Inspection on 06/05/05 for Clifton House Residential Care Home

This inspection was carried out on 6th May 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 House Residential Care... 02/04/09

Clifton House Residential Care... 07/06/07

Clifton House Residential Care... 08/06/06

Clifton House Residential Care... 13/10/05

Clifton House Residential Care... 27/10/04

Clifton House Residential Care... 11/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Clifton House Care Home 94/96 Clifton Avenue Hartlepool TS26 9QP Lead Inspector Paul Emmerson Unannounced Inspection 6 May 2005 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 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 Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Clifton House Care Home Address 94/96 Clifton Avenue Hartlepool TS26 9QP 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) 01429 223399 01429 223399 H Gill@hipower-freeserve.co.uk Finest Care Limited Mrs Andrena Piggins CRH 30 Category(ies) of OP Old age (30) registration, with number of places Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: All unguarded radiators must be covered by 1st June 2004 in order that the risk of burns to service users be reduced. Date of last inspection 27 October 2004 Brief Description of the Service: Clifton House is a care home for older people and is registered under the Care Standards Act 2000 to provide accommodation and care for up to 30 older people. The home is located in a quiet road, close to local amenities and the town centre. Most residents select to personalise their rooms with their own furniture and personal belongings. The home has a number of communal areas that are well used by residents. There are quieter areas should privacy be required. Although the home is situated over three floors, a lift gives access to all levels. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory obligation to inspect all care homes at least twice a year. This unannounced inspection was carried out in accordance with this obligation. The inspection took place over 7 hours, on the morning and afternoon of Friday 6th May 2005. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be assessed during the next inspection of the home. The inspector looked around the building and a number of records were examined. 10 service users, the manager, 7 members of staff and 6 visitors were spoken to. What the service does well: What has improved since the last inspection? New carpets have been laid to the hall, stairs and landing areas. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 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 House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 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 standard(s) 3 Admissions to the home are well managed. Service users receive appropriate information about the home and their needs are assessed prior to admission. EVIDENCE: A number of recently admitted service users and some of their family members were spoken to. These people spoke well of the home and how they had been made to feel welcome. One visitor said, “whenever you come, you’re never a nuisance and there’s always a cuppa”. One of the most recent admissions to the home was on 7 April 2005. The inspector spoke to this person and her daughter. Both provided positive feedback about their experience of Clifton House to date. The service user said that she “likes it here very much”. Her daughter said, “on admission we were given information, we went over the care plan and what to do if we had any grievances”. The service user’s care plan documents were examined. These showed an assessment had been conducted, which was informing the delivery Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 9 of the person’s care. Assessment / care plan information has also been obtained from the Local Authority Social Services Department. Service users considering a move in to the home are welcome to visit with relatives, have a meal and stay overnight if necessary. In this way service users can get to know the home before moving in. Any move into Clifton House is on a six-week trial basis. At the six-week stage a formal review meeting is held to consider permanency. Clifton House has a Statement of Purpose and a Service Users’ Guide to provide service users and potential service users with information about the home. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 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 standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, it was noted that a number of beds are fitted with bed rails. To minimise the risk of injury to service users, it must be noted that risk assessments relating to the use of bed-rails in the home must be completed in greater detail. Where it is decided to use bed-rails as the most suitable form of bed management, the assessment, which concludes this, must be recorded; alternative options must first have been explored. Further, a suitable and sufficient assessment of the risks associated with the use of bed-rails must also be completed; the significant findings recorded; any control measures identified must be implemented; and ongoing monitoring / reviews conducted and safety checks undertaken. Attention is drawn to the Medical Devices Agency’s ‘Advice on the Safe use of Bed-Rails’ (MDA DB2001(04)). EVIDENCE: N/A Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, 14 & 15 Social needs are recognised and provided for. The home has open visiting arrangements. Service users’ rights are respected and choice is provided. Meals are of a good standard. EVIDENCE: On the morning of the inspection a hairdresser was working in the home and a quiz was organised by the manager and staff. In the afternoon a video film was shown. An activities plan is displayed in the hallway, which shows other activities / events organised across the week. However, an activities coordinator is not employed by the home. Although it is acknowledged that care staff provide activities wherever possible, and staff were observed to engage with service users in social interaction, due to the layout of the home and the need for care staff to carry out personal care tasks and support, it is suggested that more could be done in this area. One visitor said their relative “was getting bored”. To ensure that the home can better meet service users’ social and recreational needs and expectations, it is recommended that an activities co-ordinator should be employed. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 12 Clifton House has open visiting arrangements. The inspector spoke to six visitors who provided positive feedback. One visitor said they’re “always made to feel welcome” and added, “the home came well recommended”. One visitor said, “whenever you come, you’re never a nuisance and there’s always a cuppa”. Service users were asked about the choices they were given. One person spoke about being asked, “what they preferred to be called – by their first name or more formally by their surname?” Another person said that they “chose to eat breakfast in their bedroom”. Another service user spoke of the benefit of residents’ meetings “we congregate and give our points of view on anything we come out with”. Another person said they had been supported to vote in the recent general election: “I voted by post”. Food served was seen to be of a good standard. Although one person expressed dissatisfaction about “the variety, the lack of bread and butter with meals and not having cooked breakfasts”, other people gave more positive feedback: “the food’s lovely”; “the food is good”. To ensure that meals served meet people’s preferences, kitchen-staff visit service users daily to obtain their meal preferences for the day. However, to ensure that any dissatisfaction is resolved, it is recommended that menus should be reviewed and where necessary updated in consultation with service users. Service users’ nutritional needs are considered and recorded in care plans. Specialist diets are provided where necessary. However, it was noted that only semi-skimmed milk and lower calorie dairy products are used in the home. Where service users are losing weight or require a higher calorie intake, it is recommended that the use of full fat dairy products as a food supplement should be considered. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 13 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 standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. EVIDENCE: N/A Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19 & 26 The home is safe and generally well maintained. Since the last inspection some environmental improvements to the home have been made. The home is clean, tidy and free from offensive odours. EVIDENCE: Clifton House is located in a quiet road, close to local amenities and the town centre. The inspector walked around the building and saw that most people have personalised their rooms with their own furniture and personal belongings. The home has a number of communal areas that are well used by residents. There are quieter areas should privacy be required. Although the home is situated over three floors, a lift gives access to all levels. Since the last inspection a new carpet has been laid to the main hall, stairs and landing areas. A service user said that this “makes the home look nicer.” Clifton House is generally well decorated. However, some areas would benefit from redecoration work and some bedrooms also need new carpets. The Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 15 home’s manager acknowledged this and said that a list of work required had been drawn up. An action plan showing redecoration works intended and timescales for completion should be forwarded to CSCI. The home was seen to be clean and tidy. One service user said: “they pull my bed and furniture out once a week to give my room a good clean – they didn’t do that all the time I was in hospital.” Clifton House is a safe environment for service users. All radiators have now been guarded or have low surface temperatures. Where specialist equipment, such as pressure relieving mattresses, is required, it is obtained. However, where bed rails are provided, as stated above, more detailed risk assessments are required. The home’s bathrooms are appropriately situated. However, some would benefit from upgrading. It is also suggested that a shower room would be a useful addition. To ensure that Clifton House can meet the future needs of service users coming into the home, bathroom upgrade costs should be considered within any future business plans for the home. However, it was noticed that in the late morning and early afternoon hot water taps ran cool. Hot water should be available throughout the day, in particular to the kitchen and bathrooms. One service user said “I’d like a bit more hot water than they can spare and my sink gurgles and regurgitates”. Any upgrade work to hot water boilers and plumbing should receive more urgent attention. Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. EVIDENCE: N/A Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, reports required under Regulation 26 (Care Homes Regulations 2001) must be completed and forwarded to CSCI. EVIDENCE: N/A Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x 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 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? 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 8 Regulation 13 Requirement Where it is decided to use bedrails as the most suitable form of bed management, the assessment, which concludes this, must be recorded; alternative options must first have been explored. Further, a suitable and sufficient assessment of the risks associated with the use of bedrails must also be completed; the significant findings recorded; any control measures identified must be implemented; and ongoing monitoring / reviews conducted and safety checks undertaken. Attention is drawn to the Medical Devices Agency’s ‘Advice on the Safe use of BedRails’ (MDA DB2001(04)). Reports required under Regulation 26 (Care Homes Regulations 2001) must be completed and forwarded to CSCI. Timescale for action 1 July 2005 2. 37 26 1 July 2005 Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 20 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. 2. Refer to Standard 12 15 Good Practice Recommendations It is recommended that an activities coordinator should be employed. Menus should be reviewed and where necessary updated in consultation with service users. Where service users are losing weight or require a higher calorie intake, the use of full fat dairy products as a food supplement should be considered. An action plan showing redecoration works intended and timescales for completion should be forwarded to CSCI. To ensure that Clifton House can meet the future needs of service users coming into the home, bathroom upgrade costs should be considered within any future business plans for the home. Hot water should be available throughout the day, in particular to the kitchen and bathrooms. 3. 19 Clifton House Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Care Home DB54 S58542 Clifton House V223373 050505 Stage 4.doc Version 1.30 Page 22 - 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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