Inspection on 31/08/05 for Clayton Court

This inspection was carried out on 31st August 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.

Other inspections for this house

Clayton Court 03/04/07

Clayton Court 27/01/06

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 L Riddle Unannounced Wednesday, 31 August 2005, 09:30 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 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 H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Clayton Court Address Rogate Road, Hill Brow, Liss, Hampshire, GU33 7QP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01730 893130 Trustees of De La Salle Order (GB) Mrs Cheryl Louise Ward CRH-PC, Care home only 10 Category(ies) of DE(E)-Dementia over 65, 10 places registration, with number MD(E)- Mental Disorder over 65, 10 places of places OP-Old age, 10 places Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The total number of persons accommodated must not exceed 10 at any time. Date of last inspection 6 January 2005 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 day to 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 which are well maintained and easily accessed by residents. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over four hours by one inspector. Prior to the inspection the previous report was read along with other documentation held on file. Discussion was held with the registered manager, two staff were spoken with and records and other documentation were examined. Only one rather confused resident was spoken with on this occasion as others were busy celebrating one brother’s 40 years in the Brotherhood and then retired to their rooms for private time. A brief tour of the premises was made but not all private rooms entered this time. What the service does well: What has improved since the last inspection? What they could do better: Clayton Court continues to meet in full or exceed all of the National Minimum Standards. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 6 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 H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 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 standard(s) 3 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. EVIDENCE: The admission procedure is adequate to ensure that a new resident’s needs are properly assessed and planned for. The files of three residents were examined and found to contain clear and comprehensive assessments of their overall needs and wishes in relation to their future care. Staff are very knowledgeable about the needs of each brother including the chef who was aware of all likes and dislikes. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 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 standard(s) 7, 9 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 his needs. Medicines are dealt with according to policy and procedures to ensure the safety and well being of residents. EVIDENCE: Three care plans were examined. They provided evidence that all aspects of the resident’s health, personal and social care needs are identified and planned for. The plans were up to date and were seen to be regularly reviewed. Daily entries had been made and significant events in the home recorded. Entries indicated clearly the actual care given. Risk assessments were 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 have either completed or are still undertaking the Safe Handling of Medicines training. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 15 Social activities and meals are both well managed, creative and provide daily variation and interest for the Brothers living in the home. EVIDENCE: 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 is 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 who ensure that they can do so uninterrupted and in quiet. 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. Mealtimes are very social gatherings of residents and the more able monks who live in the Community. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 11 The dining room is welcoming and comfortable. Friends and visitors can join the residents for meals if wished. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16, 17 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. 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. The record of complaints was examined. There had been just one made since the last inspection which did not relate to residents or care in the home. It had been thoroughly documented and resolved. 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. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19, 21, 24 Continuous maintenance, refurbishment and improvement ensures that the Brothers live in safe, comfortable and pleasant surroundings which suit their individual needs. 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. The extensive grounds are beautifully maintained and residents can enjoy them as they wish as there is easy access from many doors. Each bedroom has an en-suite toilet and either a shower or bath. Two rooms are being 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 Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 14 communal toilet facilities are situated around the home convenient to the main lounge and dining areas if required. 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. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 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 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: Discussion with the registered manager and staff and examination of duty rotas 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. The resident spoken with although rather confused was able to say that he is very happy in Clayton Court and is well looked after by the manager and staff. Staff spoken with said that there is always opportunity to spend quality time with residents. The home has a training programme which includes National Vocational Qualification (NVQ) training. Four staff are nearing completion of this training. When they do, almost 70 of the care staff will have level 2 NVQ or above which is to be commended. Training records and individual training profiles were examined. Staff files examined, including one most recent recruit, contained 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 Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 16 prospective staff 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 H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36, 38 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. Anonymous questionnaires are sent out to residents and continual selfmonitoring takes place in relation to how the home is meeting its’ aims and objectives. The registered manager said that she is in the process of arranging for 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. She has also almost completed the NVQ level 4 in care. Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 18 Staff said there is good communication in the home and “everyone pulls together”. Staff meetings are held regularly and staff are consulted about what is happening in the home. It was confirmed that staff receive regular formal supervision and there was documentation to support this. Records showed that staff receive training in health and safety topics such as first aid, manual handling, food hygiene and fire safety. Training on infection control was booked to begin at the end of September but staff already take all necessary precautions to maintain hygienic conditions in the home. 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 H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A 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 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 4 x 4 x x 4 x x STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 x 3 x x 3 x 3 Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 20 NO 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. 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 Good Practice Recommendations Clayton Court H60 H11 S14457 Clayton Court V246265 310805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 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. 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