Inspection on 04/03/09 for Claremont House

This is the latest available inspection report for this service, carried out on 4th March 2009.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Claremont House 22/09/06

Similar services:

Elmleigh Convent

Eastfield Farm Residential Home Limited

Cranwell Court Care Home

Fairview

Cottingham Hall

Cranmer Scheme

Fairburn Mews

Fern Lea

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Claremont House Brighton Street Heckmondwike West Yorks WF16 9EU Lead Inspector Paul Newman Key Unannounced Inspection 4th March 2009 9:00am X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claremont House Address Brighton Street Heckmondwike West Yorks WF16 9EU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01924 325659 01924 325660 paulr.battye@kirklees.gov.uk www.kirklees.gov.uk Kirklees MC Mrs Angela Haw Care Home 40 Category(ies) of Dementia (40), Dementia - over 65 years of age registration, with number (40) of places Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service users should be admitted that are under 55 years of age. Date of last inspection 31st January 2007 Brief Description of the Service: Claremont House is a two-storey care home providing accommodation and personal care for up to forty service users with dementia type illnesses. The majority of service users are elderly and are aged over 65 years, however the home is able to care for service users from the age of 55 years. Claremont House was purpose built and registered with the Commission for Social Care Inspection in May 2006. The home provides single bedroom accommodation. All bedrooms have full en suite facilities. The accommodation is provided in four 10-bedded suites. Each suite has a kitchenette, open plan dining and lounge areas and assisted bathing and toilet facilities. There is a communal meeting room, hairdressing facilities and a separate smokers’ lounge. The home has a good-sized, enclosed garden and service users on the ground floor have direct access from the dining areas to the garden. Claremont House is situated on Brighton Street in Heckmondwike, a residential area within 5-10 minutes’ walk from the town centre. The provider informed the Commission for Social Care Inspection on 4 March 2009 that fees are £533 per week. Additional charges include hairdressing, private chiropody, toiletries, newspapers and magazines, insurance for personal belongings and taxi fees, if required. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an overview of what the inspector found during the inspection. The quality rating for this service is three star. This means that the people who use the service experience excellent quality outcomes. The accumulated evidence in this report has included, the previous inspection report, information we have received from the provider since the last inspection, what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement, relevant information from other organisations and information from people living at the home, relatives, staff and other health care professionals. One inspector made an unannounced visit to the home that lasted seven hours on 9 February 2009. Before the inspection visit, we asked the manager to complete an Annual Quality Assurance Assessment (AQAA). This is a self assessment that if completed thoroughly, should tell us how the home is meeting National Minimum Standards, where we can find the evidence for this, what improvements have been made since we last inspected and what improvements are planned in the next year. The AQAA that was returned was completed well and helped us to plan for the inspection visit. During the visit a number of pre selected documents were looked at and most areas of the home used by people living there were inspected, including some bedrooms. Apart from spending time with the manager, a good proportion of time was spent speaking with staff, visitors and people living in the home. Time was spent in communal areas watching what was going on and checking how the staff cared for and supported people. Surveys were sent out prior to the inspection to a proportion of people living at the home, staff and health care professionals. Feedback was provided to the operations manager who attended for part of the day, the manager and coordinators available at the end of the visit. What the service does well: Across the range of services it provides, the home provides good or excellent outcomes for people living there. Its strengths are rooted in the management of the home. Line management arrangements check that the home is operating well. Internally the staff are also well managed, are motivated, well supervised and are provided with core and specialist training that is targeted at Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 6 the care of people with dementia. The training staff receive has made them enthusiastic, has encouraged new ideas and innovations in the home that are supported by management. People are treated as individuals and the care plans and practical approach to their care is person centred. Staff know the people well, know their life histories and this knowledge helps them relate to individuals in a supportive and sensitive way. There is a genuine commitment to maintain the dignity of people living in the home. The environment is safe and great thought and ideas have been put into ways to make it an interesting and stimulating place to be, including the gardens. The environment is well maintained with high standards of décor and furnishings. It is clean, smells fresh and staff are well versed in good infection control practices. The food is nutritious, special dietary needs are met, people get good choices at meal times and there is a commitment to make sure that they get the maximum support during mealtimes in an uninterrupted way. The home seeks the views of the people and their families and has a ‘friends and carers’ group who meet regularly