Inspection on 24/02/06 for Clarkson House

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Clarkson House 05/09/06

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Clarkson House 56 Currier Lane Ashton-under-Lyne Tameside OL6 6TB Lead Inspector Sandra Bennett Unannounced Inspection 24th February 2006 09:00a 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 Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Clarkson House Address 56 Currier Lane Ashton-under-Lyne Tameside OL6 6TB 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) 0161 308 4618 0161 339 9588 Clarkson House Residential Care Home Limited Anand Pooloogadoo Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (28), Physical disability over 65 years of age (24) Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 28 service users to include: *up to 28 service users in the category of DE(E) (Dementia over 65 years of age. *up to 24 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 28 Service users in the category of OP (Old age not falling within any other category). *up to 2 service users in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. Date of last inspection Brief Description of the Service: Clarkson House is a detached building that has been adapted and extended to provide accommodation for 28 service users, some of who may have dementia or physical disabilties. The accommodation is provided in 18 single rooms, one of which has an ensuite facility, and five shared rooms, the bedrooms are situated on two floors. There are aids and adaptations to meet the assessed needs of the service users. Level access is provided throughout the building; the exception being rooms on the mezzanine floor where service users have three steps to negotiate, grab rails are provided for their assistance. On the ground floor there are two sitting rooms, one conservatory and dining room. There are gardens to the side and rear of the property. Off road parking is provided at the side of the house. The home is located in a residential area, close to the centre of Ashton, with the associated shops, community resources and public transport links. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The scheduled inspection took place on 24th February 2005. It was the first inspection under the homes new ownership. The owner/manger had only been in post approximately eight weeks at the time of this inspection. Time was spent talking to eight service users all who were positive about the care they received. Three staff members were interviewed; all had a good knowledge of the needs of the service users. The care of four service users was looked at in detail from their time of admission. Records of care were examined; staff duty rotas, financial records and medication administration were also looked at. One relative interviewed said they were happy with the level of care in the home and that there always appeared to be the same staff on duty who were very helpful. What the service does well: What has improved since the last inspection? Ancillary staffing hours have improved with additional domestic hours over a weekend period and a full time cook. This enables the staff to concentrate on the needs of the service users. Service users said the heating system had been improved in the last few weeks and choice in food had increased. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 6 They felt pleased with the increase in communication, which help to relieve their anxieties over new ownership and management. 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. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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 Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. Service users were provided with information on the homes facilities and services allowing an informed choice to be made. The lack of up to date professionals assessments could result in the home not meeting the service users needs. EVIDENCE: The home changed ownership within the last eight weeks therefore many issues relating to service users information and the facilities and services provided by the home in the process of change. Service user’s contacts were also being upgraded. Interviews with service users recently admitted into the home provided evidence that they or their representatives were given information on the facilities and services in the home. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 9 Assessments of service users obtained from professional agencies were incomplete or belonged to another named service. For those service users who are self-funding, the home undertakes its own assessments, however there were inconsistencies in completing these fully. The home does not provide intermediate care. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9. The health care needs of service users were not consistently recorded which may pose a risk to service users. Procedures for handling, storing and recording of medication needs to be reviewed for the protection of service users. EVIDENCE: Care plans were not completed fully, there were inconsistencies in recording dates of care plans, reviews and signatures. Nutritional screening was not always carried out on admission. The filing system was not uniform, making assessment difficult. However health care visits were fully recorded, as was district nurses visits. Daily notes were detailed and reflected all the care given by staff. A format for recording likes and dislikes of service users and their daily preferences was in place but not always completed. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 11 The new manager had also recognised areas that needed improvement and was in the process of evaluating and upgrading systems in the home. The home works in partnership with Tamesides training consortium, a number of staff had recently undertaken training in care planning. Those care plans that had been completed fully provided sufficient details for staff to carry out their duties. Care plans reflected the service users recreational interests, which were also recorded in daily reports. Moving and handling equipment was available e.g. hoist, turntable and slide boards. At interview staff demonstrated a good knowledge of the service users need and their personal preferences. Service users spoken to were positive about the care they received from staff. One-service users said, “ We have got some good staff here”. One relative said,”I am very happy with the care here, they always seem to be the same staff which is a good thing”. Errors were found in the, storage administration and recording of medication. One service user was self-medicating. The home must undertake a risk assessment in these instances. Medication was stored in a fridge, which should not have been. There was evidence that when necessary medication was being given on a regular basis. In these instances a review of the service users medication must take place with health professionals. One service users medication had been signed for but not administered. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15. Choice is provided for service users in their daily lives. Meal times were well managed. The combination of the staff room, laundry area and dining room lessens the congeniality of the area. EVIDENCE: The service users interviewed were very positive regarding the owner manger. They said they were apprehensive at first but since coming into the home the manger has improved things they gave examples of food and heating systems being improved. The main thing service users liked was the daily consultation process. One service user said” We are consulted on everything, the manger comes in every morning and asks us all if we are comfortable, warm and happy with the food, he always makes us feel like a family”. Examples were given of service users not being happy with the bright sunshine coming into the lounge but did not want to block out all the light. One-service users said “ the manger considers us and has ordered blinds for our comfort; another said, “ there is a happy relaxed atmosphere in the home”. Church services take place monthly for those wishing to participate. Service users also spoke about the twice-weekly exercise group, which they liked and found they could have fun and a good laugh. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 13 The inspector dined with three service users who were complimentary about the food and about the introduction of a two sitting system. The service users who did not require assistance from staff were provided with a two-course meal of their choice and then were able to leave the dining room freeing staff to spend time with those service users who required assistance. The dining room acts as a staff room/office and gives access to the laundry. A curtain only separates these from the dining room, which does reduce the congeniality of the dining area. Most of the service users’ rooms were individually furnished with personal belongings, providing a homely environment and links to service users’ previous lifestyles. One service user brought in her cat, which she said meant a great deal to here. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Service users’ are protected and safe guards are in place to ensure their protection from abuse. The complaints procedure provides service users with sufficient details on how to make a complaint if they so wish. EVIDENCE: The home’s complaint procedure stipulates timescales for action. At interview service users stated they felt safe in the home and would feel comfortable in reporting any concerns they had to staff or the manager. Staff at interview demonstrated a good understanding of how adult abuse may manifest and action they would be required to take if they witnessed any event. Training is provided in the protection of vulnerable adults. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, 26. The home is clean and well maintained, however there is a lack of safety in certain areas of the garden which may pose a risk to service users. EVIDENCE: The home provides a good standard of hygiene and cleanliness for service users. Eighteen single rooms provided a good standard of privacy for service users. For those service users in the five-shared rooms, total privacy requires compromise between the users of the room. The inspector acknowledges that several of the shared rooms are now being used for single occupancy. Service users’ rooms were individual in style and colour. The combination of the staff room, laundry area and dining room lessens the congeniality of the area for service users. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 16 Outside of the home are pleasant, well-maintained garden and patio areas. However, aspects do pose a risk to service users, in that, parts of the garden slope down, this area is without safety rails. Service users using the garden can only do so with assistance from staff. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30. Staffing levels and training were sufficient to ensure the service users needs were met. EVIDENCE: Recruitment has taken place with a full time cook being employed to ensure care staff do not undertake none caring duties whilst working on minimum levels. There has also been an increase of ancillary staff hours to cover the weekend period. Staff training records validated interviews, in that, training had been provided in relation to their service user group whom staff had a good working knowledge of. Examples of staff training included, moving and handling, first aid and the protection of vulnerable adults. Staff had also undertaken NVQ 2 training; 50 of the staff working in the home holds a National Vocational Qualification. A core group of staff had been in post for a number of years. Service users said “staff are very good and helpful and if you want a drink in the night you only have to ask and they will get it for you”. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35, 36, 37. Consultation was sufficient to provide opportunities for service users and staff to offer their views in the running of the home. Staff supervision systems were in place for the protection of service users. Service users’ finances were dealt with and recorded appropriately. Recording systems in relation to care planning need to be upgraded to ensure service users needs are met. EVIDENCE: The owner/manager has only been in post for approximately eight weeks at the time of this inspection. They are qualified Registered Mental Nurse with ten years experience in management. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 19 One service user said, “the manger is always around to discuss anything with”. Service users and staff said that communication had increased in the home with regular service user and staff meetings being held to inform them of any developments in the home. Staff confirmed at interview they received supervision to discuss training needs and personal development. Several service users had a small amount of money in safekeeping at the home. Records were maintained of all transactions. Inconsistencies in the recording systems have previously been reported in this report. (See Standard 7,8.) The manger demonstrated an awareness of issues that need to be addressed in order to meet the standards fully and was able to provided evidence of the consultation process and outcomes they hoped to achieve. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 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 2 2 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 3 2 X Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 21 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. 1 Standard OP3 Regulation 4/5 Requirement Timescale for action 31/03/06 2 OP37OP8 15(1) 3 OP37OP9 13(2) Sch 3 17 1 (a) The registered person must ensure that an up to date assessment in relation to the home, which, reflects the service users needs, is obtained prior to their admission. The registered person must 31/03/06 ensure a completed care plan is in place which reflects the asessed needs of service users. Care plans ,reviews and risk assessments must be signed and dated by the person completing them.Nutritional screening must be carried out on admission. The recording systems in relation to the above must be reviewed to ensure inconsistencies do not occur. 31/03/06 The registered person must ensure that any changes made to medication records are signed and dated. Medication must be stored has directed by the pharmacist. Fridge temperatures must be recorded and maintained between 3-8 degrees. A risk assessment must be completed for any service users DS0000065884.V284764.R01.S.doc Version 5.1 Clarkson House Page 22 who self medicate. Medication must only be signed for at the point of administration. Consultation must take place with health professionals should any deviation on the prescribed dosage be needed. 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 3 4 Refer to Standard OP25OP19 OP37OP1 OP37OP2 OP15 Good Practice Recommendations The registered person should secure the perimeter of the garden to ensure the safety of service users accessing this area. The registered person should make assessable to service users a revised copy of the service user guide. The registered person should ensure that service users receive an up to date contract, which reflects the new ownership of the home. The registered person should review the layout of the dining room, staff room and laundry room to improve the dining experience for service users. Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Clarkson House DS0000065884.V284764.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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