Inspection on 26/01/06 for Clifton Court Limited

This inspection was carried out on 26th January 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 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 12/07/05

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 Hampshire RG21 5NX Lead Inspector Pat Griffiths Unannounced Inspection 26th January 2006 10:00 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 Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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 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) Clifton Court Residential Home Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 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 DS0000048054.V279323.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second of two for the inspection year 2005/06, and took place on one day. The inspector was able to look around the home, 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. 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. Activities for the residents have improved, they now have outings and are making use of the ‘Dial a Ride’ bus scheme to get to local day centres and coffee mornings. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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 DS0000048054.V279323.R01.S.doc Version 5.1 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 Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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 the following standard(s): 3 Arrangements for assessing prospective residents ensures that their individual needs can be met in the home. Standard 6 does not apply to this service EVIDENCE: The manager told the inspector that the one of the owners or the manager went to visit any prospective residents and always completed a pre-admission assessment. Several assessments were seen in residents’ files and were found to contain relevant information, such as mobility, medical history, sight, and social activities and interests. The home now has a policy in place regarding pre-admission assessments, this now ensures consistency in the pre-admission assessments and makes the care planning easier. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 9 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 the following standard(s): These standards were not examined during this inspection EVIDENCE: Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12, 13, 14 and 15 Residents experience a varied life at the home, they are encouraged to make choices, a varied diet is available and their visitors are welcomed. EVIDENCE: The manager told the inspector that residents were asked what their social activities and interests used to be and which they wanted available in the home. A new programme of activities is now available and includes trips to the day centre, Age Concern coffee mornings and church activities. The ladies in the home make good use of the local ‘Dial a Ride’ bus scheme. Residents are also doing some container gardening using pots and baskets, some do knitting and there is a domino ‘school’ every afternoon. 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, such as when to get up or go to bed and what clothes to wear each day. The home has an information folder for the residents, which contains a variety of information including leaflets from Age Concern regarding advocacy services, should the residents or their relatives feel they need help or information about their personal or financial affairs. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 11 Regular meetings are held with the residents and issues such as the menu or staffing are discussed. The home does provide a varied menu for the residents and choices are available, comments to the inspector included ‘the food is better that I had in my own home’ and ‘we have lots of nice green vegetables’. The mealtimes are unhurried and help is given if necessary, such as cutting up food. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18 Arrangements ensure the protection of the residents from abuse. EVIDENCE: The home now has an up to date copy of the Hampshire Abuse Procedure. The manager told the inspector that adult abuse/protection training has taken place and all staff have attended. Talking with staff confirmed that they were aware of abuse and what to do should they suspect it has occurred. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 13 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 the following standard(s): These standards were not examined during this visit EVIDENCE: Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 Staffing numbers ensure that the resident’s needs are met. Recruitment practices do not protect the staff and residents. EVIDENCE: The home has six care staff and three family members who are the owners and the manager. The owners live on site and are usually in the home every day. The residents are able to manage a lot of their daily lives with minimal assistance from the care staff. The care staff also deal with the domestic tasks in the home, such as cooking, cleaning and laundry. Two of the care staff are doing their NVQ at level 2 and should complete the course in April 2006 (National Vocational Qualification). The manager said that all new staff will be doing the ‘Skills for Care’ induction training. The home has a recruitment policy, but do not always follow it. The inspector looked at several staff files and in the newest staff members file found that the employment checks had not been completed properly. The applicant had been interviewed on one day and started work the next, references were not applied for until 3 days later. Only one reference had been obtained and the CRB disclosure from the last employer was accepted and a new one had not been applied for. (Criminal Records Bureau disclosures are not transferable). An immediate requirement was made to rectify this matter. The registered person must operate a thorough recruitment procedure to ensure the protection of the residents and staff in the home. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 15 The manager and inspector discussed the staff terms and conditions of employment with reference to the information contained in the Working Time Regulations from the DTI (Department of Trade and Industry). All staff are entitled to four weeks paid holiday annually. Bank holidays do not entitle employees to time off or extra pay, this depends on the terms and conditions within the contract of employment. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 Arrangements ensure that a fit person manages the home. EVIDENCE: The manager is the daughter of the owners and has many years experience in care work and was previously the deputy manager of another care home for the elderly. She is currently undertaking her NVQ4 Registered Managers Award, which she hopes to complete this summer. Most of the staff have worked in the home for many years and are aware of their roles and responsibilities. The staff have recently undertaken the role of ‘keyworker’ for the residents. This has involved taking a more holistic responsibility for a nominated resident and providing a key person for the resident to turn to for help, advise or support. Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 17 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 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 OP29 Regulation 19 Schedule 2 Requirement The registered person must operate a thorough recruitment procedure to ensure the protection of the residents in the home This is an immediate requirement Timescale for action 03/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Clifton Court DS0000048054.V279323.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 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 DS0000048054.V279323.R01.S.doc Version 5.1 Page 20 - 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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