and actively fund raise and take on projects for the benefit of the home. Staff say they enjoy coming to work, healthcare professionals view the home and the care provided in a positive way, people living in the home praise the staff and are happy with the care and relatives consistently use the term ‘excellent’ to describe the staff and services at the home. What has improved since the last inspection? There was one requirement following the last inspection visit. This was to fit monitors to all the bedroom doors to help prevent and alert staff to people wandering into other service users’ rooms at night. This has been done. These are just some of the other developments and improvements made since the last inspection. More are detailed in the report and there are more planned in the future. • A conservatory has been built which provides additional space to celebrate special occasions and can also be used for activities such as tea dances. This has generally improved the communal and recreational space for people. At the end of each suite corridor interesting themes and features have been introduced to interest and stimulate people. Staff have received specialist training in dementia care and this has encouraged new improvements in the care plan documentation and their day-to-day practice. The home is involved in partnership work with South West Yorkshire Mental Health Trust, the Alzheimer’s Society, the Independent Sector DS0000067656.V374370.R01.S.doc Version 5.2 Page 7 • • • Claremont House • • and the local community. There are increased activities for people to be involved in. Volunteers have been recruited to enhance the work and support of the care staff. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can decide if the care home can meet their support and accommodation needs based on good written information and opportunities to visit the home. People can be confident the care home can support them because there is a full assessment of their needs that they or people close to them have been involved in. EVIDENCE: The statements of purpose and service user guide are reviewed annually and give accurate information about the services provided. Information about the home can also be found on the Local Authority website. Photographs that also Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 10 accurately show the home’s facilities are in the service user guide. The guide is produced in straightforward language and can be made available in large print, audio CD, audiotape and Braille. There is also a DVD available that was professionally produced for training purposes about homes that care for people with dementia. All people considering living at the home go through an assessment process so that the home can be sure that the person’s needs can be met. Apart from meeting the person and their family to get more personal information about their lifestyle and discussions with Social Workers, the home gets information from the most up to date Community Care Assessment. People are encouraged to visit the home with their family so that they can see the facilities, experience the atmosphere and see what goes on. On the basis of the assessment a considered decision is made about whether the home can meet the persons needs. The home also takes people for respite care and the same assessment process is used. Where people return to the home on a regular basis the assessment is updated each time. There was good evidence of the detail of the assessments in the three files that were checked and one of the files seen was for a person arriving at the home on the day of the visit for her regular respite care. All the assessment forms were ready for her arrival and in a conversation with her husband, he said that the staff always did this to make sure there were no changes in his wife’s condition or medication. He said that he had looked around a number of homes and had chosen Claremont based on the written information, and visits to the home and felt that his wife would be comfortable and well looked after. Two other relatives who were spoken with said similar things. The home does take emergency admissions and has policies and procedures that are followed to make sure that people’s basic needs are known and copies of the Community Care Assessment are faxed through to the home. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health, personal and social care needs are outlined in detailed care plans that give good advice and guidance for staff to follow. People’s medicines are looked after and administered in a safe way that makes sure they get the medicine they are prescribed. People get the right support for them to live their lives as independently as they can and in a dignified way. EVIDENCE: The three care plans checked showed that information from the pre admission assessment had been accurately used to draw up the plan of care. The plans are holistic and person centred and after reading them you have a good picture Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 12 of the person and how they like to live their life as well, as well as their specific care needs. This is recognised as being very important for staff to know, as it helps them recognise behaviour and support people in a sensitive, informed and consistent way. The last inspection report noted that improvements had been made and that new care plans had been developed that were of a good standard. This visit found further improvements that have been introduced following specialist training in dementia care for the staff. New documentation was seen on the files that focus on the individual, general guides to engaging with the person in a variety of activities and action plans as a specific guide to facilitate personal activities. It is clear through speaking with the staff, that are committed to continue to develop their service so that the highest standards and outcomes are achieved for the people