information and statistics about how the service is operating. This was received, with plenty of good information, within the given timescales. We also sent out ten surveys for residents and ten for staff. The information we received was of a good quality showing positive outcomes and we judged that we did not need to complete a full key inspection. Instead we concentrated on the core National Minimum Standards for Personal and Health care Support and those for Concerns, Complaints and Protection. We made an unannounced visit on the above date. We spent time with the people who live in the home talking and observing the life of the home. We visited some, but not all areas of the building, spoke to the staff on duty. We looked at a sample of care files and other records. We checked medicines in the home. We found that the people who come to stay at the home experienced good standards of care and support. We also judged that good arrangements are in place to deal with complaints and concerns and that there are suitable systems to protect vulnerable adults from harm or abuse. People are listened to and protected. The service continues to provide good standards in these areas for people with mental health needs. What the care home does well:
The AQAA sent in by the manager was completed in very good detail and gave plenty of evidence and examples to inform this report. For example it advised us that: We encourage feedback through a variety of channels of communication. We seek to maintain a robust complaints procedure all residents have been given a copy and this is gone through with staff as part of moving in procedure. We have resumed holding a morning meeting each weekday. The purpose of this is to give out information and reminders but also for the resident group to have a daily opportunity to state any complaints or suggestions. The manager recently carried out its own Quality Assurance exercise and Care Coordinators, who place people, gave positive feedback on the service. At the last we review we commented that the most significant change is a clearer shift towards recovery both as a concept and as a way of working. While the concept remains
Care Homes for Adults (18-65 years) Page 4 of 9 a good one we feel that many clients have now outgrown the current model that has been adopted, and we refer to improvements that could be made in the following section. As an aid to this we use the Outcome Star a way of working which uses a pictorial method of establishing clients current situations and monitoring progress. This includes individual responsibility and is a clearer method of identifying which areas require work to achieve progress towards individual goals and a clearer method of identifying specific difficulties that can be focused on. On the whole surveys returned by people living in the home were positive. Stating Always to the question Do the care staff and managers treat you well. And Its a lovely place to live, very friendly and Activities are improving. The organisation, Croftlands Trust, has been given Investors in People accreditation following interviews with a cross section of staff and views of staff and managers acknowledging the support they receive. The staff group are gaining valuable skills at engaging people in their own recovery, and the following demonstrates how they do this: We spend time with our residents. We identify opportunities for contact where the outcome may result in more effective communication. An example of this is staff spending time with individual residents away from the project where we have found a different and more relaxed form of communication can take place. We have an agreed plan of care using information from CPA, information gathered from other professionals who have been involved in the persons care prior to their placements with us, and from our own needs and support assessments, recently changed and improved. These seek to stress the responsibility and involvement from residents in formulating all plans around their care and the crucial emphasis on residents involvement without which there is diminished chance of success. We emphasise and seek to inspire hope of recovery using research statistics to show that a large number of people recover or improve significantly enough to be able to live in their own homes, develop friendships and become involved in meaningful activities including gaining or regaining some form of employment. The manager has also made good improvements in focusing the staff team on being accurate in the care of medications. The AQAA tells how they support people with health care: We offer assistance and support by assisting the making of appointments for care such as dental, podiatry, optician needs as well as blood tests and asthma nurse appointments and flag up to care coordinators if we have concerns about any of these matters that the resident chooses not to address and how best to manage this. We have consent to use medication arrangements for new residents. We have a plan of self administration and risk assessment for this with each resident. We monitor the mental health of residents especially after changes in medication and inform those prescribing of changes that may indicate concerning side effects that may be attributable to this. What they could do better:
As described earlier, the staff team are using a tool to help people plot their progress while at the home. This is called an Outcome Star and has proved very useful with some people. Other people have found it less useful and others can see very slow progress
Care Homes for Adults (18-65 years) Page 5 of 9 using this tool, which then defeats the object. The tool currently used is for people living in a community setting and some areas are not relevant. It is recommended that the organisation uses the tool designed specifically for care homes in order to gain maximum benefit for people they are supporting. The organisation is using a one size fits all approach at the moment in an attempt to use the approach as a management tool to monitor the progress of each care home. They need to refocus on the needs of each person, and be more flexible in having a range of tools and approaches to achieve the best outcomes for people using their services. 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 Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Adults (18-65 years) Page 7 of 9 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 Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
