Inspection on 19/08/05 for Corton House

This inspection was carried out on 19th August 2005.

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

Corton House 30/05/07

Corton House 10/01/06

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 Announced 19 August 2005 09:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Corton House Address City Road, Norwich, Norfolk. NR1 3AP 01603 620119 01603 665095 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 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 I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 44 Older people of either sex may be accomodated. Date of last inspection 26th January 2005 Brief Description of the Service: Corton House is a residential 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, two storey 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 floors 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, a 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 within walking distance of local shops and the city centre and sited near to health care facilities. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken on the 19th August 2005 over seven hours and was carried out as part of a routine inspection plan. Prior to inspection ten residents and eight relative/visitors returned their comment cards and all expressed satisfaction with the care received, one resident said “I am very happy here and feel fortunate because I am sure this must be one of the finest homes in the country” and one relative/visitor said “the management and staff of Corton House are always kind and welcoming and my relative couldn’t be anywhere better”. On the day of inspection forty-one 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 and attending the knitting group. The inspection took the form of a tour of the premises, individual discussion with five residents, six staff members, the senior carer and manager, group discussion with four and then eight residents, examination of the plans to extend the lounge, 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? To make the home more attractive for residents the leisure room has been redecorated and fitted with new blinds and bedrooms have been redecorated and re-carpeted as they have become vacant. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 6 Specialist fire safety evacuation equipment has been purchased to assist residents and staff in the safe procedure of evacuation of the home. Three new specialist beds, a medication trolley, antibacterial soap wash dispensers and bed linen for the whole home has been purchased to ensure that the health and safety of residents and staff is protected. Kitchen and office equipment and furniture has been replaced to make both of these areas more efficient and up to date. 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. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 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 standard(s) 2, 3, 5 The admission procedure and written information available is good and 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 manager said that prior to admission as much information as possible was collected from a prospective resident, their family and other professionals. He said residents, their family or friends sometimes visited the home, that the Head of care often visited residents in their own home and that residents were admitted on a one-month trial basis. One resident spoken to who had lived at the home for one week said that he had visited the home prior to admission, had received information about the home and that staff had made him feel welcome and assisted him to settle in. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 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 standard(s) 7, 9, 10 The health, social and personal care needs of residents were met, they were well cared for but records were not all complete and stored correctly. EVIDENCE: Residents said they were well looked after and six individual plans of care were examined and found 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. However, some of the risk assessments held for residents were stored together in one file and a recommendation was made that they are stored in the individual plan of care of each resident to ensure confidentiality is protected. A requirement was also made that a personalised risk assessment must be carried out and held on any resident who may exhibit challenging behaviour to demonstrate the management and protection of the resident and others. Medication policies seen protected residents, records showed that staff had undertaken training and medication was seen to be stored correctly but in four instances seen the procedure held had not been followed and the medication administered had not been signed for. A requirement was made that all Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 10 medication administered be signed for or a code used to identify why it had not been administered. The residents spoken to said that they were treated with respect by the staff and that their privacy was protected when they were assisted with personal care. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 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 standard(s) 12, 14, 15 There are social, spiritual and creative activities that meet the interests of the residents and the meals are good, balanced and varied. EVIDENCE: Residents said that they enjoyed the activities provided and records were seen to demonstrate that activities were provided such as Worship services, Extend, Reminiscence, knitting, whist and beetle drives, scrabble, carpet bowls, painting, films, outings and musical entertainment. Residents said that staff assisted and enabled them to exercise choice and control in their lives and the residents in the knitting group said that they were given “complete freedom of choice” in all things. 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 I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16, 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: Three 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. Residents are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home but records showed that not all staff had undertaken training in Adult Abuse. The manager said that staff learnt about protecting residents from adult abuse as part of the NVQ2 training but there were some staff that had not undertaken NVQ2 training and a requirement was made that all staff complete Adult Abuse training to help them recognise, prevent and deal with any potential abuse. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19, 21, 24, 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 made that they all be guarded to protect residents from scalds and/or burns. 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 to suit the needs of residents. Infection control measures were seen to be in place, there was a sluice room 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 I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29, 30 The needs of residents are met, staff members are competent, but the procedure for the recruitment and supervision of staff does not fully provide safeguards to offer full protection for the people living at 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 showed that residents were not fully protected because all staff recruitment checks had not been fully carried out. Although the application form, medical form, job description, contract and personal details were held the CRB checks carried out by the home were not held for all staff and not all staff files had two references. The manager said that it was a problem getting references from some firms who made it their policy not to give references but a requirement was made that two references must be held on each staff member. Records demonstrated that staff members had a mix of experience and skills and nine staff had completed NVQ2 and two staff member NVQ3 training. Certificates 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. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35, 36, 37, 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 home was well run and that the manager had an open approach that promoted good standards of care. Records demonstrated that residents are protected by the management and administration procedures carried out in the home. Residents were protected by the financial procedure carried out in the home and records demonstrated that the money held for residents was held individually, was accurate and stored securely. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 16 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 six staff members spoken to said that they were supported by the senior care staff, head of care, manager, handover and staff meetings and demonstrated that they were aware of their role and responsibilities but not all staff had received supervision. Although an effort is being made by the senior staff to carry out supervision a requirement was made that all staff receive a minimum of six supervision sessions each year to ensure the needs of residents are known and met, review work practise and to plan training. 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 I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 3 x x 3 2 3 3 Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13.4 a-c Requirement The registered person must ensure that personalised risk assessments are held on the management of any resident who may display challenging behaviour. The registered person must ensure that records are kept of all medication administered to residents. The registered person must ensure that all staff complete Adult Abuse training. The registered person must ensure that all radiators are guarded. The registered person must ensure that the CRB checks held on all staff members are current to employment in the home. The registered person must ensure that two references are held in the staff file of each staff member. The registered person must ensure that all staff members receive supervision at least six times a year. Timescale for action 30th October 2005 2. OP9 17.1.a schedule 3.3.i 13.6 13.4. a-c 19.1-5 schedule 2 19.1-5 schedule 2 18.2 3. 4. 5. OP18 OP19 OP29 1st October 2005 and ongoing. 1st December 2005 31st December 2005 31st December 2005 31st December 2005 31st October 2005 and ongoing. 6. OP29 7. OP36 Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 19 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 OP7 Good Practice Recommendations It is recommended that all resident information is held in their individual plan of care. Corton House I55 s27268 Corton House v236720 AN 190805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 3rd Floor, Cavell House, St Crispins Road, Norwich. 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