Inspection on 12/07/05 for Clifton Court Limited

This inspection was carried out on 12th July 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

Clifton Court Limited 04/09/06

Clifton Court Limited 26/01/06

Clifton Court Limited 07/02/05

Clifton Court Limited 10/08/04

Clifton Court Limited 29/01/04

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

CARE HOMES FOR OLDER PEOPLE Clifton Court Clifton Court 23 Richmond Road Basingstoke RG21 5NX Lead Inspector Pat Griffiths Unnannounced 12.07.05 10:00 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. 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. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Clifton Court Address Clifton Court 23 Richmond Road Basingstoke Hampshire RG21 5NX 01256 325715 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) Clifton Court Residential Home Mrs Sarah Jane Yarney Care Home 6 Category(ies) of Old Age- OP - 6 registration, with number of places Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07.02.05 Brief Description of the Service: Clifton Court is registered to provide personal care for up to six male and female service users over the age of 65. The home is owned and managed by Mr and Mrs Stenning; their daughter Mrs Sarah Jane Yarney is the registered manager. Clifton Court is a large, detached, house in a quiet residential area of Basingstoke. The home is close to the town centre and the local public transport system. The building is a double storey domestic house with six single bedrooms. There is a sitting room and separate dining room. At the rear of the house there is a small, very well maintained, garden with a patio area, lawn with established borders and a profusion of pots and hanging baskets. There is parking at the front of the home Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, which is the first of two for the inspection year 2005/06, took place on one day. The inspector was able to look around the home and the gardens, view staff and residents records, policies and procedures, and talk to staff and residents. Six people are accommodated in the home and the inspector was able to speak to five of them. The service users and relatives spoken to were very complimentary about the staff, the home and the food. The individual care is very good and the attitude of the staff is very positive and supportive. The inspection took place on a warm and sunny day and several residents were sitting out in shady areas of the patio, reading their newspapers and enjoying the quiet of the garden. What the service does well: What has improved since the last inspection? The home continues to provide a good service for a small group of residents. All requirements made at the last inspection have been met. The owners and the manager are keen to ensure that they continue to meet the needs of the residents. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 6 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. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Standard 6 does not apply to this service Arrangements for assessing prospective residents ensures that their individual needs can be met in the home. EVIDENCE: The manager advised the inspector that the one of the owners or the manager went to visit any prospective residents and always completed a pre-admission assessment. The inspector spoke with several residents who confirmed that someone from the home had been to visit them before they moved into the home; several had also visited the home before moving in. The inspector looked at three of the resident’s files and saw that pre-admission assessments had been completed; it was apparent that they were used as the basis for initial care plans. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 9 The home does not currently have a policy in place regarding pre-admission assessments, but this is being reviewed following discussions with the inspector. The home does not provide intermediate care. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 Arrangements for care planning and risk assessing ensure that residents assessed and changing needs are met EVIDENCE: The inspector looked at several individual care plans, which contained photographs of the residents and relevant information regarding the residents personal, health and social care needs. Nutritional assessments and photographs are included in their plans following a requirement from the last inspection. Residents that spoke with the inspector said they did not really want to be involved with care planning; ‘the staff do it so well’ and always ensure that all their needs are met. The local chiropodist visits regularly and the residents have access to a local dentist and optician. The GP visits when requested, either by the staff or a resident. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 11 Residents confirmed to the inspector that they are always treated with respect, their privacy is protected and their dignity maintained, they had no complaints about the care they received. This was also apparent by observation during the course of the inspection. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 The home ‘routine’ is organised to meet the wishes of the residents. EVIDENCE: It was apparent from observation and from talking to the residents and staff that the residents are encouraged to make choices and exercise control over their lives. The care plans that were read also indicated that the residents are helped to exercise choice and control over their daily lives and activities. All of the residents have family and friends that visit regularly and those that wish to do get out and about. The home is going to obtain leaflets from Age Concern regarding advocacy services, should the residents or their relatives feel they need help or information. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Arrangements are in place to ensure that any complaints are listened to and acted upon. Arrangements being made to obtain a current copy of the Hampshire abuse Procedure and for the training of staff in adult Protection, which will protect residents. EVIDENCE: The home has complaints policies and procedures in place; following a requirement of the last inspection there is now a complaints log in the home. There have been no complaints since the last inspection. The home does not have an up to date copy of the Hampshire Abuse Procedure, but the manager advised the inspector that one will be obtained. The manager advised the inspector that she is arranging adult abuse/protection training to take place for all staff; the dates have yet to be confirmed. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The arrangements for cleaning and maintaining the home ensure that residents stay in a safe, clean and pleasant environment. EVIDENCE: The home is safe, in a quiet street in Basingstoke. The residents who spoke with the inspector said that they felt safe and secure at all times in the home, they knew there was always a member of staff available for them. The owners maintain the property, which is well decorated, suitably furnished and very comfortable. The home has a cleaner who does an excellent job; residents commented that the cleaning of their bedrooms was done at a time to suit them. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 30 Arrangements for induction and training enables staff to meet the needs of the residents. EVIDENCE: The registered manager is undertaking the registered managers award and should complete the course in January 2006. Three carers are going to start their NVQ2 when the next term starts at the local college. Staff have undertaken induction and mandatory training, which includes manual handling and food hygiene. This was confirmed by talking to the staff and by checking their records. The manager advised the inspector that training in abuse/adult protection and infection control is planned for later in the year. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 36 and 38 The home has arrangements in place to ensure that the home is run in the best interests of the residents. There are arrangements in place to promote and protect the resident’s health, safety and welfare. EVIDENCE: The home has quarterly residents meetings, which are minuted. Residents advised the inspector that they can raise any matter which they wish to discuss. One resident awarded the home ‘top marks’ as she was very satisfied with the home and had no complaints. Residents handle their own financial affairs or have them managed by a nominated representative. All care staff in the home receive supervision every eight weeks in one-to-one sessions and notes are of these meetings are kept in the training files, which Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 17 were seen by the inspector. Staff training is on going, as was seen in the training files. Manual handling training was a requirement of the last inspection, this has been completed as has food hygiene training; a fire drill is arranged for the end of the July. Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 2 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 3 x 3 Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 19 No 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 18 Regulation 13(6) Requirement The registered person must ensure that the homes has an up to date copy of the Hampshire Abuse Procedure. The registered person must arrange for adult abuse/protection training to take place for all staff. Timescale for action 30/09/05 2. 18 13(6) 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 3 Good Practice Recommendations The home should have a policy in place regarding preadmission assessments to ensure consisitency in assessments. The home should leaflets or information regarding advocacy services, to ensure that the residents or their relatives information available to them. 2. 14 Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Clifton Court H54 S48054 Clifton Court V238510 120705 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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