Inspection on 27/01/06 for Clayton Court

This inspection was carried out on 27th January 2006.

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

Clayton Court 03/04/07

Clayton Court 31/08/05

Clayton Court 06/01/05

Clayton Court 18/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Clayton Court Rogate Road Hill Brow Liss Hampshire GU33 7QP Lead Inspector Mrs G Davis Announced Inspection 27th January 2006 09:30 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 Clayton Court DS0000014457.V268069.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. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clayton Court Address Rogate Road Hill Brow Liss Hampshire GU33 7QP 01730 893130 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) Trustees of De La Salle Order (GB) Mrs Cheryl Louise Ward Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (10) Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons accommodated must not exceed 10 at any time. 31st August 2005 Date of last inspection Brief Description of the Service: Clayton Court is a care home registered to provide accommodation and personal care for up to ten elderly (over the age of 65 years) persons. The registration also includes provision for those who may suffer from dementia or mental illness. The home caters exclusively for retired Brothers of the De La Salle teaching order of monks and the registered accommodation forms part of the larger Community. The registered provider is the Trustees of De La Salle Order (GB). Mrs Cheryl Ward is the registered manager in charge of the dayto-day running of the home. Clayton Court is situated in a semi-rural position a few miles from the Town of Petersfield with its shops and other amenities. The premises consists of a two-storey detached building which, as well as accommodating Brothers who need care, also houses some of the more able Brothers who are part of the Community but who are not included in the registered number. All of the registered rooms are for single occupancy and have en-suite toilet and bath/shower facilities. There are two passenger lifts. There are a number of communal rooms and areas including a chapel, which forms an integral part of the home. Clayton Court is set in extensive grounds that are well maintained and easily accessed by residents. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was announced and took place over one day in October 2005. The aim of this inspection was to inspect those standards that were not selected during the last inspection; to find out what the residents’ opinions were about the quality of the service provided to them, and how well the home did this. Where standards have not changed since the last inspection this report records that the findings were the same. Prior to the inspection day the Manager had filled out a pre-inspection questionnaire and information from that has been used to inform this report. Comment cards were given to the home before the inspection to provide the residents and their relatives or other visitors to the home with an opportunity to comment on their opinions of the care provided at Clayton Court. To date five have been received from relatives/visitors including the General Practitioner, seven from residents. All were unanimous in their commendation of the home and in particular the Manager and her staff members. One person had written “ Mrs Ward and her team of staff manage Clayton Court as a ‘Home from Home’ The Brothers’ are cared for 100 . The staff are caring and thoughtful at all times”. One Brother wrote “We receive loving care from all staff, they are now my family”. As part of the planning and preparation prior to the inspection the previous report was read along with other documentation held on file. A meal was sampled and eaten with the Brothers in the dining room at lunchtime. This was found to be cooked perfectly, was well-presented, very appetising to smell and enjoyable to eat. The dining room was comfortable and attractive and the atmosphere relaxed and friendly. The care staff members were supportive and unobtrusive while carrying out their duties. Those members of the community who were sitting next to the Brothers in need of support and help whilst dining were discreet in the attention they gave. Discussion was held with the registered manager, four staff members were spoken with and some records and other documentation were examined. Two residents were spoken with in the privacy of their rooms and coffee was taken with a group of the residents after lunch. A brief tour of the premises was made but not all private rooms entered this time. There was a calm and peaceful atmosphere throughout the home. There have been no complaints made to the Commission for Social Care Inspection regarding the home. There were no requirements or recommendations arising from this inspection. What the service does well: Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 6 Clayton Court provides a peaceful and supportive Community where the Brothers can enjoy their retirement. The rhythm of life is unchanged throughout from when the Brothers first enter the order. This provides a continuum into the period when a person might require care and they are safe in the knowledge that as they become more dependent they will be cared for appropriately. The home is very efficiently managed and staffed by a stable team of long serving members who receive regular training. The building, internally and externally, is very well maintained and resident’s private rooms are spacious and well appointed. The home provides good opportunities for individuals to pursue cultural, social and recreational interests. 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 Court DS0000014457.V268069.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 Clayton Court DS0000014457.V268069.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): 1.2.4.5.6. The admission procedure ensures that a proper assessment of needs is undertaken prior to any Brother moving into the home. This provides assurance that his care needs can be met. All prospective residents have the opportunity to visit and assess the suitability of the home. Intermediate care is not provided by the home. EVIDENCE: The admission procedure is adequate to ensure that a new resident’s needs are properly assessed and planned for. A service users guide is provided for those joining the home. The Brothers have chosen ‘the common life’ and any individual entering the home will have visited the community residence many times to attend meetings or undertake a holiday or retreat/respite. The decision to move into Clayton Court at retirement is the consequence of a natural progression from the moment of entry into the order to requiring care when dependent on support from others. Staff members are very knowledgeable about the needs of each brother including the chef who was aware of all likes and dislikes and special dietary needs. Clayton Court DS0000014457.V268069.