Inspection on 20/02/07 for Clinton Care

This inspection was carried out on 20th February 2007.

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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clinton Care 17/12/07

Clinton Care 10/01/06

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Clinton Care 5-9 St Michaels Avenue Northampton Northants NN1 4JQ Lead Inspector Ms Sarah Jenkins Unannounced Inspection 20th February 2007 08:50 Clinton Care DS0000012748.V327493.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 Clinton Care DS0000012748.V327493.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 and 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.V327493.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clinton Care Address 5-9 St Michaels Avenue Northampton Northants NN1 4JQ 01604 632165 01604 620619 clintoncare@aol.com 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.V327493.R01.S.doc Version 5.2 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. 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. Information about the home is available in the form of a Statement of Purpose and a Service Users Guide, from the Registered Owner . The range of fees is from £360 -£420 per week. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 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 provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 3 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the morning to observe practices by staff and to meet with service users. The Inspector spent an hour and a half preparing for the inspection and five hours in the home. The pre-inspection questionnaire was filled in by the Registered Owner prior to the inspection. No feedback comment cards had been received at the time of the Inspection. What the service does well: What has improved since the last inspection? The home was established many years ago to care for this client group, and has gradually evolved from very basic facilities to a more homely environment. In some respects the home has not fully been brought up to current Standards, for example some areas do not present as very homely; there are no hand washbasins or en-suite facilities in most rooms; rooms are mainly not carpeted; and there are 4 double rooms. However many improvements have been made since the new owners approximately 5 years ago, and these are ongoing. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 6 There is a continual review of the décor and furnishing of the premises. Currently service users bedrooms are being risk assessed for improvements such as the provision of carpeting, and televisions. 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. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards 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. Service users needs are properly assessed before admission, and Information enables prospective service users to make an informed choice about the service provided at the home. EVIDENCE: There have been no recent admissions to the home but service users were able to confirm that they were happy with the information they received prior to arriving at the home and the arrangements that were made for them to settle in quickly. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 9 The admission processes were discussed with the Acting Manager and found to be appropriate, service users needs are fully assessed prior to admission, information is provided and explained and arrangements for preadmission visits are flexible according to need. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) 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. Service users involvement in the development of their care plans ensures that they are enabled to make decisions about their present and future care. EVIDENCE: Service users told the inspector that they talked through their needs on a regular basis with specific staff members and were happy with the ways in which any assistance needed was put into practice. They were confident that the home regularly reviewed their care and did their utmost to support all Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 11 aspects of care including promoting referral to relevant professionals where needed. They felt that their choices and decisions were always given proper consideration and that they were well advised by staff. Care plans were seen to be relevant and included service users wishes. Some advice was given to ensure all areas where help was needed in relation to personal care were documented on the care plan. Risk assessment and management was evident in the records, and service users confirmed that they were able to lead active lives including reasonable risk taking. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to lead lifestyles of their choice and individual needs are responded to as far as is practically possible. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 13 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. Some 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. Some service users were seen to go out for walks in the local neighbourhood to visit the shops during the course of the inspection. One service user expressed a wish to attend church, and although there are visitors from local churches to the home, the Acting Manager was asked if this could be arranged. 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 compiled after consultation with service users and take into account people’s favourite meals. The food is prepared to a high standard with service users and staff being very complimentary about the meals available. The lunchtime meal on the day of the inspection was seen and found to be appetizing and nutritious. Drinks are available throughout the day. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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. Service users are enabled to receive a good service from healthcare professionals and their personal care is well supported within the home. EVIDENCE: Service users spoke positively of the support they received and said that they had medical check ups at the local surgery at least once a year, or whenever necessary. Staff felt well supported by local surgeries and have good liaison with their pharmacist who offers help and advice as needed. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 15 Service users told the inspector that they were always treated with respect and that for example, staff knocked on their doors before entering. Healthcare was well recorded in service users records, and there was evidence that staff make sure that both the staff group and the service users are empowered to be fully aware of any medical condition they may have. Staff are sensitive and caring in relation to supporting service users with all aspects of their mental and physical health. The Inspector observed the administration of medication and saw that appropriate professional procedures were followed. Medication was properly stored and systems were in place to enhance safety aspects. Procedures for staff to follow were clear and staff administering medications were properly trained. There were several gaps on medication administration charts that were not accounted for and it was unclear from the record whether these medications had been refused by service users, missed, or there had been a failure by staff to sign them. The Acting Manager was asked to check on these issues and to ensure staff were aware of the importance of maintaining the proper record. