Inspection on 27/06/06 for Canford Cliffs

This inspection was carried out on 27th June 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 14/03/06

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 Key Unannounced Inspection 08:45 27th June 2006 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.V302338.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. DS0000004070.V302338.R01.S.doc Version 5.2 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.V302338.R01.S.doc Version 5.2 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 March 2006 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.V302338.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection and took place between 8.45am and 12.30pm. Mr Askurn the Registered Manger assisted throughout the inspection. Samples of records were seen, one member of staff was spoken with and four residents. A tour of the building was also made. At the time of inspection the home was fully occupied with 14 residents living at the home. At the last inspection there were no requirements or recommendations made. 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.V302338.R01.S.doc Version 5.2 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.V302338.R01.S.doc Version 5.2 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): 3&6 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from an assessment taking place to ensure that the home can meet their needs. EVIDENCE: Since the last inspection two people have been admitted to the home. The records for these residents were used throughout the inspection to track the required paperwork that should be maintained by the home. One of the residents was admitted through an emergency placement and so Mr Askurn was not able to go and assess their needs prior to admission. The care manager however had provided a copy of the care management assessment and Mr Askurn had carried out an assessment of need for this resident when they moved into the home. In the case of the other resident tracked though the inspection, it was found that they and their relatives had been invited to view the home and a pre-admission assessment had been carried out by Mr Askurn prior to their being offered a place at the home. The relatives had been given a copy of the Statement of Purpose so that they were fully DS0000004070.V302338.R01.S.doc Version 5.2 Page 8 informed of the service provided in the home. In the case of both residents they were still on a trial period of residency. The home does not provide an intermediate care service. DS0000004070.V302338.R01.S.doc Version 5.2 Page 9 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, 8, 9 & 10 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their care and health needs being met through a care planning system. Residents benefit from their medicines being administered by trained staff in accordance with good practice. Residents’ privacy and dignity is respected at the home. EVIDENCE: A full assessment of need had been carried out for the two residents tracked though the inspection once they had been admitted to the home and a plan of care developed. One of these residents discussed their care needs with the inspector and the care plan reflected the expected outcomes. There was also evidence on file of risk assessments having been carried out. With regards to health needs, all residents are registered with a GP. The home also works with other professionals, such as care managers, community psychiatric nurses and district nurses where there is an identified need. A chiropodist visits the home every six weeks. There was evidence within the DS0000004070.V302338.R01.S.doc Version 5.2 Page 10 records seen for one of the residents that dental and eye care needs were also attended to as required. Due to their mental frailty all of the residents have assistance with their medicines, these being administered by the staff. The home has policies and procedures, which have been found at previous inspections to comply with Royal Pharmaceutical Society guidance. The medication cabinet is in the kitchen area with one person holding the key and therefore being accountable for medicines on each shift. The home uses a unit dosage system and it was found that medicines were being stored correctly. The home has an arrangement with a local pharmacist who was due to visit the home the following day. The medication administration records for all of the residents were seen and it was found that there were no gaps within the records. Four of the staff received formal training in safe medication administration since the last inspection. The one resident spoken with whom was able to give an account of what it was like to live in the home said that the staff treated them well and respected their privacy and dignity. This resident chooses to lock their room and staff were seen to knock to gain access. The staff have access should they need to gain entry in an emergency. All of the residents were dressed in clean clothes and attention paid to their personal grooming. A hairdresser visits the home every fortnight. DS0000004070.V302338.R01.S.doc Version 5.2 Page 11 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): 12, 13, 14 & 15 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are arranged that meet expectations of the residents. Visitors are made welcome at the home. The home maintains a reasonable balance that allows residents to have control and choice over their lives bounded by their mental frailty. EVIDENCE: During the inspection the staff were observed interacting with the residents. Individual time was spent talking with residents, whilst music that the residents enjoyed was being played. The one resident who was able to give an account of life in the home said that they enjoyed their own company reading the daily paper and watching television in the afternoon. The paper of their choice is provided each day. They said that this met their expectations and they did not want any other activities provided. The home tries to gain a history of each resident’s life so that activities and their behaviour can be put in the context of their life experience. The staff spoken with were knowledgeable about each resident and their history, likes and dislikes. The home has a variety of games available for the staff to use with the residents. The home has an enclosed garden and residents can access this when the DS0000004070.V302338.R01.S.doc Version 5.2 Page 12 weather is fine. Residents are taken on trips away from the home including walks and outings to the local shops. Within the daily record there was evidence of some of the activities undertaken with the staff, however it was recommended that the staff record all activities and time spent with residents to evidence that there is stimulation for residents. The home has an open visiting policy, however visitors are requested not to visit during mealtimes. One resident spoken with informed that their visitors were made welcome at the home. All of the residents are on the electoral role and are supported to vote with a postal vote. Residents receive their mail unopened and staff provide support should this be required. The home has a portable phone should residents wish to make or receive calls. Within each room there is phone point should they wish to have their own phone. Mr Askurn reported that the current residents did not have any spiritual needs; however should this be identified he would contact the appropriate faith group for them to visit the home. The resident who was able to give an account of life at the home said that the food was of a good standard and that there was plenty to eat. The records of food provided were seen and these reflected a balanced and wholesome