Latest Inspection
This is the latest available inspection report for this service, carried out on 8th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Crowtree House.
Annual service review
Name of Service: Crowtree House The quality rating for this care home is: The rating was made on: two star good service 0 9 0 2 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Julie Western Date of this annual service review: 1 0 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 39 Crowtree Lane Louth Lincolnshire LN11 9LL 01507602653 01507600312 Crowtreehouse@lincolnshire.gov.uk www.lincolnshire.gov.uk Lincolnshire County Council Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 30 0 0 30 The maximum number of service users who can be accomodated is 30 The registered person may provide the following categories of service, 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, Dementia, Code DE Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Crowtree house is owned by Lincolnshire County Council and is situated in the small market town of Louth. There is public transport, which enables visitors and relatives to visit the care home. The home itself is situated in a residential area close to Hubbards Hills a local beauty spot. Crowtree House is a resource unit, which provides intermediate care, short stay and day care services for both male and female. The home no longer accepts people for long-term placements, but continues to offer
Annual Service Review Page 2 of 6 None. 0 9 0 2 2 0 0 9 accommodation for one person who was placed prior to this change in policy. The home is registered for 30 people; this includes five people over 65 with dementia and twenty people who form the category of old age, two of whom have a physical disability. The home is set within its own grounds, there is a small area for car parking at the front and side of the property, in addition to on road parking. People using this service have a financial assessment carried out to determine the amount of fees (if any) that are payable. Current fees range from £351.50 to £446. Additional charges are made for services such as chiropody and hairdressing and information about these costs, as well as the day-to-day operation of the home including a copy of the last inspection report, is available from the manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included:the Annual quality assurance assessment [AQAA] that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Any surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened; these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment [AQAA] when we asked for it. It gave us the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a positive service and that they know what further improvements they need to make. The service actively promotes independence, choice and privacy by listening to residents and relatives/representatives and implementing individual requests. Outcomes are ensured through surveys and quality assurance systems. The AQAA states- The views of people who use the service are related to the standard of care which is captured from regularly held meetings, surveys carried out by Team Leaders on how they are treated by staff. We use these ways of communicating to inform people of changes to service delivery and staffing. We minute meetings and collect information from the surveys conducted. We change what we can by responding to the information and give an explanation if we are unable to make changes. A monthly unannounced visit is completed by my manager where he goes and speaks to the people who use the service regarding the standard of care at Crowtree House. Positive feedback is received from thank you cards, letters and questionnaires which are shared with staff in meetings, cards and letters are displayed in the staffroom People who use the service play a key role in the recruitment process by sitting on the interview panel, asking questions and contribute by meeting and greeting the candidates in briefings and group sessions. Equal opportunities are ensured in the following way, taken from the AQAAWe consult with people who use the service about their preferred lifestyle and cultural choices. The paperwork system that we use considers all aspects of a persons individuality. We try not to make assumptions about peoples needs In our recruitment processes we do not discriminated. We value staff that shows potential by providing Annual Service Review Page 4 of 6 opportunities for them to develop further. Our induction training for new staff addresses the six strands of equality and diversity and there is a staff programme of training for equality and diversity. Various improvements have been made since the key inspection, taken from the AQAA - We have changed our registration categories for people who are presenting with signs and symptoms of dementia but do not have a diagnosis. This has enabled us to be more flexible with admissions. We have revised our rotas in freeing up flexible hours to cover pressures of admissions and discharges. The support workers now work more flexible shifts throughout the whole of the day to meet the pressures of admissions and discharges. The appointment of an Activities Organiser is providing a social network, stimulation, a sense of well being and focus for people who are resident within the unit. The staff at Crowtree are realising that by stimulating and organising social activities is less demanding in managing their routine tasks. We have purchased activities equipment from additional provided funding which will be available each year. From this we have been able to have more live entertainment, reminiscence, Pat dogs and we have purchased talking books, DVDs, tapes, CD players and radios. We have reviewed the How was your stay questionnaire. The minor improvements we have made this year are additional electrical sockets in the kitchen, painting corridors and toilets in bright colours. Red toilet seats and yellow toilet doors for instant recognition for people who have memory impairment. Introduced Infection control guidance, audit procedures and revised cleaning schedules 8 survey forms were returned to us from people living in the home and their families. All were very positive and included comments such as Everything about the service excellent, Staff are very versatile at managing problems, Provides a relaxed and comfortable atmosphere, The time I have been here I cant think of anything the home could do better and It provides a comfortable safe place to stay and The staff are all very good and helpful. What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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