Inspection on 08/06/06 for Clifton House Residential Care Home

This inspection was carried out on 8th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Residential Care... 02/04/09

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

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

Clifton House Residential Care... 06/05/05

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 Residential Care Home Clifton House 94/96 Clifton Avenue Hartlepool TS26 9QP Lead Inspector Paul Emmerson Unannounced Inspection 8 June 2006 9:45 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 Residential Care Home DS0000058542.V299148.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 House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton House Residential Care Home Address Clifton House 94/96 Clifton Avenue Hartlepool TS26 9QP 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) 01429 223399 01429 223399 Finest Care Limited Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All unguarded radiators must be covered by 1st June 2004 in order that the risk of burns to service users be reduced. 13th October 2005 Date of last inspection Brief Description of the Service: Clifton House is a care home for older people, registered under the Care Standards Act 2000 to provide accommodation and care for up to 30 older people. Although some rooms are registered as doubles, all bedrooms are being used as single rooms. 6 bedrooms have en-suite facilities. On the day of the inspection there were 27 people living in the home (1 vacancy). Clifton House 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 four levels, a lift gives access to all floors. From information provided by the home on 8 June 2006, current charges are £338 per week. Additional charges include those for hairdressing, chiropody and newspapers. An additional charge is made for bedrooms with en-suite facilities. This charge is £14 for bedrooms on the ground floor and £27 for those on the first floor, where the rooms are generally larger. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7½ hours, on the morning and afternoon of Thursday 8 June 2006. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The inspector looked around the building and a number of records were examined. 12 service users, 3 relatives, a visiting hairdresser, the home’s manager and 8 members of staff were spoken to. In addition, 7 ‘Comment Cards’ about the service were received by CSCI. These mostly showed general satisfaction with the home. What the service does well: What has improved since the last inspection? What they could do better: 6 Requirements have been made as a result of this inspection. These are listed on pages 24 & 25 of this report. Some building upgrade work is required, for example to the laundry to prevent the spread of infection. Issues raised by the fire officer also need to be addressed. When medicines are prescribed they become the property of the individual service user. To ensure medication procedures are safe, medicines must not be administered to any other person than the person for whom they were prescribed. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 6 To ensure that staff are clear about what to do if an allegation of abuse is made, the home’s policies and procedures about abuse must be updated. Recruitment procedures need to be reviewed to ensure that the correct checks are made before staff start work. 7 recommendations have also been made as a result of this inspection and are listed on pages 25 & 26 of this report. Some of these recommendations relate to staffing levels, others cover administrative arrangements. Some advice about medication arrangements and recommendations about facilities in the home are also made. 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. Any upgrade work to hot water boilers and plumbing should receive more urgent attention. To ensure that Clifton House is well-maintained, an action plan showing redecoration works intended and timescales for completion should be forwarded to CSCI. 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 Residential Care Home DS0000058542.V299148.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 House Residential Care Home DS0000058542.V299148.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. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. 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 were spoken to. These people spoke well of the home and how they had been made to feel welcome. A service user said, “I’ve settled in, I’ve been treated very well”. One visitor said, “When I was looking around to find a care home, I got a decent feel about this place”. A recently admitted service user’s care plan documents were examined. These showed an assessment had been conducted, which was informing the delivery of the person’s care. Assessment / care plan information has also been obtained from the Local Authority Social Services Department. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 9 Service users considering a move into Clifton House are welcome to visit with relatives, have a meal and stay overnight if necessary. In this way people 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. One such review took place on the day of the inspection. Clifton House has Statement of Purpose, Service Users Guide and Contract documents to provide information about the home. Clifton House Residential Care Home DS0000058542.V299148.