Care Home: Crossways Residential Home

What the care home does well The home has started to address some of the concerns highlighted at the previous inspection, although there remains a considerable amount of work still to be undertaken. The home has a stable and caring staff group. What the care home could do better: Care plans did not adequately detail people`s needs and how they should be met. We also found that when people had behavioural challenging needs, information on what escalated their behaviour was not in their plan of care. Some care plans are preprinted with standard care instructions without including information that relates to the person requiring their care. There is a need for care plans to be individual and include information about the individual their choices, preferences and capabilities. We found that there was not a record of all accidents that people who were living in the home had sustained. People are not weighed regularly meaning that their health is not adequately being monitored. Appropriate equipment should be available to enable people to be weighed and their weight monitored frequently. Incidents such as falls and admissions to hospital or anything that affects people`s health and wellbeing should be notified to the Commission for Social Care Inspection. The home must also make safeguarding referrals when there are allegations of any abuse. The home must undertake a risk assessment to confirm the adequacy of the checks when staff are employed with a Protection of Vulnerable Adults check and before the criminal records check is returned as required. This is in order to protect the people who use the service from potenially unsuitable staff. . There is not sufficient staff to meet peoples needs at the home, keep them occupied and also minimise risks to them including falling. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Crossways Residential Home 66 Highgate Road Highgate Walsall West Midlands WS1 3JE zero star poor 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Amanda Hennessy Date: 0 6 1 0 2 0 0 8 Information about the care home Name of care home: Address: Crossways Residential Home 66 Highgate Road Highgate Walsall West Midlands WS1 3JE 01922646168 01922646168 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) : Obsan Limited care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Conditions of registration: 23 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: Dementia (DE) 23 Old age, not falling within any other category (OP) 23 The maximum number of service users who can be accommodated is: 23 Date of last inspection Brief description of the care home Crossways Residential Home provides accommodation for twenty- three people over the age of sixty -five, twelve of whom may have dementia. The home does not provide nursing care. The home is approximately two miles from Walsall town centre. There are nineteen single bedrooms and two double bedrooms. Twelve bedrooms have Care Homes for Older People Page 2 of 9 Brief description of the care home an en suite toilet. The home has a passenger lift, a staff call system throughout the home and aids and adaptations to assist people. There is a pleasant garden at the back of the home. Car parking is available at the front of the home. The fee range was not clear in the service user guide seen. As the fee information has not been included in this report we advise the reader to contact the service for this information and of any other costs that may charged for, in addition to the fees. Care Homes for Older People Page 3 of 9 What we found: The last inspection of this service was on the 19th June 2008, at this inspection the home was made no star POOR. The previous inspection report should be read in conjuction with this report which was a follow up visit to assess the homes compliance with requirements made as a result of the inspection. The service is updating their service user guide as recommended at the last inspection. The service user guide that was available at the time of the inspection contained information relating to the inspection in June 2007 and not the inspection in June 2008. This means that people do not have up to date information about the service available. All people had a plan of care but care plans seen did not adequately detail peoples needs and how they should be met. We also found that when people had behavioural challenging needs, information on what escalated their behaviour was not in their plan of care. Some care plans were pre printed with standard care instructions without including information that relates to the person requiring their care. Care plans should be individual and include information about the individual their choices, preferences and capabilities. We found that there had been incidents such as falls and admissions to hospital which we have not been notified of as required. The home had also failed to make safeguarding referrals when there were incidents between people living at the home as they are required to. The home has met a previous requirement that we made in relation to moving and handling equipment. The Manager told us that new slings are available but they no longer have anyone that needs moving in the hoist. It is reassuring that should people need to be hoisted appropriate equipment is available in the home to do this safely. We found that people living at the home are not weighed very often. Records of people weights that was given to us by the Home Manager showed that: two of the nineteen people living at the home were weighed in Septembern2008, no one was weighed in August 2008, five people were weighed in July 2008 and again no people were weighed in June 2008. Staff told us that they are unable to weigh most people as they are unable stand on the scales that the home has. The owner of the home had told us at the previous visit to the home that she had ordered new scales that people can sit on making it easier for them to be weighed. There was a fault on the fire alarm system that was awaiting repair despite this being a fault when the Fire Officer visited in September 2008. This will be checked again by the Fire Officer. The home has met a previous requirement that we made that staff are only employed when all required checks have been returned. The home does not however undertake a risk assessment to confirm the adequacy of the checks when staff are employed with a Protection of Vulnerable Adults check and before the criminal records check is returned as required. Care Homes for Older People Page 4 of 9 During the day the home has three staff and the manager on duty although the Manager is not on duty every day. There are two staff on duty at night to care for the nineteen people living at the home. We do not feel that there are sufficient staff given the dependency of people living at the home to meet their needs, kept them occupied and also minimise the risks such as falling. What the care home does well: 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 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 7 15 People should all have a plan 31/07/2008 of care that includes all their needs, choices and capabilities that is regularly updated. People should be consulted about their care needs and a record of this should also be recorded. An accurate and up to date plan of care will provide instructions for staff on peoples needs and how they should be met. The registered person must 31/07/2008 ensure that systems are in place to ensure that there are no unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This will include risks from falls and depression from lack of social stimulation. The availability of staff at the 31/07/2008 home and their skills should be sufficient and appropriate to meet peoples needs. The home must have a suitably experienced and registered manager 31/10/2008 2 18 13 (4)(c) 3 27 18(1)(a) 4 31 9 Care Homes for Older People Page 6 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, Care Homes 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 12 Peoples plan of care must 07/11/2008 detail all their needs and how they will be met. This will give assurance that proper provision for care will be made for people living at the home. 2 27 12 There should be sufficient 07/11/2008 staff to ensure that there is proper provision for the care and supervision of people living at the home. Sufficient staff for the number and dependency of people of living in the home will give assurance that there is proper provision for the health and welfare of people living in the home. 3 29 19 There must be a risk assessment in place when people are employed with a Protection of Vulnerable Adults check and before the criminal records check is returned. This will give assurance that staff have required checks 07/11/2008 Care Homes for Older People Page 7 of 9 before they start work and the home has appropriate recruitment and selection procedures in place to protect the vulnerable people living at the home. 4 37 17 Records required within regulation 17 should be available and kept up to date. This will give assurance that there is information in the home that highlights all incidents and accidents and promotes peoples health and wellbeing. 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 07/11/2008 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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. 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