Inspection on 23/05/05 for Cleveland House

This inspection was carried out on 23rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Cleveland House 17/04/07

Cleveland House 19/12/05

Cleveland House 08/11/04

Cleveland House 07/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Cleveland House 20 Granville Road Broadstairs Kent CT10 1QB Lead Inspector Tina Taylor Announced 23 May 2005 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 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 Stationary 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. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cleveland House Address 20 Granville Road, Broadstairs, Kent CT10 1QB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 866509 01843 600939 Miss N M Huitson & Mr C Ewins Miss N M Huitson Care Home 21 Category(ies) of Learning Disability (21) registration, with number of places Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08 November 2004 Brief Description of the Service: Cleveland House is a detached property with accommodation on three floors. The Home has increased in size in the last year and now has twenty one single bedrooms, four of which are within a flat on the second floor, and a fifth is within its own flat. There are further communal lounges, games room, and a computer room. The Home offers accommodation to a high standard. The Proprietors, Nicky and Chris, have their own flat within the Home, and both work full time at the Home. Nicky is the registered manager of the Home and Chris co-manages the Home. Cleveland House offers care on an individual basis encompassing the physical, social and emotional needs of the residents. The Statement of Purpose is reflective of the care actually being provided in the Home. The Home is located close to the seafront, and is a short walk away from local shops, amenities, Thanet College and public transport. The Home has its own minibus and people carrier in which to take the residents out and about. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and started at 12 noon. It took place over 7 hours. The inspector was able to speak with seven service users, both owner/managers, the two assistant managers and other members of staff as they were going about their duties. Some service users kindly showed the inspector around part of the home and their accommodation. The inspector joined in with a bar-b-que held for the service users in the early evening. Some records were also examined. The inspector was also able to use information received from relatives and service users prior to the inspection. What the service does well: The home has consistently maintained a high level of involvement for the service users, to enable them to make informed choices, and to be part of decision-making matters that affect their lives. The service users opinions were sought at a residents meeting about the questions they would like asked to prospective employees; this produced some very interesting responses. These questions have been used, where possible, at recent recruitment interviews; two service users sit on the interview panel and ask their own questions. The service users were seen to be happy, confident and motivated. They have a wide variety of activities to participate in both during the day and in the evenings and weekends. The service users rights not to participate are respected. Staff were seen encouraging the service users to participate and to make their own choices. The home provides a very good standard of accommodation and although the size of the home has increased over the years it has maintained a ‘homely’ feel. Changes made have been to the benefit of the service users, such as the ‘flats’ and the computer room. Comments from service users were all complimentary and included phrases such as “ this is the best house in the world”, and “ all the staff are great”. Staff spoken with said they are provided with high levels of support from the owners and are provided with “loads” of training. Training needs are identified at the point of employment. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 6 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. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 8 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 standard(s) 2 The home works well in assessing and providing ways in which individual aspirations and needs can be met. Service users move into the home knowing that their needs can be met and that their independence will be promoted. EVIDENCE: Comprehensive pre-admission assessments are carried out prior to any agreement for a service user to be admitted to the home. The prospective service user is invited to the home to meet the people already living in the home and to look around. The needs and wishes of the service users already living in the home are taken into account. Mr Ewins said that great care had always been taken to ensure that the right balance was maintained. The service users were confident about their rights and responsibilities and spoke about how well they were cared for. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 9 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 standard(s) 6, 7, 8, 9 Service users know their goals and aspirations will be supported by the home. Service users know that their personal goals are reflected in individual plans and that potential risks are managed. Service users know that their views are listened to and valued. EVIDENCE: Individual service plans are completed for each service user and these are well maintained and up to date. Service users are involved in the goal planning process. The Home has a key worker system, and the key workers write monthly reports. The assistant managers use these reports, their own knowledge, and a system that ascertains the views of all staff, to inform the formal review report. The service users own summary of their lifestyle is included in the report and comment sheets are also in use for relatives and service users. The home has an individual rights policy. All choices are recorded in the service users plans. Service users are enabled to manage and take responsibility for all aspects of their lives wherever possible. The service users were very clear about what they wanted to achieve. The Home has details of advocacy services for the service users should they need or request them. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 10 Service users are involved in the selection of staff. The assistant managers are now holding monthly resident’s meetings and these are well attended. Recent discussion at these meetings was held on questions that service users would like asked at staff selection interviews, which service users they would like to represent them on the interview panel, and what day outings they would like to go on. Questionnaires completed by service users and relatives were very complimentary about the level of care provided. Service users are enabled to go out independently or with the support of staff, have relationships, manage their own money, and make their own decisions. Appropriate assessments have been made and risk assessments documented to show how risks are managed and minimised. Risk assessments have been regularly reviewed and are updated as needs change. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 16, 17 The home works well to ensure there are opportunities for personal development, appropriate activities and involvement in the local community. The meals in the home are good offering choice and variety and catering for special diets. EVIDENCE: Service users undertake various college courses, and attend college work placements. Some service users showed the inspector a college syllabus book with various courses they had underlined for the next college year. Work placements have been found in a local supermarket, cash and carry and airport café. Paid work has also been successfully obtained for a service user. The manager and assistant managers are always looking for new courses that will stimulate and motivate the service users. The home has its own games room and computer room. Planned outside activities include archery, basketball, football, swimming, bowling, horse riding, creative arts, and visits to the pub, to name but a few. Service users spoke to the inspector about holidays planned for this year that include a trip Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 12 to Portugal. Some service users were looking forward to going on a 3-day trip to London with the college next week, which included going on the London Eye and a visit to Gordon Ramsey’s restaurant. Three service users said how much they had enjoyed a recent trip to an Arsenal football match, which had been organised by Mr Ewins. Service users are very clear about their rights to privacy and respect, and those spoken with knew that permission should be sought from them before anyone could enter their room. The home provides a varied and well balanced menu and the assistant managers have recently discussed food likes and dislikes at a resident’s meeting. Special diets are well catered for and the service users are provided with appropriate information on their particular needs. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The health needs of the service users are well met. EVIDENCE: Individual healthcare needs are identified in the service users care plan. Service users have regular health checks and these are well documented. The manager has provided staff with training and a detailed information file on how to care for someone with diabetes; specially designed plates have also been provided for staff and a service user to show food groupings. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The staff have a good understanding of adult protection issues, which protects service users from abuse. EVIDENCE: The manager has kept the Home’s guidance with regard to adult abuse updated staff attend training courses in adult protection. Staff have been trained in non-aversive intervention and understanding behaviour. The discussion of issues around adult protection is going to form part of the core subjects of staff supervision. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 30 The standard of the environment within the home is very good, providing the service users with an attractive and homely place to live. The environment is maintained to a good standard. Additional facilities underway will further enhance the quality of life of the service users. EVIDENCE: The work to complete a coffee shop on the premises to provide meaningful work experience for the service users is nearing completion, as is the new conservatory. The home has a four bedroom flat with its own kitchen, dining room, bathroom and lounge, and a one bedroom flat that are used to promote independence. There is a computer room, games room, two lounges and a dining area on the ground floor. The Home is decorated and furnished to a very high standard throughout. The front garden has been revamped to a highly individual and attractive standard; this has also provided additional parking spaces. Service users bedrooms are furnished and decorated to a high standard and each bedroom is arranged to suit individual need. The service users are Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 16 encouraged to personalise their rooms to suit their own tastes and interests, and showed the inspector their rooms with great pride. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35, 36 The home has a sound recruitment and selection process. Staff are well trained and have a good understanding of the service users needs. EVIDENCE: The owners have recently attended an employment law course and have since reviewed, updated and improved their recruitment and selection processes. Two service users sit on the interview panel and a service user shows the prospective employee around the home. Staff undergo a comprehensive training programme that includes structured induction and foundation training. A programme of training has been identified for the year 2005/2006. Staff said they receive “massive” amounts of training. The two assistant managers said they receive good support and regular supervision from the owners. The assistant managers have been on super supervisor training and supervision and appraisal training, and are enthusiastic about their additional responsibilities that include the general and one to one supervision of staff. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 The systems for service user consultation are good. The service users benefit from a well run home. EVIDENCE: The owners are well qualified and competent to run the home. The assistant managers have been provided with the training they need to undertake additional responsibilities. Policies and procedures are regularly reviewed and updated, and new ones completed as necessary. Staff receive appropriate training in maintaining a safe environment. Training is provided in first aid, basic food hygiene and fire safety. The home was given a gold award from the Food Safety Officer. The kitchen is maintained to a high standard. Hazardous products assessments have recently been updated. Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x 4 x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 4 x 3 4 Standard No 31 32 33 34 35 36 Score x x x 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cleveland House Score x 4 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 20 na Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard Good Practice Recommendations Cleveland House H56-H05 S23377 Cleveland House V215315 230505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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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