Inspection on 14/03/06 for Canford Cliffs

This inspection was carried out on 14th March 2006.

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

Canford Cliffs 11/06/07

Canford Cliffs 27/06/06

Canford Cliffs 14/09/05

Canford Cliffs 14/01/05

Canford Cliffs 26/08/04

Canford Cliffs 23/03/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE Canford Cliffs 2 Bessborough Road Canford Cliffs Poole Dorset BH13 7JS Lead Inspector Martin Bayne Unannounced Inspection 08:45 14 March 2006 th 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 DS0000004070.V283120.R01.S.doc Version 5.1 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. DS0000004070.V283120.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Canford Cliffs Address 2 Bessborough Road Canford Cliffs Poole Dorset BH13 7JS 01202 700272 NO FAX 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) Mrs Marie Rosemai Askurn Mr Vidyanandsing Askurn Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14) DS0000004070.V283120.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated. This condition will not apply after the person’s 65th birthday. 14th September 2005 Date of last inspection Brief Description of the Service: Canford Cliffs is registered to accommodate and provide personal care for up to 14 people over 65 who suffer from dementia. The home has been granted a variation of the conditions of registration to accommodate one named person who is under the age of 65.The home is located in a quiet residential area of Canford Cliffs, within 150 yards of the local parade of shops and local amenities. The home is provided on two floors with access to the first floor by means of a stair lift. There are 10 bedrooms on the ground floor six of which have ensuite toilet facilities. The communal areas of a lounge leading to the garden, kitchen and dining area are also on the ground floor. On the first floor there are a further four bedrooms, one of which has an ensuite toilet. From the first floor there are stairs that lead to private accommodation and the bedroom for the sleep-in staff. DS0000004070.V283120.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced with aim of following up on the requirement made at the last inspection and evaluating the home against core standards for the care of older people. This was the second of the statutory inspections of the year. Mr Askurn, the registered manager assisted throughout the inspection. During the inspection three residents were spoken with together with one member of staff. What the service does well: 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. DS0000004070.V283120.R01.S.doc Version 5.1 Page 6 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 DS0000004070.V283120.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Residents benefit from a full assessment of need being undertaken before they are offered a place at the home. EVIDENCE: The records for one resident admitted to the home since the time of the last inspection were used to track required paperwork through the inspection. The daily record gave an account of how relatives of this resident had made enquiries to the home and visited the premises as part of the process of choosing a home. They also assisted in the assessment process informing of the circumstances and history of the resident to be admitted. Mr Askurn had visited the resident in hospital prior to offering a place at the home and undertaken an assessment of need. A copy of the assessment process was held on the file together with a copy of the care management assessment. There was also evidence on file that the relatives had been sent a copy of the Statement of Purpose for the home, thus providing full information to assist in choosing whether the home was a suitable placement. The home does not provide an intermediate care service. DS0000004070.V283120.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 9 10 Residents’ care needs are met through development of care planning and a system of risk assessment. The administration of medication is carried out in line with good practice and the policies and procedures for the home. Staff support residents to maintain their dignity. EVIDENCE: A care plan was found on file for the resident tracked through the inspection. This had been developed from information derived from the assessment process and was found to contain sufficient information for a new member of staff to provide care to this person. A risk assessment form had also been completed resulting in a hip protector being obtained for the resident to minimise the risk of this person falling and fracturing their hip. From reading the daily record there was evidence that health needs for this person had been addressed, with a GP visit being arranged appropriately when it was found the resident had shown signs of increased confusion. Three residents were spoken with during the inspection, however due to their mental frailty they were not able to give a clear account of what it was like to live at the home. The inspector, however was able to spend time with the residents in the lounge and it was evident that the residents were comfortable DS0000004070.V283120.R01.S.doc Version 5.1 Page 9 and at ease with the staff. All of the residents were dressed in clean clothes, looked clean and had their personal appearance tended to. The staff member spoken with during the inspection discussed differing residents needs and how these were met individually. There was therefore evidence that staff support the maintenance of residents’ dignity. When the inspector arrived at the home the residents had just been finished having their breakfast and medication was being administered. This was being administered in line with best practice with records being completed after administration to each resident. The medication records for the resident tracked thought the inspection were viewed and these had been completed correctly with no gaps in the records. DS0000004070.V283120.