Inspection on 28/06/05 for Cleveland View Care Home

This inspection was carried out on 28th June 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

Cleveland View Care Home 07/06/07

Cleveland View Care Home 21/07/06

Cleveland View Care Home 25/01/06

Cleveland View Care Home 02/02/05

Cleveland View Care Home 19/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Cleveland View Care Home Cleveland View Cargo Fleet Lane Middlesbrough TS3 8NN Lead Inspector Brenda Grant Unannounced 28 June 2005 09:30 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 Older People and 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. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cleveland View Care Home Address Cleveland View Cargo Fleet Lane Middlesbrough TS3 8NN 01642 244977 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) Bondcare Homes Limited Mrs Joanne Britton Care Home (CRH) 60 Category(ies) of Dementia - over 65 (30) registration, with number Old age (30) of places Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Two named individuals who are under the age category are allowed to reside in the home. Date of last inspection 2nd February 2005 Brief Description of the Service: Cleveland View is a purpose built care home providing accommodation and care for thirty older people, on the ground floor, and thirty older people with dementia, on the first floor. All bedrooms are for single occupancy and have en-suite facilities, with washbasin and toilet. All rooms are comfortably furnished and service users may personalise their rooms by bringing possesions and small items of furniture. Cleveland View Care Home is located close to a social club, churches and shops. Nearby there is a bus route into Middlesbrough town centre. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours fifty-five minutes, the inspector looked around the building and the grounds of the home as well as inspecting a number of records. Six service users, a relative, a district nurse, two staff, the deputy manager and the manager were spoken to on the day of the inspection. Service users said they were very comfortable living at the home. A relative said staff tried their best to meet service users needs but staff always ‘seemed to be rushed’. A district nurse said staff ensured service users were prepared for the treatment they were about to receive and s/he was satisfied with staff’s cooperation. What the service does well: What has improved since the last inspection? The home’ management and trainer is making a great effort to have 50 of care staff qualified to at least National Vocational Qualification (NVQ) Level 2 and the trainer said that target is soon to be achieved. The manager said the home also has staff who are progressing to Level 3 of the qualification. The home’s records include specialist assessments of service users who need equipment. The home has new dining room linen and menus, giving choices of meals, were on display. Where bedroom doors are kept locked, the home has signed agreements from service users or their representatives. Service users and/or their representatives are offered a key to gain access to the bedroom. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 6 General building maintenance work has been completed and the garden is well maintained. Medicines, held by the home, are appropriately labelled. Staff files have been updated to include all of the required information. The testing and equipment checks have been carried out. What they could do better: Service users being involved with reviews of their care needs and general Risk Assessments, when needed, being carried out. Care Plans stating how service users needs are to be met. Medication records administered. giving the reason why medicines have not been Redecoration of some hall and bedroom walls; bathroom chairs should not be badly marked; three stained bedroom carpets to be cleaned; paint peeling from woodwork in a bathroom to be painted and two light loose light fittings to be secured. Staff must immediately respond to the call alarm system. Service users records to be kept secure. The manager to gain a management qualification and for 50 of care staff to be qualified to at Least NVQ Level 2. 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 View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 4 Service users have a contract, stating terms and conditions, with the home but one contract did not state the fee to be paid by the service user. All service users are admitted to the home after having a Social Work Assessment. Service users and their representatives are aware the home will meet service users needs. EVIDENCE: Service users have a contract with the home. Contracts, seen by the inspector, were signed and dated but one contract did not state the fee. Service users have a Social Work Assessment before admission to the home and the home also carries out a further assessment to ensure that service users needs can be met. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 9 The home arranges for specialist services and equipment, to be provided for service users, when they are needed. There is documentation showing that specialists carry out assessments and service users or their representative confirm that they agree with those arrangements. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7 & 9 Service users care needs are set out in an individual plan of care. The home is developing a system whereby service users will be involved with the reviews of their care. One Care Plan should have had a general Risk Assessment. Service users where appropriate are responsible for their own medication and the home has policies and procedures for dealing with medicines. In one of the home’s units the Medication Administration Record was not complete. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 11 EVIDENCE: The home had a Care Plan for each service user, Plans stated the needs but not all recorded how those needs were to be met. Care Plans were reviewed on a monthly basis but there was no indication that service users and/or their representatives were involved with the Plans. Service users said the home had records about them but service users were unsure what details were in the records. The home had policies and procedures for dealing with medicines. One service user was responsible for his/her own medication. The home had a recording system for assessing service users to confirm they were able and capable to look after their own medicines. Medicines were stored satisfactorily, some being in a fridge and daily fridge temperatures were recorded. On one unit, there were gaps in the Medication Administration Record; the reason for nonadministration of medicines was not given. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 Service users are helped to have choice and control over their lives. EVIDENCE: Service users said, ‘they lived their lives as they wished’. Service users can bring personal possessions and items of furniture to keep in their bedrooms. Service users said they could sit in communal areas or their bedrooms, as they wish, and there was a choice of where service users preferred to have their meals. Some meals were served to some service users in their bedrooms but other service users preferred to go to the dining room. Most of the bedroom doors, on the first floor, are kept locked. The home has written agreements, with service users or their representatives, confirming it is with their agreement. The manager said service users and/or their representative are offered a key, for bedroom doors, so they can gain access at any time. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users are protected from abuse, neglect and self-harm. EVIDENCE: The home’s trainer confirmed staff had completed training for No Secrets and Whistle Blowing. The trainer said she kept a record of when training updates was needed, then made arrangements for the training to be carried out. Staff said if they would report any act of abuse, of a service user, to the manager. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 21 In the main, service users live in a safe, well-maintained environment. The home has sufficient toilet and washing facilities to meet service users needs. EVIDENCE: Service users said they were very comfortable and that the home’s environment was to their liking. The grounds were well maintained with hanging baskets and flowerpots around the exterior of the building and the rear garden has a patio area with seating. On the day of the inspection the general appearance of the home was good but there were: three stained bedroom carpets, the paint was peeling of the wood that was behind a bath, bathroom chairs were badly marked, some hall and bedroom walls were grubby and two light fittings were hanging down. The person who carries out general maintenance started to fix the light fittings Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 15 during the inspection. The manager said decoration, to parts of the interior of the home, is to be carried out during the next few months. All bedrooms have an en-suite facility with a toilet and wash-basin. There are communal toilets around the home and close to lounges and dining rooms. The home has sufficient bath and shower rooms; they have equipment for staff’s use for when staff assist service users with bathing. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 29 The numbers and skill mix of staff mostly meet service users needs. Many care staff have almost completed training to at least NVQ Level 2. The home follows its recruitment policies and procedures. EVIDENCE: The home has unit managers who are responsible to the registered manager. The unit managers oversee the work carried out by the staff. There are also senior carers who are to guide junior staff in their work. On the day of the inspection the call alarm was sounding, it was a false alarm, but all staff of one unit ignored the call. A member of staff said s/he hadn’t realised it was for that particular unit. One relative said she thought ‘the care staff did their best for the residents but there aren’t enough staff of duty.’ The home’s staffing numbers were at the levels agreed with the Commission for Social Care Inspection but care staff’s deployment may need to be revised. The home’s trainer has been assisting staff to progress through their NVQ. Four care staff have already gained the qualification and a further eighteen Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 17 have almost completed that training. Twenty two qualified care staff will bring the numbers to over 50 of the staffing compliment. Staff files had the details and information as required by Regulation 17 of The Care Homes Regulations 2001. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 37 & 38 The home is well run but the manager needs to gain a management qualification. The home needs to confirm that it is run in the best interests of the service users. The home’s records were up to date but not kept secure. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is a qualified Registered General Nurse and she has many years of experience in managing a care home. The manager has almost completed her management training therefore will meet the National Minimum Standard for managing a care home, by 2005. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 19 The home has carried out a quality assurance survey seeking views from all involved with the home. The manager said a report, on the findings of the survey, is to be finalised and distributed to service users and their representatives. The records were seen to be in good order and up to date but there was an occasion when the inspector noticed they were not kept secure. Service user’s records are stored in the unit offices but one office door was unlocked allowing for possible unauthorised access the records. The home keeps an up to date record of the health and safety checks that are regularly carried out. All accidents were recorded in a satisfactory manner. The manager carries out a monthly accident analysis and develops an action plan to try and avoid repetitions of accidents. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 20 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 x 2 2 3 3 4 3 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x 3 x x x x x Score Standard No 7 8 9 10 11 Score 2 x 2 x x Standard No 27 28 29 30 2 2 3 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 x 33 2 34 x 35 x 36 x 37 2 38 3 Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 21 yes 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. 2. Standard 2 7 Regulation 5 13 & 15 Requirement Service users contracts that are signed and dated must state the fee. Service users must be supported in avoiding risk and general Risk Assessments must be carried out when necessary. Service users must be involved with reviews of their care needs. (Previous timescale of 31st March 2005 not met) The home must keep accurate Medication Administration Records. The three stained bedroom carpets must be cleaned. The woodwork, behind a bath, with peeling paint must be painted. The badly marked bathroom chairs must be cleaned or replaced. The grubby hall and bedroom walls must be redecorated. -----------------------------The two light fittings that were hanging down must be properly fixed to the ceilings. The deployment of care staff must ensure all service users needs are met. Timescale for action 31st July 2005 31st July 2005 ----------------------31st October 2005 31st July 2005 31st July 2005 31st July 2005 -----------31st July 2005 -----------31st October 2005 31st July 2005 31st July 2005 Page 22 3. 4. 9 19 17 23 5. 27 18 Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 6. 33 24 7. 37 17 The home must write a report of the findings from the quality assurance survey. (Previous timescale of 31st March 2005 not met) Service users records must be kept in a secure facility. 30th September 2005 31st July 2005 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 7 28 31 Good Practice Recommendations Care Plans should state how service users needs will be met. The registered manager should ensure 50 of care staff achieve at least NVQ Level 2, in care, by 2005. The registered manager should achieve NVQ Level 4 in management, or equivalent, by 2005. Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Cleveland View Care Home B51 B01 SN59270 Cleveland View V233879 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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