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A caring staff group who are well aware of the issues of vulnerability, and who have built up good relationships with service users, protects the Service users. EVIDENCE: One complaint was made to the home since the last inspection, and the detail was notified by the home to both the Commission for Social Care Inspection and Care Management. The complaint was judged to be unfounded, but evidenced a conscientious response to concerns and complaints made to the home. The Staff are well aware of the vulnerabilities of their service users, and these are detailed on the risk assessments. Most staff have has training in the protection of vulnerable adults and are aware of the issues. Service users feel well looked after and protected by staff and praised staff highly, one service user said “they really couldn’t do any more for us”. Service users were Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 17 confident that staff listen to them and that if they have any concern this will be heard and responded to. The inspector observed the good relationships that had been built up between staff and service users and is of the view that the good communication and listening skills of staff are likely to pre-empt complaints. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users freely enjoy the use of all areas of the home and are happy with their rooms. EVIDENCE: Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 19 The home was found to be clean and maintained to a safe standard. The home was established many years ago to care for this client group, and has gradually evolved from very basic facilities to a more homely environment. In some respects the home has not fully been brought up to current Standards, for example some areas do not present as very homely; there are no hand washbasins or en-suite facilities in most rooms; rooms are mainly not carpeted; and there are 4 double rooms. However many improvements have been made since the new owners approximately 5 years ago, and these are ongoing. Service users expressed full satisfaction and appeared quite happy with their rooms, and the premises generally. Only one service user has a lock on their bedroom door and the Inspector was told that choices are responded to but there was only one service user who wished for this facility. Advice was given to review the provision of furniture and fittings in service users bedrooms and to record service users choices. There is a pleasant garden/patio area where service users are able to have barbeques in summer. All communal areas are accessible to service users. A quieter, non-smoking lounge is available for service users. It was noted at this inspection that most service users smoke, some heavily, and that the environment is generally quite smoky. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are fully confident in the staff, who are caring and competent. Some training and supervision shortfalls were identified. EVIDENCE: At the time of the inspection there were three experienced carers on duty including the Acting Manager and the Registered Owner. A cleaner, who also undertakes other duties as required, supported them. The rota showed adequate staff cover, although the senior staff member on duty on each shift Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 21 was not identified and management hours were not shown. Service users reported that they thought there were always enough staff on duty and were very complementary about all the staff. Waking night staff are employed and there is a good on call system. Staff on duty were generally well trained and experienced although there was no one with a current first aid certificate on duty, and some staffs training in some areas needed updating. Although training details were recorded in staff files, records were not as well organized, as they appear to have been at previous inspections, and had not been filed in the relevant sections. Advice was given on the need for the Acting Manager to organize a staff training matrix and to ensure all staff training was, were necessary, implemented and updated. Recruitment procedures were discussed with the Acting Manager and found to be fully professional. New staff undertake a full induction training and shadow experienced senior staff before taking on full duties. Supervision of staff is often informal and there was a lack of evidence on staff files of adequate formal processes. Staff reported that they felt well supported by management who were approachable and responsive. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite management generally being very well undertaken, a serious shortfall in management processes and overview was identified. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 23 EVIDENCE: There has been no Registered Manager at the home since April 2005 and no application was in process at the time of the inspection. Despite this management of the home is generally well undertaken although there has been some “slippage” recently in fully maintaining the organization of an otherwise effective record system. Quality Audit in relation to service users satisfaction with the care they receive is well documented, showing individual discussion, meetings and questionnaires, and the concluding report demonstrates that service users are generally very happy and satisfied with the service. Policies and procedures are detailed and available to staff, a sample of procedures was checked and contained relevant detailed information. A serious shortfall was noted in relation to the Fire precautions in place. A notice served by the Fire Officer under the Regulatory Reform (Fire Safety) Order 2005, in November 2006, including the need for evacuation strategy and regular update of the Fire risk assessment had not been completed. The Acting Manager, who is also one of the Registered Owners, had not adequately complied with this notice in a timely fashion. Fire doors labelled as being required to be kept shut were wedged open. A service user informed the Inspector that the fire alarm was set off regularly, but that this was never more than a test and that service users did not therefore respond to the alarm. Most service users at the home smoke, some heavily and several in their bedrooms. The lack of management overview in relation to proper fire precautions was judged by the inspector to be a serious shortfall. The Acting Manager/Registered Owner assured the Inspector at the time of the inspection that the risk assessment was in the process of being updated and that she would act to ensure completion of the Fire Officers notice was achieved within a few days. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 24 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 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 2 36 2 CONDUCT AND MANAGEMENT Standard No Score 37 x 38 x 39 3 40 x 41 x 42 1 43 x 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clinton Care Score 3 3 2 x DS0000012748.V327493.R01.S.doc Version 5.2 Page 25 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 2 Standard YA42 OP38 YA42 OP38 Regulation 13 13 Requirement The notice served by the Fire officer on 13/11/06, must be fully complied with. Fire precautions around the home must be reviewed. Subject to proper risk assessment fire doors must be kept closed unless /until fitted with appropriate fire safety door closures. These closures must be fitted where a decision is made that fire doors need to be kept open during the day. Timescale for action 01/03/07 15/03/07 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 A matrix of staff training needs should be drawn up and relevant training accessed where necessary. DS0000012748.V327493.R01.S.doc Version 5.2 Page 26 Clinton Care 2 3 OP30 YA36 OP36 YA20 OP9 Staff should have regular recorded supervision sessions covering the areas detailed in the National Minimum Standards. Medication Administration Sheets should be maintained fully to meet the Royal Pharmaceutical Society’s guidance on the administration of medicines in Care Homes Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Clinton Care DS0000012748.V327493.R01.S.doc Version 5.2 Page 28 - 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!