Inspection on 16/11/07 for Claydon House

This inspection was carried out on 16th November 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

Claydon House 03/05/06

Claydon House 06/01/06

Claydon House 19/07/05

Claydon House 02/03/05

Claydon House 28/09/04

Claydon House 26/02/04

Claydon House 30/09/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Claydon House 8 Wallands Crescent Lewes East Sussex BN7 2QT Lead Inspector Jason Denny Key Unannounced Inspection 12:00 16th November 2007 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 Claydon House DS0000021410.V348621.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. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claydon House Address 8 Wallands Crescent Lewes East Sussex BN7 2QT 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) 01273 474844 01273 486175 Claydon@caringhomes.org Claydon House Limited Rachel Bridget Bekaert Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is thirtytwo (32). Service users must be older people aged sixty-five (65) years or over on admission. That service users are admitted for residential care (excluding nursing) 3rd May 2006 Date of last inspection Brief Description of the Service: Claydon House is registered to provide personal care and assistance for up to 32 Older People and has been owned by Caring Homes Ltd since March 2000. The building consists of a detached Victorian house and has been extended to provide accommodation over four floors. It is situated in a quiet private drive on the outskirts of Lewes. Lewes town centre is approximately half a mile away and there is access to all main transport links and local amenities. There is limited parking space outside the home but unrestricted parking in surrounding roads. Wallands Park is within five minutes walking distance. Accommodation is comprised of mainly single rooms, with a shaft lift accessing all floors. There are two lounges and dining rooms and a conservatory, which allows easy access to a sheltered garden. The home has a mini-bus. Current fees charged range from £525 to £650, which is same for both selffunders [private] and those fully funded by Social Services with the latter liable to top up fees. The higher rate relates to double bedrooms with en-suite bathrooms. Additional items such as Newspapers, trips outs, toiletries, hairdressing and chiropody are not included in the fee and are charged as extra. Intermediate care is not provided A copy of the homes’ Statement of Purpose and Residents Guide is provided to anyone making an enquiry about the home. Copies of inspections reports are made available on request. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced key Inspection, which included a visit to the home which took place between 12.00pm and 4.30pm on November 16th, 2007. The inspection focused on checking that the good outcomes evidenced in the last inspection report of May 3rd 2006 have continued. This visit also included reviewing progress with the minor improvements required in the last report. Care records along with health and medication needs of three new Residents were looked at. Discussions with management and staff looked at lifestyle opportunities. The inspector toured all communal areas of the home with meal arrangements examined. A record of complaints was inspected. Staffing was looked at in detail along with how quality is maintained and improved upon. The inspector spoke with some current residents, six in detail, along with staff on duty, In addition the inspector also spoke with six relatives on the phone, and professionals involved with the home immediately following the inspection. The visit also included observation of care-practices. The home sent back to the Commission a completed Annual Quality Assurance Assessment before the visit, which informed inspection planning, and this report. One outcome area is judged to be Excellent and the other six are assessed as Good, with no improvements required. What the service does well: Typical quotes from residents were as follows; “Food is excellent staff are beautiful can raise any concerns”. “ The home is now very, very good”. “An excellent place I am very fortunate”. “Choices are respected”. “Going quite well, offered opportunities and activities”. “My room is big enough well maintained food is very good.. Maintenance jobs are sorted quickly. Drinks are made available during the day. “There are regular activities”. Typical quotes from relatives were as follows ;“Excellent, particularly good at providing many activities which get residents going. They are good with medication management”. “No negatives home is open and I feel confident to raise any issues. Lovely room warm good atmosphere”. “Overall good, food is good, girls sweet”. “Mum is happy. They particularly enjoyed a recent fish and chip supper”. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 6 The Registered Manager and staff have developed a ‘feeling of home’ within the home. The management of the home is skilled and attentive to resident’s needs, which are carefully assessed and responded to. Great care is taken to ensure that the home is suitable for new prospective residents before they decide to move in. Staff generally work with a clear sense of direction in the best interests of residents and provide good care. Resident’s benefit from flexible routines with their right to make decisions fully supported. The home benefits from close support from the managing [umbrella] organisation, which oversee the home and who respond promptly and effectively to any problems. The home is good at investigating concerns regarding the care of residents and responds well to their views. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Claydon House DS0000021410.V348621.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 Claydon House DS0000021410.V348621.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, 2, 3, 4, 5, & 6. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective and existing Residents benefit from comprehensive assessment with steps taken to ensure they are comfortable with their decision to move in and who continue to get their needs met. EVIDENCE: The homes resident [Service User] guide including the Statement of Purpose is updated twice yearly as stated in the homes Annual Quality Assurance Assessment. The guide was found to be on display in the reception area of the home along with most recent inspection reports. New residents indicated that they were sufficiently informed about the home before moving in. The three new residents looked at were all found to have signed a contract [terms and conditions] on or before admittance. The contents of the contract are comprehensive and fully meet what is required. Fees charged are the same for those Social Services fully funded and those who pay for their own care. The Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 9 fees are based on the size and facilities in each room. Those who are funded by Social Services pay a top up. Current fees range from £525 to £650. No concerns were expressed in relation to contracts or fees. The Registered Manager stated that although Social Services referrals are very comprehensive she always makes an independent assessment to ensure the home is suitable for the prospective resident. Examination of written evidence relating to three newer residents such as the managers pre-assessment demonstrated that these took place before the new person moved into the home. Some of these assessments were carried by two persons. The assessments were complemented with full information from Social Services. Pre-admission assessments are detailed and include sufficient social, medical and care information. Residents indicated that they have the option of visiting the home before moving in although in the main they relied on the judgement of their relatives and recommendations. Social Services indicated that they had received positive feedback from some residents who had moved into the home. During the inspection visit a prospective new resident was found to be looking around as part of a trial visit. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from good Care planning that is subject to regular review in line with changing needs. Residents are protected by the home’s good medication practices. EVIDENCE: The Inspector reviewed care plans of three new residents and found them to be well maintained covering all aspects of social, psychological, physical and spiritual needs. Care plans are reviewed on a monthly basis with the management of the home indicated that they are looking at making this more detailed and providing summary plans for use by inexperienced staff who will take time to read through the full care plan. The detail in each care plan was shown in the special measures in place to cater for the needs of someone with sensory needs that requires items in their room to remain in the same place. The home has access to all healthcare professionals within the NHS framework; evidence was seen of district nurse and GP involvement in resident Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 11 care; an optician and dentist can be accessed if required. One staff member has been specifically trained by the local physiotherapy department to provide armchair exercises for residents. Residents spoken with by the Inspector said that staff treated them well and with respect. All said their medication was brought to them at the correct time and a doctor called if necessary, should they be unwell. Medication recording sheets also showed evidence of catering for resident diverse needs in relation to timing and preferences. The home was shown to have gone to detailed lengths in relation to supporting the capacity of a resident to question their medication with full agreement reached. All medication storage areas were looked at by the Inspector, as was the dispensing of medication by the senior staff person at lunchtime all of which was found to be in order. At the time of inspection no resident was using controlled drugs where there is a lockable facility specifically for this purpose. Each resident’s mars sheet (medication administration record) contained a photograph of the individual resident for easy identification. The inspector noted that where residents had refused medication that this is now recorded. Whilst residents and relatives spoken with described the care as good there have been three concerns raised with Social Services regarding individuals working in the home which relate to residents being rushed through care routines or domestic tasks taking precedence. This situation was found to be improving due to management of the home taking prompt action. Claydon House DS0000021410.V348621.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from organised activities that are varied and interesting. Resident’s benefit from a high level of involvement in the running of the home. Resident’s benefit from good food, which continues to improve. EVIDENCE: The home continues to ensure that social activities for residents are interesting and varied. The Inspector saw the notice board in the main hallway advertising forthcoming events. Residents spoken with by the Inspector said they enjoyed a variety of activities including knitting, armchair exercises, walks outside, cooking, knitting, gardening (growing seeds) and artwork. Some of this artwork is displayed in the large conservatory as well as a dedicated activities room. The home employs a dedicated activities co-ordinator who currently works the allocated 25 hours a week. At the time of the Inspection the home was in the process of starting a new activities person. In the interim the home has increased mini-bus outings and brought in activity specialists/ Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 13 entertainers. This has been helped by the purchase of a min-bus over the last 6 months with outings occurring regularly. Relatives spoken with indicated satisfaction with the range of activities on offer. The home has linked with a smaller home nearby for visits for tea to enable residents to meet people locally. In addition the home raised money for a local school and now works with them raising money for charity. Residents, with the help of the activities co-ordinator, have created their first Claydon newsletter. Residents indicated they choose the