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Inspection on 22/11/05 for Claybourne Residential Home

Also see our care home review for Claybourne Residential Home for more information

This inspection was carried out on 22nd November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Claybourne is a home specialising in the care of older people with dementia and as such, the environment, staffing levels and training, along with care planning are geared to meeting the needs of highly dependant residents. The home offers its residents the opportunity to experience a good quality and varied lifestyle, with flexible daily routines and a wide range of social activities. Throughout the period of this inspection the Inspector observed staff responding to residents in a caring and professional manner. The atmosphere in each of the three living areas was pleasant and relaxed and there were already signs of preparations for Christmas.

What has improved since the last inspection?

The most significant improvement of note has been the increase in the percentage of staff who have achieved NVQ level 2. At the Announced Inspection in the summer the figure was 33%, but this had reached 40.4%, with 6 more staff currently undertaking level 2. Another positive development that has occurred recently has been the establishment of a bank team, used during times of staff shortages and which is far preferable to using agency staff.

What the care home could do better:

As part of the inspection, the Inspector examined a sample of staff files and while there were some variations, generally, they were disorganised and evidence to support that thorough recruitment procedures had been carried out was not easily accessible. A recommendation was made about this finding.

CARE HOMES FOR OLDER PEOPLE Claybourne Residential Home Turnhurst Road Chell Stoke-on-trent Staffordshire ST6 6LA Lead Inspector Norma Welsby Unannounced Inspection 22nd November 2005 02:30 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 Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Claybourne Residential Home Address Turnhurst Road Chell Stoke-on-trent Staffordshire ST6 6LA 01782 790500 01782 832642 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) Methodist Homes for the Aged Mrs Zoe McCallum Care Home 45 Category(ies) of Dementia (45), Dementia - over 65 years of age registration, with number (45) of places Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 45 DE(E) Minimum age 50 years on admission The Care Manager achieves the Registered Managers award by 31 March 2006 22nd June 2005. Date of last inspection Brief Description of the Service: Claybourne residential care home is a modern purpose built home, specialising in the care of older people who have a dementia. Opened in the autumn of 1997, the home is run by the Methodist Homes for the Aged, (MHA), which is a national voluntary organisation specialising in the care of older people. The ethos of the home is inspired by Christian values and is based upon providing a quality lifestyle for older people with dementia. Prospective residents do not have to be Methodist but can be from any religious denomination. The home is registered for 45 long stay residents with dementia, (DE(E)), and at the time of this unannounced inspection was occupied by 44 long stay and 1 resident was in hospital. The design and specification of Claybourne provides a high standard of environment and facilities for people with a dementia. The accommodation is divided into three wings, each of which is equipped with a large lounge/diner/kitchen. An additional quiet lounge, bedrooms, bathrooms and toilets are also located in each wing. Centrally there is a large open plan sitting area, used for activities and entertainment and throughout accommodation is light, spacious and comfortable. Residents are able to move freely throughout the home and have easy access to the enclosed gardens that surround the entire property and which are a particularly positive feature of the design. Claybourne is situated in Chell, near Tunstall and is well located to access a wide range of community resources and services. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ms Norma Welsby, Lead Inspector, carried out an unannounced inspection of Claybourne on the 22nd of November 2005. The Inspection found that the majority of standards assessed were fully met and the Inspector was very satisfied with the findings of this unannounced inspection. Helpful assistance was provided by the senior staff on duty and several residents and other staff on duty also made a positive contribution to the inspection process. What the service does well: What has improved since the last inspection? The most significant improvement of note has been the increase in the percentage of staff who have achieved NVQ level 2. At the Announced Inspection in the summer the figure was 33 , but this had reached 40.4 , with 6 more staff currently undertaking level 2. Another positive development that has occurred recently has been the establishment of a bank team, used during times of staff shortages and which is far preferable to using agency staff. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 6 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. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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): Not assessed during this inspection. Standards 3,4 & 5 assessed at the last inspection and found to be very satisfactory. Standard 6 is not applicable to this home. EVIDENCE: Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7&9 The Inspector assessed Standard 7 and found that the home had continued to improve the quality of individual care planning. The Inspector also assessed Standard 9 and found the management and administration of medication to be satisfactory EVIDENCE: The Inspector examined three random care plans in detail and found each of them to be of a very good standard. Information was kept securely in a modular file, which was well organised to facilitate ease of access. There was evidence of all aspects of the care plan being reviewed monthly by key workers, along with a monthly audit by senior staff. Risk assessments were in place and updated and a recent introduction has been a Falls Diary intended to record falls and ease monitoring and appropriate interventions. The Inspector had a good impression of the sample of care plans seen as being ‘live’ documents and was pleased to see that recent progress was being maintained. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 10 During this unannounced inspection, the Inspector had the opportunity to observe the teatime medication being administered and found this to be done in an organised and careful manner by the senior on duty. Medication administration records were also examined and found to be satisfactory. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The Inspector assessed Standard 15 and found that the home continued to provide a varied and wholesome menu. EVIDENCE: During this unannounced inspection the Inspector observed the teatime meal, which was a choice of sandwiches or omelette, followed by peaches and cream. A light tea is provided while at lunchtime there is a hot cooked lunch providing a choice of meals. Positive observations were made of the table settings, presentation and size of portions and staff attentiveness. In each of the three living areas the atmosphere was relaxed and unhurried and residents were consulted about a variety of aspects. Discussions with staff and residents confirmed that consistently good meals were provided and individual needs catered for. Approximately 10 soft diets were being provided, depending on the meal, with items being individually liquidized and presented. Similarly, about 10 residents needed some degree of help with feeding, but again this varied depending on the meal. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 12 The Inspector was informed that the relatives of one resident visits each lunch and tea time to assist with feeding, which is much appreciated by both the resident and staff. While another visitor to the home regularly has her evening meal with her husband who is resident at Claybourne. The Inspector also examined the six-week menu, which confirmed that an excellent variety and choice of meals were being provided. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Claybourne has an established complaints procedure in place, which is displayed in the home. EVIDENCE: The home had not received any complaints since the last inspection – the most recently recorded complaint was in March 2005, which was discussed during the Announced Inspection of June 2005. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Claybourne provides excellent environmental standards throughout, which exceed the National Minimum Standards. EVIDENCE: The home provides an accessible, safe and well-maintained environment that meets the needs of residents. There is a rolling programme of decoration and maintenance and the home employs a full time Maintenance Supervisor. On the day of this unannounced inspection the Inspector found the home throughout to be warm, clean and comfortable. While Claybourne is a large home, its design provides a very attractive and homely environment, which enables residents to move around freely and enjoy the space. Observations throughout the period of the inspection confirmed that residents were comfortable and relaxed. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 15 All radiators are guarded, water temperatures regulated and monitored – including legionella controls, and there are robust procedures in place for the control of infection. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 On the day of this unannounced inspection staffing levels/arrangements were found to be satisfactory. Staff training continues to be given a high priority and the percentage of staff who have achieved NVQ level 2 had increased since the last inspection. Staff files required some attention. EVIDENCE: There had been 9 care assistants on duty on the early shift with a Senior and there were 9 care assistants on duty on the late shift with an acting Senior. In addition an Assistant Manager had been on duty all day in a supernumery capacity undertaking Induction training with five members of the staff team. There had also been appropriate arrangements in place for catering and domestic duties. A recent and positive development had been the establishment of the home’s own bank staff. There were currently 10 people in the bank team and the Inspector was assured that appropriate recruitment and protection procedures had been followed. The Methodist Homes for the Aged has a strong commitment to providing staff training in a variety of specialist areas. On the day of the inspection 5 staff were having Induction training in areas including Fire and Health & Safety. NVQ training has also progressed well since the last inspection with an increase from 33 to 40.4 of care staff having achieved NVQ level 2. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 17 In respect of recruitment procedures, the Inspector was assured that all staff have had CRB checks and for newly appointed staff POVA checks were also being carried out prior to commencing duties. An examination of a random selection of staff files revealed that information was disorganised and it was not easy to verify evidence of thorough recruitment and protection procedures. The Inspector made a recommendation about this finding. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 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): 35 An examination of records pertaining to the management of resident’s monies was found to be satisfactory. EVIDENCE: Following a previous requirement residents’ access to their monies managed by the home has improved. During this inspection a sample of records were examined and found to be satisfactory. A recommendation of the last report had been that where possible items of value, held by the home for safekeeping should be returned to the resident or if this was not feasible and by following correct procedures to their NOK. During this visit and an examination of records it was evident that there had been appropriate action taken to return personal property. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 19 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 X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 20 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. 1 Refer to Standard 29 Good Practice Recommendations The home should ensure that staff files are well organised to enable ease of access to information which should clearly evidence that thorough recruitment procedures have been followed – application form, evidence of qualifications, two written references, a current photograph, POVA and CRB checks. Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Claybourne Residential Home DS0000008219.V268057.R01.S.doc Version 5.0 Page 22 - 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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