Inspection on 10/01/07 for Clayton Manor Nursing Home

This inspection was carried out on 10th January 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 Manor Nursing Home 27/10/05

Clayton Manor Nursing Home 02/11/04

Clayton Manor Nursing Home 27/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Clayton Manor Nursing Home Rood Hill Congleton Cheshire CW12 1YZ Lead Inspector Joan Adam Unannounced Inspection 10th January 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 Manor Nursing Home DS0000018844.V317599.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 Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayton Manor Nursing Home Address Rood Hill Congleton Cheshire CW12 1YZ 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) 01260 299622 01260 281823 Modelfuture Limited, Mrs Valerie Whiting Care Home 78 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (36), of places Physical disability (18) Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The total number of service users must not exceed 78 No more than 32 service users in the category OP, in receipt of nursing care only, may be accommodated. No more than 4 service users in the category OP, in receipt of personal care only, may be accommodated. No more than 18 service users aged 18 to 65 years, in the category PD and in receipt of nursing care only, may be accommodated. No more than 26 service users aged 65 years or over and in receipt of personal care only, in the category DE(E), may be accommodated. 27th October 2005 Date of last inspection Brief Description of the Service: Clayton Manor is a purpose built 78 bed care home, providing nursing and personal care, situated in Congleton town centre. Accommodation consists of three double and seventy-five single rooms on two levels, and access to the first floor is by a passenger lift. A choice of lounges, and dining rooms are provided in each of the three units. The Springfield Unit on the first floor provides nursing care for 16 adults aged 18 years and above with a physical disability. The Parklands View on the first floor is registered for 26 service users over the age of 65 with dementia who require personal care only. Woodlands View is on the ground floor of the home and is registered for 36 elderly service users who require nursing care. The home is staffed with registered nurses, carers and domestic staff. The current fees for the home are £343 to £575. This information was provided by the home manager. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 10th and 11th January 2007 and took twelve hours. It was carried out by an inspector of the Commission The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete a questionnaire to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Two responses were received from relatives and one general practitioner. All were positive about the standard of care in the home. “Excellent.” “ We are very satisfied with the care and support our mother has had.” During the visit the inspector spoke with the manager, staff, residents and visitors. The premises and various records held by the home were looked at. Feedback was given to the registered manager at the end of the inspection. What the service does well: Clayton Manor is a well managed home that provides good care to the residents who live there. Information provided to prospective residents is good and user friendly. Prospective residents are actively encouraged to visit the home and stay on a trial basis prior to making a permanent choice. Residents are assessed prior to admission to ensure that the home will be able to meet their needs. Senior staff, in consultation with residents and their representatives, complete care plans to ensure that all staff are aware of how to meet those needs. Residents feel cared for by the staff. Comments included “the staff are lovely” “the staff spoil me.” They can exercise choice and control over their lives and retain links with family, friends and the local community. Activities are on offer at the home to ensure that the residents living there are stimulated. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 6 Recruitment procedures, staff training and staff supervision ensure that residents are protected from harm. Residents’ financial interests are also safeguarded. The home is clean and comfortable with a warm and welcoming atmosphere. Residents say that they like living at Clayton Manor. What has improved since the last inspection? What they could do better: The medication management on Woodlands View has improved, however Parklands View needs to record all medications delivered to the home to ensure the safety of residents living there. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 7 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 Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 8 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 Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 9 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): 1,3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is given to residents regarding how the home can meet their needs and assessments of people’s care needs are carried out before they move into the home. EVIDENCE: The home provides a statement of purpose and service user guide in a ‘welcome pack’ format to all prospective residents and their families to enable them to make an informed choice before they decide to live in the home. A copy of these are in each residents’ bedrooms. In addition to this, a userfriendly welcome newsletter with photographs of the home is also given out to prospective residents. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 10 The files of two newly admitted residents who had moved into the home in recent months were looked at. It contained assessments of dependency levels, and likes and dislikes. There was evidence that relatives had been involved in the pre admission process. The pre-admission assessments had been carried out by the manager or a senior member of staff. The home is not registered to take residents with intermediate care needs. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are met by staff who enable them to maintain their privacy and dignity. EVIDENCE: A selection of care plans were looked at from all three units. Care plans identified areas of need such as pressure area care, mobility, continence, nutrition, mental health needs and general dependency. The care plans contained sufficient information to provide care staff with the necessary information for them to look after a person’s needs. There was written evidence to confirm that care plans were being reviewed and evaluated Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 12 regularly. The care plans seen showed that there had been consultation with residents or their families/advocates. The home had a warm and friendly atmosphere and the staff interaction with residents reflected good positive relationships. Staff were heard to address the residents appropriately explaining to them what they were going to do when using hoists and to maintain their dignity and privacy when providing personal care to them. Residents spoken with said that they liked living at Clayton Manor. Comments such as “ the staff spoil me” “ all the staff are lovely” “the home is comfy and feels like home” were made by the residents. Medication management and storage arrangements were looked at on two of the units. The home used a monitored dosage system. Medication Administration Record Sheets were completed appropriately. Staff were seen administering medication to residents in an appropriate manner. Medications on Woodlands View were managed appropriately. On Parklands View, medications that had been received from hospital for one resident had not been recorded when they had been received at the home. Therefore, the home was unaware of how many medicines had been received and how much stock was left. This was discussed with the manager and these medications will be recorded on receipt at the home. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities EVIDENCE: Two activities co-ordinators are employed at the home. A copy of the activities list is given to each resident with pictures and amusing comments. There is also a list displayed in the entrance hall. Activities on offer are manicures, card games, beetle drives, bingo, quizzes` and word searches. One to one time is also offered to residents who are unable to join in the group sessions or just want someone to spend time with them. Entertainers are booked on a regular basis and visits to the local pubs for lunch is also arranged. The home has a large screen TV and films of choice are shown accompanied by ice cream and popcorn. The residents on Parkland View have instruments to play and this generates some noisy fun. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 14 Residents said that they enjoyed the activities and said, “ there is always something going on” One resident said “ I like to stay in my room but I am always asked if I would like to join in. The staff will spend time talking to me which is what I enjoy” One resident goes on holiday to Spain to stay with a family member for a month and enjoys this immensely. The family keep in touch with the home manager via e-mail. Residents religious beliefs are recorded in the care plan and support is given for them to attend churches of their choice. Visiting at the home is unrestricted and family members were seen to come and go all day. Visitors spoken with said that they were always made welcome. “ the place is friendly and the staff are marvellous” “ I am always informed of any changes in my relatives condition” Menus at the home are varied and the food looked appetising. Residents that needed assistance with feeding were seen to be sensitively treated. Residents said that the food was “lovely and you always get a choice” A cooked breakfast is on offer daily and two residents said that they had one every day” Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information as to how to make a complaint. There have been no complaints made to CSCI since the last inspection. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance “No Secrets”. The manager and all staff have received training in this area. Both staff members and the home’s training records confirmed this. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Clayton Manor provides a comfortable and stimulating environment for those living there and visiting. EVIDENCE: A partial tour of the home was undertaken. All the shared areas and a selection of bedrooms were seen. The home was furnished to a good standard with additional equipment such as grab rails, raised toilet seats and hoists provided as necessary to meet the residents’ needs. A good standard of décor was evident. Bedrooms were well personalised with residents’ own furniture and mementoes. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 17 During the last year, the dining areas on Springfield unit and Woodlands View have had laminate flooring laid, have been redecorated and have had new voile curtains and modern pictures. New furniture has been purchased for the lounge and conservatory on Woodlands View. Decoration at the home is on going. The bathrooms throughout the home have been decorated and new pictures have been added to make them look more homely. Parklands View have had the dining room decorated to give it a “ café “ feel and a laminate floor has been laid. The corridor on this unit has undergone a major change and has been developed following research from Stirling University to provide a sensory experience for the residents. Sensory boards have been placed along the corridor to enable the residents to experience touch and interaction. One of the lounges has been decorated in the style of the 1930’s and is used for reminiscence. The home was cleaned to a high standard. All requirements regarding the environment from the last site visit have been met. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix are sufficient to meet the needs of the residents, Residents are protected by the home’s recruitment practices and staff training. EVIDENCE: There were adequate numbers of staff on duty to meet the needs of the residents living at the home. Training at the home is on going and copies of courses undertaken were seen on the staff files and on the training matrix. These included moving and handling, health and safety, fire awareness, first aid, food hygiene, medication updates and protection of vulnerable adults. A further course on dementia care is to commence for all staff. A training programme is in place to enable staff to achieve NVQ level two in care. Two staff member have completed the course and fifty per cent of care staff are at present working toward the award. However, the government target of fifty per cent of all care staff to be qualified by 2005 has not been met. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 19 Staff files were looked at for three newly employed staff members and all of these contained appropriate checks prior to commencement of employment. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained to influence the running of the home. Staff are fully supervised EVIDENCE: The manager of the home is a registered nurse and is an experienced manager. She is registered with CSCI and has completed the registered managers award. Residents and relatives said that they felt the home was well run and that the manager and staff were very welcoming and friendly Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 21 Observed day-to-day supervision of staff was good and formal supervision was given on a regular basis. Records seen were up to date and staff spoken to confirmed that supervision was given regularly. Residents’ finances are recorded appropriately and receipts of any purchases are kept. The maintenance records demonstrated that the appropriate service contracts were in place. These included the passenger lifts, hoists and fire alarm system. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 3 X 3 X 3 3 Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13(2) Requirement The registered person must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received in the care home. (Medications received in the home must be recorded.) Timescale for action 31/01/07 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 OP28 Good Practice Recommendations The home must have 5o of care staff qualified to NVQ level 2 or equivalent. Clayton Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Manor Nursing Home DS0000018844.V317599.R01.S.doc Version 5.2 Page 25 - 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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