Inspection on 19/12/05 for Clements House

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Clements House 20/09/06

Clements House 13/06/05

Clements House 14/01/05

Clements House 12/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Clements House 36 Fish Lane Bognor Regis West Sussex PO21 3AH Lead Inspector Jo Hartley Unannounced Inspection 19th December 2005 15:00 Clements House DS0000048441.V265369.R01.S.doc Version 5.0 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 Clements House DS0000048441.V265369.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 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. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clements House Address 36 Fish Lane Bognor Regis West Sussex PO21 3AH 01243 868776 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) Allied Care (Mental Health) Ltd Mrs Sandra Lavinia Pudduck Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only Service users under the age of 65 years may be admitted. Date of last inspection 13th June 2005 Brief Description of the Service: Clements House is a detached two-storey care establishment in a residential area in the village of Aldwick, close to the coastal town of Bognor Regis, West Sussex. The property faces a busy main road but large gates provide seclusion. Parking is available on the road outside. The front of the property provides a courtyard with hanging baskets, and there is a secluded rear garden with a decked area and a pond. The establishment provides care for up to seven persons with mental disorder. Each person has their own room with ensuite, and there are shared facilities of a large lounge/dining room and conservatory. The registered persons are Allied Care (Mental Health) Ltd and the responsible individual is Mr Aslam Dahya. The registered manager is Mrs Sandra Puddock. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over a period of three hours. The inspector examined information held on the service file since the last inspection in June 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. During the inspection the inspector spoke to two service users. The inspector undertook a tour of the premises and looked at three care plans and three staff files. Various record books, policies and procedures were also examined. This report should be read in conjunction with the report of the announced inspection held on 13th June 2005. All the key standards, which should be inspected in a twelve-month period, are covered in these two reports. What the service does well: 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. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 6 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 Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 7 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): 1 Clements House has a Statement of Purpose and Service User Guide that contain information to enable service users to make an informed choice about where to live. Standard Two was inspected at the last inspection and was found to have been met. EVIDENCE: Prior to the inspection the inspector examined the Service User Guide and Statement of Purpose for Clements House. Both were found to be up-to-date and to contain the required information. It was noted that there is a signed acknowledgement on service users files that they have received and understood the service user guide. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 8 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): 8 Service users are consulted on, and participate in all aspects of the home. Standards Six, Seven and Nine were inspected during the last inspection and were found to have been met. EVIDENCE: Evidence was seen that Clements House holds residents meetings on a regular basis, approximately every four to six weeks. Residents are encouraged to take part and make suggestions about the home and how it is run. Service users have taken part in interviewing prospective staff. Residents are able to cook meals, make drinks, clean their rooms and do their own washing with support if needed. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 9 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): 15 Service users are supported and encouraged to maintain appropriate personal, family and sexual relationships. Standards Twelve, Thirteen, Sixteen and Seventeen were inspected during the last inspection and were found to have been met. EVIDENCE: Service users say that visitors are welcome in the home. They are able to see visitors in the privacy of their own rooms if they wish. The visitor’s book was seen and had evidence of people visiting residents. They are able to use the telephone to contact family and friends. Two residents in the home have a relationship and are supported by staff to maintain this. On the day of the inspection staff were witnessed supporting a service user to post Christmas presents and cards. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 10 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, 20 Service users at Clements House do not require assistance with personal care. Support is provided with personal hygiene when required. No service users currently administer their own medication. The home’s policies and procedures regarding medication are robust. Standard Nineteen was inspected during the last inspection and found to have been met. EVIDENCE: Service users at Clements House do not require assistance with personal care needs. However, care plans seen show that some service users are prompted with personal hygiene tasks when necessary. Service users said that they are able to choose what times they get up/go to bed, have a bath and eat meals. They are able to choose their own clothes, hairstyles and makeup. All service users have designated key workers. At present, no service users at Clements House are able to self-medicate. Records were seen of medicines received, administered and disposed of. All Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 11 records were found to be accurately and clearly recorded. The home has no controlled drugs. The medication policies and procedures were seen to contain all relevant information and guidelines. Records were seen that show that staff receive yearly training on the administration of medication. The home has checks every six months by a pharmacy regarding their medication practices. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 12 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): Both these Standards were inspected during the last inspection and were found to have been met. EVIDENCE: Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 13 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): 26, 28 Service users bedrooms are well equipped and suit their needs and lifestyles. Communal areas are comfortable and homely. Standards Twenty-Four and Thirty were inspected during the last inspection and were found to have been met. EVIDENCE: Service users bedrooms were found to well equipped, personalised and comfortable. Every bedroom has en-suite facilities. Decoration, carpets, furniture and fitting were found to be of good quality. All service users have keys to their rooms. Communal areas consist of a lounge/dining room and a conservatory. Smoking is allowed in the conservatory only. A new fire door has recently been fitted between the lounge and conservatory. Since the last inspection a new suite has been purchased for the lounge. There is an aquarium in the lounge. A computer has recently been added to the lounge for service users to use. At the time of the inspection the lounge had Christmas decorations up and looked festive. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 14 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): 32, 34 Service users are supported by competent and qualified staff and protected by the home’s recruitment policy. Standards Thirty-Five and Thirty –Six were inspected during the last inspection and were found to have been met. EVIDENCE: Staff qualifications and training records seen during the inspection show the staff team at Clements House to be competent and qualified to support the service users. On the day of the inspection two members of staff were attending a conflict management course. Training available to staff includes Health and Safety Courses, Adult Protection, Equal Opportunities, Mental Health, Alcohol and Drug Abuse, Supporting Risk, Self Harm and many others. Staff were witnessed communicating with service users appropriately and in a polite and friendly manner. The home has thorough recruitment policies and procedures. Staff files seen included two written references, CRB and POVA checks and proof of identification. Staff appointments are subject to a three-month probationary period. All staff receive statements of terms and conditions. Service users have taken part in interviews for prospective staff. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 15 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 Service users benefit from a home run by an experienced and well-qualified manager. Allied Care (Mental Health) Ltd has recently set up a quality monitoring system for all its homes. Standard Forty-Two was inspected during the last inspection and was found to have been met. EVIDENCE: The registered manager has many years experience of working in a care setting. She has an NVQ level four in care and a Registered managers Award. Allied Care (Mental Health) Ltd has a Quality Assurance manager in post and has recently set up a new quality monitoring system which it is in the process of rolling out. Service users’ views are sought during house meetings and through the monthly Regulation Twenty-Six reports. Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 16 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 3 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clements House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X x DS0000048441.V265369.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 Clements House DS0000048441.V265369.R01.S.doc Version 5.0 Page 18 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. 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