Inspection on 04/09/06 for Clifton Court Limited

This inspection was carried out on 4th September 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 26/01/06

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 Residential Home 23 Richmond Road Basingstoke Hampshire RG21 2NX Lead Inspector Keith Hopkins Unannounced Inspection 4th September 2006 11:30 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 Clifton Court DS0000048054.V308251.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. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton Court Residential Home Address 23 Richmond Road Basingstoke Hampshire RG21 2NX 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) 01256 325715 Clifton Court Ltd Mrs Sarah Jane Yarney Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 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. Fees range from £495 to £520 per week. 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.V308251.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five and a half hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the owners and manager. The inspector also spoke privately with a member of the care staff. Service users were observed making use of communal areas and their bedrooms and a number were spoken with briefly. Three service users were spoken with at greater length in the privacy of their bedrooms, and the inspector was also able to speak with a visitor. What the service does well: What has improved since the last inspection? Since the last inspection service users have been better protected through the home adhering to its recruitment policy, and ensuring that all checks are undertaken before staff are employed. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 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.V308251.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 Clifton Court DS0000048054.V308251.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Three service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a good level of detail. There was, for example, information regarding sight, washing, mobility, and care needed at night. The more recently admitted service user confirmed that she had visited the home before going into Clifton Court and had also viewed her room beforehand. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission. It was preferred that any potential service user visit the home for the initial assessment as this was seen as a ‘two way’ assessment, with the potential service user having the opportunity to make their own judgement as to whether their needs could be met. The content of Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 9 the assessment is shared with the person concerned, this being evidenced through their signing the document. The member of staff spoken with was clearly aware of the content of the needs assessments, which formed the basis for the care plan. The home does not admit service users for intermediate care. Clifton Court DS0000048054.V308251.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 home has a good care planning regime, which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. A good level of detail was noted with quite specific information such as how many pillows a person preferred at night being included. Plans are reviewed on a regular monthly basis with any necessary changes being documented. Both the service user and keyworker sign these. Service users confirmed that staff knew how to help them. Some service users, for example, were able to use the home’s stairlift independently whilst others needed some assistance in doing so. Plans contained information regarding more specific needs such as chiropody and dentistry. Some service users, for example, access these services Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 11 externally rather than ‘in-house’. Service users also confirmed arrangements to access a GP with one saying ‘they get the doctor whenever I need it’. The home has a policy and procedure for dealing with medication, which enables service users to exercise choice over whether they wish to deal with their own medication. The inspector was informed that at the current time all service users were happy for the home to deal with their medication. The drugs cupboard, including the separate controlled drugs cabinet, was secure at the time of the inspection. Records relating to two service users were examined and were in order and up to date. Staff responsible for dealing with medication have been trained. The home has a facility for keeping drugs refrigerated if necessary but this is not currently needed. A visitor to the home said that she was very happy with the care provided for her mother and that there was nothing that could be done better. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Clifton Court DS0000048054.V308251.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy attractively presented meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each service user’s interests are and service users themselves confirmed, variously, that they enjoyed activities such as doing puzzles and crosswords. Books are available for those service users who like to read, and one service user said that she enjoyed reading the newspaper. Communion is held on a monthly basis and the inspector was informed that this was well attended by service users. One service user attended church on a regular basis. All service users are registered with the local ‘dial a ride’ scheme and following requests from two service users, assessments for wheelchairs were awaited to Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 13 enable easier access to the town centre and local facilities. One service user confirmed how much she enjoyed going out. The inspector spoke with one visitor to the home who was pleased with the services offered to her relative. Service users are able to entertain their visitors in private or in communal areas of the home, and the visitor spoken with said that she was always made welcome at the home. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. Menus at the home were varied and the inspector observed an attractively presented meal being served in the dining room at lunchtime. The dining room provided an attractive, light and airy environment and it was clear from observation that meals were very much a social occasion. All service users spoken with said how nice the food was and the inspector saw that there was a choice available at lunchtime. Service users are made aware beforehand of the menu. Service users are encouraged to take their meals together in the dining room but would be able to have a meal in their own room if they wished. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 14 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users, with a further copy being available tin the information folder, which is kept in the lounge Two of the service users spoken with privately said that they had no complaints and were aware of what to do if they had. One said that ‘we’re lucky to be here, it’s a very personal place’ and the other said that she was ‘quite happy here’ and that the staff ‘were always helpful’. Service users all appeared to have a good degree of confidence that any issues raised would be dealt with, although it was reported by the manager that the home had had no complaints to deal with in the previous 12 months. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. The staff member interviewed said that she would report anything she needed to. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 15 The home also has a separate whistleblowing policy. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 16 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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include an attractive, light and airy dining room and a well-furnished lounge. The inspector visited three service users in their rooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. Comments made variously by service users included, for example, that ‘the room is nice’, and that ‘I have my own things’. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 17 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with machines being capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staff were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained with an environmental risk assessment in place. Various aids and adaptations are available including a stairlift and a hoist. A health and safety poster was on display in the kitchen. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 18 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, 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 are employed in sufficient numbers to meet service users’ needs, and are appropriately trained. EVIDENCE: Two staff files were inspected, both relating to staff employed within the last year. These contained evidence of written references being obtained following the completion of an appropriate application form and interview. There was evidence of Criminal Record Bureau (CRB) disclosures having been obtained. Staff have job descriptions and the manager showed the inspector an induction workbook in use, which met the Skills for Care guidelines and had been signed by the member of staff involved. Files contained evidence of the various short courses undertaken which included, infection control, food hygiene, dealing with medicines and protection of vulnerable adults. The member of staff interviewed said that she had done ‘lots of courses’, felt ‘well supported’ and had ‘everything I need’ to do her job. Staff files examined confirmed the home’s supervision and appraisal system whereby staff have individual supervision every two months and an appraisal annually. During the inspection the inspector observed the owners, manager and staff members interacting with service users in a friendly yet professional manner. It was explained to the inspector that as a family owned and run business the Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 19 owners were fully involved in the day to day operation of the home and formed a part of the care team. On the day of the inspection the owners and manager were on duty together with a carer and there is always a minimum of two persons on duty at any time. The owners live on the premises and provide the ‘on call’ service at night. Service users without exception commented positively about staff saying variously that ‘they are very good’, that they are ‘always helpful’ and that they ‘always come when I want them’. It is understood that two of the five care staff have obtained NVQ Level 2. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 20 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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A qualified and competent manager, supported by comprehensive policies known to staff, manages the home. EVIDENCE: The home’s manager has worked in the home for a considerable number of years and has obtained the Registered Manager’s Award. The home seeks service users views formally on an annual basis and additionally has service users meetings every three months, which are recorded. Any suggestions made are then followed up on an individual basis. The inspector was informed that a suggestion box was available, although it was reported that this was little used, service users preferring to make any Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 21 comments directly to the owners or manager. Service users themselves confirmed this The home does not deal with any service users’ monies as these are handled directly by service users themselves or their nominated representatives. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. A sample of policies, procedures and records required by regulation were inspected. This included the manual handling policy, the accident reporting policy and information regarding RIDDOR. The inspector pointed out a minor omission in the home’s fire book to the manager who agreed to investigate this. Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 22 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 X 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Clifton Court DS0000048054.V308251.R01.S.doc Version 5.2 Page 24 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. 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