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): 8.10.11. The individual plans of care set out the action needed by staff to ensure that care provided for each Brother is carried out in a way that is acceptable to him and which meets all of his needs. Medicines are dealt with according to policy and procedures to ensure the safety and well being of residents. Residents are treated with respect, and their right to privacy is upheld. EVIDENCE: Care plans provide evidence that all aspects of the resident’s health, personal and social care needs are identified and planned for. The plans are kept up to date and are regularly reviewed. Daily entries are made and significant events in the home recorded. Entries indicate clearly the actual care given. Risk assessments are in place as necessary showing any preventative measures needing to be taken. Due to the frailty of some and the wishes of other residents, all medications are under the control of the home. They are received, recorded, stored handled and administered in accordance with policies and procedures in place. If a resident wishes to self-medicate a risk assessment is undertaken to determine whether he is safe to do so. All care staff members have completed the Safe Handling of Medicines training. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 10 A Doctor from the local Health Centre holds a surgery each week in the home, however all the residents are supported to attend an appointment at the Health Centre with an alternative Doctor if they prefer. Discussion with some of the brothers confirmed that they considered that they were approached with respect and that their privacy is upheld. One brother said “I think the care staff treat me with the utmost respect at all times.” Preferably the brothers will stay in the home throughout their final illness and specialist teams such as the Macmillan Nurses will be consulted and involved accordingly. The families are kept fully involved and encouraged to be part of the caring. The community will endeavour to share acts of worship with the brother in his room. There is an open and dignified attitude to death with the care staff providing a warm and comforting support to all. The home has a chapel and the brother will lie in rest over the night prior to their funeral. A funeral requiem mass is held with all family and friends invited. The home has accommodation, which relatives are able to use at times of need. Special requests regarding the arrangements for burial i.e. burial in a family plot are honoured. Clayton Court DS0000014457.V268069.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): 13.14. Contact with family, friends and the local community is facilitated. The Brothers lead their chosen common lifestyle at all times. Social activities and meals are both well managed, creative and provide daily variation and interest for the Brothers living in the home. EVIDENCE: All have telephones in their room to promote communication with their families. They are free to entertain friends and family at any time. There is an active interaction with the local community and the grounds are made available to a variety of local clubs etc. An activities co-ordinator attends the home for three afternoons each week. During this time she will usually interact on a one to one basis with the brothers. She will for example play board games, accompany them for walks, read aloud etc. dependent upon the wishes and interests of each one. The routines of the Brothers are made flexible and varied to suit individual preference. Twice weekly the Brothers organise their own card games and enjoy social drinks together. Transport is always available with driver if any wish to go into the local town or elsewhere or if they have appointments in the community. One or two brothers occupy some of their time on their computers. The Brothers continue to follow their daily prayers in the home’s chapel and this is respected by all staff members who will ensure that they can do so uninterrupted and in quiet. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 12 A full time chef is employed with a part time chef who works opposite him and provides holiday cover. Menus examined showed that residents receive a high standard of catering. Meals were found to be balanced and interesting and the chef said that he caters for individual preferences. The inspector joined the community at lunchtime and enjoyed a delicious and well presented meal. Mealtimes are very social gatherings of residents and the more able monks who live in the Community. The dining room is welcoming and comfortable. Friends and visitors can join the residents for meals if wished. The Brothers have chosen ‘the common life’ and share all aspects of living together. Clayton Court DS0000014457.V268069.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): 18 Complaints are handled objectively and residents can be confident that their concerns will be listened to, taken seriously and acted upon. The legal rights of residents are protected. There are procedures in place to protect the residents from abuse. EVIDENCE: The home has a detailed complaints procedure and residents know how and to whom they should raise any concerns they may have. The registered manager regularly sees each Brother in private to ascertain if he is satisfied with the way he is being cared for or has worries about any other aspect of life in Clayton Court. The home’s director of care, Brother Joseph Hendron also meets with each Brother on a regular basis to discuss spiritual matters and any other issues, which might be raised. There had been just one complaint made since the last inspection that has been addressed appropriately. Residents retain their rights as citizens and are able to take part in the political process as they wish. Transport is provided for those who wish, and are able to attend the polling station (as most do) or alternatively they use postal votes. The Manager has attended a formal training in Adult Protection and regularly disseminates this information to the staff group. Robust recruitment procedures further protect the residents. Clayton Court DS0000014457.V268069.