they care for. One of the care plans checked was chosen because the person presented challenging behaviour and their physical condition was deteriorating. The plans showed a trail of good record keeping that highlighted the issues and there was evidence of referrals being made to specialist healthcare professionals to seek further advice and guidance on how to treat and manage the problems. A particular focus was made on guidance given in a report by a speech and language therapist for swallowing. It was noted that although some of the information in the therapists report had been used to up date the plan of care some of the detail had been missed. Staff working with the person were asked specifically about what they should be doing at meal times and were able to describe in detail what the therapist had suggested. They were also seen to follow the guidance during the mealtime as they assisted the person with their meal. Senior staff agreed later that the detail in the care plan should have been more complete. Nevertheless the fact that staff knew what they had to do was a sign that the information that is exchanged at handovers is good. The care plans are supported by a range of risk assessments and both the plans and risk assessments are reviewed monthly. A nurse who was visiting the home to take a sample of someone’s blood was spoken with and said that the health practice that she worked with had no concerns about the home and that in her experience the home had high standards of care, with committed caring staff who were good at their job. Thee home’s policies and procedures for the ordering of prescriptions, the checking of these, the storage and administration of medication was discussed and three people’s records checked. Stock checks were made including controlled drugs. The home has excellent facilities for the storage of medication. The records seen and the practices observed were good. It was noted that creams that are prescribed for people are kept in their rooms and there are good practical reasons for doing this. There was however no record Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 13 on the Medication Administration Chart of the cream actually being applied. Staff said that there should be a record on the general daily record sheets that indicate the care given at different times of the day, but agreed this may not be consistent. This was discussed and the home is going to address this. People’s preferred daily routines are well documented and during the first walk around the building at 8:45 people were still getting up and eating breakfast. The care plans give advice on people’s sexuality – for example the things they like to wear and how to support people in this. Throughout the day people looked well cared for in terms of their dress, cleanliness and appearance. Staff spoken with knew the people they care for, their likes and dislikes and they were good at making sure that they treated someone who might be disorientated sensitively. Staff were seen knocking on doors before going in and making sure that doors were closed at times when assistance was being given with personal care. There was a good emphasis on people’s privacy and dignity. Indeed the dignity culture runs right through the way the home operates. The Local Authority had a Dignity in Care Campaign that was launched in 2006 and as part of this initiative the home has some staff members who are ‘Dignity Champions’. Networking groups meet on a regular basis. A conversation was held with a married couple living at the home. They described the care as very comfortable and felt they got everything they needed, when they wanted it. They described the staff as ‘wonderful’. A number of other relatives were spoken with during the day, all of whom were very happy with the care and described the staff as ‘caring’, ‘approachable’ ‘warm and friendly’. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated as individuals and the care home is responsive to their social, cultural, religious and recreational needs. They are part of their local community and the care home supports them to follow interests and activities. Contact with their family and friends is promoted. They live as independently as they can be and lead their chosen lifestyle. People have nutritious meals and snacks and their special dietary needs are catered for. EVIDENCE: The personal support plans and life story work that are done by staff in consultation with individuals and their families help staff understand individuals and help identify any interests and hobbies that a person may have talent for and wish to continue. At any one time, the capacity of people to join in social activities varies and the amount of support, assistance and encouragement they need is recorded in the Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 15 care plan. The home employs an activity organiser and there is a range of things organised both in and outside the home. These are well documented in the statement of purpose. The environment is designed to be as safe as possible but there have been some innovative ideas to make it stimulating and a source of activity. There are two activity rooms that are used regularly for sensory experiences and individual and small group activities. A lot of work has been done on the environment to create interesting and stimulating areas and this in itself generates activity. The gardens are being developed. They are already a safe haven for people to use during the fine weather, but with the help of ‘Friends of Claremont House’ are developing a sensory garden and there are further plans for other areas like raised beds and a greenhouse for people to get involved in growing things. All the relatives spoken with said that they felt very welcome into the home and felt that staff were approachable and friendly. They are able to stay for meals or assist people at meal times and there are small domestic