Inspection on 01/08/06 for Cloverfields

This inspection was carried out on 1st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cloverfields 14/09/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cloverfields Chester Road Whitchurch Shropshire SY13 4QP Lead Inspector Pat Scott Key Unannounced Inspection 1st August 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 Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cloverfields Address Chester Road Whitchurch Shropshire SY13 4QP 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) 01948 667 889 www.newparkhouse.co.uk Cloverfields Care Ltd Mrs Monica Leyton Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Terminally ill over 65 years of age (28) of places Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must provide the following minimum staffing levels for 28 service users: 8am - 4pm 4pm - 9pm 8pm 8am 2 RN`s 1 RN 1 RN 5 care assistants 5 care assistants 2 care assistants These are minimum levels required throughout the 24 hr day, including weekends, for service users who have low to medium dependency nursing needs. Additional staff must be on duty when high dependency service users are accommodated. These minimum levels are for direct nursing and personal care only. They do not include ancillary staff. They are exclusive of the manager`s time. The home may accommodate a maximum of 28 (Twenty-Eight) elderly persons to include up to 3 (Three) terminally ill persons. The home may accommodate a maximum of 28 persons requiring nursing care. New service 2. 3. Date of last inspection Brief Description of the Service: Cloverfields is situated in on the outskirts of Whitchurch. It is owned by Cloverfields Care Ltd and provides long-term nursing and personal care for 28 elderly persons. The Registered Manager is Mrs Monica Evans. The home is an elegant country house with bedrooms on two floors. It has a tranquil, well maintained garden and car parking facilities. Cloverfield Care Ltd makes their services known to prospective service users in: the Statement of Purpose, web site and service user guide. The inspection report is available in the home. Cloverfield Care Ltd’s rates are reviewed annually on 1st April each year and service users are notified one month in advance. The only additional charges to service users are for hairdressing, newspapers and private chiropody appointments. This is clearly laid out in the terms and conditions. Fees for care as of 1st April 2006 are: £410-£480. All service users pay monthly by standing order or by cheque. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion, where possible, with people who use the service and relatives, discussions with the staff team, discussion with the manager and responsible individual, tour of the premises, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. This establishment is classed as a ‘new service’ with this being the first inspection under the new registration for Cloverfields Care Ltd. What the service does well: What has improved since the last inspection? This is the first inspection of Cloverfields with Cloverfield Care Ltd as the new provider. Improvements to the standard of décor and furnishings are in progress which service users stated has been appreciated. The organisation of kitchen services and ancillary resources is better. Service users said the quality of the meals had vastly improved and that attention had been paid to the cleanliness of the home. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 6 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. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 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 Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 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): 1,2,3,4,5, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Work is in progress so that prospective residents and their representatives will have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: The statement of purpose has been reviewed to reflect the changes in provider. The service users guide is in the process of being reviewed. The statement of purpose details the assessment process. Care plans viewed contained assessments of need carried out by the home and those of the funding authorities. Relatives spoken with said they had local knowledge of the home but also had access to written information. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is in a format that provides staff with the information they need to satisfactorily meet service users needs. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. Personal support in this home is offered in such a way as to promote and protect service users privacy, dignity and independence. EVIDENCE: All service users have a robust care plan and four were examined as part of ‘case tracking’. These were very well written and up to date and had been regularly reviewed. The quality of the care plan recording is such that people who are not familiar with its content could use it in an emergency. Clinical nursing care for all service users is provided in a sensitive, tactful manner. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 10 Care plans demonstrated that staff actively promote the service users’ right of access to the health service both within the home and the community. Appointments are planned or arrangements are made for professionals to visit frail service users. Staff were seen to refer to the care plans during the morning’s care. The systems to receive, store, administer and dispose of medication in the home are robust and followed according to the home’s policies. Staff were seen and heard to respect service users’ privacy and dignity. They were allowed to go about their usual routines and sit where they liked. The staff were seen to constantly interact with service users and it was evident that relationships are close but still professional. Visiting relatives spoken with stated that the care in Cloverfields was very good and that the home had improved. Service users spoken with in their rooms looked well groomed and they confirmed that staff were helpful and usually came quite quickly when they rang the bell for attention. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 11 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement EVIDENCE: The way in which activities are provided places an emphasis on more meaningful pastimes tailored to individual needs. Details are displayed in the foyer and include community outings as well as visiting entertainers. Photographs are taken of events and shared with service users and visitors. Service users were seen to go out with relatives. Religious observance is assisted. Service users spoken with stated that they may receive visitors at any reasonable time of the day and that they are always made very welcome by the staff. A service user commented that “ staff, no matter how busy they are, have time to speak with them and are very genuine with what they say”. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 12 The menu is kept in the kitchen and does not detail a choice of meal but the chef stated that the kitchen staff routinely ask service users their preference each day and are offered something else if they didn’t fancy the main option. Service users commented that the quality of meals had improved and that they “are very well fed”. All requirements from the Environmental Health Officer’s visit in June 2006 have been met. The home could improve the presentation of meals for those on puree diets. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 13 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a robust, effective complaints procedure that enables them or their supporter’s views to be listened to and acted upon. Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: The CSCI has not received any complaints about the home since the registration of the new provider. Nor have their been any adult protection issues. Service users were seen to speak easily to staff and were comfortable in their company. Staff are skilled in communicating with elderly persons to ascertain their well-being. The care plan reviews that take place give a forum for concerns to be aired. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 14 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cloverfields is comfortable and homely and service users live in a safe, wellmaintained environment. EVIDENCE: Rooms entered into were personalised according to individual wishes and tastes. Communal areas were clean and comfortable with new furnishings having been provided. Service users commented that they were very pleased with the attention given to making the place more comfortable and homely; they seemed to be pleased with the “new bits and pieces”. Service users have access to a large well maintained garden. The entrance to the home has been made accessible to people with a physical disability. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 15 The laundry is equipped to deal with soiled linen but the majority of the bed linen laundering is contracted out. It is the stated intention of the new provider to upgrade the two sluice facilities by December 31st 2006. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 16 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: The files of 3 recently recruited members of staff were seen which showed that robust recruitment practices had been carried out. Evidence of induction and initial mandatory training was seen. Staff confirmed that training is provided and there are many equal opportunities to improve themselves for the benefit of service user care. The home employs a range of personnel to provide the services as described in the statement of purpose. All care staff have completed the mandatory training courses of fire safety, risk assessment, health and safety, first aid, moving and handling and basic food hygiene. Eight care assistants have achieved NVQ level 2 in care. Kitchen staff have achieved advanced courses in food hygiene and preparation. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 17 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): 31,32,33,34,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with effective quality assurance systems being developed by qualified, competent management to achieve good outcomes for service users in all areas of care. EVIDENCE: The registered manager has the required qualification and experience to meet the standards and aims and objectives of the home. Through discussion she demonstrated that she manages the service efficiently, providing quality care to service users. She seeks to develop the service, encouraging staff to improve their skills to create a confident staff team. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 18 Quality assurance will take place at a later date in a formal manner once the planned improvements have all been completed. The manager speaks informally to all service users each day and ascertains their well-being. Meetings, audits, day to day contact all provide records to show that service user satisfaction will now be at the heart of the service. The home keeps records to show that the health and safety of service users is promoted and protected. The fire records and hot water temperature testing were seen as an example of this. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 19 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP26 Regulation 23(2)(k) Requirement The registered provider must install thermostatic sluice facilities. Timescale for action 31/12/06 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 2 Refer to Standard OP1 OP15 Good Practice Recommendations The registered provider should continue to complete the service user guide to comply with the amended statutory instrument 2006 No. 1493. The registered manager should address the presentation of pureed meals. Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. Extracts may not be used or reproduced without the express permission of CSCI Cloverfields DS0000067172.V296984.R01.S.doc Version 5.2 Page 22 - 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. 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