Care Home: Crofton Court

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What the care home does well The home was generally clean and tidy. Residents told us that the home was always kept clean. We spoke to three residents who said that they were happy with the standard of care provided. They said that staff were kind and patient and attended to them promptly. We checked the arrangements in place to ensure that residents receive good nutrition and sufficient fluids. There was very good information available in the kitchen about individual`s specific dietary needs. The chef had a list of special diets and a white board indicating those residents who were losing or gaining weight. Staff were very knowledgeable about the nutritional needs of people. They were able to identify who required help to eat and who needed to have their food and fluid intake monitored. The eating areas were very attractively set and each table contained the current weeks menu. Those people who were identified as at risk of tissue damage due to pressure were nursed on appropriate pressure relieving mattresses and cushions. There were care plans in place for staff to follow to ensure that people`s risk of getting pressure sores was reduced.We case tracked four people. This means that we identified four people and discussed their care needs with staff. We then matched our observations to what was written in the care plan. All four care plans did reflect the current needs of the residents. Good information was available about people`s rights to equality and dignity as well as their end of life wishes. We examined the arrangements made for the storage, administration and disposal of medication. Medication was properly stored in a secure room. All administration records were fully completed. The auditing of medication was very good. All tablets are counted by the nurses every day and the manager completes a weekly audit and a daily check. We checked three amounts of controlled drug and found them to be correctly accounted for. The service has received very few complaints. Residents spoken to said they would complain to the manager if they needed but none of them had any current complaints. There is a complaints record. This showed that previous complaints were taken seriously and properly investigated. Staff have received recent training in the recognition and management of abuse. The manager is clear regarding her responsibilities for reporting this and there was evidence that she has done so in the past. There were sufficient numbers of staff on duty to care for residents. Staff confirmed that these numbers are maintained every day. Any shortfalls in staff levels due to sickness or holidays are generally covered by other staff, bank staff or as a last resort agency staff. Records showed that staff were up-to-date with mandatory training and had received some training in relevant subjects such as care of people with dementia. The manager has a system of auditing which ensures that all areas of the home run smoothly. She has developed a staff supervision system. This enables staff to contribute to the development of the service and address any training needs they might have. We examined the records of incidents and accidents in the home, including those that must be notified to CQC. All accidents, incidents and deaths had been appropriately notified. The manager has an overview of accidents and verifies every accident report in the home. The provider`s representative visits the home monthly. They are required under regulation 26 to produce a report of that visit. We examined the reports for the last six months and found that these visits have been taking place regularly. The manager issues five quality questionnaires per month to residents, relatives and health professionals. We examined the latest ones, which were from health professionals, they were very positive. Visiting Doctors thought the care in the home was `the best in the area`. What the care home could do better: Generally the recording of people`s nutritional needs should be better. Those residents identified as at risk of weight loss were monitored by staff, but this was done informally. None of the residents had their food or fluid intake recorded on a food chart. Some care plans did not contain the current weight of people and some nutritional assessments were not up to date. Where instructions and advice had been issued by a dietician, this was referred to in the care plan, however there was no evidence that the instructions had been followed. Some of the information that should be written in the actual plan of care was written in the evaluation of care. There were mal odours evident in some areas of the home. Staff reported that these were from the carpets. The carpets had been cleaned but the odours remained. The manager has requested that some carpets in the home are replaced but, so far, the Provider has not done this. Random inspection report Care homes for older people Name: Address: Crofton Court Edward Street Blyth Northumberland NE24 1DW three star excellent 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: Janet Thompson Date: 2 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Crofton Court Edward Street Blyth Northumberland NE24 1DW 01670354573 01670359038 croftoncourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Michelle Pamela Catherine Daglish Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross BC OpCo Ltd care home 50 Number of places (if applicable): Under 65 Over 65 0 50 dementia old age, not falling within any other category Conditions of registration: 50 0 The maximum number of service users who can be accommodated is: 50 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 - maximum number of places 50 Dementia Code DE, maximum number of places 50 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Crofton Court is a purpose built two-storey care home that was first registered in March 2004. The home is situated in Blyth town centre and is close to all amenities. There are good transport links close by to Newcastle and the surrounding area. There are 50 single bedrooms with en-suite facilities. There are lounge and dining areas on each floor. The home is well decorated and comfortably furnished to a good standard. There is a small amount of space outside the home, however, some seating outside is available. Information about the home is available in the service user guide together with copies of previous inspection reports. These are available in the main entrance hall. Fees for the home vary, information about individual fees is available from the manager. Care Homes for Older People Page 3 of 10 What we found: The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We made this quality rating at a key inspection of the home in April 2008. The purpose of this inspection was to check that the home was still performing at an excellent level. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they care for people. This inspection was unannounced and took place on 28 June 2010. During the visit we talked with people who use the service, some staff, and the manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the manager. What the care home does well: The home was generally clean and tidy. Residents told us that the home was always kept clean. We spoke to three residents who said that they were happy with the standard of care provided. They said that staff were kind and patient and attended to them promptly. We checked the arrangements in place to ensure that residents receive good nutrition and sufficient fluids. There was very good information available in the kitchen about individuals specific dietary needs. The chef had a list of special diets and a white board indicating those residents who were losing or gaining weight. Staff were very knowledgeable about the nutritional needs of people. They were able to identify who required help to eat and who needed to have their food and fluid intake monitored. The eating areas were very attractively set and each table contained the current weeks menu. Those people who were identified as at risk of tissue damage due to pressure were nursed on appropriate pressure relieving mattresses and cushions. There were care plans in place for staff to follow to ensure that peoples risk of getting pressure sores was reduced. Care Homes for Older People Page 4 of 10 We case tracked four people. This means that we identified four people and discussed their care needs with staff. We then matched our observations to what was written in the care plan. All four care plans did reflect the current needs of the residents. Good information was available about peoples rights to equality and dignity as well as their end of life wishes. We examined the arrangements made for the storage, administration and disposal of medication. Medication was properly stored in a secure room. All administration records were fully completed. The auditing of medication was very good. All tablets are counted by the nurses every day and the manager completes a weekly audit and a daily check. We checked three amounts of controlled drug and found them to be correctly accounted for. The service has received very few complaints. Residents spoken to said they would complain to the manager if they needed but none of them had any current complaints. There is a complaints record. This showed that previous complaints were taken seriously and properly investigated. Staff have received recent training in the recognition and management of abuse. The manager is clear regarding her responsibilities for reporting this and there was evidence that she has done so in the past. There were sufficient numbers of staff on duty to care for residents. Staff confirmed that these numbers are maintained every day. Any shortfalls in staff levels due to sickness or holidays are generally covered by other staff, bank staff or as a last resort agency staff. Records showed that staff were up-to-date with mandatory training and had received some training in relevant subjects such as care of people with dementia. The manager has a system of auditing which ensures that all areas of the home run smoothly. She has developed a staff supervision system. This enables staff to contribute to the development of the service and address any training needs they might have. We examined the records of incidents and accidents in the home, including those that must be notified to CQC. All accidents, incidents and deaths had been appropriately notified. The manager has an overview of accidents and verifies every accident report in the home. The providers representative visits the home monthly. They are required under regulation 26 to produce a report of that visit. We examined the reports for the last six months and found that these visits have been taking place regularly. The manager issues five quality questionnaires per month to residents, relatives and health professionals. We examined the latest ones, which were from health professionals, they were very positive. Visiting Doctors thought the care in the home was the best in the area. What they could do better: Care Homes for Older People Page 5 of 10 Generally the recording of peoples nutritional needs should be better. Those residents identified as at risk of weight loss were monitored by staff, but this was done informally. None of the residents had their food or fluid intake recorded on a food chart. Some care plans did not contain the current weight of people and some nutritional assessments were not up to date. Where instructions and advice had been issued by a dietician, this was referred to in the care plan, however there was no evidence that the instructions had been followed. Some of the information that should be written in the actual plan of care was written in the evaluation of care. There were mal odours evident in some areas of the home. Staff reported that these were from the carpets. The carpets had been cleaned but the odours remained. The manager has requested that some carpets in the home are replaced but, so far, the Provider has not done this. 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 6 of 10 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 Older People Page 7 of 10 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 1 7 15 The nutritional requirements 31/08/2010 of residents must be properly reflected in a plan of care. Proper records must be kept of peoples food and fluid intake where they have been identified as at risk. All areas of the care plan must be kept up to date. This will ensure that staff have clear guidance about the care needs of residents. 2 26 23 Replace those carpets causing offensive odours in the home. This ensures residents live in a clean and pleasant environment. 30/09/2010 Care Homes for Older People Page 8 of 10 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 9 of 10 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. 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. 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