Inspection on 14/07/06 for Clifton Court

This inspection was carried out on 14th July 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clifton Court 24/08/05

Clifton Court 18/04/05

Clifton Court 06/10/04

Clifton Court 12/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Clifton Court 8-10 Clifton Road Ore Hastings East Sussex TN35 5AP Lead Inspector Alexis Reilly Key Unannounced Inspection 14th July 2006 11:30 Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 Clifton Court DS0000021077.V300174.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 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. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton Court Address 8-10 Clifton Road Ore Hastings East Sussex TN35 5AP 01424 428708 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) sylviacliftoncourt@hotmail.com Mr David Cooper Mrs Eillen Sullivan Mrs Sylvia Verlander Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is fifteen (15) That the home may accommodate one named service user aged over 65 years. On admission service users should be aged between 18-65 years. Date of last inspection 24th August 2005 Brief Description of the Service: Clifton Court is a detached property in Ore, which is a residential part of Hastings. The property is situated close to nearby transport facilities; there is a bus stop outside the front of the house, which goes into the town centre. The property is within walking distance of Ore local shops. Clifton Court is a residential care home that provides placements for 15 residents. Four of these placements consist of two double bedrooms, none of the bedrooms are ensuite. Currently the service has no vacancies. The weekly fee rate is £303.25 to £370.00. The current e-mail address is Sylviacliftoncourt@hotmail.com. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours beginning at 11.30am. The Registered manager was interviewed during the inspection. The following documents were examined, sheets which record the administration of medicines, care plans, and risk assessments. Records in relation to health and safety matters were also viewed. The inspector spoke with three residents individually and saw others in the lounge in the home. Residents & relatives completed commission for Social care inspection surveys. Further comments were received in the form of questionnaires from health professionals who visit the home. The comments of these surveys and questionnaires are included in the report. Further time was spent on the preparation and writing of the report. What the service does well: What has improved since the last inspection? What they could do better: The service currently employees twelve care staff. Two staff have NVQ 2 and one is currently training towards NVQ 2, one staff member is training toward NVQ 3, the Registered Manager has NVQ level 4, all staff have completed the services training. A Mental Health Refresher training is planned for staff for the coming months. However the service must ensure that 50 of staff are trained to NVQ level 2 or above. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 6 It is planned for the coming year to replace the chairs in the lounge and thought should be given to replacing these individual chairs with a sofa arrangement to enable the rooms to look more homely. 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 DS0000021077.V300174.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service ensures it has gained the relevant background information for a resident prior to offering them a place in the service, and has assessed their individual needs. EVIDENCE: The service has had no new residents admitted since the last inspection. The residents placed are very settled within the home. In the past the Registered Manager has ensured they have gained the relevant information prior to offering a placement within the service. Resident’s benefit from an induction and settling period in the home. The service is currently full. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service creates plans of care for residents, and carries out comprehensive assessments. Within this framework residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The care plans are divided in to headings addressing, the current needs of the resident, any change since the last review, notes for staff, eating habits, smoking/exercise, medication, attitude, hygiene and appearance. Visits to and from relative’s, motivation and complaints are also recorded. The Registered Manager has now added a section to the care plans that lists which weekly activities the resident has been involved in. These are individual and varied and range from visits abroad to see relatives, to trips to London, or eating out at restaurants locally. Care plans are reviewed monthly. The Registered Manager ensures that residents are supported in taking risks. These could be in relation to involvement in family relationships, holidays or outings. Risk assessments are reviewed and up to date and it was noted that Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 10 the extreme heat due to the weather has also been included in risk assessments, as have such areas as refusing dental treatment. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents take part in appropriate leisure activities, and access the local community. Appropriate relationships are encouraged, and service users enjoy their meals. EVIDENCE: Residents placed within the home are all involved in individual activities and interests. These are varied and range from visits abroad to see relatives, to trips to London, or eating out at restaurants locally. Residents are also involved in working with computers, attending the local day centre resource, and caring for their pets. Residents access the community locally and are comfortable using the local café resources, and library. Two residents attend an art class once a week, and one resident attends creative writing classes. The Registered Manager ensures that residents religious needs are met and accompanies one resident to the synagogue every 6 weeks, and is in the process of arranging a visit to London so that the resident can eat in the restaurants they remember as a younger person. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 12 The service promotes family contact and relationships if these are helpful to the resident placed. There has been previous incident when residents were involved in a sexual relationship this was dealt with appropriately. A number of residents have regular contact with their families and the staff do all they can to promote this. Resident’s rights are respected as illustrated above with relationships and also their choice with regard to budgeting, and refusal of dental treatment or other additional health care checks such as cervical screening. Menus are varied and are mainly chosen by the residents within the home. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents physical and mental health needs are monitored within the service. Residents are supported to remain well both physically and emotionally. Residents are protected by the homes policies on administration of medication. EVIDENCE: Residents do not self-administers medication. Medication administration sheets were checked on the day of the inspection and found to be in good order. The Registered Manager has arranged specific cultural funeral arrangements for one of the residents placed and has discussed funeral arrangements with the residents in the home. List of staff signatures is in the cupboard were medication is kept. Ten staff have completed safe handling of medication training and two staff are currently in the process of completing this training. One resident has a supervised shower. Residents are registered with the local GP, and the chiropodist visits once every four to six weeks, the optician visits the home annually. The Community Psychiatric Nurse visits weekly, and when requested. One resident is weighed by the nurse every six weeks. Residents Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 14 have health checks twice a year at the GP surgery and their medication is reviewed. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service has an accessible complaints procedure in place. Residents are listened to and complaints are taken seriously. The service has an up to date Adult Protection Policy. EVIDENCE: The service has an Adult Protection policy in place. Staff are trained within the home about Adult Protection procedures and the Registered Manger has completed the Train the Trainer Protection of Vulnerable Adults course. The adult protection procedures are kept in the policy book in the kitchen for staff to read and refer to as necessary. Nine staff have completed the Protection of Vulnerable Adults training. The service has had no formal complaints since the last inspection, complaints are dealt with at residents meetings these are held every 6 weeks. The Registered Manager also sees individuals on their own to gain feed back on the service provided. Usually complaints are around people taking toilet rolls out of the bathrooms and not putting their chairs in after dinner. The Registered Manager has a individual discussion with residents about the service and complaints every three months as well as the six weekly resident meetings. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to this service. Residents have bedrooms decorated to their choice and live in a safe environment. However the service should give some thought to replacing the individual chairs in the lounge with sofas to enable the room to look more homely. EVIDENCE: It is planned for the coming year to replace the chairs in the lounge and thought should be given to replacing these individual chairs with a sofa arrangement to enable the rooms to look more homely. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to this service. Staff receive a variety of training, however they are not qualified to NVQ level 2 in the required numbers. Residents are protected by the homes recruitment procedures and staff supervision polices. EVIDENCE: The service has employed one new staff member since the last inspection. The recruitment file for this person was found to be up to date. A Protection of Vulnerable Adults check and Criminal Record Bureau check were completed and in order. The new member of staff has completed the homes induction, fire safety, food hygiene and health and safety training. The service currently employees twelve care staff. Two staff have NVQ2 and one is currently training towards NVQ 2, one staff member is training toward NVQ 3, The Registered Manager has NVQ level 4, all staff have completed the services training. A Mental Health Refresher training is planned for staff for the coming months. Training completed by staff in the last 12 months are NVQ levels 2, & 3, challenging behaviour training, understanding mental health, medication training, blood sugar monitoring training, injecting insulin, first aid, lifting and handling, food hygiene, fire training, drugs awareness, supervisory development, infection control, care skills, nutrition training, personal development, health and safety, protection of vulnerable adults, nutrition and working with people who have disabilities. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Resident’s views are taken into consideration within the home. EVIDENCE: Residents have regular residents meetings the minutes of these are recorded and a copy kept. The service has shown that the views of the residents are taken into consideration and acted upon, examples of this are the purchasing of a new television for the lounge and the choice of food in the menus. Resident’s surveys are carried out four times a year to check various aspects of the care at the home. Commission for Social Care inspection surveys received from residents, confirmed that residents were asked if they wanted to move to the home and received enough information about the home to make that decision. That residents are able to make decisions about what they do on a daily basis, and know who to talk to it they are unhappy. That the home is always clean and fresh and staff treat residents with respect and listen to what they have to say. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 19 The last external quality assurance check was carried out in June. The service now ensures that these are carried out monthly on an unannounced basis. The registered provider carries these unannounced checks out, and talks to the residents and interviews staff during this time. Also checked are care plans, risk assessments, policies and procedures, complaints, fire alarm and health and safety checks, the environment and supervision of staff. Questionnaires and surveys are also collated and copies forwarded to CSCI. The Registered Manager ensures staff are supervised and receive appropriate training. Through the residents meetings and complaints procedure resident’s views are included in the self monitoring and development of the home. The service has the following policies in place, Sexuality and Relationships, implemented 18th November 2002 and reviewed in June 2006. Values of privacy, dignity choice, fulfilment, rights and independence, implemented October 2003 and reviewed June 2006. Racial harassment occurring between service users, between staff by staff or by service users on staff, implemented November 2002 and reviewed in June 2006. The fire office last visited the service on the 21st June 2006 and made no requirements during this visit. The fire equipment was last checked on the 21st June 2006, fire drills are held weekly, and the last fire training was carried out in November 2005. The health and safety department and environmental health officers visited the service on the 30th June 2006, approved gas installation certificate is dated 6th July 2006, and at this time the central heating system, boiler, cooker and hot water temperatures were checked also. The temperature checks for water heating are carried out weekly and the water outlets are temperature controlled. Approved electrical wiring certificate is dated 23rd January 2004, and emergency lighting is checked monthly and was last serviced in May 2006. The emergency call system is checked monthly. COSHH assessments were completed in January 2003 and reviewed last in June 2005. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA32 Regulation Requirement Timescale for action 01/01/07 18(1)(a)(c)(i) 50 of Care staff are qualified to NVQ level 2. 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 YA24 Good Practice Recommendations The chairs in the lounge to be replaced with a sofa arrangements. Clifton Court DS0000021077.V300174.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 DS0000021077.V300174.R01.S.doc Version 5.2 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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