Inspection on 02/11/05 for Chrislyn House

This inspection was carried out on 2nd November 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chrislyn House 30/07/08

Chrislyn House 07/08/07

Chrislyn House 17/08/06

Chrislyn House 06/03/06

Chrislyn House 28/01/05

Chrislyn House 07/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Chrislyn House 14 Rosemary Road Clacton On Sea Essex CO15 1NX Lead Inspector Neal Wolton-Harragan Final Unannounced Inspection 2nd November 09:30 Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 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 Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 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 and 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. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chrislyn House Address 14 Rosemary Road Clacton On Sea Essex CO15 1NX 01255 428301 01255 428301 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) Flat Mead Limited Mrs Karen E Stanton Care Home 26 Category(ies) of Learning disability (26), Learning disability over registration, with number 65 years of age (26) of places Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th January 2005 Brief Description of the Service: Chrislyn House is a converted property, consisting of a main house and mews. It is situated in the centre of Clacton and has access to the facilities and services provided in the town, including the seafront, library, shops and cafes. The main building has accommodation for 22 service users, whilst the mews is intended for the use of four service users who are more dependent. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection at Chrislyn House, the first inspection at the home for the year 2005/2006. Mrs Karen Stanton, the Registered Manager, was at the home throughout the inspection; as was Mrs Ann Rudge, Senior Care Co-ordinator, and both contributed fully to the inspection process. During this inspection, a total of twenty-three standards were assessed; twenty-one were met and two were nearly met. Twenty service users were living at Chrislyn House on the day of inspection. During the day of inspection, three members of staff were spoken with, as well as four service users. Staff and service users spoke well of the home and of its management, service users appeared at ease with the care staff and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. This inspection included a tour of the home, discussions with service users, staff and the home manager, as well as the opportunity to look at records of how people living at Chrislyn House were supported and how the staff were recruited and trained. What the service does well: What has improved since the last inspection? Since the last inspection, Mrs Stanton has conducted a number of environmental improvements, both internally and externally, at Chrislyn House. The exterior has been painted, the fascias and soffits have been replaced and a colony of pigeons has been removed from the loft. Inside, one bedroom had been remodelled to provide en-suite facilities and Mrs Stanton plans to roll this development across the home to offer similar facilities throughout. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 6 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. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 (OP NMS 6 was not applicable) Prospective service users had the information they needed to make an informed choice about living in the home and service user needs were assessed prior to entering the home. Individual written contracts for service users were not evident. EVIDENCE: Examination of service user records showed that, although the home had contracts with funding authorities to provide services to those living at the home, individual service users had neither contracts or statements of terms and conditions with the home. The Registered Person should develop written contracts or statements of terms and conditions for those living at the home to ensure the rights of service users are protected. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 9 Chrislyn House have revised the Statement of Purpose and Service User Guide to reflect the changes at the home and the development of en-suite facilities. Service user records showed that individual needs were fully assessed prior to an individual entering the home and a plan of care was developed from this information. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Service users’ needs were reflected in their individual plans, service users were supported to make decisions regarding their own lives and to take risks as part of their independent lifestyle. EVIDENCE: Service user records showed that individual risks had been assessed and that service users had been fully involved in the establishment of their individual plan through the use of the ‘Person Centred Planning’ process. Individual Plans reflected the needs of the service user and were regularly reviewed in light of changing needs. However, the home could benefit from revising the paperwork used for reviewing service user plans to give greater clarity. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the 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 and 15 Service users had the opportunity to take part in a range of appropriate activities, both within home and in the local community, and were able to establish and maintain appropriate relationships. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 12 EVIDENCE: Service user records examined showed that there were a range of activities made available to service users at the home. Many service users also attended work and educational activities provided within the community. Records showed that service users took active roles within the local community, using shopping and leisure facilities as desired. Service users also had the opportunity to take holidays away from the home in small groups. Service users spoken with indicated satisfaction with the level of activities offered. Records showed that the staff at Chrislyn House supported service users to establish and maintain appropriate relationships with friends and relatives. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users received personal support in the way they preferred, which helped ensure service users’ needs were being met. The policies and procedures in relation to dealing with medication helped to protect service users. EVIDENCE: Service user records examined showed that service users had contributed to the creation of their individual plan through the ‘Person Centred Planning’ process and were able to determine the support methods they preferred. Records showed that service users’ physical, social and emotional needs were being met. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 14 No service users living at Chrislyn House at the time of this inspection took responsibility for retaining, administering or controlling their own medications. However, the home’s policies and procedures in relation to medications offered appropriate protection to service users. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Arrangements were in place to help protect service users from abuse, neglect and self-harm and to enable their views to be listened to and acted upon. EVIDENCE: The home had a robust complaints procedure. The adult protection policies and procedures were adequate to protect service users from abuse and where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 The home was generally comfortable and safe. Service users’ bedrooms suited their needs and lifestyles and promoted independence. There was adequate shared space to meet the needs and numbers of service users. The home was clean throughout; there were odours in some rooms, although this has since been addressed. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 17 EVIDENCE: An environmental tour of the home gave evidence that service users lived in a homely, comfortable and safe environment and that individual bedrooms suited service users’ needs and lifestyles and promoted independence. The proprietor had undertaken a number of improvements throughout the home, both internally and externally, and has an overall development plan for Chrislyn house, although this requires formalisation. One room had been remodelled to provide en-suite facilities and it is planned that such remodelling will be rolled out throughout the home. On the day of inspection, there were strong odours in three bedrooms. However, this has since been addressed and the carpets in these rooms have been replaced. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Service users were supported by competent and qualified staff that worked as an effective team to meet the individual and joint needs of the service users. Those living at the home were protected by Chrislyn House’s recruitment policies, procedures and practices. EVIDENCE: Examination of staff records, as well as discussions with the Registered Manager and staff, gave evidence that care staff had a good understanding of their roles and responsibilities and that staff were qualified and competent. Staff were employed in sufficient numbers to meet the needs of the service users, creating an effective staff team. Staff spoken with on the day of inspection stated that training was regularly made available and the home’s Manager fully supported staff in meeting their training needs. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42 The home was well run and service users benefited from the ethos, leadership and management approach of the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures and record keeping at the home was good. The health, safety and welfare of service users were promoted and protected. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 20 EVIDENCE: Service users and staff spoken with on the day of inspection were positive about the management style adopted in the home and staff felt able to raise concerns with, or make requests to, the Manager. The Registered Manager showed a good understanding of management issues, and records examined showed that risk assessments for activities undertaken by staff and service users had been completed. Records showed the health, safety and welfare of service users, staff and visitors was promoted and protected and record keeping at the home was of a good standard. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT 37 3 38 3 39 3 40 3 41 X 42 3 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 2 3 X 3 X X 3 3 3 3 X X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 22 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. 1 Standard YA5 Regulation 5 Timescale for action The Registered Person must 02/02/06 develop and agree, with each service user, a written and costed contract/statement of terms and conditions between the service user and the home. Requirement 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 Refer to Standard YA6 Good Practice Recommendations The home should revise the paperwork used within its care planning and review process to give greater clarity. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. Chrislyn House DS0000017793.V264007.R01.S.doc Version 5.0 Page 24 - 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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