Inspection on 10/01/06 for Corton House

This inspection was carried out on 10th January 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

Corton House 30/05/07

Corton House 19/08/05

Corton House 26/01/05

Corton House 22/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Corton House City Road Norwich Norfolk NR1 3AP Lead Inspector Linda Wells Unannounced Inspection 10th January 2006 10.00 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 Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Corton House Address City Road Norwich Norfolk NR1 3AP 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) 01603 620119 01603 665095 www.cortonhouse.co.uk Corton House Limited Mr Graham Moore Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 44 Older people of either sex may be accommodated Date of last inspection 19th August 2005 Brief Description of the Service: Corton House is a care home providing care and accommodation for 44 older people.It is owned by Corton House Ltd. a charitable Housing Association with a Christian ethos, which is managed by a committee whose members in the main are representatives from the Norwich Free Churches. Corton House is a large building situated in its own grounds in the city of Norwich. There are two passenger lifts to the first floor and the bedrooms are sited on the ground and first floor and consist of one double bedroom (with en suite) and forty-two single bedrooms (thirty-seven with en suite). The home has two communal lounges, dining room, garden room and activity room and is surrounded by well kept gardens that offer pleasant areas to sit and walk. There is car parking to the front of the property and the home is sited within walking distance of local health and shopping facilities and the city centre of Norwich. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken on the 10th January 2006 over four and one half hours and was carried out as part of a routine inspection plan. On the day of inspection forty-three residents were living at the home and were seen to be having a meal, sitting in the lounges or their bedroom listening to the radio, reading or watching television. The inspection took the form of a tour of the premises, individual discussion with four residents, a visitor, three staff members, the head of home and manager, group discussion with four and then three residents, examination of care plans, records, certificates and compliance of requirements and recommendations from the last inspection. What the service does well: What has improved since the last inspection? Residents and staff have benefited from the changes made to the records held and the continued training of staff to ensure that the health and social care needs of all residents are met. The home has been made more attractive for residents and additional, high quality, communal space has been provided by the extension, refurbishment and redecoration of the main downstairs lounge and the redecoration and provision of new lighting in the dining room. The refrigeration area of the kitchen has been redesigned and has resulted in safer access into the kitchen and residents being protected. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 6 What they could do better: Residents were seen to benefit from a home that is well run and offers a good standard of environment. They said that they were happy living at the home, felt included and safe and staff members said that the senior care team gave support. However, the following five requirements and one recommendation were made to further improve the experience of living and working at the home for residents and staff. • • The remaining radiators that are not low surface must be guarded to protect residents. (In the process of being arranged). Repeated requirement. The remaining staff that have not undertaken training in the protection of vulnerable adults must do so to ensure residents are protected from abuse, neglect and self-harm. (In the process of being arranged) Repeated requirement. The Heads of Home must receive regular supervision to ensure the needs of residents are known and met, review work practise, staffing and management issues and to plan training. Proof of identity and a photograph of the staff member must be held in their staff file to protect residents and support identification of each staff member. The Quality Assurance system that has been produced by the home must be fully carried out yearly and be further developed to include feedback and the opinions of other professionals and volunteers on the standard of care and service provided by the home to ensure everyone is consulted. It is recommended that those residents who have not had their arrangements at death recorded be consulted to ensure that the wishes of all residents are known. • • • • 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. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4, 6 The admission procedure and written information available is good and fully enables residents and staff to make a decision on whether the home will meet the needs of anyone wishing to live there. EVIDENCE: The homes Statement of Purpose, Service User Guide and Terms and Conditions contract were seen and found to contain relevant information. The head of care said that prior to admission as much information as possible was collected from a prospective resident, their family and other professionals. She said residents, their family or friends sometimes visited the home, that she or the other head of home sometimes visited residents in their own home and that residents were admitted on a three week trial basis. One resident spoken to who had lived at the home for ten months said that she had visited the home prior to admission, had received information about the home and that staff had made her feel welcome and assisted her to settle in Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 11 The health, social and personal care needs of residents were met, they were well cared for, the records held had improved but were not all fully up to date. EVIDENCE: Residents said they were well looked after and four individual plans of care were examined and found to have improved and to contain relevant health, social and personal care information, a photograph, daily records, risk assessments, preferences, weight records, care needs, monthly reviews and visiting professionals. Residents were protected by the medication policies and the improved procedures seen. Records showed that staff had undertaken training and that medication was administered, recorded and stored correctly. Residents spoken to said that staff treated them with respect and that their privacy was upheld. However, not all the care plans recorded the arrangements at death for all residents and a recommendation was made that the remaining residents be consulted to ensure that their wishes are known Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 The social and creative activities and meals provide some daily variation and interest for those living at the home. EVIDENCE: Residents spoken to said that they enjoyed some of the activities provided such as craft, knitting and reminiscence and all said “there are activities and entertainment here to join in”. The head of home said that it was often difficult to stimulate residents and although planned activities and residents meetings had taken place to discuss the range of activities residents would like to take part in, at times only a minority of residents showed an interest. Residents spoken to said that staff were friendly, gave them every chance to make a choice in their daily lives and that staff made their relatives and visitors welcome when they visited the home. Two residents said “you can do as you wish here” and staff said that residents were encouraged to take part in the things they were interested in and to maintain contact with the community by attending activities and events arranged by the Leisure and Activities Committee and Friends of Corton House. The main meal and menus were seen and were well presented, balanced and varied. Records were held and showed that residents were given a choice and an alternative offered. