Care Home: Croston Park Nursing Home

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What the care home does well There is a good system in place to make sure that the individual needs and requirements of each resident is known and that relevant information is regularly updated to ensure it is current. Staff are given good guidance and direction so that a consistently high level ofcare and support is provided that meets the individual needs and requirements of each resident. The health care needs of people living at the home are well met meaning that residents have confidence that the staff team would arrange for medical assistance quickly if they were unwell. Privacy and dignity is well respected. The staff team work well together and showed a good understanding of the needs of individual residents. There is a very good relationship between residents, relatives and staff. The resident and relative spoken with were very positive about the care, kindness and helpfulness of the staff group. One relative told us, "I am very suited in all aspects of the home. The home is always very clean and tidy smelling fresh". There are good systems in place to manage any complaints or concerns. There is an open door policy whereby residents and relatives can speak with the registered manager at any time, should they be concerned about something or require some information. The protection of people living at the home is considered very important. All staff receive mandatory training so that people living at the home are kept safe and free from any sort of abuse or discrimination. What the care home could do better: Croston Park care home provides an excellent service for the people that live at the home. At this inspection, no requirements or recommendations were made. Random inspection report Care homes for older people Name: Address: Croston Park Nursing Home Croston Park Nursing Home Town Road Croston Preston Lancashire PR26 9RA 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: Denise Upton Date: 1 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Croston Park Nursing Home Croston Park Nursing Home Town Road Croston Preston Lancashire PR26 9RA 01772601431 01772601131 crostonpark@parklanehealthcare.co.uk www.parklanehealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Bernadette Roe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Park Lane Healthcare (Croston Park) Ltd care home 44 Number of places (if applicable): Under 65 Over 65 0 38 dementia old age, not falling within any other category Conditions of registration: 6 0 The registered person may provide the following category/ies of service only: Care home with nursing - Code N 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: 38) Dementia - Code DE (maximum number of places: 6) The maximum number of service users who can be accommodated is: 44. Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Croston Park is a care home that provides personal and nursing care for 44 residents. The registration includes a 6-bedded unit for residents with dementia; this unit is situated separately in the upper part of the house. The home is a grade II listed building located in two acres of gardens. It is within travelling distance of Preston, Southport, Wigan and Chorley. Accommodation is provided on three floors made accessible by a passenger lift. The home has single and companion rooms most of which have an en-suite facility. Separate lounge and dining facilities are provided. On admission to the home, residents are provided with an individual copy of the Service User Guide. The homes Statement of Purpose is also made available to newly admitted residents and other interested people. These two importent booklets tell people about the home and the services and facilities provided. Accommodation and care fees at Croston Park care home currently range from £494:00 per week to £720:00 a week. However fees are individually assessed and determined by care needs. Further information about the fees and what is included in the fees can be obtained from the registered manager at the home Care Homes for Older People Page 3 of 10 What we found: This short random inspection did not look at all the minimum standards identified in the National Minimum Standards - Care Homes for Older People but focused on the health and personal care delivered and the systems in place for managing issues relating to complaints and the protection of people living at the home. These are important issues that directly affect the quality of care delivered and whether positive outcomes for residents has been achieved. Individual care plans were in place for each person living at the home that were very detailed and informative, three of these were viewed. A separate care plan was written for each area of need such as personal hygiene and dressing, physical and mental health, personal safety, skin care, communication, mobility and any behaviour, which may pose difficulties. Relatives had also been asked to provide background information about the individuals family history and working life, so as to help staff to get to know the person better and understand their past lifestyle. There was clear evidence of monthly reviews of the individual care plans taking place, with on-going amendments made as necessary. This helped to make sure that a clear and up to date record was maintained of each residents current strengths and needs so that staff were aware of any changes that needed to be made to the level of support and assistance required. Care plans evidenced gave clear instruction in order to guide and direct staff. This enabled staff to provide a very individualised service that was delivered in a consistent way. This also helped to make sure that people living at the home were encouraged to do what they could for themselves and promote independence whilst ensuring that all staff were giving the same amount of help when required. There was also clear evidence in the individual care plans that individual risks had been identified and action taken to minimise those risks. Good risk assessments were in place. A member of the care staff team individually spoken with, confirmed that sufficient written information was provided to ensure a good quality of care, that was supplemented by good verbal information sharing. This member of staff told us, A very high quality of care is given all the time, this is the loveliest home I have ever worked in. Care plans also included social interests and religious needs and requirements. This is good practice and shows that all needs and requirements are equally considered and strategies put into place to address each area of a residents chosen daily life style. For one person this included, Staff should ensure that *** is given choice but due to her condition can no longer make decisions. *** cannot socialise so staff should attempt to stimulate her in other ways. For another resident staff were told, Staff should be aware that **** has a slight stammer. Staff should be patient and understanding of his condition and gently encourage speech without causing any embarrassment or anxiety. Staff and residents spoken with were very positive about the high standard of care and support provided. One resident that completed a Care Quality Commission survey told us, I am looked after well with good care and attention. Good food selection. Needs always attended to. Another resident said, Everyone is very kind, caring and polite. Nothing is too much trouble. A relative said, I cannot praise Croston too highly! My dad is very happy here. He is always well looked after and shown respect. I love visiting as all the staff make you feel so welcome and are always smiling. If there is a problem, I am Care Homes for Older People Page 4 of 10 always contacted immediately. Another relative was equally positive when he told us that staff, Care for *** in an individual way, endeavouring to meet her varied, changing and demanding needs in a compassionate, dignified, unhurried way. I think this is the best care I have seen anywhere. There was good evidence from documentation and discussion that physical and mental health care needs are very well met. Strategies were in place to ensure that people living at the home always got the medical care and support that they needed when they needed it. There is a good relationship with