Inspection on 19/09/06 for Clacton Family Trust

This inspection was carried out on 19th September 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clacton Family Trust 29/08/07

Clacton Family Trust 24/03/06

Clacton Family Trust 15/12/04

Clacton Family Trust 06/07/04

Clacton Family Trust 13/11/03

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

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

CARE HOME ADULTS 18-65 Clacton Family Trust 111 Pier Avenue Clacton On Sea Essex CO15 1NJ Lead Inspector Neal Wolton-Harragan Key Unannounced Inspection 19 September 2006 10:20 Clacton Family Trust DS0000017794.V301617.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 Clacton Family Trust DS0000017794.V301617.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. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clacton Family Trust Address 111 Pier Avenue Clacton On Sea Essex CO15 1NJ 01255 474127 01255 474363 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) Clacton Family Trust Mr Philip Firman Care Home 22 Category(ies) of Learning disability (22), Physical disability (22), registration, with number Sensory impairment (22) of places Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 18 years and over, who have a learning disability and may also have a physical disability and sensory impairment (not to exceed 22 persons) 24th March 2006 Date of last inspection Brief Description of the Service: The service is a residential care home providing long stay care for younger adults (between the ages of 18 and 65) with learning disabilities, who may also have physical and/or sensory disabilities. Accommodation is provided within a detached Victorian town house that has been extensively extended and altered to create the present accommodation. A new building to the rear of the main home, Archway House, accommodates seven service users. All of the bedroom accommodation is single occupancy and there is ample communal space available. The site also has a purpose built ‘day services’ unit that provides facilities such as a sensory room and a swimming pool, which may be used by the service users living in the home. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an inspection of Clacton Family Trust that culminated in an unannounced visit to the service. The judgements made within this report are based upon evidence found on the day of the inspection along with information submitted by the service and feedback from service users, relatives, staff and other parties since the previous inspection. Mr Philip Firman, registered manager of the home, was at Clacton Family Trust throughout the service visit and took an active role in the inspection process. During this inspection 32 of the 43 standards were looked at; 31 of these were met and one was partially met. During the visit to Clacton Family Trust, five members of staff were spoken with as well as four service users and the Trust’s Company Secretary. All those spoken with were positive about the home and 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. The visit to Clacton Family Trust 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 Clacton Family Trust 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, Clacton Family Trust has introduced a Quality assurance programme that allows service developments to be based on the needs and preferences of the service users. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 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. Clacton Family Trust DS0000017794.V301617.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 Clacton Family Trust DS0000017794.V301617.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users had some of the information needed to make an informed choice about where to live, individual needs and aspirations were assessed prior admission and each service user had an individual written contract/statement of terms and conditions with the home. EVIDENCE: The home had an appropriate Statement of Purpose available for prospective service users or their representatives. However, the Service User Guide had yet to be published although the Inspector was advised that this was in development. The examination of service user records gave evidence of comprehensive assessments being conducted prior to an individual being admitted to the service and these assessments formed the basis of the service users initial care plan as well as contributing to the on-going process of assessment within the home. Service user files also showed that each person living at the home was issued with a contract of residency. Discussions with service users were positive in that all indicated that the home was able to meet their needs and one service user emphatically reported that she felt ‘safe at Clacton Family Trust’. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed and changing needs were reflected in their individual plans and service users were involved in the decision-making process in all aspects of their lives. Service users were supported to take risks as part of an independent lifestyle. EVIDENCE: Service user records examined showed that individual needs were assessed and these needs underpinned the goals set within individual plans. Service user plans showed evidence of regular reviews as did associated needs assessment. The service user plans examined showed evidence of varying degrees of service user involvement as appropriate. Comprehensive risk assessments had been undertaken and risk management strategies developed. Conversations with service users and staff indicated that people living at the home were consulted regarding activities and the day-to-day running of Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 10 Clacton Family Trust and were able to participate in all aspects of life at the home. Service users also talked of the developments within the home and how they were looking forward to being able to choose furniture and décor for their new rooms. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were able to take part in age, peer and culturally appropriate activities and be part of the local community. Service users were offered opportunities to engage in appropriate leisure activities and had appropriate relationships. Service users were offered a healthy diet and were able to enjoy meals and mealtimes. EVIDENCE: Examination of service user records and discussions with staff gave evidence that service users had opportunities to participate in appropriate educational and leisure activities inside the home, at the day service facility attached to the home and within the local community. The examination of records and direct observations provided evidence that activities were appropriate in terms of age and culture and that service users were supported to maintain appropriate personal and family relationships. Observation of interactions and conversations with service users and staff gave evidence that service users rights were respected and that all were treated in a dignified manner. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 12 Discussions with the manager and service users showed that service users were offered a varied and nutritionally balanced diet and all enjoyed their meals. Those living in Archway House were able to participate in the preparation of meals and it is planned that this will also be the case when the new buildings are developed. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users received personal support in the way they preferred and required, and physical and emotional health needs were met. Service users were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Service users spoken with appeared happy with the way they were supported and this was reflected within the care plans examined. Care plans identified individual needs as well as the choices made by individuals. Care plans were well detailed and most were regularly monitored and formally reviewed at intervals depending on individual need. There was an ongoing process of assessment to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 14 None of the service users retained, administered or controlled their own medications at the time of this inspection. Records showed that the policies and procedures at Clacton Family Trust for dealing with medicines offered adequate protection to service users and staff were appropriately trained in this area. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements were in place to help protect service users from abuse, neglect and self-harm and their views were 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. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lived in a homely, comfortable and safe environment. Bedrooms, toilets and bathrooms suited the individual needs of service users. The home was clean and hygienic. 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 user needs and lifestyles and promoted independence. There was considerable building work being carried out at Clacton Family Trust at the time of this visit. The central area of the home is being extended to create a 10-bedded unit, separate from the older house, and the existing flat roof was being replaced with a pitched one. This will then be known as Pathway House. Future developments will see the conversion of the property next door (109 Pier Avenue) to office space for the management and administration team and a separate 5-bedded unit known as Norfolk House, following which the original building at 111 Pier Avenue will be demolished and be rebuilt as a new unit to be known as Pier Rise. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 17 While the building work is on going, parts of the environment were being screened to restrict access on safety grounds. However, there had not been an overall environmental risk assessment in relation to these works at the time of this visit and this was discussed with the manager who agreed that this would be completed. Since the visit, the Commission for Social Care Inspection has received a copy of the environmental risk assessment. Specialist equipment required to maximise the independence of service users was in place and the tour gave evidence that the home was clean and hygienic and there were no unpleasant odours and noticed. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were supported by competent and qualified staff within an effective staff team and protected by the homes recruitment policies and practices. Staff were adequately supported and supervised. 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. The examination of staff records showed that training was readily available, all new starters received an induction programme over the first 12 weeks of employments and annual refresher courses were provided in areas of health and safety, moving and handling, food hygiene and fire. Additional training in specific areas was made available in response to the changing needs of service users. Staff records also showed that staff received regular support, supervision and appraisal. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 service users could be confident that their rights and best interests underpinned activities within the home. 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 had commenced an NVQ level 4, Registered Manager’s Award. The management style within the home was positive, open and inclusive and regular staff meetings were held. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 20 The examination of service user records, and discussions with staff and the manager, showed that the rights and best interests of the service users underpinned all developments within the home. Conversations with service users supported this judgement with positive comments in relation to the present and planned building works at Clacton Family Trust. One service user stated that they were very keen to move into the new unit and another was looking forward to choosing the colour scheme for their room as well as being able to use a lift to get to their room should they feel unable to use the stairs. Since the last inspection, a quality assurance and monitoring system had been introduced at Clacton Family Trust. This comprised of regular monitoring visits from independent assessors, one of whom has direct experience of disability. The reports related to these visits gave further evidence of the rights and best interests of the service users underpinning developments within the home Records at Clacton Family Trust were well maintained and those sampled contained all required information. Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 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. 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 2 3 3 X 4 X 5 3 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 3 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 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 3 3 3 X 3 X Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 5, 6 & 29 Requirement The registered person must ensure that the home has a Service Users’ Guide that meets with the requirements of National Minimum Standards. Previous timescales of 28/02/05, 30/09/05 and 30/06/06 not met Timescale for action 31/12/06 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 Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 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 Clacton Family Trust DS0000017794.V301617.R01.S.doc Version 5.2 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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