Inspection on 24/08/05 for Clifton Court

This inspection was carried out on 24th August 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 14/07/06

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 Unannounced 24 August 2005 14:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 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 (MD) 15 of places Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is fifteen (15) 2. That the home may accommodate one named service user aged 65 years 3. On admission service users should be aged between 18-65 years Date of last inspection 18 April 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. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two and a half hours beginning at 2pm. The Registered manager was interviewed during the inspection. The following documents were looked at, sheets which record the administration of medicines, three care plans, and risk assessments. Records in relation to health and safety matters were also viewed. The inspector spoke with four residents. This is the second inspection the service has received this year. What the service does well: 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. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the above standards were assessed during the inspection. EVIDENCE: Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 Care plans are detailed and now included a list of weekly activities that residents take part in. 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. Residents are also involved in working with computers and caring for pets. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,15,16 & 17 Residents take part in appropriate activities. Relationships with family and friends are supported and encouraged, and independence is promoted. 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. 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, contraception was given and risk assessments were updated. A number of residents have regular contact with their families and the staff do all they can to promote this. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 10 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 H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 & 21 Administration of medication is dealt with well within the home, and issues with regard to death and dying are dealt with sensitively. 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 is currently discussing with each resident their wishes with regard to funeral arrangements. The Registered Manager will take each resident to a local solicitor to formalise the arrangements. This was initially raised with all residents at a residents meeting. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Staff are aware of the Adult Protection procedures, and now what to do in the event of an allegation of abuse. EVIDENCE: The Registered Manager and staff member have recently completed the Adult Protection Training, the Registered Manager will disseminate this information to the staff within the home, and work will be carried out with the staff to ensure understanding of the training. The service has an Adult Protection policy in place. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The building is well maintained, and clean and hygienic on the day of the inspection. EVIDENCE: The lounge has been recently redecorated and a new wide screen television has been bought. This followed a request by the residents in a residents meeting. The outside of the building is currently being painted, and a handrail is being fitted on the back door for the residents, this will enable them to safely access the garden. Sinks in the bedrooms have had their taps replaced so they are easier to turn off. Two downstairs toilets have been redecorated. The external fence has been mended and repainted. All areas of the building accessed by the inspector on the day of the inspection were clean and hygienic. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the above standards were inspected on the day of the inspection. EVIDENCE: Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 & 42 Staff within the service ensure that residents views are gained. Residents live in a safe environment were health and safety checks are up to date. 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. Quality assurance checks are carried out at the same time to check that people have sufficient clothes and shoes etc. The last external quality assurance check was carried out six weeks ago. The service must ensure that these are carried out monthly on an unannounced basis. In discussion with the Registered Manager they informed the inspector these would be carried out by the owner of the home on a monthly basis. Portable electrical equipment testing was carried out last year and is due to be carried out at the end of this month. Gas boilers and cooker were checked and Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 16 a certificate issued on the 11th May 2005. Fire extinguishers and alarms were checked and a certificate issued on the 5th May 2005. Water temperatures were last checked the week beginning the 15th August 2005. Emergency lighting was last checked on the 24th July 2005, the last recorded fire drill was carried out on the 22nd August 2005, all the fire points within the home have been checked within the last three weeks. Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clifton Court Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 18 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Clifton Court H59-H10 S21077 Clifton Court V237446 240805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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. 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