medical staff to ensure that as far as possible, the optimum health of each person is maintained. The relationship observed between the people living at the home and the staff group was relaxed and caring. This comfortable relationship enables staff to get to know people well and any changes in health and well being are quickly noted and speedily addressed. An individual record is maintained of all health professional visits for each resident. This ensures that a good record is kept of health care visits and the frequency of need. A resident told us, You only need to mention something if feeling unwell and they straight away do something about it. There are good systems in place to make sure that medication is administered safely and as prescribed. Only qualified members of staff have responsibility for the administration and recording of medication for people assessed as requiring nursing care. For residents that do not require this level of support, senior carers, who have received specific medication training, assist with administering their medication. At present one resident has chosen to hold and administer their own prescribed medication. This is encouraged to aid independence. A formal risk assessment is in place that is very regularly reviewed to ensure that the resident remains competent. There is a robust medication policy and procedure that staff are expected to adhere to. The medication administration records of three people were viewed. These had been completed correctly and a photograph of the person was available, this is good practice and helps prevent mistakes being made. Medicines stock was seen to be well organised, records were clearly presented and spare stock was stored securely. Records of medicines received into the home, given to people and disposed of were signed and up to date. Short life medication was dated on opening to prevent this medication being used past its use life date and any handwritten entries that were required in the drug administration record were signed, dated and countersigned by a second person to confirm accuracy of the recording. This is good practice and helps to keep people safe. We were informed that regular recorded checks are carried out to make sure staff were giving and recording medicines correctly. If any mistakes were found action was taken immediately to help prevent them happening again. Protocols were in place to advise staff with regard to when required medication. This is medication that is not necessarily taken on a regular basis. This helps to ensure that this type of medication is given in a consistent way by staff. Residents privacy and dignity is well respected at this home. The health and personal care that people receive is based on their individual needs so they receive personal care in the way they prefer and in a way that shows respect for their privacy and dignity. A resident spoken with said he felt that his privacy and dignity was always well respected by staff. A member of staff spoken with gave a good account of how she respected residents privacy and dignity during day to day activity at the home and stated that Care Homes for Older People Page 5 of 10 privacy and dignity had also been a topic during safeguarding adults training that had been provided as part of the induction training programme. Policies and procedures are in place that guide staff to ensure residents privacy and dignity is respected at all times. These important topics also form part of the National Vocational Qualification (NVQ) training that has been undertaken by the majority of care staff. The preferred term of address of each resident is identified at the time of admission and always respected. Croston Park care home has a structured complaint policy and procedure in place, which includes details that any complaint would be responded to within a maximum of 28 days. From discussion with the registered manager, it is understood that a record of complaints is kept that includes details of any action and investigation undertaken. Since the last key inspection no complaints have been received by the home or the Commission. The complaint procedure is incorporated in the homes Service User Guide a copy of which is given to each resident. The resident and relatives spoken with were very clear that if they did have any concerns they would speak with the registered manager or another member of staff. The resident and relatives spoken with also told us that if they did have a complaint they felt that their concerns would be taken very seriously and acted upon. This was supported by comments made on the CQC surveys completed by residents. However nobody expressed any complaints. There were however, many complements. During the visit, it was clear that people living at the home had formed good relationships with staff, meaning that any minor issues could be raised and dealt with informally as part of day to day life at the home. The member of staff spoken with was clear about what they should do if a complaint was made to them including making sure that the registered manager was quickly made aware of the concern if the issue could not be immediately addressed. There is however a little niggles book for minor issues for example, clothes being misplaced. There is also a comment book in a communal area of the home where people can write any concern and a copy of the homes complaint procedure has been sent out with recent feedback questionnaires. Croston Park care home continues to have a variety of policies and procedures in place for the protection of residents. This includes an adult protection policy and a whistle blowing policy that help protect people living at the home from abuse or discrimination. All staff receive mandatory training regarding protection and recently this topic has been discussed during staff one to one supervisions. Staff also receive Deprivation of Liberty Safeguards training and Mental Capacity Act training at commencement of their employment at the home and a safeguarding questionnaire is provided following safeguarding induction training that newly appointed staff are required to complete. Care staff also receive guidance in respect of adult protection as part of their National Vocational Qualification training (NVQ). Opportunity is also provided for this topic to be discussion at team meetings. This helps to remind staff of the importance of protecting residents and the responsibility of the staff group in this matter. Since the last inspection there have been no safeguarding issues regarding the home. What the care home does well: There is a good system in place to make sure that the individual needs and requirements of each resident is known and that relevant information is regularly updated to ensure it is current. Staff are given good guidance and direction so that a consistently high level of Care Homes for Older People Page 6 of 10 care and support is provided that meets the individual needs and requirements of each resident. The health care needs of people living at the home are well met meaning that residents have confidence that the staff team would arrange for medical assistance quickly if they were unwell. Privacy and dignity is well respected. The staff team work well together and showed a good understanding of the needs of individual residents. There is a very good relationship between residents, relatives and staff. The resident and relative spoken with were very positive about the care, kindness and helpfulness of the staff group. One relative told us, I am very suited in all aspects of the home. The home is always very clean and tidy smelling fresh. There are good systems in place to manage any complaints or concerns. There is an open door policy whereby residents and relatives can speak with the registered manager at any time, should they be concerned about something or require some information. The protection of people living at the home is considered very important. All staff receive mandatory training so that people living at the home are kept safe and free from any sort of abuse or discrimination. 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 7 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 8 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 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. 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