Inspection on 27/10/05 for Clayton Manor Nursing Home

This inspection was carried out on 27th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Clayton Manor Nursing Home 10/01/07

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 27th October 2005 09:00 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.V261279.R01.S.doc Version 5.0 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.V261279.R01.S.doc Version 5.0 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.V261279.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No more than 4 service users in the category OP, in receipt of personal care only, may be accommodated. No more than 32 service users in the category OP, in receipt of nursing care only, may be accommodated. The total number of service users must not exceed 78 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. 10th May 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. A unit on the first floor that provides for 16 adults aged 18 years and above with a physical disability who require nursing care. A separate unit on the first floor is registered for 26 service users over the age of 65 with dementia who require personal care only. The ground floor of the home is registered for 36 elderly service users who require nursing care. The home is staffed with registered nurses, carers and domestic staff. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit of the home took place over seven hours by two inspectors and was carried out as part of the yearly inspection process. A tour of the home was carried out and care records, fire records, residents finance records and staff files were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. Residents, visitors and staff were spoken to during the inspection. All made positive comments regarding the care at the home. What the service does well: What has improved since the last inspection? Decoration at the home is on-going and some bedrooms have been recarpeted. The staff room and wheelchair storeroom have been decorated and a Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 6 new washing machine has been purchased. The downstairs corridors have also been redecorated. The guttering at the home has been replaced before the winter weather sets in. A big screen projector has been purchased for the main lounge and the film shows with ice-cream were much enjoyed. 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 Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 the following standard(s): 3 Pre-admission assessments are carried out on all residents, however these need to be dated and signed. EVIDENCE: Samples of care files were inspected on all three units. These all contained preadmission assessments, however, some of these had not been signed or dated so as to identify when and who carried out the assessment. Care plans are based on the information recorded in the pre-admission documentation. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 the following standard(s): 7,9,10 On the dementia care and the frail elderly unit the care plans did not address the changing care needs of the residents. Staff members working at the home are aware of the needs of the residents. Medication on the dementia care unit and the frail elderly unit is not being properly managed. EVIDENCE: Residents were spoken with on all units and comments were positive regarding the care they received. Residents said that they liked living at the home, the staff were “ lovely, very kind” “ staff are good” “ No problems at all” Relatives spoken with were also happy with the care their relative received and “any problems were sorted out with no bother.” Staff members spoken with on all units were aware of the care needs of the residents living at the home. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 10 Samples of care plans were looked at on the three units. Care plans on all units contained detailed assessments of areas of need, such as mobility, falls, moving & handling, continence, pressure area & tissue viability, nutrition mental health needs and general dependency. All were up dated and reviewed on a regular basis. Records were also made of support from and visits by other health professionals such as GP’s. One resident on the frail elderly unit had a wound for which a plan of care had been commenced, however the chart to measure the improvement of the sore was not in place. One resident had a geriatric depression tool completed, however, there was no indication of why this had been completed and what action was to be taken by staff following this assessment. The care plans on the young physically disabled unit were of a satisfactory standard, however, it is recommended that daily notes are made clearer as it was difficult to identify the day and time of recording. Life stories for residents are in place on all units, however, for residents on the dementia unit it is recommended that a “pen picture” is prepared to enable staff to have more background information about the resident. Medication recording, management and storage were inspected on the frail elderly unit and on the dementia care unit. Medicine Administration Records on the frail elderly unit were examined and it was found that the medication of three residents had been taken out from the blister packs on 25/10/05 but these had not been recorded as given. It is recommended that residents taking analgesia have the number of tablets given recorded (i.e. one or two tablets,) so that staff are aware how many tablets have been given to the resident in a twenty four hour period. Medicines were stored and disposed of appropriately. On the dementia care unit some medications were not given to residents as prescribed and there were some unexplained gaps in the recording of medications. Some prescribed medications were out of stock. Medications that residents refused to take are stored in a collective container and returned to pharmacy, however these items had been overlooked not returned at the time of the last drug delivery. Problems with medication on this unit were a requirement at the last inspection. There were also items for a resident such as passport, birth certificate and bankbooks stored in the medication cupboard which should be stored in the safe. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Residents living at Clayton Manor feel part of the local community and maintain contact with family and friends. EVIDENCE: Visitors at the home are welcome at any time and residents and relatives spoken with confirmed this. Residents said that they could receive visitors in their rooms or in one of the lounges if they preferred. Organised trips to Southport and the circus had taken place. The activities organiser takes a small number of residents for a pub lunch on a weekly basis in the homes’ mini-bus which they all said that enjoyed Residents on the dementia care unit had been out to feed the ducks at a local park. Some residents are taken shopping in to Congleton on a one to one basis. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 the following standard(s): 18 The policies, procedures and management at the home protect the residents from abuse. EVIDENCE: Staff at the home receive resident welfare training within the first few weeks of employment. Staff are provided with an individual resource pack. Discussion topics are:- re-valuing residents, the privileged carers, and types of abuse. The training is up-dated on a yearly basis and records of staff that have attended the course is kept in the staff training files. A policy on the protection of vulnerable adults is in place and the home has an up-dated copy of the No Secrets guidance issued by the Department of Health. Staff spoken with were aware of the policy on adult protection. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 the following standard(s): 19 Some areas of the home require attention to ensure that residents live in a safe and well-maintained environment. The home is clean and free from odours. EVIDENCE: Since the last inspection on-going decoration of bedrooms has taken place. The downstairs corridors, staff room and wheelchair room have been redecorated. Guttering has been replaced and a new washing machine has been purchased. The home has purchased a big screen projector so that residents can watch film shows and residents said that these were most enjoyable. Ice cream is served and residents said that “ it is like the pictures.” Preparations are underway for Christmas and rehearsals for a pantomime to be performed by the staff are in progress. Bedrooms on all units were clean and well personalised with the residents’ own belongings. Residents said “ the staff clean my room all the time.” A number of Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 14 areas inside and outside the home have been identified as needing attention and this was discussed with the manager. On the frail elderly unit a bathroom had a loose bath panel. This requires replacing. The bathroom paint was peeling in places and needs to be repainted. In one toilet there was a urinal left on the floor. The sluice door had been left unlocked and there were dirty commode pots in the sink. On the dementia care unit the door to the smoking lounge had been left open despite the notice clearly stating “ This door to be kept closed at all times” In one of the bathrooms on this unit one of the toilets was dirty and a bottle of shampoo had been left in the bathroom. On the young disabled unit one toilet was being used as a store room. The flagged area at the back of the home was identified as needing attention at the last inspection, however this work is still outstanding. The green house is being used as a storage area and this was identified to the manager at the last inspection. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 The recruitment procedures at the home are robust to ensure residents safety. EVIDENCE: The records of five recently appointed staff contained all appropriate checks prior to employment such as two written references, one of which was from a previous employer, enhanced checks with the Criminal Records Bureau and Protection of Vulnerable Adults and a health record. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The management of the home maintains the safety of the residents living there. EVIDENCE: Clear individual financial records are in place for all residents living at Clayton Manor. Accidents are recorded appropriately. The fire log was checked and staff training in fire safety has taken place and was recorded. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 N/A 2 x x x x x x x STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement Plans of care must clearly identify problems to be addressed( previous timescale of 17/06/05 not met) Medication issues identified on the dementia care unit are addressed.( previous timescale of 17/06/05 not met) Areas identified as needing attention are addressed.(previous timescale of 30/06/05 not met) Timescale for action 12/12/05 2 OP9 13 30/11/05 3 OP19 23 15/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP3 OP7 OP7 Good Practice Recommendations All pre-admission assessments must be signed and dated. It is recommended that daily notes on the younger persons unit are made clearer. It is recommended that a “pen picture “is prepared for the residents on the dementia unit. Clayton Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Manor Nursing Home DS0000018844.V261279.R01.S.doc Version 5.0 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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