Inspection on 09/10/07 for Clayton House

This inspection was carried out on 9th October 2007.

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 17/10/06

Clayton House 22/02/06

Clayton House 29/07/05

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 Key Unannounced Inspection 9th October 2007 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 House DS0000000106.V351962.R01.S.doc Version 5.2 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 House DS0000000106.V351962.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayton House Address Victoria Terrace Saltburn-by-Sea TS12 1HN 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) 01287 622468 contactus@claytonhouse.fsnet.co.uk Mrs Robina Hird Ms Karen McKernan Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2006 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, flowerbeds and shrubs. The home is located in a quiet residential area of Saltburn. Local facilities and shops are approximately 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. The weekly fees for the home are £405.71. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key unannounced inspection and was completed in one inspection day, nine inspection hours in total. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. A number of records were looked at including resident’s assessments and plans of care, staff recruitment records, complaints and maintenance records along with the annual quality assurance assessment. Three residents, three members of staff and the manager, were engaged in discussion about living at the Clayton House. The Commission for Social Care Inspection sent a number of questionnaires to the home for residents to complete. Ten were returned from residents and relatives. Comments from residents and relatives include: • • • • • • The home is very good, staff are always available. Staff do listen but sometimes there is a delay in action being taken. I originally came to convalesce but decided to stay. Creates a very friendly atmosphere for residents and family. The home supports us with the care they give for my family member. I feel all carers and management do their utmost to make residents happy from organising trips to the Theatre, afternoon tea etc. to activities in the home, such as pie and pea suppers, Halloween parties etc. This was a positive inspection, in which the inspector was warmly welcomed by all. Feedback was well received and there was constructive discussion throughout. What the service does well: Clayton House provides a clean, pleasant and well-maintained home for people to live. It provides the residents with a comfortable and homely environment, offering a good standard of care to the residents. The menus showed that a variety of food and drinks were available for residents. There was a three weekly menu in place, which gave choices for every meal. Residents are asked their choices prior to the meal being served. Further alternatives are available when needed. Vegetables are grown in a Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 6 large plot in the garden such as; peas, sprouts, cauliflowers, runner beans, parsnips, beetroot, tomatoes. The menus may be altered depending on the seasonal vegetables, being devised by the manager and cook. Residents spoken to say that the food was always fresh and tasty. One resident said ‘if I don’t like what is on the menu I am always offered another meal or snack’. Residents, relatives and staff made very positive comments about Clayton House. One resident said, “The staff are lovely, always there when you need them’. Another resident said she thought the meals were very tasty, just as she liked. A relative said, “We turn up unannounced I really feel my family member is being looked after, I know all the staff and we work together”, “My family member is very well cared for, I call in anytime and am always made to feel very welcome”. 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. The summary of this inspection report can be made available in other formats on request. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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 House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service experience good quality outcomes in this area. People who use the service have their needs assessed. This judgement has been made using a range of evidence, including a visit to this service. EVIDENCE: 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 his or her own home or in hospital. Three residents files were examined and they each contained the required information. One resident interviewed said that she had moved to the home to be nearer her family. Two other residents said that their relatives had chosen the home on their behalf. The home does not provide intermediate care. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. Care planning, risk assessments and reviewing are robust. Residents’ health care needs are met, medication systems are appropriate and residents are treated with dignity and respect This judgement has been made using a range of evidence, including a visit to this service. EVIDENCE: Three files were examined and they all contained individual plans, detailing social profiles, health, and personal care needs. The documentation was easy to read, gives a good history of the resident and also included a ‘pen picture’ and a photograph. Each resident has a night and day care plan, with information on likes/dislikes, preferred time to get up and go to bed, times of meals, personal help needed, pastimes and their view of care needs. Risk assessments were in place regarding the resident’s bedroom and any other areas required. The plans and risk assessments were signed by the resident or relative to show agreement with the plan. They were also reviewed and evaluated regularly. There was evidence to show that the manager Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 10 regularly audits the care plans. Information was contained in the files to show that resident’s health care was being met. Policies and procedures were in place for the ordering, receipt, storage, disposal and administration of medication. Since the previous inspection photographs were in place on the resident’s medication records. Senior staff carries out administration of medication and they have received training in the safe handling of medication. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. People who use services are able to make choices about their lifestyle. A variety of food is offered. This judgement has been made using a range of evidence, including a visit to this service. EVIDENCE: Three residents interviewed said they enjoyed sitting with others in the lounge, or spending time in their rooms. The home has appointed an Activity Coordinator and there is an activity programme in place, which is flexible depending on what the residents prefer. There are a variety of activities for residents to join in with if they wish. Exercises to music, face, nails and hand massage, quizzes, dominoes, sing a long, discussions about work and pastimes and social evenings. An organist attends the home every three weeks to entertain the residents. Recently some of the residents had been out on a trip to Scaling Dam and had tea in the Tea Rooms. A resident interviewed said how much she had enjoyed the outing. There was also an outing booked for residents to attend the Little Theatre to see an ‘Old Time Musical’. A local church group visit and offer activities such as bingo and sing a longs. The home has an activity file, which staff complete and gives information on the activity, who joined in, if they enjoyed it and which Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 