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 11 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, 17, 18 The home has an active procedure on the protection of vulnerable adults that protects residents and supports the investigation of any cause for concern. EVIDENCE: Two complaints have been received by the home and the records showed that they were dealt with in the correct manner and resolved. The residents spoken to all agreed that if they had reason to complain they would speak to staff or the manager and all felt confident that the problem would be resolved quickly and to the satisfaction of all involved. The legal rights of residents are protected and records demonstrated that some residents have advocates and are encouraged to take part in the local and national elections by voting. Residents are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home but records showed that although most staff had undertaken training in Adult Abuse some had not. The head of home said that she was in the process of arranging for staff to complete the training and a requirement was repeated that the remaining staff members complete Adult Abuse training to help them recognise, prevent and deal with any potential abuse. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 12 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, 20, 21, 22, 25, 26 The standard of the environment within this home is very good providing residents with an attractive, safe and homely place to live. EVIDENCE: A tour of the building revealed that residents benefit from a home that is spacious and decorated and furnished to a high standard. Residents said that they lived in a home that was comfortable and that the home was clean, tidy and odour free. This was found during the tour of the building and residents were seen to have personalised their bedrooms. However, not all of the radiators in the home were low surface temperature and although risk assessments were held a requirement was repeated that the remaining radiators be guarded to protect residents from scalds and/or burns. The head of home said that arrangements were being made for the work to be carried out. Most residents had the use of en-suite facilities and all had the use of communal bathrooms, showers and toilets on each floor that had been adapted Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 13 to suit the needs of residents. Residents and staff were seen to have access to specialist equipment that was provided throughout the home to assist in the promotion of independence for residents. Infection control measures were seen to be in place, a sluice room was provided on each floor and the laundry room contained two service washing machines and two tumble dryers to protect the health and safety of residents and staff. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 The needs of residents are met, staff members are competent and trained but the procedure for the recruitment of staff does not fully provide safeguards to offer protection for the people living in the home. EVIDENCE: Residents said that they were well cared for and the staff spoken to said that there were enough staff on duty to meet the needs of each resident if all shifts were covered in times of sickness and annual leave. Records demonstrated that staff members had a mix of experience and skills and that ten care staff had completed NVQ2, three care staff members NVQ3 and four domestic staff had completed NVQ2 training in cleaning and support services. The certificates held showed that an induction, foundation and updated training programs were undertaken by all staff to enable them to gain the knowledge necessary for the range of needs of residents living at the home. The manager said that although it was a problem getting references from some firms who made it their policy not to give references he had now managed to get references for all staff members and was in the process of waiting to receive the remainder for new staff members. Records showed that an application form, medical form, job description, contract, personal details and CRB checks were held but did not contain a photograph of each staff member Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 15 and proof of identity and a requirement was made that they be held to ensure residents are protected and to assist in the identification of each staff member. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 16 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, 33, 34, 35, 36, 38 The manager is supported by the senior staff in providing leadership, guidance and direction to staff to ensure that residents receive a good standard of care. EVIDENCE: The manager, who has been in post for ten years, has completed the NVQ4 Registered Managers award and residents and staff said that the manager had an open approach that promoted communication and good standards of care. He is supported in ensuring that the home is well run by two staff members who manage the staff and the care provided to residents in their job share role of head of home. Both have completed training in NVQ3 and the manager said that he was hopeful that they would give consideration in the future to undertaking NVQ4. The staff members spoken to said that they were supported by the heads of home, senior staff and the manager, handover and staff meetings and Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 17 demonstrated that they were aware of their role and responsibilities. Records held showed that improvements had been made and that care, domestic and senior care staff were supervised but a requirement was made that the heads of home both receive supervision a minimum of six times a year to ensure that the needs of residents are known and met, to review work practise, staffing and management issues and to plan training. Records demonstrated that residents are protected by the management and administration procedures carried out in the home and that policies and procedures have been produced and were seen on all aspects of the home and service provided. The records held were found to promote and protect the rights and best interests of each service user. The manager successfully monitored identified financial budgets for the home and there was no reason to doubt that the financial security of the home was not sound. Residents were protected by the financial procedures carried out in the home and records demonstrated that the money held for residents was held individually, was accurate and stored securely. A Quality Assurance system was seen to be in place and to have been carried out in parts, but not fully since 2003. Completed questionnaires were seen for residents and staff members and the manager said that he was about to send out a questionnaire to relatives and visitors. The views of volunteers and professionals visiting the home had not been taken into account and a requirement was made that the system be further developed to include the feedback and views of residents, relatives, visitors, volunteers, staff members and other professionals to ensure everyone is consulted and an action plan produced. The servicing and testing of all equipment had been carried out and relevant and timely certificates were held to ensure that the health and safety of residents is protected. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 18 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 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 2 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 3 3 2 X 3 Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 19 YES 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 OP18 Regulation 13.6 Requirement Timescale for action 30/04/06 2. OP19 3. OP29 4. OP33 5. OP36 The registered person must ensure that all staff members have completed adult abuse training. (Previous timescale of 1st December 2005 not met) 13.4.A-C The registered person must ensure that the remaining radiators are guarded. (Previous timescale of 31st December will not be met) 19.1 sch 2 The registered person must ensure that a photograph and proof of identity is held in the staff file of each staff member. 24.1.2 The registered person must ensure that the quality assurance system is further developed and a yearly action plan produced. 18.2 The registered person must ensure that the two Heads of home receive supervision at least six times a year. 30/06/06 31/05/06 31/07/06 31/03/06 Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 20 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 OP11 Good Practice Recommendations It is recommended that those residents who have not had their arrangements at death recorded be consulted to ensure that the wishes of all residents are known. Corton House DS0000027268.V276019.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Corton House DS0000027268.V276019.R01.S.doc Version 5.1 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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