Inspection on 29/07/05 for Clayton House

This inspection was carried out on 29th July 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 House 09/10/07

Clayton House 17/10/06

Clayton House 22/02/06

Clayton House 22/02/05

Clayton House 17/06/04

Clayton House 05/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Clayton House Victoria Terrace Saltburn-by-Sea TS12 1HN Lead Inspector Val Daly Unannounced 29 July 2005 09:30 am 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 House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Address Victoria Terrace Saltburn-by-Sea TS12 1HN 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) 01287 622468 Mrs Robina Hird Mrs Robina Hird Care Home 19 Category(ies) of OP Old age (19) registration, with number of places Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: Clayton House is a converted Victorian building with an extension added. There is a well maintained garden with lawns, fruit trees, flower beds and shrubs. The home is located in a quiet residential area of Saltburn. Local facilities and shops are approximatley half a mile from the home but there is a local corner shop near to the home. Accommodation is provided for nineteen people in 17 single and 1 double room. The home has a comfortably furnished lounge, which overlooks the front garden. The dining room is light, airy and attractively furnished. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10am and lasted fro three hours. Three residents, staff and the manager were spoken to during the inspection. Numerous records including care plans, quality assurance, finance records and maintenance records were examined. A tour of the home was carried out. Residents spoken to said they were well looked after. Three residents were spoken to and whilst two were very happy with the activities in the home one stated he felt there was nothing to do. This was discussed with the manager who said she was talking with the resident to try and find out what he liked to do. What the service does well: What has improved since the last inspection? A quality assurance system is in place and all areas of the home are examined in detail on a rotational basis. An action plan is generated from the audits and a person responsible for each area is identified. Customer and staff surveys are carried out to encourage involvement in the running of the home. Resident meetings are held every two months and many of the residents attend where a variety of topics are discussed. A mobile hoist has been purchased for those residents who require assistance. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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 House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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) 1, 2, 3 & 6 A range of information is available for residents to make an informed choice about where they would like to live. Each residents needs are assessed prior to them moving into the home. The service does not provide intermediate care. EVIDENCE: Each service user has a written statement of terms and conditions. Assessments are carried out prior to a resident moving into the home to ensure their needs can be met. The manager also carries out her own assessment, meeting with the prospective resident, either in their own home or in hospital. Three residents files were examined and they each contained the required information. The home does not provide intermediate care. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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 & 8 The health and personal needs of residents are included in their care plans. EVIDENCE: Three residents care plans were examined and they each contained care plans, which were comprehensive and detailed. They gave information about the resident’s medical and social history including major life events. Likes and dislikes regarding food were included along with a day and night care plan. There was also the resident’s and staff views of the care needs. The plans were reviewed and evaluated monthly and the signature of the resident was in place. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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 A range of leisure and social activities are available, however the development of a planned structured activities can contribute to a more interesting and stimulating lifestyle for residents. The meals provided offer a good balanced diet and contribute to the promotion of healthy eating and residents are involved in menu planning. EVIDENCE: A variety of activities are available in the home and the manager also arranges trips out. Recently residents had enjoyed a bar b que and on the day of the inspection residents and staff left the home after lunch on a trip to Whitby. A resident’s meeting had been held in September, which was well attended. Activities were discussed and residents had asked for trips to the theatre and Whitby, which the manager was in the process of arranging. Posters are placed on the notice board informing residents when there are specific activities or entertainment has been arranged. The manager had agreed to an organisation ‘Physical Motivation’ to come into the home once a fortnight to encourage the residents in exercise and games. The development of planned structured activities can contribute to a more interesting and stimulating lifestyle for residents. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 11 Three residents were spoken to and whilst two were very happy with the activities in the home one stated he felt there was nothing to do. This was discussed with the manager who said she was talking with the resident to try and find out what he liked to do. The menus showed that a variety of food is available for the residents and they are involved in menu planning. Meals may be taken in the dining room or the resident’s own bedroom. Residents had recently completed a questionnaire in which they were asked where they preferred to eat their breakfast. Many residents had previously eaten their breakfast in their own room but now have changed to the dining room. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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 & 18 The home has a complaints system in place. Staff have received training in adult protection issues, which helps protect the residents. EVIDENCE: The home has a complaints policy in place and supporting records. There had not been any complaints made since the previous inspection. Records showed that staff have received training in adult protection. The home has policies and procedures in place to follow to protect the residents in the case of suspected abuse. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 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 & 26 The home is generally safe and well maintained offering residents a homely environment in which to live. EVIDENCE: There were maintenance certificates in place and up to date that showed equipment used in the home was safe and in good working order. The water temperatures in baths and showers are taken and recorded every week. The home was clean and odour free. The proprietor has recently employed an extra member of domestic staff specifically to ensure that resident’s bedrooms are regularly thoroughly cleaned. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 14 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) These four standards were not assessed at this inspection. EVIDENCE: Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 15 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) 33, 34, 35, 36 &38 Staff are appropriately supervised, which assists in promoting and safeguarding the best interests of the residents. Views of the residents are sought in order that they can contribute to the development of the service. The health and safety of the residents is promoted. EVIDENCE: A quality assurance system is in place and all areas of the home are examined in detail on a rotational basis. An action plan is generated from the audits and a person responsible for each area is identified. Customer and staff surveys are carried out to encourage involvement in the running of the home. Resident meetings are held every two months and many of the residents attend where a variety of topics are discussed. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 16 When money is deposited for safekeeping for residents, documentation examined showed that two signatures were in place. One signature was from the resident, or relative if this is not possible and the other the manager of the home. Written records of all transactions are maintained. Examination of documentation showed that staff receive supervision regularly. The home has health and safety policies and procedures in place and there was evidence in staff records that training takes place. Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 17 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 2 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 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 Standard No 16 17 18 Score 3 x 3 x x 4 3 3 3 x 3 Clayton House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 18 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 1 Regulation 4 (1) Requirement More detail is required in the Statement of Purpose regarding the level of care to be provided in the home and the age range for admission. Timescale for action 31st Oct 2005 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 House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 House B51-B01 S106 Clayton House V250290 290705 Stage 4.doc Version 1.30 Page 20 - 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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