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 & 10. Quality in this area is adequate. This judgement has been made using available evidence including a visit to the service. Personal and healthcare needs are met. Appropriate care plans are prepared. However, arrangements for the storage and administration of medicines need to be reviewed. EVIDENCE: The inspector spent time in the company of service users and saw that they are well cared for and comfortable in their home. Although there have been some senior staff changes, the management and staff of Clifton House ensure that service users’ health care needs are met. Where specialist intervention is required it is sought. Records confirm that contact with GPs and other health professionals is maintained. For example, on the day of the inspection a community nurse visited the home. A service user spoken to said, “On the whole it’s alright, the girls are nice. I feel more secure here than when I was on my own at home.” Another resident said, “I’ve settled in, they treat me very well”. A relative spoken to on the day of the inspection said: “I don’t worry about anything”. However, in a CSCI Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 11 inspection comment card a relative wrote, “The standard of staff varies, as does the care”. The inspector looked at 4 care plans, which were all generated from comprehensive assessments. Although in need of some review and updating, the plans are clear about people’s physical needs and describe the care required and being provided to meet their needs. However, as highlighted in previous inspection reports, care planning arrangements would benefit from some further exploration of the mental health needs of older people and also those needs relating to nutrition, weight loss and calorie intake. Service users and/or their relatives are involved in formulating the care plan and they sign to agree it. Within the care notes there are specific documents for other health care professionals to enter their findings and record treatments that have been given. The inspector observed, through the actions and responses of staff, that staff respect service users’ privacy and dignity. Service users spoken to expressed their satisfaction with the manner and attitude of the staff. A pharmacist from the local ‘Older Persons Integrated Needs Team’ has visited Clifton House and has carried out medication reviews for individual service users. The home uses a monitored dosage system. Policies, procedures and systems in place relating to the receipt, recording, storage, handling, administration and disposal of medicines are generally adequate. However, it was noted that the home was holding excessive stocks of some medicines. Any excess stocks should be returned to the pharmacy and storage arrangements generally need to be reviewed. It is also recommended that a cupboard suitable for the storage of controlled drugs should be obtained. As highlighted in the previous inspection report, medicines that need keeping below a certain temperature should be stored in a refrigerator suitable for this purpose – as opposed to the kitchen fridge. Because storage space is limited, the home’s medicines trolley has become very full. To save space in the trolley, where some commonly used medicines are required PRN (taken as required), staff are dispensing these medicines from communal stock. However, this practice is not safe and is unacceptable. When medicines are prescribed they become the property of the individual service user. They must not be administered to any other person than the person for whom they were prescribed. Clifton House Residential Care Home DS0000058542.V299148.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 & 15. Quality in this area is adequate. This judgement has been made using available evidence including a visit to the service. Social needs are recognised and to some degree are provided by the home. There are open visiting arrangements. Service users’ rights are respected and choice is provided. Although meal choices are limited, meals are of a good standard. EVIDENCE: 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, staff changes and the need for care staff to carry out personal care tasks and support, it is suggested that more could be done to meet service users’ social needs and expectations. One service user said, “Activities? We used to play skittles, but now there’s not a thing”. In a CSCI comment card a relative wrote, “The activities in the home have declined. Mum used to play dominoes, cards and attend quizes plus occasionally, visit a theatre – this is gradually drying up”. 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 Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 13 Clifton House has open visiting arrangements. The inspector spoke to three visitors who provided positive feedback. Service users were asked about the choices they were given. One person spoke about a recent ‘Residents Meeting’ and said, “We were asked about the menus a fortnight ago.” Food served was seen to be of a good standard. However, people spoken to gave mixed responses about their satisfaction. In a CSCI Comment Card one person wrote, “In view of the fact a warning has been given that fees in Care Homes are going to rise again it would give satisfaction if food were to improve in comparison, especially the unvaried menus.” In another comment card a relative asked for, “Variation on the present repetition”. 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 the current 3 week rotating menu should be reviewed and where necessary updated in consultation with service users. Clifton House Residential Care Home DS0000058542.V299148.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 & 18. Quality in this area is adequate. This judgement has been made using available evidence including a visit to the service. The home has systems in place to respond to complaints. Service users are safeguarded from abuse. However, the home’s policies and procedures in this area require further development. EVIDENCE: Information about complaints, how and who to make them to, is made available to service users and their families through information displayed on the home’s notice boards and in the home’s ‘Service Users Guide’. Service users’ and families’ views are obtained through regular contact and an ‘open door policy’. Residents Meetings are held, which provide an additional forum to discuss any concerns or potential difficulties. One service user spoken to said, “If there’s a problem the manager is very approachable”. Since the last inspection of Clifton House 3 complaints have been made to the home, which have been appropriately dealt with. However, from the complaints documents examined some essential required information wasn’t properly recorded. Any complaints about the operation of the home must be recorded in greater detail. This record must include any action taken by the registered persons in respect of any such complaint. The home has a copy of the local authority’s ‘No Secrets’ guidance on abuse and the protection of vulnerable adults. Some staff have also received ‘No Secrets’ training. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 15 However, as highlighted in the previous inspection report, although the home has its own policies and procedures about abuse, they require further development and need to be amended to reflect local protocols, contact arrangements and the initial action to be taken (things to do and things not to do) if an allegation of abuse arises. Clifton House Residential Care Home DS0000058542.V299148.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 & 26. Quality in this area is adequate. This judgement has been made using available evidence including a visit to the service. Although some upgrade work is required, the home is safe and generally well maintained. 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 looked 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 four levels, a lift gives access to all floors. Since the last inspection, a new carpet has been laid to the front lounge and some areas have been redecorated. Clifton House is generally well decorated. However, some areas would benefit from redecoration work and some bedrooms also need new carpets. One person said she was disappointed that Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 17 although she’d been promised her bedroom would be decorated it hadn’t been. She added, “Look at those odious walls, what shocking, horrible wallpaper.” At the last inspection, the home’s manager acknowledged this and said that a list of work required had been drawn up. This bedroom should be redecorated as a matter of priority. On the day of the inspection, the home was seen to be clean and tidy. All radiators have been guarded or have low surface temperatures. Where specialist equipment, such as pressure relieving mattresses, is required, it is obtained. 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. Further, as highlighted in the previous inspection report, in the late morning and early afternoon hot water taps run cool. Hot water should be available throughout the day, in particular to the kitchen and bathrooms. Whilst it is acknowledged that a new water main is being laid into the home, upgrade work to hot water boilers and plumbing is still required. To enhance infection control, the home’s laundry arrangements also need to be reviewed to ensure that floors and other surfaces can be kept clean. Handwashing facilities, other than the currently used sluice sink, must be provided in the laundry. An action plan showing works intended and timescales for completion should be forwarded to CSCI. Issues raised by the fire officer in a recent visit require more urgent attention. Clifton House Residential Care Home DS0000058542.V299148.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 & 30. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Sufficient staff are generally employed. The home has a settled, well-trained and well-led staff team. EVIDENCE: From discussions with management and staff, and from an examination of duty rosters, generally sufficient staff are employed within the home. Although some staff have left recently, there is a settled staff team. Some staff have worked at Clifton House for a number of years and know service users well. Agreed staffing levels for Clifton House are, in addition to the manager and ancillary staff: a senior care assistant and 2 care assistants throughout the day and 2 staff at night. An additional member of staff is required and was generally rostered on a morning to assist with personal care. However, due to some staff leaving, internal staff promotions and some changes in responsibility for staff posts in the home, the additional morning shift is not being covered. A senior carer vacancy has resulted in the manager and other seniors covering this post. Although it is acknowledged that recruitment is underway, these posts should be filled as soon as possible. As highlighted in the previous inspection report, it is also recommended that staffing arrangements at lunch and teatime should be reviewed to ensure: service users do not have to wait around too long for their meals; more staff Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 19 support is available if required; and staff are less hurried arranging and serving meals. Recruitment procedures within the home are generally safe. CRB (Criminal Records Bureau) disclosure checks are carried out for all staff. A copy of each person’s birth certificate and a photograph is kept in their personnel file; these documents are copied when completing the Criminal Records Bureau disclosure. However, it was noted that some staff have started work without CRB checks having been finalised. Criminal Records Bureau (CRB) Enhanced Disclosures and Protection of Vulnerable Adults (POVA) checks are required for all staff appointed after 26 July 2004. Attention is drawn to CRB Guidance produced by the Criminal Records Bureau, CSCI and the Department of Health. Applicants for employment complete an application form and 2 references are requested. A reference from the last employer is requested, plus another; any gaps in employment are explored. Each member of staff receives a contract of employment and a job description. Staff training is given a high priority. Nearly 90 of care staff have an NVQ (National Vocational Qualification) at level 2 or above. Core training such as in First Aid and Moving and Handling is arranged, along with other courses such as dementia awareness and risk assessment. Clifton House Residential Care Home DS0000058542.V299148.