Random inspection report
Care homes for older people
Name: Address: Clifton Lodge 16-18 Clifton Road Southbourne Bournemouth Dorset BH6 3PA zero star poor service 23/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Martin Bayne Date: 0 7 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Clifton Lodge 16-18 Clifton Road Southbourne Bournemouth Dorset BH6 3PA 01202428598 Telephone number: Fax number: Email address: Provider web address: cliftonlodge@hotmail.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Beechrise Limited care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 2 3 0 6 2 0 0 9 Clifton Lodge is a large, detached property, situated in a quiet residential area of Southbourne in Bournemouth. Local shops are within level walking distance, with the main shopping area of Southbourne and all its amenities about half a mile away. Bus services are available a short walk from the home, providing transport to all parts of Bournemouth, Christchurch and beyond. The home is also situated fairly close to the cliff top where there are a number of pleasant walks. The property is set back from the road and approached via a short driveway with a small parking area for visitors. Additional parking is available on roads in the vicinity of the home. Clifton Lodge is registered to accommodate up to 16 older persons. The accommodation is arranged over two floors, with a passenger lift to aid access
Care Homes for Older People Page 2 of 9 Brief description of the care home between the floors. There are three double and ten single bedrooms. One of the bedrooms provides en-suite facilities. The dining room and two separate lounges are situated on the ground floor, one overlooking the front garden and the other with views over the well-maintained rear garden, with its large lawn and paved patio area, surrounded by mature trees. Twenty-four hour care is provided. Laundering of personal clothing etc is carried out on the premises. Activities and occasional entertainments are arranged. Meals are freshly prepared and cooked within the home. Care Homes for Older People Page 3 of 9 What we found:
We looked a sample of two care plans. At the last key inspection a requirement had been made for care plans to be reviewed monthly or when needs of residents changed. In respect of one persons care plan, this person was being cared for in bed and we saw good evidence of their care plan being updated consistent with their changing needs. Concerning the other person we saw that their care plan have been reviewed each month. At the last inspection a recommendation was made that a photograph of the person concerned be placed at the front of their care plan. In respect of the person being cared for in bed, who had lived at the home for some time, their photograph was on the front of their care plan. In the case of the second person, who was the newest resident of the home, there was no photograph. The manager told us that a photograph of this resident had been taken, however, there had been problems in downloading the picture and the camera had had to be taken for repair. The recommendation therefore remains in place. At the last key inspection a second recommendation was made that life histories be developed for each resident, so as to better provide a person centered approach in meeting residents needs. We found that these had yet to be developed. The manager explained that the home had sought guidance from a management consultancy firm and work was in progress in meeting this recommendation. A training DVD had been bought and staff were currently working through this training. The recommendation remains and this will be followed up at the next key inspection. We looked at the how medication administration was managed in the home, as a requirement was made at the last key inspection concerning medication. It was found at that time that there were gaps in the signing of medication administration records and in the case of eye drops, with a use by date, no opening date was being recorded. We looked at the medication administration records concerning half of the residents and found that these were now being completed in full with no gaps in the recording. We saw that the staff were applying creams to meet the skin needs of the person being cared for in bed but these were not being recorded on the medication administration records. We recommend that staff record when creams are applied as these are prescribed medication. We saw that eye drops prescribed for one person that required refrigeration were being kept in the fridge and the dates of opening were now being recorded as required. During the inspection we spoke with a group of residents who were sitting in the lounge and also with the resident being cared for in bed. At the last inspection it was recommended that a more stimulating environment be provided for the person being cared for in bed. When we spoke with this resident they told us that they were being well cared for and that staff would regularly talk with them. They said that they did not want a television or radio and were quite content. We saw that this persons cards from friend and family had been put up the wall for them to see. We were told that an armchair exercise session is carried out with residents each morning and that in the afternoons, the staff assisted residents with activities such as board games and quizzes. We were told that the Registered Provider was to put a noticeboard
Care Homes for Older People Page 4 of 9 up in the home to inform residents of forthcoming activities and outings. At the last inspection of the home it was recommended that residents be consulted as to their spiritual needs. We were told by the manager that this has been done and that those residents who wished to worship were supported. One resident is taken by taxi each week to attend a service of their choice. Since the last key inspection in June there have been no complaints made to the management of the home and none have been brought to the attention of the Commission. One adult protection alert was raised when a resident went into hospital with a pressure sore. This was investigated by the Local Authority. It was found that the person had been referred appropriately to the district nursing service and was being treated at the home in line with the nurses instructions. As part of this inspection we carried out a tour of the premises. We found that the home was clean, free from odours and in good repair. The home was rated at the key inspection earlier in the year as providing good outcomes to residents in this area. At the last inspection a requirement was made concerning recruitment checks for new staff. At that time it was found that two newly appointed members of staff had been provided with accommodation above the home, however, a Criminal Record Bureau check CRB had not been taken up before the staff had moved into the accommodation, potentially placing residents at risk. We were told at this inspection that the staff were no longer accommodated in the flat above the registered premises and this accommodation was now used to provide sleeping facilities for the staff who carry out sleep-in night duties. We checked the recruitment records for on of these members of staff and found that all necessary documentation was in place. At the last inspection a requirement was made concerning the reporting to the Commission of incidents occurring in the home. We found at this inspection that all such incidents had been reported and the requirement met. What the care home does well: What they could do better:
Photographs of residents must be taken and it is good practice for a copy of the persons picture to be placed at the front of their care plan; so that new members of staff can readily identify the person concerned. Life histories for each resident should be investigated and recorded so that person centred care can be provided to each resident. Where creams are prescribed to residents and these are administered by staff, records
Care Homes for Older People Page 5 of 9 should be maintained of this. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 Personal profiles in care plans and or Life History books should be developed that include details and photographs of their history such as family, friends, where they have lived, pets, work etc. These profiles or life history books will assist staff to have a greater understanding of them as an individual. Care records should include a photograph of the individual so that staff are able to recognise each person. 2 9 Where creams are prescribed to a resident and staff take responsibilty for their application, records should be maintained of the creams prescribed. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
