Inspection on 07/06/07 for Cleveland View Care Home

This inspection was carried out on 7th June 2007.

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 21/07/06

Cleveland View Care Home 25/01/06

Cleveland View Care Home 28/06/05

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 HOMES FOR OLDER PEOPLE Cleveland View Care Home Cleveland View Cargo Fleet Lane Middlesbrough TS3 8NN Lead Inspector Katherine Acheson Key Unannounced Inspection 7th June 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveland View Care Home Address Cleveland View Cargo Fleet Lane Middlesbrough TS3 8NN 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) 01642 244977 01642 242077 cleveland@bondcare.co.uk www.bondcare.co.uk Bondcare Homes Limited Care Home 60 Category(ies) of Dementia - over 65 years of age (60), Old age, registration, with number not falling within any other category (60) of places Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 60 2. Dementia - Code DE, maximum number of places: 60 The maximum number of service users who can be accommodated is: 60 13th February 2007 Date of last inspection Brief Description of the Service: Cleveland View is a purpose built care home that is registered to provide personal care to sixty older people. The home is split into two units. The ground floor of the home accommodates thirty older people and the first floor of the home accommodates thirty older people with dementia. Each unit has a large communal lounge area with an adjoining quiet lounge. The adjoining quiet lounge on the ground floor of the home is a designated smoking area for residents from both units. All bedrooms are for single occupancy and have en-suite facilities, with washbasin and toilet. All rooms are comfortably furnished and residents may personalise their rooms by bringing possessions and small items of furniture. All bedrooms meet the minimum amount of space required. Cleveland View Care Home is located close to a social club, churches and shops. Nearby there is a bus route into Middlesbrough town centre. On the date of this inspection the cost of care at Cleveland View was £355 per week. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection of the home was carried out on the 7th June 2007. The Inspector arrived at 9:30am and left at 5:05pm. Five residents and three relatives were spoken to during the visit. The homes Area Manager, Office Administrator and a Registered General Nurse were spoken to at length during the inspection. General discussion also took place with Care Assistants. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for Care Homes. Numerous records including care plans, menus, complaints and staff recruitment and training records were examined. The Inspector walked around the home with the Area Manager. Requirements identified at the last inspection in February 2007 were re-visited. The details of any issues identified at this inspection requiring action are to be found at the back of this report. What the service does well: The home provides a good standard of care to residents. Residents are happy and their needs are catered for. Food provided is appetizing and enjoyable, activities and entertainment are stimulating and fulfilling. Residents and relative’s comments made during the inspection included, “I took a bit of settling, but I am really happy. I like it they are all very kind” “The food is lovely you can have as much as you like” “The staff are smashing” “Nothing is too much trouble” Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 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 Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents are carried out to ensure that the home can meet their needs. EVIDENCE: Before going into Cleveland View, residents are assessed by a Social Worker. A copy of this assessment is forwarded to the home for the management to look at. Staff at the home then carry out their own pre-admission assessment either visiting the person in their own home or at hospital to ensure that the needs of the resident can be met at home. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 9 Three residents files were looked at during the visit, all of which contained an assessment of needs and evidence of personal choice. Cleveland View does not provide intermediate care so standard 6 is not applicable to this home. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. Care plans are detailed, which will help to ensure that resident’s needs are met. EVIDENCE: Three residents plans of care were looked at during this visit. Care plans contained detailed information about the resident and the help they needed. Care plans gave a very informative life history of the person going back to childhood and including relevant and important parts of their life. This is particularly important when caring for someone with dementia Likes, dislikes and personal preferences were recorded. Care plans showed clear evidence of choice. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 11 Care plans showed evidence of regular visits from G.P’s, District Nurses, Dentists, Opticians and the Chiropodist. Five residents and three relatives were spoken to during the visit comments made included, “I like it very much, at first I didn’t want to come, but they look after me smashing” “The staff are smashing” It’s quite good, quite an improvement from the previous home” “The staff are lovely” “The staff are quite friendly” “The attitude of staff has always been positive” “Quite comfortable, quite relaxed” Residents spoken to confirmed that their dignity and privacy was respected. During the inspection arrangements for receiving, storing, administering, recording and disposing of resident’s medication were observed and examined. The home has a medication policy. Medication was stored appropriately. The Area Manager said that staff who administer medication to residents have all received appropriate training. Initial training provided to staff includes a check to see if they are competent. Systems are in place to ensure that competency is assessed on a regular basis there after. During the visit a medication audit of one of the residents files sampled during the inspection was carried out. Medication administration charts had been completed correctly and the stock balance of medication belonging to the residents was correct, matching up with medication ordered, received, administered and remaining in the home. Appropriate codes were being used when medication was not being given for a particular reason. During the inspection part of the lunchtime medication round was observed. Correct procedures were being followed. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate and enjoyable activities do take place at the home. Residents are able to exercise choice and control. Visitors are encouraged and made to feel welcome at anytime. Food provided is varied, appetizing and appealing and provides residents with a wholesome balanced diet EVIDENCE: The home employs an Activity Co-ordinator to plan, arrange and take part in resident activities. The Activity Co-ordinator works four hours a day, five days a week and spends time on both units in the home. Activities taking place include bingo, cookery, exercise, jigsaws, cards, arts and crafts. The home has bought a small green house and plan to join a community based gardening club in which residents are to be part of. Residents spoke of entertainers coming into the home to sing. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 13 Contact with family and friends is encouraged and that visitors are made to feel welcome at any time. Residents and relatives spoken to said, “We sing with the entertainers” “We do gentle exercises” “I can go to the pub myself if I want” “I go into the garden and water the indoor plants” “There is enough going on for me” “I can read, chat with others, watch television. We have concerts someone plays the guitar for us” “We play bingo and other games” The home has the use of a minibus, however the minibus has been out of action since January 2007. The Inspector was informed that the mini bus is now back in action and trips out are being planned for the summer months. The Area Manager said that the home supports residents to practice their religion. Residents and relatives spoken to confirmed that this was the case. Residents interviewed spoke of flexibility in routine and freedom of choice. The lunchtime of residents on the dementia unit was observed. Mealtime was relaxing with residents enjoying the food provided. The lunchtime menu on the day was lamb casserole or cheese and leek hot pot. Dessert was bread and butter pudding or ice cream. Tables were appropriately set. Fresh flowers were observed to be in bud vases on each table. Residents and relatives spoken to said, “The food is good they eat like horses in here” “This morning I had poached eggs on toast. Everyone must agree that the food is marvellous” “The Sunday dinner is nice”. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 14 One resident spoken to said that they would like a big plateful of salad that included a boiled egg, not just the small side salad that residents get. This was pointed out at the time of the inspection; the Area Manager said that they would take immediate action to address. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are able to express their concerns. Staff are aware of procedures to follow if abuse is suspected which helps to protect residents. EVIDENCE: The home has a complaint procedure this procedure has been updated to inform residents and relatives of their right to complain to Social Services, however only informs of contact details for those residents funded by Middlesbrough Social Services. This procedure needs to be updated to include contact details of other funding authorities. Residents spoken to during the inspection said that they would feel comfortable in raising and concern or making a complaint to the staff or management of the home. The home keeps a record of complaints. There have been five complaints since October 2006. The home has an adult protection policy and a copy of the Teeswide Guidance regarding the protection of vulnerable adults. Adult protection training is provided to staff working at the home. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 16 There has been four adult protection referral in the last twelve months. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with an attractive, homely and comfortable place to live. Inadequate smoking areas could pose as a risk to health and safety. EVIDENCE: During the visit a walk round of the home took place. The home is split into two units. The ground floor of the home accommodates thirty older people requiring personal care and the first floor of the home accommodates thirty older people with dementia. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 18 Each unit has a large communal lounge area with an adjoining quiet lounge. The adjoining quiet lounge on the ground floor of the home is a designated smoking area for service users from both units. Because there is no partition between the large lounge and adjoining lounge smoke is able to filter to other areas in the home. It has been highlighted at previous inspections that the Registered Person must determine if there is a need to fit an adjoining door between the lounge and adjoining lounge. The Area Manager said that there has been a hold up with this work because initial plans did not meet with new fire regulations. The Inspector was informed that changes have now been made with work to separate both lounges to take pace in the very near future Communal areas were homely with appropriate furnishing throughout. Since last inspection the corridors areas have been painted. Bedrooms visited were personalized and contained appropriate furnishings. The Area Manager said that the home has a policy in respect of control of infection. Staff spoken to during the inspection said that there was always a plentiful supply of protective clothing. Appropriate laundry facilities are in place. On the day of the inspection the home was observed to be clean and odour free. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are trained, skilled and in sufficient numbers to meet the needs of people living at the home. Improvements to induction training will further enhance this. EVIDENCE: There were seventeen residents residing on the older persons unit at the time of the inspection and eighteen residents on the dementia unit. Staffing rotas examined informed the inspector that on each unit there are three care staff on duty on a morning, four on an afternoon, three on an evening and two on night duty, one of which is always a Senior Care Assistant or trained nurse. The home does not currently have a Registered Manager, however and Acting Manager is employed to work five days supernumerary a week. Residents spoken to said that they felt that there was sufficient staff on duty to meet their needs. The home has worked extremely hard to assist care staff to achieve an NVQ level 2 in care. 78 of care staff working at the home have now achieved an NVQ level 2 in care. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 20 The homes recruitment procedure is robust. The files of two newly appointed staff were looked at during the visit. Evidence was available to confirm that appropriate Criminal Record Bureau checks are carried out before staff start working at the home. Both files examined contained all of the required information including, proof of identity and two references. Records were evidenced to confirm that all newly appointed staff receive induction training, however this does not meet with current induction standards as set by Skills for Care. A discussion took place with the Area Manager in respect of required induction standards who said that Management are taking action to review and update the company induction. Cleveland View is part of a group of homes, the Registered Provider being Bondcare Homes Limited. Since last inspection the Company have appointed a Training Facilitator who is to plan and provide mandatory training to all staff on a regular basis. The Area Manager said that all staff working at Cleveland View have received recent training in fire, infection control and moving and handling. . Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Quality assurance systems are in place to ensure that the home is run in the best interest of residents. In general the health and safety of residents is promoted, however out of date servicing promotes a risk to health and safety. EVIDENCE: The home currently has an Acting Manager of which Bondcare are in the process of applying to Register. Appropriate quality assurance monitoring systems are in place. Surveys are sent out to residents and relatives on a yearly basis too see how good the home is at meeting resident’s needs. This survey was last sent out in May Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 22 2007. The results of this survey have just been collated and are to be fed back to all at the next residents and relatives meeting. The home looks after small amounts of money belonging to some residents. Appropriate records of transactions are kept. Records were examined to confirm that the Gas boilers and fire extinguishers had been serviced within the last year. The Area Manager said that a rolling programme of servicing of appliances and equipment is in place, however records examined highlighted that the fixed electrical installation servicing was out of date. The Area Manager said that she would take immediate action to address the situation. Records were available to confirm that regular tests are carried out on the fire alarm system. Water temperatures in the home are also taken and recorded on a regular basis. Water temperatures taken by the Inspector during the visit were within normal limits. Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 23 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 X X 2 Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 24 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 OP19 Regulation Requirement Timescale for action 31/08/07 13, 16, 23 The Registered Person must determine if there is a need to fit an adjoining door between the main lounge area and adjoining lounge designated for those residents that wish to smoke. The Registered Person must consult with the Fire Authority Previous timescale for action of 30/09/06 not achieved 18 The Registered Person must review the homes induction and ensure it includes all common induction standards as set by Skills for Care The Registered Person must apply to register a Manager at the home The Registered Person must ensure that the fixed electrical installation (hard wiring is serviced every five years 2. OP30 31/08/07 3. 4. OP31 OP38 8 13 07/06/07 07/06/07 Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 25 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 OP16 Good Practice Recommendations The complaint procedure should be update to include contact details of all funding authorities Cleveland View Care Home DS0000059270.V342407.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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