Inspection on 05/09/06 for Clarkson House

This inspection was carried out on 5th September 2006.

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

Clarkson House 24/02/06

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 5 th Unannounced Inspection September 2006 03:53 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.V304730.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. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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.V304730.R01.S.doc Version 5.2 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. 24th February 2006 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 disabilities. 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. Fees for the home range from £271.00 to £339.00 extra not covered by the fee include personal clothes newspapers, hairdressing, chiropody, incontinence wear, outings and social fund. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included an unannounced visit to the home took place on the 5th September 2006. Time was spent talking to residents and care staff. The care for four residents were looked at in detail, looking at their experience of the home from the time of their admission and the administration of medication were examined. Staffing levels, training and induction were also looked at. Residents and relatives questionnaires were left for completion. Three were returned, all with positive comments on the care and attention they received. What the service does well: What has improved since the last inspection? Many improvements have been made since the last inspection. These have been in recording systems, care plans and the environment. Communication between residents, staff and relatives has increased. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 6 The garden to the side of the property has been made safe by railings. Patio furniture has also been provided to enable residents to enjoy the landscaped garden. The main improvement has been in the dining room which has been separated from the staff and laundry room to provide a more congenial atmosphere for residents. Several bedrooms have been refurbished. Other areas had been identified for renovation, which had been included in the homes refurbishment plan. 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.V304730.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 Clarkson House DS0000065884.V304730.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 The quality outcome of this area is good. Residents are given sufficient information on which to make an informed choice. The lack of professional assessments may pose a risk to residents. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home’s service user guide and inspection report is situated in the entrance of the home. Residents confirmed that copies of this document were given to them which included any extra fees they may incur. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 9 Four resident’s files were examined for their initial assessment. Two were without a professional assessment. The home undertakes its own assessment of need for those residents, who are self funding. Examination of this found insufficient detail. The inspector acknowledged that each area of need identified was transferred into care planning, however a detailed assessment of need must be undertaken to ensure residents needs are met. Clarkson House DS0000065884.V304730.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The quality outcome for this area is good. Residents health and personal care needs were met through appropriate medication procedures and access to health care professionals. This judgement has been made using available evidence and a visit to the service. EVIDENCE: Care planning was detailed, with each need of residents having an identified care plan. Outcomes for residents were positive. However, the failure to obtain a professional assessment on a resident’s admission may pose a risk to residents. Care plans were reviewed, signed and dated with evidence of resident and family involvement. There was evidence that nutritional screening had taken place on admission. This was confirmed through the home’s audit system on a monthly basis when the weights of residents were reviewed. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 11 A record was kept of all health care visits. Risk assessments were undertaken with recorded information to staff on how to prevent or handle a situation i.e. challenging behaviour. Daily records were well maintained and recorded individuals details of care delivery throughout the day. Appropriate aids and adaptations were provided i.e. hoist, turntable and slide boards. At interview staff demonstrated a good knowledge of the resident’s needs and their personal preferences. Armchair exercise is provided twice weekly. A sample of medication records were examined and were found to be correct. Senior staff had received training in the administration of medication. Residents spoke highly of the care and attention they were given by staff. Comments included “staff are more than respectful to me”, and “I do not sleep well, staff always make me a drink and treat me very well”, also “staff are very patient with me, they taught me what to do to get back on my feet”. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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, 13, 14 and 15 The quality outcome of this area is good. The consultation process and choices offered to residents in the home promoted their independence and autonomy. This judgement has been made using available evident including a visit to the service. EVIDENCE: Residents discussed daily life in the home. One resident said, “the manager is very informative he tells us what he is thinking of doing and asks if we agree”. Another said, “ I like living here is it free and easy and there are no restrictions, we get everything we want really”. Throughout the inspection there was good interaction and communication between residents and staff. Residents stated that a choice of food is offered and they are asked daily on their personal preferences. Residents who are partially sighted are offered a service user guide on audio tape, one resident said “I was bothered about having a tape and preferred staff to read it to me, which they did”. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 13 Other residents commented on being able to have a drink or snack in the night if they could not sleep. Those residents admitted under the home’s Mental Health category were actively involved in a rehabilitation process. They said “I can come and go as I like and go out to the market sometimes alone”. A local church visits the home on a regular basis. The homes’ notice board states a mobile library visits every Friday, this was confirmed by residents. Other activities discussed were the twice weekly keep fit for exercises which residents said were “good fun and we have a laugh”. The home maintains a record of activities for all residents. Residents commented on how they liked the food and said “if there is something we don’t like we just say so”. One resident gave an example of not liking pink salmon, after which red salmon was always provided. Another said they would like more fresh vegetables to which the home acted upon. Residents expressed their satisfaction on the newly decorated and separate dining room which provides a more congenial atmosphere for having meals. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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 and 18 The quality outcome of this area is good. Resident’s rights are protected and safeguards are in place to ensure their protection from abuse. Residents were confident that any complaints about the home would be addressed. This evidence has been made using available evidence including a visit to the service. EVIDENCE: Residents said they were comfortable in bringing any concerns they may have to the staff and management. One resident said “the manager speaks to us every day regarding any concerns or wishes we may have, which are always acted upon”. Examples which were given of requests made i.e. more fresh vegetables which had been actioned. A copy of the home’s complaints procedure was in each residents bedroom, this included how to contact advocacy services. Staff had received training in the prevention of abuse and gave examples of how this my occur and their responsibilities in taking action. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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, 22 and 26 The quality outcome for this area is good. The home provides a safe clean environment with appropriate aids and adaptations in place to promote their independence. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home provides a good standard of hygiene and cleanliness for residents. A number of improvements have been made in the home to the comfort and benefit of residents. These include, safety rails to outside garden areas and garden furniture. A bathroom has been refurbished enabling moving and handling equipment to be installed for residents who have a disability. The dining room has also been refurbished and made separate to the adjoining staff and laundry room, providing a more congenial atmosphere. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 16 One resident said “It is very comfortable living here” and “the garden is lovely now we can sit out in the sunshine”. Two other residents took pride in showing the inspector their bedrooms which had been refurbished. The inspector noted other areas which may need improvement and refurbishment, however these had been recognised by the home and included in their refurbishment plan. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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 ,29 and 30 The quality outcome for this area is good. Staffing hours, recruitment, training and induction are sufficient to ensure residents needs are met. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Examination of the home’s staff levels and allocation showed sufficient staff to meet the needs of residents. A training file for each staff member is in place with 58 of staff having NVQ 2/3, other staff employed have already enrolled for NVQ Training. The home works in partnership with Tameside Training Consortium. Additional training included; first aid, food hygiene, fire safety, moving and handling, the prevention of adult abuse and dementia care. Interviews with two care staff on duty confirmed they had participated in training and sessions and were able to give examples of how training had improved their care practices, i.e. recognising abuse and the promotion of choice within the home. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 18 One member of staff discussed their induction process and a record of induction which was in-line with skills for care. Two newly employed staff records were examined and were found to include all appropriate checks prior to employment. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35, 36, 37 and 38 The quality outcome for this area is good. The home is well managed and includes residents, staff and family in decision making promoting autonomy for residents. Staff supervision and increase communication ensure the health, safety and welfare of residents is met. This judgement has been made using available evidence including a visit to the service. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager has a number of years experience in care with a specialist area in mental health, qualified to RMN and NVQ Level 4. Since being in post the manager has increased consultation with residents, staff and relatives. This was evident through interviews with residents. One commented that “the manager is very informative, he tells us what he is thinking of doing and asks if we agree”. Regular staff supervision and meetings take place. Policy and procedures are presently being reviewed. Health and safety training is provided for staff with the home increasing safety for residents in the environment. Quality assurance is maintained by weekly audits of medication and record keeping. Questionnaires for residents, family and professionals were being conducted at the time of this inspection. Some residents were responsible for their own finances others are managed by their families. The minority of residents whom the home has responsibility for their finances record keeping was well maintained with receipts for expenditure retained. Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 21 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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 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 3 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 3 3 3 Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 Page 22 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 The registered person must ensure that an up to date assessment in relation to the service user which reflects their needs, is obtained prior to their admission. The home’s assessment process needs to be expanded to reflect National Minimum Standards. Timescale for action 17/10/06 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 Clarkson House DS0000065884.V304730.R01.S.doc Version 5.2 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.V304730.R01.S.doc Version 5.2 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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