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents are supported to maintain relationships with their families and friends. EVIDENCE: After breakfast had been cleared away and medication administered, a member of staff spent time talking and interacting with residents, who appeared comfortable and at ease with the staff. Newspapers were available for residents who have a paper delivered each day. Tea and biscuits were served to residents at midday and residents were asked as to what choice of main meal they wished to have for lunch later in the morning. Around the living room and dining room were calendars and clocks to help orientate residents. Visits by health and social care staff are logged in the visitor’s book and visits from residents and friends of residents are recorded in the daily diary. There is no set visiting times, however people are requested not to visit during mealtimes. It was clear from the records that visitors are welcome at the home. Residents can receive visitors in their rooms or in one of the communal areas. DS0000004070.V283120.R01.S.doc Version 5.1 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Residents and relatives are informed of their right to complain. Residents benefit from all the staff being trained in elder abuse. EVIDENCE: Since the last inspection there have been no complaints made to the manager or to CSCI about the home. As reported at the last inspection the complaints procedure is made available to residents and their relatives through the Service User Guide and the resident’s contract and complies with guidelines in the Older Person Standards. Mr Askurn informed that all of the staff have been trained in issues of abuse. Training certificates that were seen within the two staff files sampled during the inspection that corroborated this. DS0000004070.V283120.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Residents are now better protected from the risk of burns from hot surfaces with the covering of the radiators. Residents are protected from the risk of infection through policies and procedures in line with good practice being in place. EVIDENCE: At the last inspection it was agreed that radiators would be covered by Sept 2006 to protect residents from burning themselves on hot surfaces. It was found at this inspection that all bar two of the radiators had been covered. The reason these two radiators had not been covered was that the covers would impinge on the open of doors. On the day of inspection a plumber visited the home to assess whether low surface type radiators could replace these two radiators. At the last inspection it was agreed that the home would liaise with the infection control nurses with regards to the procedures for the cleaning of commodes, as the home does not have a designated sluicing facility. Mr Askurn was able to provide a letter from the infection control nurses that DS0000004070.V283120.R01.S.doc Version 5.1 Page 13 informed that the cleaning procedures adopted within the home provided suitable arrangements to prevent spread of infection. On the day of inspection the home was warm, clean and in reasonable decorative order throughout. The home was also free from adverse odours. Mr Askurn reported that since the time of the last inspection new carpets had been fitted in two bedrooms and in the hallway. DS0000004070.V283120.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 30 Residents are protected though the required recruitment checks and processes being followed through. Staff are trained and competent to do their jobs. EVIDENCE: On the day of inspection there were three staff on duty, reflecting the level of staffing agreed with CSCI. During the inspection one member of staff was spoken with who had worked for a number of years at the home. They informed that they were offered appropriate training and supervision and that there was a good team of workers to support the needs of residents. At the last inspection a requirement was made as it had been found that there was no work permit specifying that the person could work at the home for one of the members of staff and in the case of another there was no Criminal Record Bureau check. At this inspection a sample of two staff files were inspected and it was found that there was a work permit for one member of staff requiring a work permit that was specific to the home and in both cases a CRB had been undertaken. In the case of one member of staff Mr Askurn informed that they had started work under supervision in the intervening period before their CRB had been returned. It was requested and agreed that in these circumstances suitable documentation would be maintained of the supervision arrangements. The two staff files sampled also contained copies of training certificates in core areas such as moving and handling, mental health, infection control, basic food hygiene, elder abuse and first aid. A proportion of the workers have been DS0000004070.V283120.R01.S.doc Version 5.1 Page 15 recruited through an agency and these workers are all trained nurses with qualifications obtained within their own country. Records were seen of induction training that is undertaken by all staff who work in the home that was compliant with best practice. DS0000004070.V283120.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 35 38 The home is run in the interests of the residents with their financial interests protected and health and safety issues promoted. EVIDENCE: With respect to quality assurance, Mr Askurn had carried out a survey earlier in the year that involved the residents and their relatives. A folder is also kept for containing letters and cards sent by relatives. In addition Mr Askurn maintains matrix spreadsheet for monitoring the overall service and helps in the planning for servicing of equipment, redecoration of the home and meetings with staff. Mr Askurn informed that it was policy that only in exceptional circumstances does the home act as appointee for Social Security purposes or managing residents money on their behalf. At the time of inspection there was one resident for whom Mr Askurn acted as appointee. Records of transactions were seen, which were full and detailed. DS0000004070.V283120.R01.S.doc Version 5.1 Page 17 The home has a health and safety statement and a building risk assessment has been carried out. The Environmental Health Officer has recently inspected the home and there are no outstanding requirements. The fire logbook was inspected and it was found that tests and inspections to the fire safety system had been carried out to the required timescale. The testing of portable electrical equipment wiring had been carried out within the last year. Certificates for the testing of the gas boilers were seen and found to be up to date. Staff were found to have received training in core areas involving health and safety. The accident book was seen and completed as necessary with Regulation 37 notices being sent to CSCI as appropriate. DS0000004070.V283120.R01.S.doc Version 5.1 Page 18 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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 DS0000004070.V283120.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations DS0000004070.V283120.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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. 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