Inspection on 10/01/06 for Clinton Care

This inspection was carried out on 10th January 2006.

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

Clinton Care 17/12/07

Clinton Care 20/02/07

Clinton Care 21/04/05

Clinton Care 07/12/04

Clinton Care 06/05/04

Clinton Care 23/02/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Clinton Care 5-9 St Michaels Avenue Northampton Northants NN1 4JQ Lead Inspector Judith Roan Unannounced Inspection 10th January 2006 12:30 Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 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 Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Clinton Care Address 5-9 St Michaels Avenue Northampton Northants NN1 4JQ 01604 632165 01604 620619 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) Ms Aileen Holland Ms Una Holland Vacant Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (10) Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include within the total of 17, a maximum of 10 service users in need of personal care by reason of Mental Disorder, excluding learning disability or dementia over the age of 65 years. 21st April 2005 Date of last inspection Brief Description of the Service: Clinton Care is situated in a residential area close to local shops, leisure facilities and other amenities. It is also close to the main bus route into town centre. The accommodation provides a service for adults with mental health needs in both single and shared rooms. There is a range of communal areas with access to kitchen facilities to make hot/cold drinks and snacks throughout the day. Gardens are available for service users to use when weather permits. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The Inspector also received a pre inspection questionnaire completed by the registered manager. The inspection was completed during the afternoon over a period of four hours. What the service does well: What has improved since the last inspection? Medication is now stored appropriately and records are well maintained. Safety/privacy locks have been fitted to bathrooms and toilets. The homes recruitment procedure ensures that all relevant employment checks are undertaken on all new staff. Staff files contain all the relevant employment information and meet requirements. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 6 Financial records provide clear evidence on how money is managed on behalf of service users. Service users are given are provided with a service users guide when they are considering a move to the home. A statement of purpose is available in an information pack within the home that is accessible to service users. Needs assessments are undertaken by the registered manager at the home prior to a service being offered to a service user. Armchairs have been repaired. 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. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 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 Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Information enables prospective service users to make an informed choice about the service provided at the home. EVIDENCE: A service user guide providing information about the care available at the home is available to all prospective service users. The statement of purpose is available to purchasers of the service with a copy kept within the service information file stored in the main lounge at the home. Service users are informed as part of the homes assessment process whether the home can meet their needs. The requirement made at the last inspection is now met. A written contract is given to each service user or their representative setting out the terms and conditions of the home. A copy of the contract is maintained on service users care files. New service users could confirm that the homes assessment practices enable them to make informed decisions about the home. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,10 Service users involvement in the development of their care plans ensures that they make decisions about their present and future care. Work practices promote that all service user information confidential EVIDENCE: Care plans demonstrate that service users are fully involved with their preparation and that their goals reflect what they would like to achieve. In discussion with service users and staff at the home the inspector confirmed that there is full consultation about decisions affecting the care provided. Service users are encouraged to be part of the decisions making within the home are there are regular meeting as a group to decide on activities and menus to include their favourite foods. All service user records are kept within a locked facility at the home. In speaking with service users they were confident that staff maintained their personal details confidential. Support workers spoken with were fully aware of confidentiality policy that is part of the induction training process at the home. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17 Support workers at the home ensure that service users benefit from maintaining family and community links through a range of activities. EVIDENCE: Service users confirmed that they are supported to participate in activities of their choice and spend the day as they wish to meet identified goals. Several service users attend day activities outside of the home; others choose to relax within the home making use of the communal areas or their rooms. An activities file recording group activities is kept, this demonstrates how families are invited to share events throughout the year. The menus at the home are complied after consultation with service users and take into account people’s favourite meals. The food is prepared to a high standard with service users being very complimentary about the meals available. Drinks are available throughout the day at set times. The registered managers may like to consider the development of beverage being available for service users to make their own. Risk assessments would need to be in place to protect the safety of service users. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Safe administration medication practices protect service users. EVIDENCE: All medication is stored appropriately in a locked facility at the home. Records are well maintained and the inspector was able to confirm that medication is administered using the royal pharmaceutical guidelines. A requirement made at the last inspection is now met. The registered manager ensures that stocks are checked on a regular basis and that PRN (as required medication) is not kept in excess quantities. The homes medication policy ensures that medication is stored, administered and disposed of by competent staff. The home supports service users to access appropriate medication administered by the community psychiatric nursing service. Service users spoken with were happy with the medication systems in place and considered that they had good support. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users have full access to a robust and effective complaints procedure EVIDENCE: There have been no complaints since the last inspection. Service users spoken with confirmed that they knew how and to whom they would express their concerns. Service users felt confident that the registered manager would listen to their concerns and take appropriate action. The complaints procedure is clearly available within the statement of Purpose and service users guide at the home. Support workers are aware of how to handle a concern expressed by a service user or their representative. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,28,30 The homes environment is clean, safe and fit for purpose. EVIDENCE: Remedial attention has been taken to mend the arms to the chairs situated in the ground floor communal lounge. The home was found to be clean and maintained to a safe standard. Suitable privacy locks have been fitted to bathrooms and toilets throughout the home. This requirement is now met. All communal areas are accessible to service users. A quieter lounge is available for service users who do not wish to watch the main TV and to meet with relatives. Service users are fully supported to use their own bedrooms to relax or spend time on their own. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Service users needs are met from a staff team that is trained and competent. EVIDENCE: In discussion with service users they are satisfied that staff are meeting their needs and that they are professional in their approach. New staff spoken with confirmed that they were receiving induction as part of their introduction to the service at the home. Their records demonstrate that an induction programme is being undertaken and sections signed off when completed. The inspector was able to discuss openly with staff their role within the home. Members of the staff team were positive about the training opportunities available at the home. The inspector was shown training packages recently purchased for staff development. The registered manager needs to ensure that the food hygiene training pack meets with the guidance given by the environmental health and meets the sector skills workforce strategy targets in training. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 The service is run to benefit service users with safe working practices. EVIDENCE: The registered manager demonstrates that she able to manage the home effectively and is undertaking the Registered Managers Award as part of her own development. Service users consider that the manager and the staff team are approachable and that the service is managed to meet their needs. Records provide evidence that health and safety checks are carried out within the home to identify hazards on a regular basis. Electrical, heating systems and fire equipment is checked at required intervals and maintained well. The home is secure and provides a safe environment for service users. Service users who do not smoke have access to an alternative communal area. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 16 Food samples are taken and stored for the required timescales and the fridge and freezer temperatures are taken daily. Hot water supplies are controlled by thermostat controls and meet standards. The homes health and safety policy ensures that all support workers are trained in manual handling and health and safety practices. Fire training is available to all staff as part of their induction programme with regular refreshers. All support workers have access to protective equipment to ensure safe working practices in relation to infection control. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clinton Care Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000012748.V271908.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA35 Good Practice Recommendations It is recommended that the registered manager contact the environmental health officer’s approval to verify that the food hygiene training meets their guidance and the Sectors Skills Council targets. Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Clinton Care DS0000012748.V271908.R01.S.doc Version 5.0 Page 20 - 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. 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