Inspection on 23/06/08 for Clifton View

This inspection was carried out on 23rd June 2008.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Cranworth Close Registered Care Home

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Clifton View 61 Clifton Lane Rotherham South Yorkshire S65 2AJ Lead Inspector Ian Hall Key Unannounced Inspection 23rd June 2008 09:00 Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 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 View DS0000069637.V368713.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 Adults 18-65. 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 View DS0000069637.V368713.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton View Address 61 Clifton Lane Rotherham South Yorkshire S65 2AJ 01709 837 324 NONE None 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) Moorcroft Care Homes Ltd Miss Natalie Brooks Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 17/07/06 2. Date of last inspection Brief Description of the Service: Clifton View is a domestic type property situated close to Rotherham town centre and across from Clifton Park. It is on a main bus route and provides people with good access to community facilities. The property is a mid terraced Victorian house providing support and accommodation for three adults with a learning disability. All bedrooms have single bedroom accommodation and there is ample communal living space. People share a communal lounge and dining/kitchen space. There is one bathroom with bath, and W.C. on the first floor. All people’s bedrooms are fitted with door locks to enable them to have privacy. Clifton View is one of three small homes owned by the same proprietor in the Rotherham area. Fees range from £600:00 - £859:00 per week there are no extra charges. Information about the home is available to people in the form of a Statement of Purpose and the Service User Guide. These are available from the home. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This was the first inspection carried out since new providers had registered with The Commission for Social Care Inspection (CSCI). This was an unannounced key inspection carried out by Ian Hall, regulation inspector. Clifton View was visited between the hours of 09:30 am and 13:30 pm on the 23rd of June 2008. The registered manager Natalie Brooks was present during this visit. As part of this visit we looked in detail at how people were protected from harm. Prior to the visit the registered manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Comments and feedback from people living at the home have been included in this report. On the day of the visit staff were observed interacting with people that live in the home. A tour of the premises was made and records relating to care and the running of the home were examined. One person that lived at the home and the staff on duty were spoken with. What the service does well: Clifton View provides a welcoming and safe home in a small domestic setting appropriate for the peoples needs. Staff had a close relationship with people living at the home and could describe individual needs in depth. People made positive comments about the care provided, these included; “I like it here” “The staff look after me how I want” “I like all of them (the staff)” Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 6 Equality and diversity was promoted, each persons individual differences, likes and dislikes were known and respected. Opportunities were available to all of the people living at the home that took into account their individual needs. People living at the home had a written care plan so that their needs were identified. People’s health care was monitored and access to health specialists was available to maintain good health. Relatives could visit the home at any time, to maintain contact. Staff said that they worked well together. The health and safety, complaints and adult safeguarding procedures protected people. 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. The summary of this inspection report can be made available in other formats on request. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that people’s needs could be met prior to offering them a place. EVIDENCE: An information pack is available that provides details of the standard of care and services available at Clifton View. This includes useful information about staff, their qualifications, visiting the home, choosing meals and how to raise concerns. We checked three case files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and areas of risk when appropriate. The assessment formed the basis for the initial care plan. People said they had been able to discuss their wishes and the type of help they needed before they made the decision to live at Clifton View. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the case files. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 9 Copies of contracts, social work referrals and assessments were available and kept in the case file. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were treated with respect, were able to make some decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: Three care plans were examined in detail. They contained a range of information that had been reviewed regularly. The plans contained risk assessments. These included information on being outside of the home and creating a safe environment so that people were safe. Staff were fully aware of the plans and could describe individuals needs in detail. People living at the home were aware of their care plan and had signed these, one person said, “I know about my care plan but I never want to look at it. I could if I wanted to” Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 11 It was clear that individuals were encouraged to make decisions about their lives. Staff talked to people respectfully and supported their choices. Two person decided to go out for the day, another person wanted to visit the local shop, and then watch television. These choices were respected. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their social and personal care needs met in a way that respects their privacy and dignity. EVIDENCE: Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 13 There were opportunities for personal development and fulfilling activities. One person goes to the local daycentre three times a week. He is also works on a community gardening project on one day per week and works in a charity shop in Rotherham. Another person attends Scope in Rotherham. This person is relatively independent and self-medicates. He also collects his own medication from the pharmacy. Other activities include swimming, visits to the cinema and going out for meals. All three people visit local workingmen’s clubs accompanied by staff for their evening entertainment. Friends are welcomed. There are facilities for people to have visitors to the house. Social activities in the home include, television with digital channels, and a DVD player in the lounge. There is also a games room in the cellar with table football, darts board and table tennis. People have their own items such as televisions and CD players in their bedrooms. Menus are not provided. People decide what they want to eat on a daily basis. Three meals are provided each day; there are facilities for people to make snacks and drinks at all times. People were seen to preparing their own food with staff assistance as needed. There was a range of fresh fruit available in the kitchen. People are encouraged to become involved in the day-to-day running of the home. Risk assessments are in place for people using equipment within the home as well as for some other potential hazards to them both inside and outside the home. To develop independent living skills, people are involved in domestic activities such as shopping for food, making simple meals, and tidying their rooms. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their health and personal care needs met in a way that respects their privacy and dignity. EVIDENCE: Plans of care were examined and found to be satisfactory and are reviewed at least every six months to meet people’s changing needs. The goals and objectives are agreed with each person and then regularly monitored and reviewed, and one person looked at his file in the presence of the inspector, checking and agreeing what staff had written about him. People were registered with a General Practitioner and were able to attend the health centre if necessary. Other health services such as dental, ophthalmic and chiropody services were available in the wider community with staff accompanying people to appointments if needed. Medication was securely stored to keep it safe. A sample of Medication Administration Records (MAR) was examined that were fully completed and up to date. There were no controlled drugs, and a sample of medication stocks Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 15 checked corresponded with the records kept. All staff that administered medication had received accredited medication training to make sure safe procedures were followed. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. People who live at the home and their representatives feel able to complain and are confident they will be listened to EVIDENCE: Written information about how to make a complaint was seen in the service user guide. This gave contact details of the CSCI so that people could contact the Commission with any concerns. Records of all complaints made were recorded, and detailed the action taken by staff in response to the complaint. No formal complaints had been made about the home. People had made a few minor complaints to staff; these had been satisfactorily dealt with. One person said, “I know I can speak to any staff (if I have any complaints)” The manager and staff had undertaken training in adult protection. They were clear about the steps to follow if an allegation was made or if they suspected abuse. Staff were aware of the different types of abuse. The Rotherham MBC Adult Protection procedure was kept at the home and was included for staff going through induction training. People said that they felt safe at the home. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment was in need of some attention so that people had a comfortable place to live. The majority of the home was clean. EVIDENCE: The new provider was aware the overall standard decoration was not acceptable. He had a planned maintenance and re-decoration programme. One person’s bedroom was being redecorated, using colours of their choice. A new central heating boiler and electrical rewiring had been provided as a priority to keep people safe. All of the rooms in the home were seen. All rooms needed some remedial work and re-decoration to meet an acceptable standard for people living there. Paintwork was chipped and damaged in the kitchen, lounge, staircase and bedrooms. Some furniture and carpets were old, worn and in need of replacement. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 18 The standard of cleanliness observed was satisfactory. Externally the home has a small front garden with planted tubs and a paved area where a bench is provided. To the rear of the home is an enclosed courtyard with a gravel covering and a small patio, with an outdoor table and chairs. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are cared for by a group of staff who have been properly recruited, trained and are sufficient in numbers to ensure their needs will be met. EVIDENCE: All staff including the manager frequently works alone with the people and understand their duties and responsibilities. The staff team provide a ratio of 1:3 throughout the day and at night and a sleeping – in system is in operation. Two staff recruitment files were checked. These contained required information to make sure safe procedures were followed and protect people living at Clifton View. All staff were provided with a job description and contract of employment. The staff team are stable team having been there for a number of years. No additional staff had been employed since the last inspection. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 20 Staff said that they had been provided with training, which had been organised by the new providers. Updates in mandatory training had been prioritised so that staff skills were up to date. Staff have achieved NVQ Level 2, and supervision is taking place. Annual appraisals are taking place to the overall benefit of people. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well managed and takes into account their wishes about how the home is run. EVIDENCE: We saw that there was always a competent member of staff on duty at the home with advice and support readily available. People said: “I feel the home is well run, they organise things for us to do”. Staff said the manager was approachable, very professional and they felt confident in her. The manager had a job description that clearly defines her roles and responsibilities and staff were aware of his role. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 22 Staff had received management supervision at regular intervals; this is needed to develop staff and monitor care practices. The home’s owners visit the home to monitor care and standards at the home. Management use a quality assurance system to measure standards of care and service provided. Questionnaires were used annually to seek the views of people and relatives. Regular meetings are held for staff and people who live at the home. These give people living at the home a voice and chance to say how the home should be run. People felt that their views and opinions were taken into account by the staff. The manager handles money on behalf of some people, account sheets were kept with receipts kept. A second person witnessed each transaction. Policies and procedures met the required standards. Records were mainly up to date and well ordered to ensure the best interest of people. No fire exits were obstructed and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. Risk assessments had been completed and were being reviewed regularly to maintain a safe environment. Fire safety records and other maintenance records were up to date. The manager had received training in the Mental Capacity Act. This training has not been provided for the staff; it is needed to ensure they are aware of the changes needed to fully protect vulnerable people at the home. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 Requirement The registered person must ensure that the internal and external premises are suitably maintained Timescale for action 31/01/09 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 YA7 Good Practice Recommendations Staff needs extra training so that they know and understand about the Mental Capacity Act 2007, this would make sure that they are able to fully protect vulnerable people and promote their rights in making decisions for themselves. Clifton View DS0000069637.V368713.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 View DS0000069637.V368713.R01.S.doc Version 5.2 Page 26 - 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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