Inspection on 27/02/08 for Clifton Court

This is the latest available inspection report for this service, carried out on 27th February 2008.

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

Clifton Court 24/08/05

Clifton Court 18/04/05

Clifton Court 06/10/04

Clifton Court 12/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Clifton Court 8-10 Clifton Road Ore Hastings East Sussex TN35 5AP Lead Inspector Mark Hemmings Key Unannounced Inspection 27th February 2008 09:00 Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 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 Clifton Court DS0000021077.V348698.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 Adults 18-65. 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. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton Court Address 8-10 Clifton Road Ore Hastings East Sussex TN35 5AP 01424 428708 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) sylviacliftoncourt@hotmail.com Mr David Cooper Mrs Eillen Sullivan Mrs Sylvia Verlander Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is fifteen (15) That the home may accommodate one named service user aged over 65 years. On admission service users should be aged between 18-65 years. Date of last inspection 14th July 2006 Brief Description of the Service: Clifton Court (the Service) is registered to provide accommodation and personal care for 15 people who experience difficulties with managing aspects of their mental health. Most of the people in residence are younger adults. One person is over 65 years of age. The premises are a detached building. The accommodation is arranged on the ground and on the first floor. The second floor is used for the main office. When full, two of the bedrooms can be shared by two people. This means that most of the people in residence have their own bedroom. Each bedroom has a private wash hand basin. The Service is located in a quiet residential area close to the centre of Ore. It is within easy reach of shops and other community facilities such as public transport. There is offstreet car parking nearby. The Service is privately owned. The Registered Providers operate it as a partnership. People who might want to move in can get information from several sources. There is a Service Users’ Guide. This is a brochure that outlines the principal features of the facilities and services available in the Service. There is also a document called the Statement of Purpose. This gives a more detailed account of the provision in place than does the Guide. The Registered Providers ensure that a copy of the most recent Inspection Report from the Commission is available for reference. The range of fees charged currently for each of the service users’ residence in Clifton Court runs from £325.00 to £450.00 per week. This fee includes the provision of accommodation, personal care and catering. It does not include items such as toiletries and other extras. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this Service is Two (2) Star. This means that the people who use the Service experience good quality outcomes. The Commission since 1 April 2006 has developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 09.00 and was in the Service for about six hours. It was a thorough look at how well the Service is doing. It took into account information provided by the Registered Providers. Further, it considered any information that the Commission has received about the Service since the last inspection. The Inspector spoke with one of the Registered Providers and with the Registered Manager. Also, he spoke with four of the people in residence, with two of the support workers and with the cook. There are no Required Developments at the end of this Report. What the service does well: There is a relaxed and homely atmosphere in the Service. The people who use the Service say that members of staff are supportive and friendly. They say that they receive the support and assistance they need and that this is in line with their expectations. The system used to consult with the people in residence about the individual assistance they receive is well developed. People are helped to not take unreasonable risks. Suitable arrangements are in place to assist people to manage medication and to promote their good health. People are served with good quality meals. Sensible arrangements are in place to promote health and safety. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. People who might want to move in have are asked about their needs and preferences so that their expectations can be met. EVIDENCE: The Registered Manager completes an assessment of each prospective person’s needs for assistance. This is done before a decision is made about whether or not the Service is a suitable place for the person’s residence. The assessment is completed in consultation with the person concerned. As appropriate, members of their family are involved. When applicable, care managers (social workers) are also asked to make a contribution. Whenever possible, someone who might want to move in is invited to visit the Service. This is done so that they can get a first hand feeling of what it might be like to live there. It also gives everyone the chance to begin to get to know each other without too many formal questions and answers. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 9 Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. People are provided with the personal care they need. EVIDENCE: The people in residence say that the support workers offer them all the assistance they need. There is a written individual plan of care for each person. These are important documents. This is because they form one of the means by which people can be informed about and can agree to the assistance they will receive. Also, the plans are a source of information for staff. This then helps them to provide support in a consistent manner. The written plans are well presented, clear and to the point. There is an arrangement whereby the Registered Manager meets with each person on a monthly basis to review in some detail how things are going. This then enables them to decide if anything Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 11 needs to be changed in the support to be given in the next month. This is an important example of good care practice. The people in residence consider themselves to be suitably involved in decisions that are taken in relation to themselves. Sensible arrangements are in place to anticipate and manage potential risks to people’s personal health and safety. The people in residence praise the members of staff. They say that they are courteous and attentive. One person summarised the general mood when she observed that, “I am very happy here and the staff and manager are very good”. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. People are helped to undertake activities. They can organise their day as they wish. Good quality meals are served. EVIDENCE: Each person is helped to do things that they find interesting. For example, some people have chosen to attend vocational college courses. Other commitments include voluntary work and various recreational events. A sensible balance has been achieved so that people are encouraged to develop their interests without feeling pressured to be overly active. This balance is another important example of good care practice. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 13 The people in residence say that the pace of daily life in the Service is relaxed and unhurried. While they have considerable choice about how to spend their day, there are broad expectations about some of the things they will do. For example, people are asked to help out around the place. Also, they are expected to adopt reasonable personal practices such as not going to bed too late. These sorts of boundaries are helpful because they assist people to follow a do-able lifestyle. People are assisted to keep in touch with members of their families, if this is necessary and if it is their wish. Family members and friends are welcome to call to the Service at any reasonable time. The Registered Manager in consultation with the person concerned, keeps in touch with family members so that they know how things are going. People say that they receive good quality meals and that they have enough to eat. They consider meal times to be a relaxed and pleasant experience. There is a choice of dish available at each mealtime. The menu provides people with a normal healthy diet. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. People are helped to support themselves. This includes using health care services appropriately and managing medication. EVIDENCE: The people in residence are helped to get on with everyday things. For example, attending to their own laundry and making sure that they have enough personal funds to hand to get on with their chosen activities. People are assisted to maintain their health. Support workers are alert to the need to identify occasions when someone is becoming unwell. This is so that medical assistance can be sought promptly. The Registered Manager has developed close contacts with the local mental health services. This means that she can quickly call upon expert assistance should it be needed. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 15 In addition to this, people are encouraged to adopt a positive approach to promoting their good physical health. For example, this includes attending things such as appointments with the dentist and recognising the benefits to be had from giving up or at least reducing smoking. Suitable arrangements are in place to enable people’s medication to be retained and to be dispensed in accordance with the doctors’ instructions. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. Suitable arrangements have been made to respond to complaints and to promote the wellbeing of the people in residence. EVIDENCE: There is a written complaints procedure. This explains how the people in residence and other interested parties can go about raising a concern. Neither the Registered Providers nor the Commission, have received a complaint about the Service since the last Key Inspection. There is a written statement of the Registered Providers’ commitment to promote the wellbeing of the people in residence. The support workers are aware of how to go about safeguarding in practice the interests of the people who live in the Service. The people in residence say that they feel safe living in Clifton Court. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 29 and 30. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. The people in residence live in a comfortable setting that promotes their independence. EVIDENCE: Most areas of the accommodation are presented to a normal domestic standard. This means that the communal rooms and the bedrooms are decorated and furnished to a homely standard. A number of improvements have been made since the last inspection. These have included the provision of some new carpets, some new furnishings and some redecoration. Having said this, some of the bathrooms and toilets are still a little bare. More could be done to make them into welcoming spaces. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 18 The premises are fitted with an automated fire detection system. This provides a high level of fire safety protection. The Registered Providers have prepared a fire risk assessment. This has been done to ensure that there are no particular hazards that might undermine the level of protection in place. The East Sussex Fire and Rescue Service have examined the assessment and it has concluded that a suitable fire safety regime remains in place in the Service. The kitchen is clean and well organised. The cook is aware of the principles of good food management and of the importance of hygiene. The local Department of Environmental Health has recommended that the linoleum floor covering be replaced. The Registered Providers intend to do this in the next few months. Within the same timescale, they intend to replace some damaged/missing drawer fascias. Suitable provision has been made to support those people who need a bit of extra help in the bathroom. The laundry is located in the cellar and it is a good size. There is a washing machine. However, there is no dryer. This means that clothes have to be dried on a line in the laundry or on a line outside. This might be okay in the summer months, but it is difficult to see how it can be an adequate arrangement when the weather is wet and cold. One of the people in residence observed that during these periods support workers have to drape wet clothes over the radiators in the lounge and elsewhere. This arrangement is not acceptable. It is very unusual for a residential care service the size of Clifton Court not to have a dryer to use as a back up for when the weather is inclement. The Registered Providers should consider what they are going to do to resolve the situation. There are new regulations that have been introduced to ensure that used water does not leak back into the main pipe-work. The Registered Providers are going to check with the local water supply company to make sure that they comply with the provisions. They are going to do this by 1 May 2008. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34 and 35. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. The Service is adequately staffed by trustworthy people who know what they are doing. EVIDENCE: In the morning and until later in the evening there is at least two support workers on duty to assist the people in residence. At night, there is a staff presence in the Service. There is a cook who does most of the catering. The Service is staffed adequately given the needs for assistance of the people currently in residence. There are 10 support workers employed in the Service. Four of them have acquired the National Vocational Qualification (NVQ) in health and social care. This Award is useful because it provides support workers with a range of opportunities to confirm elements of good care practice and to extend their Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 20 range of skills. Three more support workers are currently studying for the Award. The Registered Providers complete a number of security checks in relation to new support workers. This is done to ensure that they are trustworthy people to have unsupervised access to the people in residence. New support workers receive introductory training before they work without direct supervision. This is done to make sure that they have the skills and knowledge they will need in order to support effectively the people in residence. After that, all of the support workers are provided with ongoing training. This is designed to develop further their ability to provide a high quality residential care experience. Some aspects of the way in which this training is planned and delivered are not as clear as they might be. The Registered Providers are going to address this by completing a review of the competencies of each of the support workers. This will be done using a model that the Commission recognises to be very useful. This development will be completed by 1 August 2008. Once it is completed, they and the Registered Manager will be in a much better position to decide what additional training for support workers will be of the most benefit. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 39 and 42. People who use the Service experience good outcomes. This judgement has been made using available evidence including a visit to the Service. The Service is well managed. There is a useful quality assurance system. Sensible provision has been made to promote the health and safety of the people in residence. EVIDENCE: The Registered Manager holds a formal qualification that is relevant to her ability to properly supervise the Service. She now intends to study for another qualification that the Standards require for people in her role. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 22 In addition to her current qualification, she has a good understanding of how the Service runs in practice. She oversees various systems that are designed to promote good team-work. This is important because it helps individual support workers keep up to date with what they need to do in order to respond effectively to the changing needs and wishes of the people in residence. Several things are done to consult with the people in residence about how well the Service is running. These include informal discussions and the completion of more organised questionnaires. The information collected by these means shows that the people in residence and their relatives are generally very happy with how things are going. The Registered Providers are now going to develop further the quality assurance system. This will be done by extending the process of consultation. This will mean that members of staff will be included in a more organised way than is the case at present. Also, it will mean that the results of the consultation exercise will be summarised in an annual quality report. This document will explain what action is to be taken in relation to any suggested improvements. The Registered Providers are going to complete the first of these quality reports in time for its results to be notified to the Commission in 2009. Various regular checks are completed to ensure that the Service’s fire safety equipment remains in good working order. Members of staff and the people in residence complete regular fire drills. This is done to make sure that they know what to do if there is a real fire safety emergency. The Registered Providers are now going to develop this arrangement further to double check that all members of staff know all of the information that they need. This development will be completed by 1 May 2008. Items of equipment such as the gas appliances in use in the Service and the electrical wiring system are being inspected and serviced in the correct manner. There have not been any significant accidents or other unwelcome events in the Service since the last Key Inspection. The Registered Manager is aware of the need to check on the premises and on the accommodation to ensure that there are no hazards that might cause someone to have an accident. She says that no such problems have been identified. Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 24 No. Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Clifton Court DS0000021077.V348698.R01.S.doc Version 5.2 Page 26 - 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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