Inspection on 19/01/06 for Clayton Brook House

This inspection was carried out on 19th January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clayton Brook House 04/11/08

Clayton Brook House 27/09/06

Clayton Brook House 28/06/05

Clayton Brook House 18/11/04

Clayton Brook House 18/05/04

Clayton Brook House 24/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Clayton Brook House Clayton Brook House 90 Atlas Street Clayton-le-moors, Accrington Lancashire BB5 5LT Lead Inspector Mrs Lynn Mitton Unannounced Inspection 19 January 2006 10:00 th Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 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 Clayton Brook House DS0000009567.V264653.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 Adults 18-65. 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. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clayton Brook House Address Clayton Brook House 90 Atlas Street Clayton-le-moors, Accrington Lancashire BB5 5LT 01254 875340 01254 888535 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) National Autistic Society Mr David William Woof Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Clayton Brook House is registered to accommodate 6 persons aged over 18 years, and is part of the Hyndburn National Autistic Society Scheme, which has two other residential care homes a domiciliary support agency and day care facilities. The NAS is a charitable organisation specialising in caring for those diagnosed with Autistic Specific Disorders. Clayton Brook House is a detached purpose built establishment with six single en-suite bedrooms. Service users accommodation is based on the ground floor. The home had been decorated and furnished to meet the needs of service users, bearing in mind the specific needs of those with Autistic Spectrum Disorder. A secure and private garden is also available. Facilities are available for guests to stay overnight. Clayton Brook House is located in a popular residential area, within walking distance of local shops and bus routes. Parking is available at the front of the home. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted approximately 4 hours. There were 6 service users accommodated at this time. Since the last inspection one service user had left and there had been a new admission to Clayton Brook House. A tour of the home took place. Over the course of the inspection three of the staff on duty, plus the registered manager were spoken to, interaction between the service users and staff members were observed. Policies and practices were also read. Throughout the report there are various references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of service users and care staff. Records pertaining to these people were inspected. There had been no complaints made to the Commission since the last inspection. What the service does well: The person recently admitted to the home had been fully assessed prior to their move into the home. The home was run to make sure the service users had opportunities to enjoy their life and to fulfil their potential. Service users had regular access to their local community, and were supported in maintaining family links. Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of the service users. Personal support was offered to service users in a way that promoted empowerment, choice, dignity, respect and autonomy. The home was warm clean, and odour free. Furnishings and décor provided a comfortable environment for service users. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 6 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. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This standard had been examined and met at the last inspection. However, there had been a new admission to the home since the last inspection, the inspector saw that assessment documents had been completed prior to the new person’s admission. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards had been examined and met at the last inspection. However, the inspector case tracked the most recent admission’s file, and this was found to be kept in accordance with the requirements of the Care Home Regulations. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA12, YA13 The home was run to make sure the service users had opportunities to enjoy their life and to fulfil their potential. Service users had regular access to their local community. EVIDENCE: Each service user had an individual activity programme, which included community-based activities. The inspector noted that the service user case tracked had an up to date activity programme in place. All service users living at Clayton Brook House access the NAS day centre facilities 5 days per week. From there they access their local community. One service user has a supported work placement. Activities accessed within the local community include swimming, trampolining, 10-pin bowling, local supermarket, and local pubs for meals. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA18, YA20 Personal support was offered to service users in a way that promoted empowerment, choice, dignity, respect and autonomy. EVIDENCE: Since the last inspection, overstocking of some medication had ceased. Following discussion with staff, reading records and observations made during the inspection, the inspector was satisfied that sensitive and flexible personal support was offered to service users living at Clayton Brook House. Service users required varying degrees of prompting, guidance and one to one personal support. The inspector was satisfied that the care staff team endeavour to ensure consistency and continuity of support for service users by understanding each persons preferred routines, likes and dislikes, and by working in close partnership with the service users, their families and other significant people involved in the service users life. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards had been examined and met at the last inspection. There had been no complaints made to the service or the Commission since the last inspection. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standard of cleanliness and decor in the home was satisfactory. EVIDENCE: These standards had been examined and met at the last inspection. The inspector and registered manager toured the building during the inspection. The home was warm clean, and odour free. Furnishings and décor provided a comfortable environment for service users. The inspector was advised that new photographic equipment had been purchased to improve communication for one service user. Since the last inspection the contractor for cleaning Clayton Brook House 20 hours per week had begun. The inspector was advised that the same person always came to Clayton Brook House, had undertaken some Autism based training and that the arrangement was working well. The inspector and registered manager discussed facilitating improvements to the sensory room so that this valuable space could be better utilised. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA34 Recruitment records available to the inspector on the day did not fully demonstrate that effective recruitment procedures had been followed. EVIDENCE: Following an outstanding requirement from the previous inspection the inspector case tracked 1 care staff member’s personnel file. The file contained most information to demonstrate that appropriate checks had been taken to ensure that service users were safeguarded. Criminal Record Bureau records were still not available to the inspector. This issue was again discussed with the registered manager, who agreed to discuss this issue with the area manager. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA37, YA39 & YA42 The registered manager should complete his NVQ 4 training in the near future. Service users families were kept in touch with any changes in their son or daughters needs. This was of great importance to them. EVIDENCE: The registered manager has begun his NVQ4 and registered manager award training, and advised the inspector he expected to complete this by February 2006. Since the last inspection surveys had been conducted with service users families, however the results had not been collated or published. The inspector advised that surveys should be dated. The inspector and registered manager discussed one “dor guard” which was not working. Until the dor guard is repaired this fire door must be kept closed. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clayton Brook House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 2 X DS0000009567.V264653.R01.S.doc Version 5.0 Page 17 Yes Are there any outstanding requirements from the last inspection? 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. 2. Standard YA34 YA42 Regulation Schedule 2 13(4) Requirement CRB records must be kept at the home and be available to the inspector. Unnecessary risk to the health and safety of service users must be identified and as far as possible eliminated. Timescale for action 24/02/06 24/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA37 YA39 Good Practice Recommendations The registered manager should attain NVQ 4 in management and care (or equivalent) by 2005. Results of service users surveys should be collated and published. The service users survey should be dated. Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Clayton Brook House DS0000009567.V264653.R01.S.doc Version 5.0 Page 19 - 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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