CARE HOMES FOR OLDER PEOPLE
Cloneen Residential Home Albion Terrace Saltburn-by-Sea TS12 1LT Lead Inspector
Neil McKenzie Announced Inspection 16th February 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Cloneen Residential Home Address Albion Terrace Saltburn-by-Sea TS12 1LT 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) 01287 622832 01287 622832 Mr Justin Ignatius Lawrence Russi Mr Justin Ignatius Lawrence Russi Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 16 August 2005 Brief Description of the Service: Cloneen is a large period terrace overlooking a woodland park close to the town centre. The house has been adapted to provide accommodation and residential care for 15 men and women over the age of 65. Accommodation is on three floors and presents homely, family style living. The house has 13 single bedrooms and one shared double bedroom. None have en-suite facility. Communal facilities available to residents are: one dining area and one main lounge. Kitchen is domestic in size and style. There is a private patio area used by the residents in the summer. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was announced and was conducted by one inspector, three and a half inspection hours in total. A range of records examined, including staff files, policies and procedures and health and safety records. A group of residents interviewed after lunch, one resident in the privacy of her room, three staff members and a mother and daughter visiting a relative. A tour of the home also took place. Since the last inspection the home has transferred to new ownership, and the new owner has recently been registered with CSCI. The inspector was made welcome. What the service does well: What has improved since the last inspection?
Sine the last inspection the new owner has introduced an up to date leaflet for potential residents describing what Cloneen offers and how much that costs. The home has also completed a recent quality assurance survey, is positive in outcome, but could benefit from a summary report highlighting key points for distribution.
Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 6 Staff files provide supportive evidence that there has been an introduction of regular supervision. 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. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were examined on this inspection. EVIDENCE: Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 Policies and procedures assured that at time of death, staff will treat residents and their family with care and sensitivity. EVIDENCE: Policies and procedures for handling dying and death are in place. Staff spoken to were able to confirm where these policies and procedures were kept and that they are linked to their induction. The home has had to deal with one resident death in the past 6 months and said that family and friends are involved. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 Resident lives would be enhanced by access to a mini bus to further the activities programme for those who require wheel chairs. Open visiting is encouraged and residents are able to maintain contact with family and friends. EVIDENCE: During discussion with residents, they described how they were able to make decisions about their daily lives and exercise personal choice. One resident stated, ‘you get what you want, I am fussy but they always find something I do like. My choice to have my bedroom door open, if I wanted it closed I can.’ A visitor to the home was able to state how her father can make his own daily lifetime decision about getting up and going to bed, ‘he can get up when he likes and go to bed when he likes, he also enjoys going out which he does’. On the day of the inspection a planned visit to a local school for children with disabilities was cancelled. This is a popular trip for residents. The manager commented that trips out are restricted to those residents who can manage to use his or maintenance workers car. The home should provide and or have access to a mini bus that can ensure that residents who require wheelchairs have opportunity to trips out.
Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 11 Residents and visitors also confirmed that they were able to maintain links with family and friends. Some of the comments were: ‘We can visit any time and have the code for the front door’ (visitor) ‘I have two daughters who are able to visit any time, but always ring first to let me know’ (resident). The home provides ‘family style care’ to residents, as one visiting relative commented, ‘It is like visiting one large family’, but the only private space for residents and staff and visitors to meet is the bedroom. Although this was not presented as a concern for staff, residents and visitors consideration should be given as to how there could space provided for occasion when immediate privacy and confidentiality is required. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are adequately protected as the staff received training in adult protection and policies and procedures included displayed actions and contact details. EVIDENCE: Staff interviewed confirmed they had received training in adult protection. This included a ‘no secrets’ course run by Redcar and Cleveland College and their TOPS Induction. Policies and procedures were up to date, staff knew where they were kept and had access to displayed action/contact numbers should they have immediate concerns. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were looked at during this inspection. EVIDENCE: Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 29 Evidence from the day indicated that residents are in safe hands and are supported by robust recruitment practices. EVIDENCE: At the time of the inspection just over 50 of the staff had completed NVQ Level 2. Out of three staff interviewed, one had completed an NVQ 2 in care and another an NVQ 3 in catering. Two staff files were examined and contained the required information. In one of the files, the Criminal records Bureau check had been taken home by the staff member. This was returned on the day of the inspection. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 38 Arrangements for handling residents’ personal allowances are robust and health and safety records were up to date. EVIDENCE: A number of service and maintenance records were examined and were up to date, and staff confirmed that they are currently in the process of receiving Health and Safety training. However, the nominated health and safety representative must be displayed on the health and safety poster. A random sample of residents’ personal allowances and records examined highlighted that there were no discrepancies with the balance stated on the transaction sheet and the actual amount contained in the individual pouches. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 17 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. 1 Standard 38 Regulation 12 Requirement The home must ensure that the Health and Safety representative is named on the Health and safety poster. The home must ensure that the door to the cellar remains locked when not in use Timescale for action 16/02/06 2 38 12 16/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 12 Good Practice Recommendations The home should ensure that residents who are dependent on wheelchairs are supported in activities outside of the home via appropriate transport. Cloneen Residential Home DS0000064897.V266285.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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