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): 20.22.23.25.26. Continuous maintenance, refurbishment and improvement ensure that the Brothers live in safe, comfortable and pleasant surroundings that suit their individual needs. They are provided with specialist equipment as required. The home is clean, pleasant and hygienic EVIDENCE: The home meets the requirements of the local fire service and environmental health department. There is an on-going maintenance programme with records kept and all areas seen were in good decorative order. The home provides very spacious accommodation with a range of communal rooms including two libraries. Walls are adorned with interesting pictures and there is an impressive display of statues and religious artefacts. Each bedroom has an en-suite toilet and either a shower or bath. Two rooms have been fitted with showers, one previously had a bath but it has been found that the showers provide residents with greater independence. There is a Parker assisted bath should any residents need or prefer this. Other communal toilet facilities are situated around the home convenient to the main lounge and dining areas if required. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 15 Resident’s private rooms are very spacious with generous storage space. They are furnished to a high standard and furnishings include desks for those who want them. They provide plenty of room for such items as computers, music centres and books. The rooms are fitted with aids and adaptations in accordance with the assessed needs of the individuals. If a brother is becoming more dependent, the community will adapt their room and specialist equipment will be provided to maximise their opportunities to continue to be as independent as possible. An example of this was seen in the room that had had the door frames enlarged to allow wheelchair access into the room and into the garden. There was a high standard of cleanliness throughout the home. The extensive grounds are beautifully maintained and residents can enjoy them as they wish, as there is easy access from many doors. Clayton Court DS0000014457.V268069.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): The number and deployment of staff throughout the day and night is sufficient to meet the needs of the residents. A comprehensive training programme means that staff members understand the needs of and are competent to care for older people. The procedures for the recruitment of staff are robust and provide the safeguards to offer protection to those living in the home. EVIDENCE: This standard was not inspected on this occasion and apart from the comments from the conversations with the brothers and staff members spoken to on the day the findings of the previous inspection still stand. Discussion with the registered manager and staff and examination of duty rotas provided with the pre inspection material showed that appropriate cover is provided throughout the day and night. There has been very little turnover of staff in the home during the past few years which means that staff know the Brothers well and can provide continuity of care. Staff spoken with said that there is always opportunity to spend quality time with residents. Both Brothers spoken with commended the staff team – one Brother said “I can’t understand how those in charge managed to pick such a good team-always willing to offer help at any time, they’re lovely, ------they will respect your privacy and they are discreet”. The home has a training programme that includes National Vocational Qualification (NVQ) training. 51 of the care staff have level 2 NVQ or above and two other members of staff are undergoing training, which is to be commended. Training records and individual training profiles are maintained. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 17 On the previous inspection, staff files were examined, including one most recent recruit, and found to contain all necessary documentation to show that thorough checks are carried out. No person is permitted to start work until a satisfactory police check has been received. All prospective staff members complete an application form and undergo a formal interview. At least two references are taken up in respect of each applicant including one from their most recent employer. Clayton Court DS0000014457.V268069.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): 32.34.35.37. There is leadership; guidance and direction to staff to ensure residents receive consistent quality care. This results in practices that promote and safeguard the health, safety and welfare of those who live and work in the home. There are appropriate accounting and financial procedures in place. Anonymous questionnaires are sent out to residents and continual selfmonitoring takes place in relation to how the home is meeting its’ aims and objectives. It is intended to set up an external auditing system to be set up. An annual report will also be produced. EVIDENCE: The registered manager has been in post for several years. She is highly qualified and has more recently achieved the Registered Manager Award 1, 2 and 3. and the NVQ level 4 in care. Staff said there is good communication in the home and that the manager is very supportive. Staff meetings are held regularly and staff members are consulted about what is happening in the home. It was confirmed by the staff Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 19 on duty that they receive regular formal supervision and there was documentation to support this. Records showed that staff members receive training in health and safety topics such as first aid, manual handling, food hygiene, safe handling of medication and fire safety. Recent inspections by the Environmental Health Agency and the Fire Safety Department had been satisfactory and any issues raised in those inspections addressed. Documentary evidence was available to show that all equipment and installations are regularly checked and tested by approved contractors. Fire bells are tested weekly. The hot water temperatures are also tested regularly to ensure the regulating valves are working efficiently. All radiators are covered for safety and windows above ground floor level have restricted opening. All accidents are recorded and reported as necessary. Risk assessments both for individual residents and for the premises have been undertaken. Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X 4 X 4 4 X 4 3 STAFFING Standard No Score 27 X 28 X 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X 3 3 X 3 x Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 21 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. 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 Clayton Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Court DS0000014457.V268069.R01.S.doc Version 5.0 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!