Inspection on 07/11/05 for Clayton House

This inspection was carried out on 7th November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clayton House 08/06/06

Clayton House 22/06/05

Clayton House 26/10/04

Clayton House 18/06/04

Clayton House 05/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Clayton House 49 Brighton Road Southgate Crawley West Sussex RH10 6AX Lead Inspector Mrs S Rodgers Unannounced Inspection 7th November 2005 03:00 Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 1 Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 2 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 House DS0000014458.V256329.R01.S.doc Version 5.0 Page 3 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 House DS0000014458.V256329.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Name of service Clayton House Address 49 Brighton Road Southgate Crawley West Sussex RH10 6AX 01293 553722 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) Outreach 3 Way Mrs Lisa Oxlade Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Clayton House is a care home that is registered to provide accommodation for up to six adults with a learning disability. The house is set in the grounds of two other services belonging to the Outreach 3 Way group. The establishment is close to Crawley town centre and the local facilities and amenities including public transport. The registered manager responsible for the day-to-day running of the home is Mrs Lisa Oxlade. The responsible individual on behalf of the providers is Mrs Vanessa Keen. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. Planning for this inspection included reviewing the previous inspection report and general correspondence. During the course of the inspection the inspector toured the home and reviewed records. The majority residents were seen at the inspection however due to their profound disabilities it was difficult to chat and gain their opinions of the home. The inspector took the opportunity to observe residents at their leisure activities and observe their interaction with staff. Residents and staff appeared relaxed and confident in each other’s company. One support worker was spoken with in order to gain a sense of the support received to assist her to carry out her duties. Comments will be included in the main body of the report. Whilst the inspection was in progress staff had to deal with a medical emergency. The inspector noted that staff dealt with the situation in a relaxed and confident manner that lessoned the distress to other residents. Whilst talking with and observing interactions between residents and staff one resident indicated politely that he wanted the inspector to leave so he could telephone his friend and ask him to visit. The inspector took this as a positive sign as it demonstrates that management and staff are providing residents with opportunities for personal development. The manger is requested to advise the commission of action being taken with regards the one requirement identified at the inspection by the 5 December 2005. What the service does well: What has improved since the last inspection? Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 7 Since the last inspection links have been reformed with Social Services. This move is to ensure that residents who have lived at Clayton House or one of its sister homes for a number of years has a social worker who is able to attend reviews. Residents risk assessments have been reviewed and updated as required. A new system to ensure that the Commission is informed of the outcome of any Adult Protection procedures has been put in place. The care team are in the process of developing individual care ‘passports’ which outlines briefly residents need, things they like to do and strengths. 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 DS0000014458.V256329.R01.S.doc Version 5.0 Page 8 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 House DS0000014458.V256329.R01.S.doc Version 5.0 Page 9 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): 2,4 The pre admission process ensures that staff, relatives, placing social workers and residents know that the care needs of the perspective resident can be met by the home prior to them being admitted. EVIDENCE: Each resident admitted to the home has a Care Management assessment. A member of the senior care team meets with the prospective resident (with in their own environment if possible) prior to them being admitted, to ensure that the service can meet their needs. There was no written evidence of the assessment visit as the home uses the social service assessment to assist with developing a care plan. In the interests of good practice the inspector advised that a record of these visits/assessments should be kept. Prospective residents are invited to visit the home for tea and for overnight stays. Records of these visits are kept within each residents individual care plan. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 10 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): 6,7,9 Residents assessed needs and personal goals are reflected in care plans. Service users are assisted to make decisions about their own lives. Residents are supported to take risks. EVIDENCE: Three care plans were reviewed. Each gave detailed information on the personal, health and social needs of residents. Due to the profound learning disabilities of the current residents it is difficult to assess whether they know their assessed needs however the care planning documentation demonstrates that each resident is consulted with regards their changing needs and personal goals. The risk assessments seen at this inspection indicate that all residents are supported to lead an independent lifestyle with in a risk-assessed framework. Action plans to minimise risk are also devised and kept on individual care plans. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 11 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): 12,13,15,16 Residents are offered and take part in appropriate leisure activities and access the local community. Residents are supported to maintain appropriate relationships. The rights of residents are respected. EVIDENCE: Each resident has a daily activities programme. All attend a day centre during the week where they can experience activities such as yoga, work aid and arts and crafts. Residents also have the opportunity to go to clubs on week day evenings, they can if they wish go bowling however Mrs Oxlade told the inspector this is less often now has it is an activity that they undertake at the day centre. The weekday evening are generally taken up with watching television, listening to music or quietly doing jigsaws. Mrs Oxlade explained that they like to relax like this in the evenings after an action packed day at the day centre. General activities include going to the shops, horse riding, going to the pub and going to church on Sunday’s. Residents are encouraged to maintain contact with their relatives and friends. Some residents go home for short stays on a regular basis. Residents are Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 12 encouraged and enabled to invite friends to their home in the evenings. From observation during the course of the inspection and from reviewing residents care plans it is evident that the rights of residents are respected. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 13 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): 18 Every effort is undertaken to ensure that residents receive support in the ways they prefer. EVIDENCE: Care plan review documentation demonstrates that residents are consulted on how they wish to receive support. Residents are assisted to complete the review form 6 weeks prior to the review. The form is in pictorial and written text. Due to the profound disabilities of some of the residents it is difficult to identify their preferences. Mrs Oxlade advised the inspector that should a staff identify a preference in the way a resident wanted support, staff would evidence that preference by recording patterns of behaviour or incidents. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 14 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): 23 Systems are in place to protect residents from abuse. EVIDENCE: All staff have received Adult Protection training, it was noted that training date spanned a period of 4 years with some staff having had updates more recently that others. Mrs Oxlade advised the inspector that Adult Protection training is discussed at staff meetings. The inspector advised that it would be good practice to make a record of these training sessions to evidence that they have taken place. Since the last inspection a new system for advising the Commission of the outcome of any Adult Protection alert has been implemented. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 15 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): 24,30 The home is homely, appropriately furnished and clean throughout. EVIDENCE: From touring the home the inspector was able to determine that the home is appropriately maintained and decorated. Each bedroom is individually decorated and personalised by their occupants. Communal areas of the home appear welcoming. All areas of the home were clean and hygienic. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 16 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): 35 The staff training programme is appropriate to the needs of residents. EVIDENCE: The home has an induction programme that all new staff undertake. Staff are encouraged and supported to undertake NVQ Awards specific the needs of the current residents, the Learning Disability Award Framework. Due to the emergency that took place on the inspection day the inspector was only able to speak with one member of staff. She was very knowledgeable with regards the needs of residents, and carried out her duties in a relaxed and confident manner. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 17 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): 37,39, 42 An effective quality assurance and quality monitoring system must be completed. The health, safety and welfare of residents are protected. EVIDENCE: Mrs Oxlade is in the process of completing the Registered manager’s award. The staff member spoken with during the inspection told the inspector that she felt supported by the manger. She said that Mrs Oxlade ‘leads by example’ i.e. will work with resident, she also said that Mrs Oxlade is also good at delegating which enables staff to gain experience in all aspects of caring for residents. Records seen on the day of this inspection indicate that a quality assurance and monitoring system has been started. However the process must be completed and outcomes published. Residents and/or their representative’s views must underpin all self-monitoring and development. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 18 Risk assessments are carried out and training is provided for ensuring safe working practices such as manual handling, fire safety, first aid, food hygiene and infection control are in place and understood. Maintenance records indicate annual maintenance systems are in place to maintain the Health and Safety of residents. Clayton House DS0000014458.V256329.R01.S.doc Version 5.0 Page 19 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 3 X 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clayton House Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000014458.V256329.R01.S.doc Version 5.0 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 YA39 Regulation 24 Requirement A quality assurance and quality monitoring system must be implemented Timescale for action 05/12/05 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 House DS0000014458.V256329.R01.S.doc Version 5.0 Page 21 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 House DS0000014458.V256329.R01.S.doc Version 5.0 Page 22 - 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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