Inspection on 15/06/07 for Clover House

This inspection was carried out on 15th June 2007.

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 27/02/06

Clover House 12/07/05

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 Mrs Jennifer Dunkeld Unannounced Inspection 15th June 2007 4pm Clover House DS0000009695.V340524.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 Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clover House Address 40 St Johns Road Morecambe Lancashire LA3 1EX 01524 426444 01524 426937 ian@clovercaregroup.co.uk 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) Clover Care Group (Mrs M Bradley) vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 its 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 people who live at Clover House 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. The current fee for receiving care at Clover House is £349 to £669 depending upon the needs of the individual. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 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 inspection was unannounced in that the service providers, the people who live in the home (referred to as ‘residents’ in this report) and staff did not know the inspection was to take place on 15/06/07. The inspection was over a 3hour period in the early evening and looked at various aspects of care. In the report there are references to the “case 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 all 6 residents, staff and the manager in addition to viewing the home’s required written information such as the administration of medication records. The residents written Person Centred Plan were also viewed for 3 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 were very happy with life at Clover House. Prior to the visit to the home residents and their relatives were invited to take part in a written survey. 4 completed surveys were returned and these reflected that the residents: Make decisions about their daily life Know how to complain The staff care for them well The care staff listen and act upon what they say. The staff said they enjoyed their work at Clover House and spoke to the inspector in a professional manner about the residents. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 6 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. What the service does well: What has improved since the last inspection? What they could do better: Continue to ensure that the residents are consulted about who comes into their home. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 7 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. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Clover House DS0000009695.V340524.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People moving to live at Clover House know that their unique needs will be met ensuring they are content in life. EVIDENCE: There are informative and comprehensive details recorded about what the home provides and how this will be achieved. People new to Clover House and their relatives are provided with opportunities to visit the home and allow them to make an informed decision. Although there have not been any new admissions to the home since the last inspection in March 2006 as no vacancies have occurred. Care has been taken to make sure that people’s individual needs are clearly assessed prior to admission. The assessment is the basis for drawing up the Person centred Plan of care, for the individual. People are asked about what their needs and wishes are, to ensure the care they receive is as they choose. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 10 Person centred Plans are regularly reviewed and documentation is kept up-todate, ensuring the staff know how to meet the individuals needs. There are informative and comprehensive details recorded about what the home provides and how this will be achieved. People new to Clover House and their relatives are provided with opportunities to visit the home and allow them to make an informed decision. Care has been taken to make sure that people’s individual needs are clearly assessed prior to admission. The assessment is the basis for drawing up the Person Centred Plan for the individual. People are asked about what their needs and wishes are, to ensure the care they receive is as they choose. Each person living at Clover House has a written contract on the terms and conditions that apply to their stay in the home. The residents said that they are happy at Clover House and they are asked about what they want from life. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The people who live at Clover House benefit from knowing that they will be enabled to take calculated risks to achieve their aspirations and choice of lifestyle. EVIDENCE: Each resident has a Person centred Plan, which outline the needs and wishes of the individual and how these are to be met. The resident is the key person in drawing up this plan of care. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 12 One resident would like to live in a bungalow sometime in the future and her Person Centred Plan, viewed as part of the case tracking process, reflects the person is “to be supported to cook her own meals and develop independent living skills.” One resident said he is “very happy here, I can do what I want and I am going to be in a Line-Dancing demonstration at The Dome” (a local entertainment centre) Other comments from residents include ‘I like being here, Maria, Michelle and the staff are great.” There is sense of belonging at Clover House where the residents have autonomy. The staff are aware that their employment is subject to the residents approval. Indeed the residents are asked to carry out a review about each member of staff, an example of which was seen during this inspection. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The people who live at Clover House benefit from being supported to have a fulfilling lifestyle of their choosing. EVIDENCE: The people that live at Clover House are encouraged and enabled to have an active meaningful lifestyle according to individual interests, abilities and age. One resident had her Birthday party at the local football club the night before where she had invited her friends and family to attend. The manager and staff at Clover House had arranged this at her request. She was evidently so happy at having had this “magical” event and talked about the DJ as well as the “lovely buffet the staff had made” for her. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 14 There is a real belief in people making their own choices and having them respected at Clover House. Risk assessments would be carried out to ensure any risks are manageable. One resident explained how he “would like to have a go at parachute jumping” the manager of the home is going to look into this for the person. One resident explained how she worked at a local charity shop one day each week and said “I really enjoy it”. She talked of how she goes to a gym and uses “Dial-a-ride” bus service to independently access the gym. She said “I like living here” The residents stated that they can have their friends and family visit when they wish or they are enabled to visit their family. Two Residents have formed a friendship together and enjoy each other’s company. Another two residents have been friends for many years and from choice share a room together. The staff stated that the residents are enabled and encouraged to maintain friendships as this gives them a feeling of well being. The residents said that they get good food and are offered an alternate meal if it is something they don’t like. During this inspection people were told it was chicken for the meal and one resident said she would like fajitas instead, this was made for her. The meal looked very appetising and smelled good. The menus reflect a healthy balanced diet is offered. Each resident has a booklet “About Me” which outlines the individual’s food likes and dislikes. One persons “About Me” states “I am being enabled to develop my independent living skills such as ironing, cleaning my room, use public transport independently and go shopping unsupported” This booklet covers all aspects about the individual and gives the reader a clear picture about the person. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People benefit from living in a home where their health is promoted and their needs and aspirations are fully met. EVIDENCE: The home has a policy and procedures in place that cover the receipt, storage, administration and disposal of medication. The home also has a policy in place stating that all service users who wish to manage their own medication will be supported to do so within a risk management framework. At the time of the visit, the inspector viewed the storage for medication, which was found to be safe and secure in a cabinet supplied by the pharmacist. The home uses a monitored dose system, which means that the pharmacist prepares individual trays and delivers them to the home on a weekly basis. Records within the home confirmed that good systems were in place including Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 16 the checking of the trays by two staff members to ensure that they were correct at the point of receipt. The staff receive training in relation to the safe handling of medication. Residents said they receive their medication from the staff and are happy with this system. People sign a medication declaration form outlining whether they wish to administer their own medication or have the staff administer it to them. Copies of these were seen during the last inspection in March 2006. The Person centred plans viewed as part of the case tracking process indicated that people’s health care needs were being met. Medical appointments such as visit to the doctor, psychiatrist, occupational therapist are recorded along with the outcome. Risk assessments form part of the care plan and cover such things as: Preparing food and drink Bathing Medication Administering own finances Vulnerability from others. One resident spoke of recent medical problem she has had and how Maria (manager) has helped her to see a doctor. She said “They look after me here” Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People benefit from living in a safe environment where they are safeguarded and their opinion is all important. EVIDENCE: As stated in the report following the last inspection in March 2006: There is a clear policy on abuse and staff guidance on what to do if they see or suspect abuse. There is evidence that the management and staff clearly understand the various types of abuse. The staff receive training in respect of ‘Protecting Vulnerable Adults From Abuse’ This includes the homes Abuse Policy; Legal framework; Different Types of abuse, (definitions, descriptions and indicators) and the Procedure in the event of abuse disclosure. Staff receive training within the Learning Disability Award Framework as part of their induction. Training is also accessed from ARC (Association for Real Change) Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 18 In addition to this each service user is given a copy of the homes booklet “Action Against Abuse.” This is written in easy to follow language and also uses symbols to assist in the understanding of the information. This outlines the rights of people with a learning disability and is an aid to understand what abuse is. It includes the following statement; “You have a right not to be treated badly by anyone.” Then goes on to say-“Bad treatment is anything that is done on purpose to hurt, upset or bother you. This is also called Abuse.” This reflects the management teams determination to ensure people do raise concerns about abuse and are enabled to prevent its occurrence. The staff recruitment process is robust in order to protect people from possible abuse. Any complaints would be recorded along with the outcome of the investigation. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The resident’s benefit from living in a clean, hygienic and pleasant environment EVIDENCE: The home has policies and procedures relating to infection control providing good guidance to staff in reducing the risk of cross infection. Policies and procedures are in line with relevant guidance and legislation and have been viewed during a previous inspection. Clover House has a homely feel to it, where people are able to access all parts of the home. There are 2 large lounges and a conservatory in addition to the kitchen/dining room. One lounge had Birthday cards displayed around the room, as it had been a residents Birthday the day before the inspection. This added to the homely atmosphere. The home is furnished and decorated to a high standard. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 20 The resident’s bedrooms contained their personal possessions and as such had a homely appearance. The rooms looked lived in and reflected the hobbies and interests of the individuals. The residents confirmed that the staff always knock and wait to be invited into their room. During part of this inspection 1 resident was watching football in one lounge, in the other lounge 2 residents were relaxing in comfortable chairs discussing the previous nights party. 2 other residents were playing a game of cards and enjoying each other’s company. The other resident upon return from his days activities, happily chatted about his life at Clover House before going to his bedroom to have some time to himself. This all gave a feeling of HOME. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home where they are cared for by staff who are competent and well trained. EVIDENCE: Last year the home received an award from ARC (Association for Real Change) in recognition of the amount of training the home has accessed from the Learning Disability Award Framework. Indeed they came third in the North West area, which is indicative of the managements’ commitment to ensuring their staff are well trained to be able to provide a quality service. The residents’ spoke contentedly about the care they receive and said they would not wish to live anywhere else. One resident said: “I am very happy living at Clover House as the staff help me to do as much for myself as possible” She further added “the staff are great.” Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 22 She also said “We don’t see as much of Maria (manager) as we used to, but Michelle her deputy is really good. We all like her.” The staff were observed to be communicating with and supporting the residents in a respectful manner. There are 15 support staff of which 6 have achieved an National Vocational Qualification in Care and a further 3 are currently under taking training to achieve an National Vocational Qualification. All staff are expected to complete the Learning Disability Award Framework induction. The management has a commitment to ensuring the staff are appropriately trained for the job they do ensuring competent people meet the residents needs. There are robust recruitments procedures in place ensuring that people are safeguarded, including a police clearance known as a Criminal Record Bureau clearance. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home that is well managed and where their views and opinions are all important. EVIDENCE: The home has a Quality Assurance system including a questionnaire “Client Satisfaction”. This is a questionnaire that is periodically completed by the residents. This questionnaire reflects how people feel about the services they receive. During a previous visit completed copies were viewed. The residents Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 24 had made comments such as “I like the house” “I really like my home” and “It’s a very nice home to live in” The residents also complete a form called “Clients appraisal” this is a document whereby the residents give their opinion about the staff that care for them. During this visit the residents made several comments such as “ We have great staff here” also “Michelle and all the staff are really good” and “ when we have any new staff it is like making new friends” Maria Bradley manages the home on a day to day basis and ‘Michelle’ assists in this process. It is evident from the outcome, that the management team achieve their objective of having people who are happy in the care they receive at Clover House. Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 4 X X 4 x Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 26 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. 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. Refer to Standard Good Practice Recommendations Clover House DS0000009695.V340524.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Clover House DS0000009695.V340524.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!