Inspection on 27/02/06 for Clover House

This inspection was carried out on 27th February 2006.

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 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 27th February 2006 04:30 Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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) Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 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 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. The residents 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 DS0000009695.V270516.R01.S.doc Version 5.0 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. This inspection was unannounced in that the service providers, residents and staff did not know the inspection was to take place on 27/2/06. The inspection was over a 2.5hr period in the early evening 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 5 of them during this visit revealing their contentment in the services they receive at Clover House. What the service does well: Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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 service providers constantly strive to achieve/ improve the quality of the service and this evident from the comments made by the residents such as ‘It’s a very nice home to be in’ and ‘The staff help me to be independent’ Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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.V270516.R01.S.doc Version 5.0 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 the following standard(s): None of this group of standards were assessed during this visit as the key standard was met during the previous inspection. EVIDENCE: Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The people who live at Clover House have a Person Centred Plan about them addressing their individual needs and choices. They know 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 the plan of care. One resident explained how she wished to be able to learn to drive and how she is being assisted to obtain a provisional driving licence. Other comments from residents include ‘I like being here, the staff are great and they ask us what we want to do’. There is sense of belonging and residents have autonomy at Clover House. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 11 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.V270516.R01.S.doc Version 5.0 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 the following standard(s): 15 & 16 The people that live at Clover House are encouraged and enabled to have an active meaningful lifestyle according to individual interests, abilities and age. The management support people to maintain their place in the community and keep contact with family and friends, the residents’ benefit from this. EVIDENCE: The residents stated that they can have their friends and family visit when they wish or they are enabled to visit their family. 2 Residents have formed a friendship together and enjoy each others company. Another resident has a friendship with a young man who lives next door and with staff support had a holiday together. Two residents have been friends for many years and from choice share a room together. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 13 The staff stated that the residents are enabled and encouraged to maintain friendships as this gives them a feeling of well being and are subsequently content in the care they receive. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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 the following standard(s): 20 The residents are protected by the homes policies and procedures in relation to medication and the implementation of these. 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 the checking of the trays by two staff members to ensure that they were correct at the point of receipt. The time of day for administration is colour coded on the dispensers and on the MAR (medication administration record ) sheet. The staff explained how the system works and about the training they receive in relation to the safe handling of medication. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 15 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 records were viewed as part of this inspection. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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 the following standard(s): 23 The people who live at Clover House are protected from abuse by the policies and practices within the home. EVIDENCE: 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) The home accesses further training from The Knoll resource Centre. 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. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 17 The staff recruitment process is robust in order to protect people from possible abuse. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 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 the following standard(s): 30 The residents live in a safe and hygienic home which gives them contentment within their environment. EVIDENCE: The inspector found the home to be clean, hygienic and free from any offensive odours. The inspector viewed policies and procedures relating to infection control and found them to provide good guidance to staff in reducing the risk of cross infection. Policies and procedures also appeared to be in line with relevant guidance and legislation. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The resident’s individual needs are well met by staff who have received appropriate training. EVIDENCE: The home has recently 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. There are 10 support staff, of which 5 have achieved National Vocational Qualification level 2 in care, 1 has achieved level 3 and one has successfully completed the Registered Managers Award. This is in addition to the homes Manager who also has the Registered managers Award. The residents’ spoke contentedly about the care they receive and said they would not wish to live anywhere else. One resident said she is very happy living at Clover House as the staff enable her to do as much for herself as possible. She further added that her life is the best it has ever been. The staff were observed to be communicating with and supporting the residents in a respectful manner. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 20 Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The residents live in an environment 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 this visit completed copies were viewed. The residents 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 appraise the staff that care for them. Comments such as “Staff help me to be independent” and “ The staff always listen to me”. There is a friendly atmosphere at Clover House where the residents are free to air their views and opinions at any time resulting in their contentment in life. Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 22 Clover House DS0000009695.V270516.R01.S.doc Version 5.0 Page 23 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 x x X x Standard No 22 23 Score x 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 4 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 4 16 4 17 Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clover House Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x x x DS0000009695.V270516.R01.S.doc Version 5.0 Page 24 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.V270516.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection North Lancashire Area Office 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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