Care Home: Crown Rest Home

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What the care home does well The location of the home at the outskirts of a village allowed for the front door to be kept open without imposing risk to service users, but acting as an element that demonsrated the freedom that users enjoyed in the home. On our arrival, several service users had their breakfast. Once again, it was nice to see that staff served coffee in the cafeteria to a user who liked it that way. The choice was offered to all users in the dining room. Senior staff member showed us all the main points, boards, showing when and where the call bell was used. Three boards were in the home, two downstairs and one up the stairs. The boards indicated the room number where the call bell was used. We checked call bells in all communal areas and in two bedrooms. The system allowed for the main control call point to be taken from the wall and to be hand held. The cords were present on each call point. The cords in bedrooms were of different length, varying from 2 metres to 4 meters in length allowing users to use it either in bed or at the other end in their room, while sitting in an armchair. We asked the user to press the call. The staff member came to the room in 8 seconds, although she did not know that we were testing the system and were in that particular bedroom. In addition two staff on duty were carrying pagers with them, connected to the system and showing which room the call came from and the type of call. The call points had two options for users to call staff. One, red button was used to call staff for immediate assistance and the yellow button for non urgent calls. During our presence in the home the longest period of the audible sound of the call system was in the range of 20-25 seconds. The size and layout of the home, as well as staffing level and the organisation of the work, allowed for this fast staff reaction. Two users spoken to confirmed that "staff come almost straight away when we call them." There were no reported or recorded falls since the last inspection. The staff member explained the home`s falls prevention management. The home would initiate a review of medication. They would consult a GP and ask for advice. A GP wouldrefer any user potentially prone to falls to a falls clinic for further support. As all staff were First Aid trained, this ensured that a First Aider was on duty at all times. The staff member spoke of their moving and handling training. All new staff had to complete the section on moving and handling as part of their induction. The refresher courses were organised each year at least once and all the staff were up to date with this training. An advantage for staff and consequently for users of the service was the fact that the manager, also a provider, was a qualified trainer and an NVQ assessor. What the care home could do better: The home clearly identified the areas they needed to improve themselves, in consultation with the service users and there was no need for us, the regulators to impose any requirements. Random inspection report Care homes for older people Name: Address: Crown Rest Home Station Road Little Dunham Kings Lynn Norfolk PE32 2DJ 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: Dragan Cvejic Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Crown Rest Home Station Road Little Dunham Kings Lynn Norfolk PE32 2DJ 01760722039 Telephone number: Fax number: Email address: Provider web address: info@crownresthome.co.uk Name of registered provider(s): Name of registered manager (if applicable) Provider/Manager Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Lindsey Wood,Mr Christopher Wood care home 18 Number of places (if applicable): Under 65 Over 65 18 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 The Crown Rest Home provides residential care for up to eighteen older people and is able to meet a range of care needs. The home is located in the village of Little Dunham and is owned and managed by Mr C & Mrs L Wood. The home comprises of the original building (which was a public house) plus some more recent extensions. The home is well maintained and care has been taken to make access as easy as possible throughout the property. The home is situated a short Care Homes for Older People Page 2 of 8 Brief description of the care home distance out of the village, and there is a good bus service. Care Homes for Older People Page 3 of 8 What we found: The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This inspection did not show anything disputing the rating. After inspecting the service earlier this year, but upon raised conerns related to the matter that affected a previous service user and raised concerns about adaptations and falls management, we conducted a Random Inspection of the service. We concluded that the home continued to provide excellent service for people that were cared for and supported in Crown Rest Home. This site visit focused on the call bell system installed in the home, its effectiveness and the homes measures to prevent and deal with potential falls. We spoke to a senior staff member, to the manager - provider, we tested the call system, observed staff reactions, collected information about staff training related to falls and observed the general atmosphere in the home. What the care home does well: The location of the home at the outskirts of a village allowed for the front door to be kept open without imposing risk to service users, but acting as an element that demonsrated the freedom that users enjoyed in the home. On our arrival, several service users had their breakfast. Once again, it was nice to see that staff served coffee in the cafeteria to a user who liked it that way. The choice was offered to all users in the dining room. Senior staff member showed us all the main points, boards, showing when and where the call bell was used. Three boards were in the home, two downstairs and one up the stairs. The boards indicated the room number where the call bell was used. We checked call bells in all communal areas and in two bedrooms. The system allowed for the main control call point to be taken from the wall and to be hand held. The cords were present on each call point. The cords in bedrooms were of different length, varying from 2 metres to 4 meters in length allowing users to use it either in bed or at the other end in their room, while sitting in an armchair. We asked the user to press the call. The staff member came to the room in 8 seconds, although she did not know that we were testing the system and were in that particular bedroom. In addition two staff on duty were carrying pagers with them, connected to the system and showing which room the call came from and the type of call. The call points had two options for users to call staff. One, red button was used to call staff for immediate assistance and the yellow button for non urgent calls. During our presence in the home the longest period of the audible sound of the call system was in the range of 20-25 seconds. The size and layout of the home, as well as staffing level and the organisation of the work, allowed for this fast staff reaction. Two users spoken to confirmed that staff come almost straight away when we call them. There were no reported or recorded falls since the last inspection. The staff member explained the homes falls prevention management. The home would initiate a review of medication. They would consult a GP and ask for advice. A GP would Care Homes for Older People Page 4 of 8 refer any user potentially prone to falls to a falls clinic for further support. As all staff were First Aid trained, this ensured that a First Aider was on duty at all times. The staff member spoke of their moving and handling training. All new staff had to complete the section on moving and handling as part of their induction. The refresher courses were organised each year at least once and all the staff were up to date with this training. An advantage for staff and consequently for users of the service was the fact that the manager, also a provider, was a qualified trainer and an NVQ assessor. 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 8 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 6 of 8 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 7 of 8 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. 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