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 & 38. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Although the registered manager left some time ago, Clifton House continues to be a well-run care home. Appropriate quality assurance systems are in place to identify and rectify any concerns. EVIDENCE: The home’s previous registered manager left in September 2005. A senior member of staff, who had worked at Clifton House for some 14 years, was appointed manager but also left. However, another appointment has been made. Service users spoke highly of this person. One person said, “The home is running better”. Another service user said, “It’s more settled now”. Nevertheless, the home’s new manager must submit an application for registration to CSCI. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 21 The Statement of Purpose for Clifton House describes the aim of the home’s care, which is to provide a high standard of care to the service users. In the past, questionnaires have been sent to families and residents asking their views on the standard of care in the home. CSCI inspection reports are available in the hall area for service users and any visitors to read. Service users’ and families’ views are also obtained through regular contact and an ‘open door policy’. Residents Meetings are held, which provide an additional forum to discuss any concerns or potential difficulties. The home’s owner visits regularly and reports required under Regulation 26 of the Care Homes Regulations 2001 are completed and forwarded to CSCI. The home has a range of appropriate policies and procedures. However, as highlighted in the previous inspection report, it is recommended that these be reviewed to ensure that they are up to date and current. For example, as highlighted above, the home’s adult protection policies and procedures need to be updated and made available to staff. Appropriate systems are in place to ensure service users’ health and safety is protected. For example, risk assessments are completed; about which staff have received related training. Clifton House Residential Care Home DS0000058542.V299148.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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 23 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) Requirement When medicines are prescribed they become the property of the individual service user. They must not be administered to any other person than the person for whom they were prescribed. Any complaints about the operation of the home must be recorded in greater detail. This record must include any action taken by the registered persons in respect of any such complaint. As highlighted in the previous inspection report, policy and procedure documents relating to adult protection must be amended to reflect local protocols, contact arrangements and the initial action to be taken (things to do and not to do) if an allegation of abuse arises. The previous timescale of 01/12/05 wasn’t met. The home’s laundry arrangements need to be reviewed to ensure that floors and other surfaces can be kept clean. Handwashing facilities, other DS0000058542.V299148.R01.S.doc Timescale for action 01/09/06 2. OP16 22,17(2)& Sch4 01/09/06 3. OP18 13 01/09/06 4. OP19 13 01/10/06 Clifton House Residential Care Home Version 5.2 Page 24 5. OP29 19 6. OP31 8 than the currently used sluice sink, must be provided in the laundry. Issues raised by the fire officer in a recent visit must be addressed. Criminal Records Bureau (CRB) Enhanced Disclosures and Protection of Vulnerable Adults (POVA) checks are required for all staff appointed after 26 July 2004. The home’s new manager must submit an application for registration to CSCI. 01/09/06 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations As highlighted in previous inspection reports, care planning arrangements would benefit from some further exploration of mental health needs and those relating to nutrition. As highlighted in the previous inspection report, medicines that need keeping below a certain temperature should be stored in a refrigerator suitable for this purpose - as opposed to a kitchen fridge. Storage arrangements generally also need to be reviewed. Any excess stocks of medicines should be returned. A cupboard suitable for the storage of controlled drugs should be obtained. 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. The current 3 week rotating menu for meals should be reviewed and where necessary updated in consultation with service users. As highlighted in the previous inspection report, to ensure that Clifton House can meet the future needs of service DS0000058542.V299148.R01.S.doc Version 5.2 Page 25 2. OP9 3. OP12 4. 5. OP15 OP19 Clifton House Residential Care Home 6. OP27 7. OP37 users coming into the home, bathroom upgrade costs should be considered within any future business plans for the home. As highlighted in the previous inspection report, hot water should be available throughout the day, in particular to the kitchen and bathrooms. An updated action plan showing redecoration works intended and timescales for completion should be forwarded to CSCI. Staff vacancies should be filled as soon as possible. As highlighted in the previous inspection report, it is also recommended that staffing arrangements at lunch and teatime be reviewed. As highlighted in the previous inspection report, the home has a range of appropriate policies and procedures. However, it is recommended that these be reviewed to ensure that they are up to date and current. Clifton House Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office 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 Residential Care Home DS0000058542.V299148.R01.S.doc Version 5.2 Page 27 - 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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