Inspection on 08/12/05 for Clarendon Beechlands

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 14/07/05

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 Leicestershire LE2 1TB Lead Inspector Fiona Stephenson Unannounced Inspection 8th December 2005 09:30 Clarendon Beechlands DS0000006306.V257303.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 Clarendon Beechlands DS0000006306.V257303.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 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. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clarendon Beechlands Address 28 Central Avenue Clarendon Park Leicester Leicestershire LE2 1TB 0116 2703968 0116 2703968 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) Prime Life Limited Ms Mary Crane Care Home 16 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (16), of places Physical disability (9) Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers. No person falling within categories MD/PD may be accommodated in the home when 9 persons of category MD/PD are already accommodated within the home. Service User Numbers. No person falling within categories MD/LD may be accommodated in the home when 6 persons of category MD/LD are already accommodated within the home. Service User Numbers. No person falling within categories PD or LD may be admitted to the home unless that person also falls within category MD - ie dual disability. No person in the category PD to be accommodated in the ground floor bedroom known as 1A. 14th July 2005 2. 3. 4. Date of last inspection 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 DS0000006306.V257303.R01.S.doc Version 5.0 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 8th December 2005, and was undertaken by one inspector. This was the second statutory inspection for the year to March 2006, and as such the inspector focused primarily on the standards that were not covered during the previous inspection. The inspection focused on the outcome for clients living at Clarendon Beechlands and to do this, the inspector used a method called ‘case tracking’. This means the inspector looked at the care of two clients living at the home through checking their care records, talking with the clients and the staff supporting their care, and checking their living accommodation. What the service does well: What has improved since the last inspection? What they could do better: The bathroom with the bath chair has unsightly grouting, and a bath panel that is not in good condition. These could be improved upon to give clients a more hygienic and pleasant bathing experience. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 Page 6 The management could continue to make plans for staff to have refresher training in the Protection of Vulnerable Adults (POVA) procedures to ensure the safety and well being of clients living in the home, and the staff that support them. 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 DS0000006306.V257303.R01.S.doc Version 5.0 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 Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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): 1,2,3,4,5. Prospective clients have sufficient information to make an informed choice about where to live. EVIDENCE: The inspector case tracked a client who had recently moved to the home. The client had made visits to the home prior to admittance, and the key worker had visited the client at his previous address to talk to him about how the home could meet his needs. The inspector noted a comprehensive needs assessment in his care record, and a written contract with the placing authority. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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. Care plans provide good information on the assessed and changing needs of clients living at Clarendon Beechlands. EVIDENCE: The inspector checked the care plans of two clients living at the home. They were both found to demonstrate well the needs of each client, and were clear in detailing any changes that had happened during the clients’ time at the home, and actions that needed to be taken as a result of those changes. Family and significant professionals were noted to have been fully involved in each plan of care. The manager demonstrated a very good understanding of the individual rights of each client whilst discussing the care of the clients who were case tracked. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 the following standard(s): 16. Client’s rights are respected and supported in their daily lives. EVIDENCE: The inspector noted staff were interacting with clients and had a good rapport with people living in the home. Clients spoken with talked of their daily lives and what they liked to do each day. Through discussion it was clearly demonstrated that the home promotes independence and individual choice, with the daily life of each individual client being different from the others. The manager also demonstrated a very good understanding of the need to promote independence, choice, and freedom of movement. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 the following standard(s): 21 Clients received personal support in the way they prefer and require. EVIDENCE: Care plans demonstrated that the care needs of clients were being met. One client case tracked had clear plans for funeral arrangements, the other client had not had any discussions with care staff concerning future arrangements, although the inspector was informed that this would be discussed in the future with the client. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 the following standard(s): Not checked on this occasion. EVIDENCE: Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 the following standard(s): 25,26,27,28,29,30. Clients live in a homely, comfortable and safe environment. EVIDENCE: The inspector checked the communal areas of the home and found them to be in a good state of repair, and clean and tidy. The home was nicely decorated for Christmas. The inspector checked the bedrooms of clients case tracked and found them to be in a reasonable state of cleanliness, and also checked the bathroom and toilets used by these clients. The bathroom with the bath chair, although clean, needed re-grouting around the tile work as it looked unsightly and is a potential hygiene hazard, and the bath panelling looked worn. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 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): Not checked on this occasion. EVIDENCE: Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 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): 38,43 Clients benefit from the ethos, leadership and management approach of the home. EVIDENCE: Clients have a very good relationship with the manager of the home who is open and transparent in her management. The manager demonstrates a high regard for the clients living at the home, and works hard to ensure their individual needs are met. She demonstrates good, open working relationships with other professionals involved in the care of clients living at Clarendon Beechlands. The Prime Life organisation works with the manager in ensuring the financial planning and budget are effectively controlled; and supports her in the selection, and training of staff and quality monitoring processes. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 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 3 3 3 3 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X x x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 x 13 x 14 x 15 x 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clarendon Beechlands Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X 4 X X X X 3 DS0000006306.V257303.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? None 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. 1 2 Refer to Standard YA24 YA23 Good Practice Recommendations Consider re-grouting the bath tiles, and replacing the bath panel to make the bathroom with the bath chair more hygienic and pleasant to use. Ensure staff are provided with refresher training on the Protection of Vulnerable Adults (POVA) policy and procedures. Clarendon Beechlands DS0000006306.V257303.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 DS0000006306.V257303.R01.S.doc Version 5.0 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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