Inspection on 31/05/07 for St Claire`s Home

This inspection was carried out on 31st May 2007.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Claire`s Home 18/07/06

St Claire`s Home 25/01/06

St Claire`s Home 16/08/04

St Claire`s Home 19/04/04

Similar services:

Chesham House

Argyll House

Oliver Court

Dalmeny House

Omnia

Dorset Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 St Claire`s Home 38 - 40 Church Crescent St Albans Hertfordshire AL3 5JE Lead Inspector Marian Byrne Key Unannounced Inspection 31st May 2007 10:00 DS0000019540.V341969.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000019540.V341969.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000019540.V341969.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Claire`s Home Address 38 - 40 Church Crescent St Albans Hertfordshire AL3 5JE 01727 762 386 01727 762 386 F/P stclairs@nildram.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) Hightown Praetorian & Churches Housing Association Jeanette Collins Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (10) DS0000019540.V341969.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home may accommodate 10 people with mental disorder who require personal care. 14th February 2007 Date of last inspection Brief Description of the Service: St Claires in a large, two storey, period property, based in the residential area of the city centre of St Albans. The home provides personal care and support to ten people who have enduring and complex mental health needs. St Claires has a car park to the rear of the property with a small patio garden available. It is ideally located for the town centre and all local amenities. The fees are £861.92 per week. DS0000019540.V341969.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector and included a site visit. The Registered Manager was present for the inspection. Five service users were also present and all were spoken with during the inspection. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. DS0000019540.V341969.R01.S.doc Version 5.2 Page 6 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 DS0000019540.V341969.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive a full assessment and are given the opportunity to decide if the home is suitable for them prior to moving in. EVIDENCE: Two service user’s care plans who had been recently admitted had full preadmission assessments and were encouraged to spend time in the home prior to moving in. The introduction included having meals with the other residents and spending up to half a day on as many occasions as needed. DS0000019540.V341969.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to make individual choices their individual needs are met. EVIDENCE: Care plans are person centred and have service users involvement in drawing them up. The care plans of the two most recently admitted service users were inspected. These were found to contain very good information on health and social care needs. There is evidence that they were drawn up with the input of the service users. (Service users also confirmed this). Service users are encouraged to be as independent as possible. The home is situated close to the centre of St Albans, there is a bus stop outside the home which facilitated travel to the city centre. Many of the service users use this service independently. All aspects of their lives have been risk assessed and where possible the risk has been reduced. Since the last inspection one of the service users has had a cataract removed from one of her eyes allowing her more independence and an increase in her confidence. DS0000019540.V341969.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported in lifestyles of their choosing including a healthy diet. EVIDENCE: The service users are involved in all aspects of life in the home. They all have specific duties to carry out during the day e.g. setting the table and helping with shopping for and putting away the food. There are good links with the local community. Where possible, the service users go to a local day centre. Visitors are welcomed to the home and are free to join in meals and activities. Arrangements are in place to ensure family members who are important to the service users are enabled to visit the home. The daily routines of the home promote independence. The inspector observed lunch when the service users and staff sat together for a light meal. Service users have full access to the kitchen where they can prepare snacks for themselves and their guests. DS0000019540.V341969.R01.S.doc Version 5.2 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal health care and support is administered in a manner that is preferred by the service users. Medication is administered and recorded appropriately. EVIDENCE: The health and welfare of all the service users is promoted. Regular health checks are routinely carried out. This includes eye tests, hearing tests, digital retina screening, medication reviews and dietician input. Referrals are made to GPs as needed. All service users care needs are regularly reviewed. All health care needs are responded to in a manner that meets the need for privacy and dignity of the service users. Medication was administered and stored appropriately. The health care needs of the service users are listed in the care plans and service users spoken with informed the inspector that they would have no trouble asking staff for assistance. DS0000019540.V341969.R01.S.doc Version 5.2 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are investigated and service users are protected from abuse. EVIDENCE: Service users are protected from abuse. Staff were aware of Safeguarding Adults policy and how to protect service users from abuse. Complaints are dealt with within the home’s policies and procedures. DS0000019540.V341969.R01.S.doc Version 5.2 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets the needs of the service users. EVIDENCE: The home was clean and fresh on the day of the inspection. All the rooms were personalised and, where repairs were necessary, they had been carried out. The Manager has repairs and redecoration programme in place but this needs to contain more detail and show exactly what is planned and when it is to be carried out. DS0000019540.V341969.R01.S.doc Version 5.2 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This would have been good had the training needs of bank staff been identified and met. Staffing generally meet the needs of the service users. EVIDENCE: Staffing records were inspected and these showed that all the necessary checks had been carried out. These included, employment history, two references, proof of identity and a Criminal Records Bureau check. Mandatory training had been carried out on the permanent staff. The inspector found the staff at the home trained to carry out their duties. The home uses bank staff and there was a little confusion on what the Company’s policy was in relation to the training of bank staff. This must be clarified and all bank staff must receive the same training as permanent staff as they carry or could be called on to carry out the same duties as permanent staff. Service users spoke very highly of the staff and the Manager of the home and they stated that they felt that they were well looked after. DS0000019540.V341969.R01.S.doc Version 5.2 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, thus ensuring that people who use the service derive maximum benefit. EVIDENCE: The home is well managed and provides a homely atmosphere for those service users who live there. The Manager is competent and experienced and is very careful to admit only those service users that can be cared for to the service. Service users are involved in the running of the home and in the decision making process. The service users told the inspector that the manager is very approachable and if there were a problem they would have no problem in going to her. The home operates safe working practice to ensure the service users are safe within the home at all time. Risk assessments are carried out on all aspects of life within the home. These allow for an acceptable level of risk to enable the service uses to have a fulfilling life. DS0000019540.V341969.R01.S.doc Version 5.2 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X DS0000019540.V341969.R01.S.doc Version 5.2 Page 16 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 YA35 Regulation 18 (1)(a)(b) Requirement The Registered Provider must ensure that there are clear and transparent systems in place to ensure all bank staff are trained to carry out the duties of care staff in the home. Timescale for action 30/06/07 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 YA24 Good Practice Recommendations The Registered Manager and the Registered Provider should ensure that the maintenance and renewal plan should have more detailed information on what work will be carried in the coming year and the dates this will be carried out. DS0000019540.V341969.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000019540.V341969.R01.S.doc Version 5.2 Page 18 - 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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