times they went to bed and got up or were comfortable with staff support in these areas. All said they had enough care support. Residents who were asked said staff always answered their call bells quickly and that there were enough staff to meet their needs. Resident’s benefit from regular monthly meetings and a variety of Committees, which have been set up since the last inspection such as the Garden committee. Residents have chosen how a grant of seven thousand pounds will be spent on the garden. A range of records and discussion with residents indicated how they are fully involved in the running of the home with many very well informed. Residents confirmed that the major improvements to food served in the home have continued based on the skills and commitment of the current chef manager who has been employed within the last two years. This area is closely monitored as confirmed by the chef manager during the Inspection and in the record keeping by the home where residents are regularly surveyed on their views. The Inspector saw that alternatives to the main menu were available and advertised on the notice board and observed a member of staff asking each resident their preference for meals on the following day and the size portions they each preferred. Residents and management confirmed that cold drinks such as squashes are available during the day in addition to the regular rounds of tea and coffee and water that is always available. Two residents were observed to receive skilled support from staff in relation to feeding. The lunch period observed in both dining rooms was found to be relaxed calm and cordial. Claydon House DS0000021410.V348621.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from prompt and effective responses to any area of concern brought by them or their representatives. EVIDENCE: Since the last inspection of May 2006 there has unlike the last inspection period been some adult protections [three] investigations one of which was raised between the inspection visit and writing of this report. The homes management including the overseeing organisation have responded well to the previous two issues, which relate to staff conduct. This indicates that the most recent issue relating to how staff go about their tasks should be effectively investigated and resolved. There is no evidence that any resident has been seriously harmed or affected. The management of the home responded promptly to the previous issue relating to moving and handling and are conscious of working more closely with staff around ensuring that personal care is not rushed. No requirement was made in this area as the management of the home were already addressing staffing practice and overall feedback from Social Services, residents, and relatives indicated a good service. Observations of staff during the inspection was also positive showing dignity and respect to residents with tasks unhurried. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 15 There has been one complaint since the last inspection, which related to delays with the building work and staffing levels. The home thoroughly investigated these concerns and confirmed that staffing levels are sufficient and that agency staff only work with supervision and only as cover for sickness and leave. There has as confirmed by the homes Annual Quality Assurance Assessment been no use of agency over the last 3 months. The Inspector looked at records as well talking with staff and found that all employees have been trained in the protection of vulnerable adults as part of their induction. All staff receive yearly updates to support their existing knowledge. The last update took place during the month of the inspection. Staff indicated through discussion a good understanding of when to report alleged abuse. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 16 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 Good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a pleasant and clean environment with ongoing work to make further improvements. EVIDENCE: Communal areas of the home were toured. Residents and relatives indicated satisfaction with bedrooms with some describing them as “big” or “lovely”. All parts of the home were found to be clean, well maintained, safe and homely. The ground floor of the home is currently being refurbished to bring it up to the similar standard of the first floor. An extension is also being built with a plan to move in some existing residents in the Summer of 2008 to free up the space to fully improve the ground floor. This plan has been agreed with residents and relatives who decided that they did not want to move to another Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 17 company home in Surrey whilst this took place. The home are commended for this decision as it meets resident preferences and will mean that the home will have unused rooms in the interim. Over the last year a number of carpets have been replaced. The planned new modern call system will be tied in with the refurbishment of the ground floor of the building Staff are in close proximity to the first floor sitting room with residents able to use the system if they are mobile. The bathrooms on the ground floor will also be refurbished as confirmed in the homes Annual Quality Assurance Assessment. The landscaping of the garden in line with resident preferences is due to take place shortly with the company paying for this in advance in line with the conditions of the council’s grant. An Occupational Therapist has previously inspected the building with recommendations and requirements acted upon. Maintenance tasks referred to in the last report have been addressed such as bathrooms and repairs are done more promptly. The home continues to adhere to the rolling programme of renewal and refurbishment of the home with a number of new chairs in evidence. The sitting rooms are comfortable and the large conservatory is also used as a sitting area, which gives access to the garden. This was a very light and bright area, comfortably furnished, with plants creating an open feel. All staff serving food during the Inspection were observed to be wearing aprons and the kitchen area was found to be clean and free from hazards. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 18 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. Residents benefit from sufficient staff that are generally suitably trained and supervised to ensure they are able to deliver knowledgeable and safe care. EVIDENCE: On the day of inspection the home had sufficient care, cleaning and catering staff on duty to meet the needs of the current residents. There were four care staff including the senior. Care staff reduce to three on the afternoon/evening shift. In addition there is the manager and administration staff to answer the phone and two catering staff and cleaners. The new activity coordinator will also complement staffing as they will work 25 hours per week and occupy residents during the day. Routines were observed to be unhurried such as mealtimes. The manager confirmed that only around four of the current twenty-six residents have higher needs and that ratios of staff are closely monitored. Most relatives and residents felt there were enough staff. The management again confirmed that the planned extension leading to increases in resident numbers will allow higher staffing ratios overall. Since the last inspection the management of the home have looked more carefully at staff training and supervision in light of some isolated incidents of Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 19 concerns that staff have not followed guidance due to rushing tasks. Management confirmed that further training and staff development is planned in these areas, which is supported by monthly staff meetings. Examples were shown of how staff are regularly assessed to ensure they are working within the right team and under the right level of supervision. Sufficient numbers of staff were found to have either passed National Vocational Qualification Care at level 2 or were working towards this. The organisation stated a commitment to getting more than the 50 of staff through this basic level of staff training as one means of improving staff performance. Although all relatives spoken with described staff as good some pointed to a lack of experience in the team. Three staffing files were sampled of newer staff all of which confirmed that thorough checks had been carried out prior to the commencement of employment. All staff including non-care staff were found to have thorough inductions. Care staff as seen in records carry out a two-day induction workshop prior to starting work in the home to ensure they have covered all the important areas such as adult protection. The Skills for Care induction is continued via workbooks and regular supervision during the first two months as shown in records inspected. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 20 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. Residents benefit from a well managed and safe home with a focus on improving quality. EVIDENCE: The Registered Manager was observed to be motivated and knowledgeable about resident needs with staff and residents confirming that they are well supported. The manager is a Registered General Nurse with a specialty in orthopaedics, she also has a degree in nursing, the Registered Managers Award (RMA) and is an NVQ verifier. In March 2006 the Commission for Social Care Inspection registered her as manager of the home. The Regional Manager along with the Registered Manager explained the quality management systems Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 21 in place to improve the quality of care these include; monthly sample audits by the Registered Manager in medication, training, personnel, and clinical processes. This information is directed to Regional manager. The Clinical Director of the umbrella company undertakes an annual clinical audit. Six monthly, the Registered Manager undertakes a property audit. Questionnaires are sent to residents annually along with questionnaires to staff to gauge their satisfaction. Food surveys are also sent out as an independent item. Residents particularly praised the fact the manager visits each resident each morning to check for any concerns. This range of quality assurance measures have been complemented more recently by the introduction of monthly resident and staff meetings. A garden committee set up for residents has decided on future plans for the garden. This impressive regard to residents and relatives views was seen in the recent decision not to move some residents out to a sister home during the building works. The home Annual Quality Assurance Assessment completed by the manager is fully detailed and realistic with a range of achievable improvement plans. The Overall effectiveness of quality assurance measure is good but falls short of excellence due to some fine details around individual staffing practice which are currently still being worked through. Staff in the home do not have any involvement in residents pensions or fees. The Registered Manager has a residents allowance system in place that enables relatives or residents to leave a small amount of money in the home’s safe. Records were seen of possessions brought into the home by residents Each resident has lockable facilities available but are asked not to keep valuables in their individual rooms. The registered manager again confirmed that she does not handle any resident personal allowances directly or make withdrawals on their behalf. The home has taken into consideration the health and safety of residents ensuring that all requirements have been addressed. The homes Annual Quality Assurance Assessment and observations during a tour of the home confirmed that all necessary checks are carried out on schedule. During the inspection the fire alarms were routinely tested. An external provider is used to train staff on management of the situation should a fire break out, this includes evacuation of residents and a comprehensive contingency plan including how to deal with unwanted media intervention. Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Claydon House DS0000021410.V348621.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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