kitchens at each wing of the home where they can make refreshments. The relationships between people and staff were relaxed and warm and with their knowledge of the individuals staff were able to engage people and capture their interest or generate a smile. People’s preferred lifestyle, likes and dislikes and routines are well documented in the care plans and there appeared to be an easy and relaxed atmosphere in the home. The meals and snacks provided on the day of the visit looked good and people were enjoying them. There was a choice at the main meal and staff were seen asking what people wanted and for those with limited understanding showing them the options available. In the areas that were seen the meal was quiet but sociable and unrushed with staff giving good support and encouragement to the people who needed it. Meal times are a time when all of the staff in the home assist so that people get the support they need and good hot meals. People’s weight is monitored and the advice of dieticians and speech and language therapists sought where it is needed. The cook is experienced in catering for the elderly and does a lot of home baking and everyone tucked into the cakes and buns during the afternoon. The people spoken with said the food was always very good and the relatives said that they never heard grumbles. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns about their care, they or people close to them know how to complain and feel comfortable in doing so. Their concerns are looked into and actions taken to put things right. The care home safeguards people from abuse and neglect and takes actions to follow up any allegations. EVIDENCE: The home has a formal complaints procedure that is included in the service user guide. All the more able people and relatives who were spoken with said that they knew how to complain and felt comfortable in raising things. The relatives said that staff are good at keeping them informed of things and they felt included in the life of the home. Staff said that they encourage people to raise things straight away so things don’t blow out of proportion and can be dealt with quickly. Where complaints are made they are recorded, investigated and the outcome of the investigation and any action taken also recorded. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 17 The home has been monitoring incidents between individuals living at the home that are referred as safeguarding referrals and has taken measures to increase staffing at key points in the day or in one case gain additional funding for additional staff for one person who became more challenging. Staff are trained in the indicators of abuse and in safeguarding procedures. The home has identified that some staff are due an up date in this training and is taking steps to address this. Other checks made during the inspection visit on recruitment and money that is held for safekeeping for individuals met requirements. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25 and 26. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a purpose built home that is safe, comfortable and well maintained and offers people with dementia an excellent environment. EVIDENCE: The home is purpose built, modern and well equipped. Since the last inspection visit there have been further innovative developments made. There is increased directional signage around the building in high definition yellow background and black lettering. All the bedroom doors have individualised ‘memory boxes’ that include pictures and items that the person will identify as their own and have something to do with aspects of their life Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 19 like their family, interests and career. There are more pictures around the buildings of items of clothing like hats and scarves on coat stands and in dresser drawers. The end of each corridor has a themed scene, like Dad’s shed and a cosy lounge with sewing machine and ironing boards. These generate memories, interest and stimulation rather than blank and institutional like corridors. Since the last inspection, a conservatory has been added that will has direct access to the gardens and offers another communal area. The whole of the environment is decorated and furnished to high standards. The ground floor corridor carpet was being replaced at the time of the inspection visit so that high standards are maintained and there appears to be a real commitment to this. People are able to move about the ground floor or the first floor safely because corridors are wide. Bedrooms are all single ensuite and as the only requirement at the last inspection report, alarms have been fitted to alert staff to doors opening and alerting them to anyone leaving their room at night. This makes things much safer. As outlined in an earlier section of this report the gardens are being developed to include a sensory area and there are plans to include areas where people can get involved in growing things. The gardens are safe, expansive, and attractively laid out. The standards of cleanliness were good and there were no unpleasant smells and visitors said this was normal. Staff were seen to be wearing protective clothing when they needed to and have been trained in infection control. As an environment it has been recognised by Sterling University as a good example of a home for people with dementia. The staff are committed to be innovative in developing it further. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and appropriate support from staff who are competent and well trained. Staff go through a recruitment process that includes checks to make sure they are suitable to care for them. People’s care needs are met by staff whose training is kept up to date and are well supported and supervised by the senior staff team. EVIDENCE: Conversation through the day give a clear indication that people, relatives and professional visitors think there enough staff on duty and the large majority of staff thought so too. The care staff are supported by a team of housekeeping staff, an activity organiser and cook. The home is currently actively recruiting volunteers. As observations were made throughout the day there was a relaxed and cheerful atmosphere in the home and although busy, staff were managing well. It is clear that the respite unit that has admitted 210 people over the last year for short breaks is very busy. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 21 The staff spoken with talked about the good team spirit and support they got from the senior team. Without prompting or leading them most said how much they enjoyed coming into work. Apart from safe working practice training and training in safeguarding and challenging behaviour, staff have received specialist training in the care of people with dementia. This has clearly enthused them with ideas and there was a real ‘thirst’ to explain the ideas they had or were introducing both in terms of the environment and in record keeping and care planning. As we talked about individuals living in the home and their key worker roles, they showed what a good knowledge of the people they had. The home exceeds targets set out in National Minimum Standards for the number of staff who should have achieved a National Vocational Qualification. The training matrix that was seen indicates that some safe working practice and safeguarding training needs to be updated but the operations manager has already identified this and will make sure this is done. The recruitment files of three most recently appointed staff were checked. These showed that the documentation that must be kept to demonstrate thorough recruitment practices and policies are in place. References were on file together with evidence of checks made with the Criminal Records Bureau. This gives people confidence that the staff working in the home are suitable to work in the care industry. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the right support because there is effective and supportive management. There is an open approach to staff, people and visitors that makes them feel valued and respected. People are safeguarded because the home has clear financial and accounting procedure, keeps records properly and makes sure staff understand policies and procedures and follow the way things should be done. Safety checks on facilities and equipment make sure the home is a safe place to live and work in. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 23 EVIDENCE: This visit found an enthusiastic and knowledgeable team of staff who are well supervised and managed. Although the current management arrangements are temporary, they clearly work very well, and relatives and staff have confidence in the Coordinator who acting up to the post at present. Relatives spoken with consistently used the term ‘excellent’ when they talked about the staff, facilities and support to their loved ones. In most cases they were able to make comparisons with other homes they had visited or had experience of. The training the staff have received in the care of people with dementia has encouraged ideas and innovation that have been outlined in previous sections of this report. There is a commitment to dignity through the ‘Dignity in Care Campaign’ and the ‘Dignity Champions’ working in the home. The home is involved in partnership work with South West Yorkshire Mental Health Trust, the Alzheimer’s Society, the Independent Sector and the local community. The home has a variety of ways of establishing the views of people and their families in order to develop the service. They send out questionnaires to families at regular intervals and act upon the feedback to improve the service. People are supported in making any choices they are able to make. This includes a choice at meal times and what they would like to wear on a daily basis. There is a friends and carers group who meet on a regular basis and various projects are discussed (like the development of the gardens) and fund raising events arranged. The local authority has well-established line management arrangements and this includes the operations manager making monthly visits to the home to make sure that the home complies with National Minimum Standards. The monthly reports that she makes show that she keeps staff, they said ‘on our toes’, as she makes audits of the care, services, building and record keeping in the home. Action points are always made and followed through at the next visit. This gives the CSCI confidence that standards will continue to be maintained and improved. The policies and procedures for looking after people’s money for safekeeping were discussed and a check made on two people’s records. A check made of that the cash held for these people tallied with the record. Record keeping was sound, receipts supported transactions and an audit trail could be made. People should feel confident that their money is safe and accounted for. The AQAA outlined the range of maintenance checks made on facilities and equipment and confirmed that policies and procedures are in place for staff to follow to make sure that health and safety, infection control and safe working practices are in place. Checks were made of the fire safety records and these showed that these are made weekly and were up to date. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 X X 3 Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations The home should continue to try and make sure that the full detail of advice and guidance given by healthcare professionals is recorded in the care plan. A method of consistently recording that creams needing to be applied to people should be found. Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Claremont House DS0000067656.V374370.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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