Inspection on 12/07/05 for Clover House

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Clover House 15/06/07

Clover House 27/02/06

Clover House 26/02/05

Clover House 31/07/04

Similar services:

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 Clover House 40 St Johns Road Morecambe Lancashire LA3 1EX Lead Inspector Jenny Dunkeld Announced 12 July 2005 2:00pm th 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 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 Stationary 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. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Clover House Address 40 St Johns Road, Morecambe,Lancashire, LA3 1EX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01524 426444 01524 426937 Clover Care Group (Mrs M Bradley) CRH Care Home 6 Category(ies) of LD Learning Disability 6 registration, with number of places Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2005 Brief Description of the Service: Clover House is a care home offering personal care and accommodation to 6 people with a learning disability.It is owned by Mr and Mrs Bradley and managed on a day-to-day basis by Mrs Maria Bradley.The home is a 3-storey semi detached building offering each resident the type of room they currently require. 4 residents have a single type of bedroom and 2 residents share a twin room from choice.The home is situated at the West End of Morecambe relatively close to the promenade and it’s amenities.There are 2 lounges and a kitchen/dining room. There is a conservatory at the rear of the home offering the residents further opportunity to have shared space or use on their own.The home has a rear garden and a drive way to the front and side of the home. The service users are enabled to access local community health care e.g. G.P, Dentist and, Chiropodist.The home actively promotes the integration of people with a learning disability and enabling them to achieve their goals, in an age appropriate and respectful manner. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This year, all registered Care Homes are to be inspected at least twice and both visits can be unannounced. However the inspector chose to carry out an announced inspection to this home. This inspection was over a 4-hour period during the day on 12/7/05 and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents, staff and the manager in addition to viewing the home’s required written information such as policies and procedures about various issues for instance ‘Health and Safety’. The residents written Person Centred Plan were also viewed for 2 people. The Person Centred Plan is a plan of care outlining the needs of the individual resident and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities. Thereby ensuring people are content in the care they receive. The residents the inspectors spoke with happy with life at Clover House. The staff enjoyed their work at Clover House and spoke to the inspector in a professional manner about the residents. The service at Clover House is committed to ensuring that people with a learning disability have their right to a quality life that gives fulfilment is met in the most appropriate ways. Comment cards were received from a number of Residents and the inspector spoke with a number of them during this visit revealing that the Residents are happy with the care they receive. What the service does well: Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 6 Clover House is a family run business that employs a fairly consistent, competent staff team and as such offers consistency of care and a tailor made service to each individual resident. The home ensures that each resident has age appropriate activities and a life style that meets their needs. The people that live at Clover House see it as home rather than a Care Home. The management team keeps up date and well informed about current trends in the care of people with a LD (Learning Disability) ensuring people have access to all that is available within the community. There is a strong belief at Clover House; in the rights of the people with a LD and a determination to ensure peoples rights are upheld. The residents are enabled to have a say in the continued employment of care staff, which all staff members are aware of. This ensures that staff understand that the residents views are all important. The residents told the inspector that they are encouraged to give their opinions about the home and all aspects of care. What has improved since the last inspection? What they could do better: The inspector asked Mr and Mrs Bradley what they felt they could do better, to which they said ‘we regularly ask ourselves this question, thereby ensuring we constantly strive to achieve/ improve the quality of the service.’ However There was recognition that the people who receive services from Clover Care Ltd; Domiciliary Care Scheme,( a sister company) often call at Clover House as Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 7 they a) know staff are there 24 hours of the day and b like the company of some of the residents. However the scheme has a separate office base where people should know they can contact management/staff and avoid uninvited visits to Clover House. Whilst the majority of the people who live at Clover House do not object to some of the visits, it would be preferential if people only called when invited. It was also recognised that whilst the 2 people who share a twin bedroom are currently happy to do so, in the future there maybe a need to look at how the home could create additional space and thereby be in a position to offer a single type bedroom to all residents. 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. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 2 There is a good system for assessing the needs and abilities of all prospective residents. This means that people moving into the home are assured that the home can meet their specific needs and aspirations EVIDENCE: An assessment of the residents needs are made prior to their admission to the home.This is when the prospective resident and their relative or representative will be asked a number of questions about the needs of the individual to ensure their choices, needs, preferences and aspirations can be met at the home. The written assessments of the residents were examined as part of the case Tracking process. One of them had been at the home for a relatively short time and she was content in the care she receives. She stated the Maria (Mrs. Bradley home owner) has helped her to achieve so much since she had been at Clover House. The written records reflected that all aspects of each individuals care are assessed. These included mobility, activities, hobbies, food like, assistance needed to bathe and other areas that will ensure the person receives the care and support they need. From the assessments each person has an Person Centred Plan of care drawn up reflecting how their needs and wishes will be met, the inspector viewed the thorough and well written Person Centred Plans. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 10 One resident told the inspector that she writes her own daily notes about her care and activities, which are then placed on her care file. The inspector viewed copies of these, which reflected the resident’s views about her day. This is a good practice, which highlights the management’s determination to ensure the rights of people with a Learning Disability are upheld. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 6 & 9 The people who live at Clover House know that their needs will be met and they have a life style of their choosing. They are enabled to take calculated risks in order to develop and achieve their goals. EVIDENCE: The inspector viewed the plans of care, which highlighted their needs, and how they are to be met. One resident told the inspector that she had wanted to attend a college course in Health and Social care and that she has now completed this. She also wanted to learn to drive but had difficulty in the car she had lessons in due to her disability and is now waiting for when she can have her own adapted car and learn to drive in that. This was all part of her plan of care. The plans also contained risk assessments for each individual. For instance one person’s plan outlined the risks that could be present when she is manoeuvring around the home and how these could be minimised. Another example is when a resident wanted to be able to go shopping on her, initially she went with staff support to be able to assess and reduce the risks. This resident now has a reviewed risk assessment and is able to go shopping on her own. Care plans also reflect people’s changing needs and an increase in independence such as doing own ironing. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 & 17 The people that live at Clover House are encourage and enabled to have an active meaningful lifestyle according to individual interests, abilities and age. The management and staff support people to maintain their place in the community and residents benefit from this. Good nutritional meals are provided at Clover House and the residents benefit from a healthy diet. EVIDENCE: The atmosphere at Clover House is open and friendly where people speak freely about their lifestyle. Each person has an activities plan that clearly reflects his or her chosen pastimes. One resident told the inspector of the college course she is attending and about her work placement at a local school, which she enjoyed very much. She said that she hopes one day to go into Social Work. She does her shopping for her chosen food, as she prefers a vegetarian meal. She enjoys walking, trips to the pub and going to the cinema. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 13 The other residents told of how they access community facilities such as Church, Cinemas, Bowling alley and pub lunches. One man is a member of the local football club and travels to various destinations to watch them play. The residents told the inspector how they enjoy their food. They have an input into the menu planning and are consulted as part of the residents meetings whether they would like anything on the menus changing. The inspector viewed the minutes of the residents meetings in addition to the menus. One resident had asked to have a bar-be-que at the last residents meeting and that event was going to take place on the day of this visit. The menus reflected there was a choice and that the residents received a balanced diet. People’s special dietary requirements are recorded as part of their plan of care. The staff spoken with stated that there were adequate numbers of staff to meet people’s needs and social activities. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 The people who live at Clover House are supported to ensure their physical and emotional health needs are met. The staff provide personal support to people in a way that suits the residents needs and preferences meaning that, residents remain satisfied and contented in their care. EVIDENCE: The files viewed as part of the ‘tracking process’ reflected a list of health care professionals involved with the individuals including their name, phone number and address, for example; Doctor, Community Mental health Team, Dentist, Consultant Psychiatrist, Occupational Therapist. Each person also has a ‘Health Record’ provided by the Partnership Board to all individuals who receive services for people with a learning disability. When completed this will help the Doctor etc to understand about the individual. It gives the person greater independence as they can show their book and know that the Doctor will have much of the information he requires and therefore the Doctor does not have to ask the carer for the information. The information includes ‘Family Health history’, Immunisation record, accident record and medication. It will list all dates of contacts/appointments. Person Centred Plan (plan of care) peoples needs and aspirations and how these are to be met. These are reviewed at least every 6 months or sooner if Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 15 the changing needs dictate. One resident writes her own daily notes ensuring the staff are aware of her life style and wishes. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 This home has good evidence to indicate that residents are able to talk freely about any concerns they may have. The management and staff at the home act on all expressions and views made by the residents ensuring that residents are confident that their concerns are important in the home. EVIDENCE: The home has a well written policy on complaints. The procedures are that people should in the first instance speak to a member of staff or the manager if they have any complaints. Contacting the Commission for Social Care Inspection if there is still a problem can follow this up. All the residents and receive a copy of the complaints procedure. The staff were aware of the home’s complaints procedure and the need to take all complaints seriously. The 6 comment cards received from the residents as part of this inspection reflect that the residents know how to complain. The people the inspector spoke with stated that they did not have any complaints to make but knew that Maria (manager) would listen if they did have concerns/complaints and would try to sort it out for them. One resident said that she had made suggestions as to how to improve life in the home and that this had been acted upon, for instance suggested that other residents be reminded about knocking on other people’s bedroom doors and waiting to be invited in. The management reminded all residents about this the very same day. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 17 Residents meetings are held regularly to encourage the residents to have their say about anything that they feel needs discussing. This encourages people’s freedom of speech and ensures the service is run in the best interests of the residents. The inspector viewed copies of the minutes of the meetings. People had raised issues such as the décor of the home and social activities. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 18 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 standard(s) 24 & 25 Clover House is a clean and safe environment , that is maintained to a high standard. The residents feel safe and their accommodation meets their needs. EVIDENCE: The home is well maintained and there is a rolling programme of decoration. Indeed the management explained that the home is being redecorated and they are starting at the top and going to work their way downward. Hot water outlets have thermostatically controlled valves on them to prevent the residents from accidentally scalding themselves. The records of some of the residents were examined and they clearly showed that risk assessments are carried out to ensure that everyone is cared for safely. Risk assessments included ensuring that one resident has assistance to walk around the home where there is no rail for her to hold onto or no heavy piece of furniture for her to hold as she passes, due to her physical disability requiring some support at times. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 19 The lounge had been redecorated and a conservatory added to the home enhancing the communal space for the residents. The residents told the inspector that they like their bedrooms. One resident wrote the following on a comment card ‘I like my bedroom’. It was evident during a tour of the home that all bedrooms have been personalised and that the resident’s privacy is respected. Bedroom doors are fitted with an appropriate lock that ensures privacy yet allows for access in an emergency. Some bedroom doors have a sign from the resident stating ‘Please knock on my bedroom door; if I don’t reply after 3 knocks please enter.’ This is to enhance privacy but agreeing that a member of staff may enter after 3 knocks as the occupant may be ill or had an accident. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 The recruitment procedure of the home is good and ensures that people are protected from unsavoury characters. The calibre of staff is good. A dedicated staff team cares for the residents. EVIDENCE: The home’s recruitment procedure is robust and easy to understand and includes the use of an application form with a full employment history. The management team interviews the potential employees. Two written references are sent for and a Criminal Records Bureau clearance is sought prior to the successful person being employed. The staff file viewed contained the required information including evidence of Criminal Record Bureau (CRB) clearance at enhanced level. Part of their terms and conditions of employment includes the residents being formally consulted at the end of the probation period to ascertain if the person is suitable for a permanent contract. One of the 6 comment cards received from the residents stated; ‘I like living here because I like the staff and I really enjoy their company and they are really nice to me.’ One member of staff was dismissed at the end of her probation period as the residents ‘did not like her’ and said ‘she was grumpy’ Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 21 Their employment includes an in-depth induction programme where the person has a mentor who demonstrates good care practices. The management at Clover House understand the importance of having a competent and well trained team of staff. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 42 Clover House is effectively managed by people who are competent to do so. Experienced and qualified management run the home. The residents live in a safe environment where there health and welfare is promoted. The residents live in a well managed home. EVIDENCE: The manager has achieved the following qualifications and is evidence that Mrs Maria Bradley exceeds the requirements of a competent manager; The Registered Managers Award National Vocational Qualification Level 4 care NVQ Level 4 Management Work base assessor NVQ Internal verifier NVQ D32, D33, D34 Trainer in moving and handling RSA in counselling Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 23 This Inspector has viewed the staff training records, including training in recognising and protecting people from abuse. All accidents are recorded and reported as required Health and Safety Risk Assessments have been viewed by the inspector and these reflected how to ensure the environment is safe. These have been drawn up in line with current legislation. These are extensive documents which improve the assessment of risk. The residents drew up the following rules; ‘No smoking in our home’ ‘All staff must receive Fire Safety training’ ‘Do not tamper with fire extinguishers’ This reflects the importance that is placed upon the people who live at Clover House having their health and safety protected. Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 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. 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x x Standard No 11 12 13 14 15 16 17 x 4 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 4 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clover House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 4 x x x x 3 x F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 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. 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 Good Practice Recommendations Clover House F57 F09 S9695 Clover House V226139 120705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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. 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