Inspection on 12/12/05 for Clifton House

This inspection was carried out on 12th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Clifton House 15/04/08

Clifton House 24/04/07

Clifton House 26/05/05

Clifton House 13/10/04

Clifton House 28/04/04

Clifton House 22/09/03

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Clifton House 3 Clifton Road Heaton Moor Stockport Cheshire SK4 4DD Lead Inspector Kathleen Mcall Announced Inspection 10:05 12 December 2005 th 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 House DS0000008549.V263103.R01.S.doc Version 5.0 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 House DS0000008549.V263103.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clifton House Address 3 Clifton Road Heaton Moor Stockport Cheshire SK4 4DD 0161-432 8287 0161 432 8287 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 House (RCH) Limited Mrs Lynne Carol Hudson Care Home 12 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (9) Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 9 OP and up to 3 MD (E). Date of last inspection 26th May 2005. Brief Description of the Service: Clifton House is a residential care home that is registered to provide care for up to twelve residents whose primary care needs are due their old age, including up to three residents who may have a diagnosis of mental illness. Mr and Mrs Hudson are the registered proprietors of Clifton House. Mrs Hudson is the registered manager of the home. Clifton House is a large, detached house set in its own grounds; it is clean, well presented and provides comfortable accommodation throughout. All bedrooms are single person occupancy and are spread over two floors, there are no ensuite facilities however all bedrooms have a washbasin. There is an assisted bathroom on the ground floor, which also has a walk in shower for those service users who prefer a shower. There are two lounges, a larger one on the ground floor and a smaller one on the first floor and a separate dining room. Clifton House is not suitable for wheelchair users. There is a passenger lift to assist residents to their bedrooms on the first floor. There are car parking facilities to the front of the home and pleasant gardens to the rear. The home operates a no smoking policy. The home is situated in the Heaton Moor area of Stockport. Local shops, cinema, library and park are within walking distance of the home. Stockport town centre, motorway network and public transport are easily accessible. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over the course of a day. The registered manager accompanied the inspector throughout the inspection process. Care plans, assessment documentation, medicines and their storage were examined. There were eight residents in the home at the time of the inspection. The inspector spoke with the majority of residents and several members of staff who were on duty. The inspector also met a social care cadet, from Stockport College who was on placement at the home for a period of twenty six weeks and met with a training adviser for health and social care from Stockport College Since the last inspection Clifton House had achieved the investors in people award in April 2005 Three service users comment cards were returned to the inspector; cards indicated that residents liked living at the home and they felt well cared for, that staff treated them well and that their privacy was respected. Three residents indicated that they liked the food. Three comment cards indicated that residents knew who to talk to if they had a problem. Two residents said they would like to be more involved in the decision making of the home. One resident told the inspector that moving into Clifton House was the best thing that ever happened to them, he was very well looked after and was very happy. Another resident said about the home, ‘Good food, Good staff’. Eight relatives comment cards were returned to the inspector; all cards indicated that relatives felt welcome at the home and could visit their relative in private and all eight said that they were kept informed of important matters affecting their relative and that if their relative was unable to make a decision they were consulted about care issues. Six cards said that there was always sufficient staff on duty in the home, one said there was not and one card did not comment. Seven cards said they were aware of the homes complaints procedure and one said they were not. None of the eight respondents had made a complaint. Eight relatives comment cards indicated that they were satisfied with the care provided. One relative wrote, ‘care is excellent. A huge relief on family’s behalf to know resident is properly looked after and happy.’ Another wrote, ‘care could not be better’. What the service does well: Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 6 Clifton House is a small home that offers comfortable and homely accommodation. A number of residents told the inspector that they liked living at the home and that they felt well cared for. The atmosphere of the home is relaxed and friendly. Residents spoke positively about the food and were pleased with the choice and variety on offer. The staff group at the home is a stable one with many carers having worked at the home for a large number of years. Residents appeared to be well cared for and were supported by a trained and competent staff group. 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 House DS0000008549.V263103.R01.S.doc Version 5.0 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 House DS0000008549.V263103.R01.S.doc Version 5.0 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 4. Service users care needs were fully assessed before admission and they were fully satisfied with the care provided. EVIDENCE: There were eight service users in the home at the time of the inspection. There had been no new service users admitted to the home since the last inspection. As part of the inspection a selection of service user files were examined. These contained a sufficient amount of assessment information in respect of each service user. It was the practice of the home that service users were assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 9 Service users told the inspector that they were happy with the way in which the home was meeting their needs. Care staff demonstrated a good understanding of service users care needs. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 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 Service users health and personal care needs were identified and met. EVIDENCE: Care plans continued to be of a good standard as previously observed. Each service user had a care plan. Care plans seen were individualised to each service users’ care needs and all information was stored in one accessible document. Care plans included health needs, personal care needs, mobility, social interests, and risk assessments and were reviewed on a monthly basis and any changes needed were included. Each service user had a diary in which staff recorded progress and development on a daily basis. Diary’s provided a clear account of how service users had spent the day and the care they had received. Clifton House had specialist equipment in place to meet the needs of service users. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 11 Since the last inspection the registered manager had purchased a medication trolley in which to store medicines. The registered manager had also introduced new medication administration sheets and was looking into the supplying pharmacist providing printed MAR sheets. Medication received into the home was not labelled on both the inner container and the outer box. Two service users managed their own medication and appropriate risk assessments were in place to ensure the safety of this practice. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staffs approach towards service users was observed to be respectful, sensitive and caring at all times. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 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. The day-to-day routine of the home including mealtimes was relaxed and informal and met service users needs. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with some service users preferring to spend time in their rooms and others using the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they choose. The home did not have a formal activities programme, but this appeared to suit service users. Two service users regularly go out to the local shops and a local pub. Visits by local churches take place and a Christmas carol concert was planned. The library service visited the home. Residents meetings were held on a quarterly basis and service users were able to contribute to the decision making in the home. The lunchtime meal was a focal meeting point of the day, followed by several service users choosing to sit in the lounge for coffee, reading newspapers and watching TV. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 13 The social care cadet on placement at the home had been able to assist with activities and provide therapies for service users during her placement. Service users confirmed that visitors were made welcome at the home and service users kept in touch with family and friends. Service users told the inspector that they enjoyed the meals provided at the home; lunch was the main meal of the day, the teatime meal was a light snack meal and breakfast was served in service users bedrooms. The inspector observed the lunchtime meal, which was well presented and freshly made. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 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. Service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection. EVIDENCE: The home had a detailed complaints policy and procedure; there had been five complaints since the last inspection none of which were substantiated. Service users told the inspector that they knew who to complain to and felt that their complaint would be dealt with in a suitable manner. One service user told the inspector that she had no reason to complain and that they were quite satisfied with the care provided. The home had a procedure for responding to allegations of abuse. The majority of staff had completed training in the protection of vulnerable adults. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 15 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, 24 and 26. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. The grounds of the home were well kept and attractive. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. A number of service users rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants, with many of the service users being quite self contained in their own rooms. Service users were offered a key so they could lock their rooms. The home complied with the requirements of the fire authority. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 16 Since the last inspection the registered providers had taken measures to improve and upgrade the overall appearance of the dining room both internally and externally. The dining room had been redecorated and had new curtains fitted. Externally the roof had been asphalted and sealed. Exterior wood areas had been repaneld and painted. The registered providers anticipate that the work will be completed by summer 2006. It was observed that the overall appearance of the dining room had improved significantly since the last inspection Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 17 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. The home was sufficiently staffed with a staff group that was trained to undertake their duties, recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was staffed by staff that were trained to meet the assessed needs of service users in the home. A staff rota showing, which staff were on duty and in what capacity, was kept at the home. Since the last inspection one new member of staff had commenced employment at the home; the registered manager had followed appropriate recruitment procedures. The newly appointed member of staff had completed a period of induction at the commencement of her employment and evidence of the induction programme was made available at inspection. Three members of staff held an NVQ level 2 qualification and a further three members of staff were completing NVQ level 3 training. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 18 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): 35, 36 and 38. Staff were supervised in their work. The health and safety of staff and service users was fully safeguarded. EVIDENCE: Staff received regular supervision to support them in their work and records of such meetings were made available at the time of the inspection. The home did not have any involvement with service user finances; these remained the responsibility of service users or their relatives. Small amounts of money were held for service users to purchase small items; systems were in place to ensure the safe handling and storage of service users monies. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 19 Staff had updated their training in safe handling and moving procedures, fire safety, food hygiene and health and safety. A certificate confirming the maintenance of the stair lift was seen on inspection. The home recorded information in respect of falls and accidents by service users. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 20 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 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 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Timescale for action The registered person must liaise 12/01/06 with the supplying pharmacist to ensure that all medication received by the home is labelled on both the inner container and the outer box. The registered person must 12/07/06 ensure that the exterior of the dining room is kept in a good state of repair. (Timescale of 12.12.04 not met.). Requirement 2. OP19 23(2)(b) 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 OP28 Good Practice Recommendations The registered person should continue to work towards meeting the requirements of this standard that 50 of the staff group hold an NVQ Level 2 or equivalent. Clifton House DS0000008549.V263103.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 House DS0000008549.V263103.R01.S.doc Version 5.0 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. 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