Inspection on 16/07/07 for Clarendon Grange

This inspection was carried out on 16th July 2007.

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

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Chirnside House

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Ruskin Lodge

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

CARE HOMES FOR OLDER PEOPLE Clarendon House Clarendon House Main Road Great Clifton Workington Cumbria CA14 1TR Lead Inspector Nancy Saich Unannounced Inspection 16th July 2007 08:00 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 House DS0000069436.V334893.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 House DS0000069436.V334893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarendon House Address Clarendon House Main Road Great Clifton Workington Cumbria CA14 1TR 01900 605 316 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) Brancaster Care Homes Limited Pauline Parker Care Home 26 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (22), of places Physical disability (1) Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 26 service users to include: *up to 3 service users in the category of DE(E) (Dementia over 65 years of age). *up to 22 service users in the category of OP (Old age not falling within any other category). *up to 1 named service user in the category of PD (Physical Disability). Date of last inspection Brief Description of the Service: Clarendon House is an older property that has been adapted and extended to create a home for up to twenty-six older people. It is owned by Brancaster Care Homes Ltd and managed by Pauline Parker. The home has been in existence for some years and was bought by Brancaster in February 2007. The home is situated in the village of Great Clifton and is near to local amenities. The nearest town is Workington and the home is served by a regular bus service. The home has adequate parking to the front of the property. The home is on two floors with a passenger lift. Accommodation is mainly in single ensuite rooms. There is suitable shared space and a secluded garden. The home cares for older adults and people with dementia. The costs range from £326 to £450 per week depending on need. Further information can be accessed from the manager or from the company. The website address is www.brancastercare.co.uk . Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main or ‘key’ inspection for the home. This visit was made to ensure that the previously good standards were being maintained. The inspector went at eight in the morning and spoke at length with residents, staff and the manager. She also read a range of documents that backed up what was said and what she saw. She found that there had been a smooth transition to new ownership and that residents and staff were still very satisfied with the care and services provided. What the service does well: What has improved since the last inspection? Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 6 The company have improved their information for new residents and have a website that gives details of all the homes the company run. The company have bought some new equipment and furniture for the home and have improved the laundry facilities. Decoration and maintenance have continued 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 House DS0000069436.V334893.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 House DS0000069436.V334893.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): 1,3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home ensures that they only take new residents who they know they can care for and who will fit into the home. EVIDENCE: Brancaster Care have produced a comprehensive new brochure about the home and have a new website that explains the kind of care that is provided. The inspector spoke to three people who hadn’t been in the home for very long and they explained how they had been visited by the manager and had been given the opportunity to come to visit the home before they decided to live at Clarendon. Files showed that the manager went out to see new people and gained lots of information about the person and their strengths and needs. Files also had social work and health assessments. There was no one in the home who had been inappropriately placed. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 9 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive very good standards of health and personal care that allow them to be as well and as happy as possible. EVIDENCE: The inspector read a good number of the written plans that told staff how they should care for the residents. They included some of the smaller details that make life worthwhile and they also had the kind of health and care instructions that give high quality and safety for older people. The residents looked well and said they felt well. No one was having active medical treatment from G.Ps or nurses but everyone was involved in health screening and prevention. Residents said they saw specialists and people like dentists and opticians on a regular basis. The lead inspector checked the medicines and these were in order. The local pharmacy visits regularly and helps and advises. The manager had made sure that everyone’s doctor had come with a pharmacist and looked at all the drugs Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 10 people used. There was evidence to show that medication was being reduced and used carefully. The inspector observed staff working with residents. She saw people being addressed correctly and spoken to with warmth, affection and respect. All residents were treated in a dignified manner. All the residents spoken to had only good things to say about staff: • ‘I like and trust them …they are always polite and caring…’ • ‘They are good lasses and we all get on fine…’ • ‘Very nice, very caring…. good to my relative…’ Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were very happy with the way things were arranged in the home and felt that gave them a comfortable and rewarding life. EVIDENCE: When the inspection started at 8 a.m there were only two people up in the lounge. Everyone else got up when they chose and had breakfast in their rooms or in the dining room as they wanted. People said that they had the kind of lifestyle they preferred and several people had ideas about things they might want to do in the future. They felt that the arrangements in place suited their cultural and spiritual needs. The inspector spoke to the new activities organiser and was pleased to hear that she and the manger were going to do some planning to develop their community contacts and look at new activities and interests to supplement the things already in place. During the day a number of activities were offered and residents enjoyed joining in. Residents said their families were always made very welcome and the visitors’ book showed lots of people coming and going. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 12 Residents said they were asked about what they wanted and were happy with the levels of control they had over their lives. Residents were very happy with the food they received. They said that this helped them to stay as well as possible. The inspector joined them for lunch where there were three choices at each course. The food was well prepared and presented. All the food was local and good quality. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents felt that they were suitably protected and that any complaints or concerns would be dealt with properly. EVIDENCE: Residents said they would talk to the manager if they had any complaints. They also said they could speak to the representative of the company who visits every couple of weeks. No one had any complaints on the day. Residents were asked about how safe from harm they felt. They all said that they felt the staff team would protect them from anything abusive. They said nothing untoward was happening in the home. The home has suitable policies and procedures in place, staff spoken to knew how to protect people and there was further evidence to show that the manager could take swift action to protect people from harm. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 14 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, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home provides a safe and homely environment by providing the very best for residents. EVIDENCE: This home has very good standards of furnishings and fittings. It manages to be both tasteful and homely. The communal areas are nicely set out. One lounge has a large screen T.V but the other is a quiet lounge which gives people choice. There is a further dining area and a sunroom. Individual bedrooms were also tastefully decorated and each resident had put their own personal ‘stamp’ on their room. Barchester homes are improving things even more by buying new furniture and curtains for bedrooms when they become vacant. The manager said they had updated some other equipment that improved services for residents. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 15 The home is well maintained and generally kept to the very highest standards. The home was clean and odour free even early in the morning. The staff follow specific cleaning routines that keep the home very hygienic and fresh. The company have purchased a new laundry system that further helps to reduce any threat of infection. Residents clothing and linens were well cared for and people said they felt happy with the way their rooms and possessions were cared for. Staff knew how to prevent infection. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 16 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has a staff team who have the interests of the residents at the heart of everything they do. EVIDENCE: The manager sent the inspector a copy of the rosters for the weeks leading up to the visit. The inspector also checked on the day and spoke to residents and staff. She judged that there are enough care and housekeeping staff to give residents good levels of care and services. She said the company were very keen to keep good ratios of staff to residents. Staff in the home have qualifications in care and new staff are registered or trained to this standard. Over 65 of staff have National Vocational Qualifications in Care at level 2. The inspector checked on the most recent recruitments and found these to be in order. She noted that the manager continued to monitor new starters so that she could be sure they were the right kind of people to care for vulnerable adults. The manager has a special interest in training and development. She makes sure that staff get both basic and specialist training. The new company have Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 17 already provided some training and are working with the manager on future training plans. Residents though that the staff were skilled and knowledgeable. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 18 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed but the company now needs to make sure that the quality of the care and services continue EVIDENCE: The home has an experienced and suitably trained manager who is respected and trusted by residents and staff. The inspector judged that she has helped staff and residents to cope with the changes over the last few months and is now very keen to move forward with future planning for the home. The company have a good quality assurance system and the manager already makes sure that the standards she sets herself are met. Together she and the Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 19 company now need to complete a quality audit so they can plan how the home will evolve in the future. Suitable arrangements are in place to make sure that any cash kept on behalf of residents is looked after properly. The inspector saw a number of documents that showed that the manager deals with health and safety matters correctly. Environmental health had visited the home the week before and they were happy with the way things were being managed. The company have completed a number of checks on the property since they bought the home and this shows that they want to continue to run a high quality home that keeps on improving for the well being of residents. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 20 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 3 X 4 X X X 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NA 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 Refer to Standard OP33 Good Practice Recommendations It is recommended that the registered provider undertake a quality audit from which they can start to prepare a future plan for the home. Clarendon House DS0000069436.V334893.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 House DS0000069436.V334893.R01.S.doc Version 5.2 Page 23 - 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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