diet. Residents are assessed nutritionally and four of the residents have a liquidised diet. Food supplements are provided should there be a need. Mr Askurn informed that there were no other specialist diets required by the current resident group. DS0000004070.V302338.R01.S.doc Version 5.2 Page 13 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 The Quality in this outcome area is excellent good. This judgement has been made using available evidence including a visit to this service. The home has a well-publicised complaints procedure and policies and procedures for the protection of vulnerable adults. EVIDENCE: The home has a complaints procedure that complies with the standards for older people. This is documented in the Statement of Purpose, the terms and conditions of residence and also displayed on the residents’ notice board. Relatives are given a copy of the Statement of Purpose and the terms and conditions and so are informed of how to complain on behalf of residents. Since the time of the last inspection there has been one concern investigated by Mr Askurn that was raised by a resident. This had been fully documented in their daily record however it was recommended that it be entered into the home’s complaints log as evidence that concerns and complaints are taken seriously and investigated in line with the homes policies and procedures. All of the staff receive training in adult protection and since the last inspection four of the staff have received this training from an outside trainer. At previous inspections the home has been found to have copies of all the relevant policies and procedures for the protection of vulnerable adults and so these were not inspected on this occasion. DS0000004070.V302338.R01.S.doc Version 5.2 Page 14 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 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well maintained and safe environment. EVIDENCE: The home provides a suitable environment to meet its aims and objectives. The building has been assessed by an occupational therapist and adaptations made where required. A stair lift is available to residents to access the bedrooms on the first floor. The communal areas of the lounge and dining room are located on the ground floor. Patio doors lead into the well maintained, enclosed garden. Since the last inspection the exterior of the home has been painted and also four of the bedrooms on the ground floor extension. Due to the risk of residents wandering and getting lost away from the home, the front door is alarmed to inform the staff should any resident leave via this exit. The issue of whether the home should adopt a locked door policy was discussed with Mr Askurn and it was agreed that should a risk assessment indicate that this is the best way to protect residents, it would be DS0000004070.V302338.R01.S.doc Version 5.2 Page 15 acceptable, providing fire safety measures are complied with the home can adopt a locked door policy. A tour of the building was made and there was evidence from the bedrooms seen that residents are able to bring their possessions to personalise their rooms. The home was found to be clean and free from any unpleasant odours. All of the radiators are covered to protect residents from burns with the exception of two, however these will be covered by September of this year. The hot water outlets of the baths have thermostatic mixer valves fitted to protect residents from scalding water, one of which was tested and the water was found to be at the required temperature. The home does not have a sluice facility for the cleaning of commodes and as recommended Mr Askurn had liaised with infection control nurses for the most suitable cleaning procedure to put in place in the home. The staff are provided with gloves and protective clothing. DS0000004070.V302338.R01.S.doc Version 5.2 Page 16 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): 27, 28, 29 & 30 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met through a long-standing staff team who are recruited and trained in line with good practice. EVIDENCE: A rota was seen for the planned staffing for the week ahead and also for previous weeks. When the inspector arrived there were three staff on duty as well as Mr Askurn, as detailed on the staffing roster. The staffing levels remain as at the time of the last inspection with three staff on duty between 8am to midday, four staff between midday and 2pm, two staff from 2pm to 8pm and then from 8pm to 8am one awake member of staff and one staff member on a sleep-in duty. There have been no new staff recruited to the home since the time of the last inspection. The staff recruitment records were therefore not inspected as they were found to be in order at the last inspection. All of the staff receive core training in moving and handling, basic food hygiene, health and safety, first aid, adult protection and fire safety. Since the last inspection four staff have been on a first aid course and four on medication administration training. A sample of staff records were seen and provided evidence of the above. Staff have also received training in mental health issues. DS0000004070.V302338.R01.S.doc Version 5.2 Page 17 The home has a staff team of ten care workers. Two staff are currently studying for NVQ level 2, two staff have completed NVQ level 3 and 3 staff are trained nurses from their country of origin. DS0000004070.V302338.R01.S.doc Version 5.2 Page 18 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): 31, 35 & 38 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the interests of residents with their financial interests safeguarded. Health and safety is promoted in the home. EVIDENCE: Mr Askurn has completed NVQ level 4 in management and care. There is a long standing core of staff and the staff spoken with said that it was a good environment in which to work. There appeared an open management ethos and there is a homely ambience in the home. A resident and relatives survey was carried out in the previous year and Mr Askurn said that one would be carried out later this year. Mr Askurn maintains a quality audit form for ensuring that there is effective management and that the home is run in the interest of the residents. DS0000004070.V302338.R01.S.doc Version 5.2 Page 19 Mr Askurn is appointee for one of the residents. The records for the management of this resident’s money were seen. These were found to be detailed with a credit/debit/balance system so that they can be easily audited. The records were found to be in order. The fire logbook was inspected and it was found that tests to the fire safety system were taking place to the required timescale. Certificates were seen for the servicing of the fire safety system, the stair lift, the gas boilers, employers liability insurance and portable electrical equipment wiring. The environmental health officer last visited the home in February this year and there were no outstanding issues. DS0000004070.V302338.R01.S.doc Version 5.2 Page 20 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 DS0000004070.V302338.R01.S.doc Version 5.2 Page 21 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 OP16 Good Practice Recommendations It is recommended that the concern of one resident that was recorded in the daily record be recorded in the complaints log together with the investigation and outcome. It is recommended that there is more recording of activities and time spent with residents, both in group and individual activities. 1. 2. OP15 DS0000004070.V302338.R01.S.doc Version 5.2 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000004070.V302338.R01.S.doc Version 5.2 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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