Inspection on 14/07/05 for Clarendon Beechlands

This inspection was carried out on 14th July 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 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

Clarendon Beechlands 04/01/07

Clarendon Beechlands 08/12/05

Clarendon Beechlands 16/11/04

Clarendon Beechlands 18/05/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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

CARE HOME ADULTS 18-65 Clarendon Beechlands 28 Central Avenue Clarendon Park Leicester LE2 1TB Lead Inspector Fiona Stephenson Unannounced 14 July 2005 09:30 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 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 Stationary 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. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Clarendon Beechlands Address 28 Central Avenue Clarendon Park Leicester LE2 1TB 0116 270 3968 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Prime Life Limited Ms Mary Crane Care Home 16 Category(ies) of LD Learning Disability(6) registration, with number MD Mental Disorder(16) of places PD Physical Disability(9) Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/11/04 Brief Description of the Service: Clarendon Beechlands is a residential care home for 16 adults with mental health problems, learning difficulties, and physical disabilities. It is located in the Clarendon Park area of Leicester City, and is within walking distance of a range of amenities. The home has two floors and comprises of two communal lounges, a dining room, a large back garden, and single bedrooms, one of which has en-suite facilities. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on Thursday 14th July 2005. The inspection commenced at 09:40pm and finished at 12.40pm. When undertaking inspections, The Commission for Social Care Inspection focuses on the outcomes for clients living in a home. In order to do this, the inspector ‘case tracked’ two clients living at Clarendon Beechlands. This means that the care records of two clients were checked, the clients themselves were spoken with as well as staff supporting their care. The recommendations and requirements arising from this inspection are a direct result of case tracking and other observations made by the inspector during the inspection. What the service does well: What has improved since the last inspection? Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 6 There were no recommendations or requirements requested at 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. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 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 standard(s) not checked on this occasion EVIDENCE: Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 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 standard(s) 6,7,8,9,10 Client’s individual needs and choices are well catered for within the home. EVIDENCE: The care plans were inspected and found to be up-to-date and gave a clear understanding of the individual needs of each client. They set out well the restrictions required for one client in response to his mental health needs. Those restrictions were observed as carried out in an unobtrusive way. One client informed the inspector of how she managed her own finances, and the support she had been given by staff to open a bank account when the Post Office closed. The records showed regular and supportive relationships with other mental health, and medical services. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 10 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 standard(s) 11,12,13,14,15,16,17 Clients have a lifestyle suited to their individual needs and choices. EVIDENCE: The inspector spoke with two clients who were being ‘case tracked’ as well as a further two clients. All informed the inspector of their lives at the home and of their individual likes and dislikes. Clients informed the inspector of family they stayed over night with, of trips out to town, and to the local shops and amenities. Through discussion with the manager, the inspector found out that some clients are using drop-in centres during the week and one client had been undertaking an educational course. One client also informed the inspector that he sometimes went for a beer at the pub. All clients said they were happy with the home, one commenting that the home was like ‘paradise’. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 11 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 standard(s) 18,19,20. Clients receive good personal support in the way they prefer and require. EVIDENCE: Through discussion with clients the inspector was informed that ‘staff are there if you have problems to talk about’, and that ‘you can go to staff to talk about things’ if you need to. All clients have a key worker, and key workers demonstrated a good understanding of the clients they work with. The medication was checked and records found to be in generally good order, however on the day of inspection, one client had been given medication in the morning, and this had not been signed for by the member of staff administering it. The member of staff recognised this error, and it was acknowledged that it was not her usual practice to do this. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 12 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 standard(s) 22,23 Clients feel their views are listened to by staff and acted upon. EVIDENCE: All clients spoken with felt they could go to staff if they had a problem, and two, on questioning said they were consulted if there were to be changes in the home or with people coming into the home. The manager informed the inspector that client’s views are taken into account before a new client is formally accepted into the home; and that their views were also taken into account when the games room was changed into an en-suite bedroom. Staff are given training to protect clients from abuse, neglect and self-harm, however in discussion with one member of staff, the inspector noted that there were gaps in understanding with regard to the Protection of Vulnerable Adult (POVA) procedures. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 13 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 standard(s) 24,25,26,27,28,30. Clients live in a homely, comfortable and safe environment. EVIDENCE: The inspector looked at the communal areas and found them to be comfortable, homely, clean and tidy. The bathrooms and toilets were also found to be in a clean condition. Three bedrooms of clients were looked at. Two were in a generally clean and tidy condition, and had the client’s personal possessions around them. One bedroom was in a poor state of cleanliness and repair, however the care notes and care plan demonstrated that those involved in the client’s care were aware of this situation, and every Friday the bedroom was thoroughly cleaned or ‘gutted’ to start the week afresh. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. Clients benefit well from a competent and effective staff team. EVIDENCE: The records of a newer member of staff were checked and all documentation found to be in good order. Staff are provided with monthly supervision, and the newer staff have been provided with induction training. Some staff are undertaking their National Vocational Qualification (NVQ) level 2 in care. Good training for staff, which is relevant to the care being provided to clients at the home, is provided by the Prime Life organisation. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42 The home is well run, and clients benefit from good leadership and management. EVIDENCE: Discussions with the manager, staff and clients demonstrated that the manager has a clear sense of direction and purpose. The home is run in an open and transparent way. Clients are provided with opportunities to put their views forward, and staff meetings are held once every six weeks. Staff are provided with monthly supervision also. Relevant training, e.g. food hygiene, fire safety and moving and handling, also support the health and safety of clients and staff. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 4 4 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clarendon Beechlands Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 3 x D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 1. 2. Refer to Standard 20 23 Good Practice Recommendations Ensure staff sign the administration of medication record at the time of administering medication to a client. Provide staff with refresher training on the Protection of Vulnerable Adults (POVA) policy and procedures. Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX 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 Clarendon Beechlands D C51 C01 S6306 Clarendon Beechlands V230094 140705 STAGE 4.doc Version 1.40 Page 19 - 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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