Inspection on 29/03/07 for Clarendon Care Home

This inspection was carried out on 29th March 2007.

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 Care Home 23/10/08

Clarendon Care Home 25/10/07

Clarendon Care Home 02/03/06

Clarendon Care Home 21/07/05

Clarendon Care Home 20/12/04

Clarendon Care Home 27/09/04

Clarendon Care Home 20/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Clarendon Care Home 64/66 Clarendon Road Southsea Hampshire PO5 2JZ Lead Inspector Neil Kingman Unannounced Inspection 29 March 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarendon Care Home Address 64/66 Clarendon Road Southsea Hampshire PO5 2JZ 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) 023 92824644 023 92824644 alicedunbar@madasafish.com Mrs Alice Dunbar Silvia Paton Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2 March 2006 Brief Description of the Service: Clarendon Rest Home is a residential home providing care and accommodation for up to 20 older people with age related mental health problems and illness associated with dementia. Mrs Silvia Paton manages the home on behalf of the proprietor Mrs Dunbar. The home comprises two large houses, joined to provide single, and shared room accommodation arranged over two floors, with access via stair lifts. It is situated approximately a half-mile from Southsea town centre with its shops and amenities, and a shorter distance from the seafront and pier. There are eight single bedrooms, one of which has an en-suite facility and six double bedrooms, four of which have an en-suite facility. Communal areas consist of two lounges and a separate dining room. Outside there is an attractive garden, which is mostly patio area with flower borders and planting boxes. The home provides 24 hours staffing. Weekly fees range between £363.91 and £385.21. The manager states that a copy of the home’s service user’s guide is provided to all residents or their representatives where applicable. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Clarendon Rest Home and brings together accumulated evidence of activity in the home since the last key inspection on 2 March 2006. Part of the process has been to consult with people who use the service; including a Community Psychiatric Nurse who regularly visits the home. There were eight responses to the visitors/relatives survey and eight from residents in the home, some completed with help from family members. Included in the inspection was an unannounced site visit to the home by an inspector on 29 March 2007. The registered manager Mrs Paton was on duty and available throughout the day, and the proprietor was present during most of the day. At the visit the inspector spoke with staff on duty, most of the residents as a group and a minority in the privacy of their rooms. In addition, there was an opportunity for the inspector to speak with a Community Nurse who was visiting the home at the time. The inspector toured the building with the manager and looked at a selection of records. All of the responses from the consultations were very positive. What the service does well: As at the last inspection comments from visiting relatives, professionals and residents were very positive regarding the standard of care at the Clarendon. One relative said, “Mum’s outlook and general wellbeing has changed so much for the better since joining the home, due in no small measure, to the first class support she receives there.” Another commented, “The level of care provided to my mother has been exceptional, and my family are eternally grateful to Alice Dunbar and her team at Clarendon Care Home.” The visiting professionals made similar positive comments, with special mention being made of the attention to detail, e.g., how residents present each day with clean and matching clothes, and the measures taken to ensure residents never develop pressure sores. From observations made and comments received it is clear that the home provides a very resident focused service. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that the care needs of the people who live at Clarendon Rest Home will be met by undertaking a proper assessment prior them moving into the home. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. EVIDENCE: Pre-admission assessment People should know that their needs will be met when they move into a home. An important part of ensuring this happens is the pre-admission assessment process. It had been noted at the last inspection that the home’s preadmission assessment tool did not clearly link to the care planning process. Since then improvements have been made with the introduction of a new assessment form. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 9 During this site visit the manager explained that she always undertakes a preadmission assessment of a prospective resident’s needs, even in situations involving emergency referrals. We looked at how the home managed the admission of the newest resident, who moved into the home during March 2007. Records showed, and the manager confirmed that she undertook a full pre-admission assessment of the individual’s needs at the hospital, and recorded the information on the new assessment form, which was then used to form the basis of their personal care plan. A copy of the assessment was available on the resident’s file. Intermediate care Residents at Clarendon Rest Home tend to be long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, respite care is provided, if there is a room available. At the time of the site visit two residents were in receipt of respite care. There was no evidence that this arrangement had any negative impact on the existing residents. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. . The home has a system of care planning with an individual plan for each resident. They provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments and regular reviews. The home promotes and maintains well the residents’ healthcare and ensures that access to healthcare services is available at all times. Medication is securely held and accurate records maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 11 Care planning – The home has a system of care planning with an individual personal plan for each resident. During the site visit we looked at a sample of three plans. The intention was to look at the outcomes for residents in general by assessing all areas of care for those sampled. The sample included the newest admission to the home, a resident with relatively high care needs, and one of the longest standing residents. It was noted that all but one resident is female and none has an ethnic minority background. We noted the basic structure and content of the sampled plans to be very clear and user friendly. This is an improvement since the last inspection when a requirement was made in respect of risk assessments. Plans of care are clear for staff to follow, and cover all aspects of daily living. The presentation of risk assessments on the files viewed showed significant improvement. Care files include: • • • • • • • • • Client information (encourages the resident’s advocate/representative to be involved. Aims of the care plan and procedure. Medication information. Needs assessment. Plan of care with regular reviews and updates. Details of healthcare professional visits. Specific risk assessments. Daily recording of information by care staff. Overall assessments following reviews, where significant changes are recorded. Residents who are able are encouraged to take part in the care planning process and sign their individual plan. However, representatives sign for those with cognitive impairments. Health and access to care services The manager confirmed, and records evidenced the regular contact with GPs, optician, dentist, district nurse etc. While residents have a choice as to their GP, the reality is that the home accesses the services of GPs from the nearby Waverly Road practice. There is also regular contact with the Community Psychiatric Nursing Service. Positive comments were made about the home by one Community Psychiatric Nurse who felt that residents received good value for money. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 12 In discussions with the manager and staff it was clear that while a small minority of residents were vulnerable to pressure sores none had them at the time of our visit. A full range of appropriate equipment and good management by staff helps keep the risk of pressure sores very low. There was an opportunity during the inspection to speak with a visiting District Nurse. She made very complimentary remarks about the care provided by the home, and made special mention of how well staff managed pressure areas to prevent sores, and how they treated them with dignity and respect. All eight responses to the care homes survey returned from residents as part of the inspection process indicated they always receive the care and medical support they need. Positive comments received from visiting relatives are: “My mother has improved since she became a resident. I am very happy with her care.” “My family and I are completely happy with the care and consideration given to my mother by all the staff.” All responses from the visiting relatives and the care professional indicated they are kept informed of important matters affecting the resident they visit, and also that they are satisfied with the overall care provided. Medication Medication is dispensed by means of a monitored dosage (blister pack) system by staff who have completed medication training, and deemed competent by the manager. Records show that medication training is updated each year. The home has a policy and system to ensure residents’ medication is stored, administered and recorded safely. The policy was reviewed in December 2006. During the site visit we looked at the arrangements in place and noted medicines were stored under secure conditions and accurate records maintained, including those for the administration of controlled drugs. Advice was given to the manager to ensure that all medicines are signed as having been checked and received into the home. The manager gave examples of how thoroughly medicines are checked into the home and confirmed that all future consignments would also be signed as having been checked. Privacy, dignity and respect - Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 13 The manager and staff spoken with confirmed that the importance of respect for people’s dignity and privacy is covered in the induction training for new staff. Certainly the staff were very clear about how important dignity and respect is; one giving the example of how they or their own family would expect to be treated. On the day of the site visit we toured the building and spent time with residents in the communal areas and in their own rooms. There were opportunities to observe staff at work. Staff knocked before entering rooms and spoke kindly to the residents. They were patient with those requiring support with mobility. Screens are available in shared rooms to ensure that privacy is not compromised. The visiting District Nurse complimented staff on their attention to details like how residents presented; always with clean and matching clothes. All residents spoken with were full of praise for the staff and their approach to care. Residents can use the facility of a portable telephone to make and receive calls. They can also use the one sited in the dining room. Telephone installations in residents’ rooms are available on request. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clarendon offers a flexible and varied service where choices and preferences are encouraged and supported. Activities are offered to suit the needs of the residents. Friends and family are made to feel welcome and can visit at any time. Residents generally lack the cognitive ability to manage their own financial affairs and family members are available to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. Residents’ nutritional needs are satisfied with a varied and balanced diet of good quality food. EVIDENCE: Routines and activities – The manager said that routines are flexible according to residents’ choices and gave examples of those who wish to rise early, and those who prefer to stay in bed that bit longer. In discussions with staff it was clear that routines are very Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 15 resident centred. While most residents are to some extent self-caring there are several that need supervision with some daily activities. With only one male resident in the home it was important to look at how his needs were being met. It was clear in discussions with the individual and staff that attention is paid to his particular preferences, including choice of room, activities, routines and arrangements for meals. Information in care files identifies residents’ preferences for daily routines, interests and hobbies. The manager, staff and most of the residents spoken with described the current programme of activities, which includes: • • • • • • • Reminiscence therapy. Bingo. Manicures. Games and quizzes. Singing and social interaction. Minibus outings in the summer. The celebration of birthdays and special occasions, with presents and invitations to families. In discussions with a large group of residents in the lounge and with individuals in the privacy of their rooms it was clear that they were satisfied with the daily routines and activities. They presented as a very sociable group of individuals who generally enjoyed each other’s company. The manager said that one resident attends the local church with a friend, and a minister visits approximately every two months to hold a service and take communion. During the site visit the inspector noted that interactions between staff and residents was warm and good-humoured. Responses to the care homes survey were split between there always and sometimes being activities arranged that they can take part in. One commented, “Bingo, quizzes and singing. My mother enjoys herself.” Visiting arrangements – Details of visiting arrangements can be found in the service user’s guide and also on the wall in the hall. Visitors are generally welcome at all reasonable times, i.e., between 09:00 and 19:00. However, arrangements can be made by agreement in circumstances outside the specified times. Residents can receive visitors in their own rooms or any of the communal areas. In addition to the main lounge and dining room there is a sitting area between the linked buildings, which offers quietness and some privacy if required. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 16 Personal autonomy and choice – Residents were spoken with as a group in the ground floor lounge and some individually in the privacy of their rooms. Due to some cognitive impairment it was not possible to obtain informed views from everyone. However, the consensus from others was that they were given choices regarding routines in the home, e.g., times of rising, going to bed, activities, meals, personal care etc. The manager confirmed that only one resident has the cognitive ability to manage his or her own financial affairs. All other residents have either a family member or representative available to support them independently of the home. The manager showed a good understanding of the importance of residents having someone independent to act in their interests. She explained that she has details of the advocacy service if required, and has researched the subject quite thoroughly. Residents are encouraged to bring with them pictures, ornaments and personal items for their room. During the tour of the building it was noted that some rooms were well personalised, and reflected the residents’ individual tastes and preferences. Meals and mealtimes – A selection of menus was forwarded to the Commission as part of the fieldwork planning for this inspection. They are arranged over a four-week cycle and show food to be varied and appealing. We had an opportunity to observe residents and staff at lunchtime. The atmosphere in the dining room was very sociable and friendly. Staff were available to assist residents as and when required. It was noted that staff in one instance provided discreet encouragement and assistance to a resident experiencing some difficulty in eating. Food served looked appetising and was well presented. The cook confirmed that the home receives regular deliveries of fresh fruit and vegetables and daily deliveries of milk and bread. All residents spoken with made very complimentary remarks about the lunch and the standard of food in general. Most residents take their meals together in the dining room, although some prefer to eat in their own rooms or the lounge. Six out of the eight responses to the care homes survey indicated they always liked the meals in the home. Of the two that indicated sometimes one referred specifically to a preference for smaller portions. We noted that drinks and light snacks were offered to residents through the day between meals. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Complaints The home has a policy and procedure for dealing with complaints, details of which can be found in the statement of purpose, and the service users guide given to all new residents or their representatives. Additionally, a copy of the complaints procedure is prominently displayed on the wall in the hall. The pre-inspection information provided by the manager indicated that no complaints had been made in the past year. Due to the cognitive impairments of some of the residents it was difficult to gauge their knowledge of how to make a complaint. However, those able to give informed views were very clear that they would go to the manager, the proprietor or one of the senior staff with any concerns. They all felt confident that any concerns would be able to be resolved. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 18 All responses to the care homes survey indicated residents always know how to make a complaint. All responses to the visitor/relatives survey indicated they were aware of the home’s complaints procedure. This and the arrangements in place to inform people of the procedure shows the standard is met. Adult protection The home has a written procedure for the protection of adults at risk, which follows local authority guidance. The protection of vulnerable adults is covered in the NVQ training for staff, of which 50 are now qualified. In addition, specific Abuse Awareness training is booked for staff during 2007. Records showed that the first course took place in January. Staff spoken with were very clear about how to recognise abuse, what to do, and the importance of reporting issues of concern without delay through the home’s whistle-blowing procedure. They confirmed that training was given. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Decoration and maintenance are ongoing. All areas of the home are kept clean, hygienic and there are no unpleasant odours. EVIDENCE: Environment – Clarendon Rest Home has been a residential care home for older people in Southsea for many years and while not purpose built has been developed and adapted over the years to be suitable for its stated purpose of providing a safe, manageable and comfortable environment for the people who live there. However, it has been identified at this and previous inspections that the layout Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 20 of the home makes it unsuitable for wheelchair users and people with reduced mobility due to: • • • Five steps down to the dining room and no stair lift. Steps to three bedrooms on the first floor and no stair lifts. Steps to the lower three bedrooms and no stair lift. In discussions the manager and proprietor fully recognise the limitations posed by the layout of the building, and as a consequence there is very specific matching of prospective residents’ needs prior to them moving in. All areas of the building are accessible to the current resident group, including the patio at the rear where residents can sit when the weather is fine. The home is generally comfortable, well furnished and decorated. There was evidence of continued improvements with redecoration, carpet and curtain replacement and the introduction of new furniture. A maintenance log is kept of all areas identified as needing attention. The proprietor’s husband then undertakes the work. We carried out a tour of the building with the manager and noted residents’ rooms to be very clean, homely and in several cases well-personalised. There is a shower room and assisted bathroom, both with a toilet and wash hand basin. Four of the six shared rooms have an en-suite facility and one of the eight single rooms has an en-suite facility. In addition, there are sufficient separate toilet facilities, one being close to the lounge and dining rooms. Residents spoken with during the inspection made very positive comments about the environment. In the care homes survey one commented, “What I enjoy is to go to my room which is very pleasant and bright, full of sunshine in the afternoon.” Cleanliness The inspector toured the building with the proprietor. Domestic staff employed through the week keep the home very clean, hygienic and free from unpleasant odours. A separate laundry is located across the courtyard from the kitchen. Shortfalls in infection control procedures identified at previous inspections have been addressed, and staff and management confirmed they no longer access the laundry via the home’s kitchen. All eight responses to the care homes survey indicated the home was always fresh and clean. One made a point of commenting, “It is kept spotlessly clean and everything spilt or broken is immediately cleared away, and no smell whatever.” Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are deployed in sufficient numbers and have the necessary skills and experience to meet the needs of the people who live there. To ensure residents are in safe hands arrangements are made for staff to undertake NVQ training. At the time of the inspection the home had achieved a ratio of 50 of care staff trained at NVQ level 2 or above. The home operates a robust staff recruitment procedure, which ensures service users are protected. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: Staffing levelsThe home employs twelve care staff, domestic, catering and maintenance staff. Staff rosters showed and the manager confirmed that a minimum of two care staff is deployed during the day and evening. The manager and proprietor work in a supernumerary capacity. On the day of the site visit there were nineteen people resident in the home with two care staff, the manager and the proprietor on duty. Overnight there are two wakeful carers on duty. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 22 These staffing levels are considered adequate for the current needs and numbers of residents in the home. All eight visiting relatives consulted felt there were always sufficient numbers of staff on duty, as did the visiting care professional. NVQ training – Included with the material submitted by the home as part of the inspection process was information about staff training. Records showed that currently 50 of care staff have achieved the NVQ at levels 2 or 3. One care assistant is about to undertake the training for NVQ at level 3 and three identified staff are due to enrol on a training programme during 2007. Recruitment There have been two new staff recruited to the home since the last inspection. Individual staff recruitment files were available for inspection and showed that the home’s recruitment procedure includes: • • • • • • An application form. Proof of identity with photograph. Two written references. Contract of employment Criminal record and Protection of Vulnerable Adults (POVA) checks on all staff. Staff induction records. During the inspection the recruitment records of the two new members of staff were checked and found to be in good order. Staff training – The home uses the Common Induction Standards for new staff as recommended by ‘Skills for Care’. Evidence was available to show that the programme was being carried out properly for the two most recently recruited staff. The home’s staff training programme for 2007 and individual training profiles demonstrated that statutory training is regularly provided and updated. Care staff supported the fact in discussions during the site visit. Records and information provided by the manager prior to the inspection showed that staff training includes: Manual handling Food hygiene First aid Health and safety Clarendon Care Home Fire safety Medication Infection control Abuse awareness Challenging behaviour Understanding dementia. DS0000039959.V327738.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home where the registered manager is fit to be in charge, and has experience and qualifications to run the home and meet its stated purpose, aims and objectives. There are good quality assurance measures in place to ensure the home is run in the best interests of the residents. The home has no involvement with residents’ financial affairs other than to provide a facility for safekeeping money or valuables on request. Policies, procedures and practices ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 24 EVIDENCE: Management – The registered manager Mrs Silvia Paton has been in post since May 2006 and has worked in the home for many years. She has achieved the NVQ at level 4 in care and expects to achieve the Registered Managers Award by April 2007, at which time she will be fully qualified. In addition, she updates her knowledge, skills and competence with periodic training in care related subjects specific to the service provided by the home. Certificates of her achievements were available for inspection. Staff spoken with during the site visit felt the home was well managed; staff morale was high and communication was good. Quality assurance – At the last inspection it was noted the home operates a mixed quality auditing (QA) system that comprises both formal and informal processes for monitoring the service. Included with the pre-inspection information sent to the Commission was a copy of the home’s quality assurance policy, reviewed in November 2006. The policy covers all aspects of the service, and sets out the values, principals and policies underpinning the home’s approach to quality. The manager gave examples and records evidenced the home’s approach to quality assurance, which includes: • • • • • • • The quality assurance policy. Residents/relatives/professionals satisfaction questionnaires. Regular in-house care plan reviews. Regular visits throughout the week from the proprietor who monitors the conduct of the home. Regular staff meetings and supervision sessions. Residents meetings started since the last inspection and recorded. One-to-one discussions the manager has with the residents each morning to assess their mood and state of wellbeing. Residents’ monies – As outlined earlier in the report only one resident has the cognitive ability to manage his or her own financial affairs. All other residents have either a family member or representative to support them. The home provides a facility to safeguard monies or valuables on request. Currently only resident Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 25 uses the facility, whereby the home makes purchases on their behalf. The system was checked and found to be in order, with receipts for purchases kept and entries double signed. Health and safety – The home’s pre-inspection information signed by the manager confirmed that policies and procedures were in place to ensure safe working practices in the home. A sample of records was viewed including environmental risk assessments, accident records, fire alarm tests, public liability insurance, and gas and electrical certificates, all of which were in good order. Staff training records showed, and staff confirmed that statutory training is scheduled and updated in manual handling, first aid, fire training, infection control and food hygiene. Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Clarendon Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Care Home DS0000039959.V327738.R01.S.doc Version 5.2 Page 29 - 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. 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