12 members of staff assisted. During discussion with residents they said they were satisfied with the activities. Residents have meetings every six months, combined with a coffee morning and upcoming events are discussed. Three residents said that friends and family are welcome to call at any time and can visit in their bedroom, one of the lounges or dining room. Religious services take place in the home residents are able to receive communion if they wish. The menus showed that a variety of food and drinks were available for residents. There was a three weekly menu in place, which gave choices for every meal. Residents are asked their choices prior to the meal being served. Further alternatives are available when needed. Vegetables are grown in a large plot in the garden such as; peas, sprouts, cauliflowers, runner beans, parsnips, beetroot, tomatoes. The menus may be altered depending on the seasonal vegetables, being devised by the manager and cook. Residents spoken to say that the food was always fresh and tasty. One resident said ‘if I don’t like what is on the menu I am always offered another meal or snack’. There is a small kitchenette if residents or relatives wish to make drinks independently. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service are able to express their concerns and have access to a robust effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using a range of evidence, including a visit to this service. EVIDENCE: Three residents interviewed said that they would be comfortable speaking to a member of staff if they had any concerns. The home has a complaints policy and procedure in place. There had been one complaint made to the home since the previous inspection. Records showed that the complaint was investigated promptly and there were written reports of action taken in place. Following the outcome of the investigation the complainant is asked if they are satisfied or not. The home has a whistle blowing policy and an adult protection policy in place. There was evidence in the staff training file to show that staff had received training in Adult Protection’. During interviews with staff they confirmed they had received training were aware of the procedure to follow in the case of suspected abuse. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables people who use the service to live in a comfortable environment. This judgement has been made using a range of evidence, including a visit to this service EVIDENCE: A tour of the home was carried out. Resident’s bedrooms were comfortable and contained personal possessions making them homely and individual. Lounges were cosy and welcoming and in the dining room a resident was enjoying helping staff set the tables for tea. At the time of the inspection a new call system and fire alarm system were being fitted. Since the previous inspection a conservatory had been built, the entrance being through the dining room. This has made another area for residents to sit Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 15 in, however a ramp needs to be put in place to ensure the entrance is not a tripping hazard. In the bathroom on the ground floor the flooring is worn and consideration should be given to replacing it. At the present time the room is being used as a storage room for wheelchairs and the hoist. The shower room on the ground floor would also benefit from refurbishment particularly with regard to the step up into the shower cubicle. The home has an ongoing decoration and maintenance programme in place. Maintenance certificates were in place and up to date. The home was clean and odour free. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. The vetting and recruitment practices are robust. Staffs is trained and qualified and relevant information that safeguards residents’ is in place. This judgement has been made using a range of evidence, including a visit to this service EVIDENCE: The home has recruitment policies and procedures in place. Four staff files were examined and the required checks were in place. On commencement of employment each member of staff undertakes a skills for care induction programme, which they work through with a mentor. The home has a training programme in place and individual plans are reviewed in supervision and appraisal sessions. Staff training files were examined which showed training had been carried out in Adult Protection, First Aid, Fire Safety, Health and Safety, Moving and Handling, Food Safety and level 2 in Safe Handling of Medication. One member of staff had also received training inequality and Diversity and the manager said she intended for more staff to receive this training. At the time of the inspection seven carers out of the eleven employed had achieved NVQ level 2 or above and another two were undertaking an NVQ qualification. Two members of staff interviewed clearly enjoyed their job and felt the training, support and supervision was good. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. The home regularly reviews aspects of its performance through a good programme of self-review, which include seeking the views of residents, staff and relatives. Staffs are appropriately supervised. This judgement has been made using a range of evidence, including a visit to this service EVIDENCE: The manager has undertaken and completed the Registered Managers Award. The management team of the home continue with their weekly meetings to discuss all areas of the home. The audit programme is comprehensive and covers all areas of the home. Each month a number of different areas are audited; finance records, complaints, housekeeping, medication, accidents, catering. Following this an action plan is put in place for improvements if required. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 18 Resident’s views are sought in meetings and regular surveys are completed regarding, activities, food and general views of the home. There are staff meetings every two months, or more often if needed and minutes are kept. Staff also complete surveys and are encouraged by management to give their views on the home. Resident’s finances and records were kept appropriately with signatures in place. Documentation showed that water temperatures are taken weekly and were within the recommended range. The manager completes a summary of accidents, which are analysed monthly. Staffs receive regular formal supervision and staff confirmed this during interviews. This has recently been changed from being one to one, to other staff being asked their opinion of the person being supervised via a questionnaire, 3060 supervision. Annual appraisals also take place, a 3600 appraisal. Staffs receive regular training in Health and Safety and there is a full training plan in place. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 13 (4) (a) Requirement A ramp needs to be put in place at the door of the conservatory to ensure the entrance is not a tripping hazard. This is required to protect the health, safety and welfare of the people who use the service. Timescale for action 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP19 OP19 Good Practice Recommendations In the bathroom on the ground floor the flooring is worn and consideration should be given to replacing it. The shower room on the ground floor would benefit from refurbishment particularly with regard to the step up into the shower cubicle. Clayton House DS0000000106.V351962.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Eastern No1, Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000000106.V351962.R01.S.doc Version 5.2 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. 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