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Inspection on 27/07/05 for The Corner House

Also see our care home review for The Corner House for more information

This inspection was carried out on 27th July 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff create a warm and open atmosphere. The physical standard of the fitments and fittings in the home is of a high standard. The unit has had a recent refurbishment creating a bright and airy feel to the home.

What has improved since the last inspection?

New storage space has been created to give space for the storage of unused items i.e. commodes, zimmer frames. The quality assurance survey has been collated and information used to inform practice. Soap dispensers have been supplied in the toilets and bathrooms in most areas of the home, the outstanding 2 are ordered. There have been major refurbishments and new rooms opened.

What the care home could do better:

Care planning needs to be more consistent both in the collecting of detailed information and in regular monthly reviews. Admission dates need to be on files and there needs to be a note of the review that took place that decides when an individual moves from being a temporary resident to a permanent one and to indicate who was part of that decision making process. Photographs of service users need to be placed on their individual files. Bathrooms need to be free of un-necessary objects such as unused zimmer frames, buckets and all toiletries need to be returned to the service user`s room after use. Activities could be more varied. Formal supervision needs to be in place for all care staff providing at least 6 sessions of formal supervision per year

CARE HOMES FOR OLDER PEOPLE The Corner House 67/69 Wash Lane Clacton On Sea Essex C015 1DB Lead Inspector Clare Walker Final Unannounced 27 July 2005 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. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Corner House Address 67/69 Wash Lane, Clacton On Sea, Essex CO15 1DB 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) 01255 432415 01255 474120 rjagota@aol.com Mr Madan Lal Jagota Mr Sanjay Jagota, Mr Rahul Jagota Ethna Harbrow Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56)Dementia over 65 years of age (DE (E)) of places The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Persons of either sex, aged 65 years and over, who require care by reason of oldage only (not to exceed 57 persons) 2 One person, aged 65 years and over, who requires care by reason of dementia, whose name was made known to the Commission in July 2004 3 The total number of service users accommodated in the home must not exceed 57 persons Date of last inspection 18/10/04 Brief Description of the Service: The Corner House is a care home for older people located in a residential area of Clacton-on-sea. The home is close to the promenade and local shops.There is an established older part to the home and a new extension. Overal the home can accommodate 56 people over the age of 65 years of age. The majority of the rooms are for single occupancy, there are five double rooms and most rooms are en-suite. Bedrooms are located on the ground and first floors access to the first floor is via a passenger lift or stairways. There are 2 dining areas and three lounges as well as a smaller room for quiet activities. The home has gardens which are laid to lawn with shrub borders. Parking is avaliable at the front and side of the property as well as unrestricted parking on the street outside. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place on 22/07/05 over one day. 6 hours were spent on this inspection. The inspection included a tour of the premises, discussions with 6 service users, 2 care staff, the deputy manager and the proprietor. 7 files were sampled, 4 staff files were audited and health and safety certificates were seen. Corner house offers a good standard of care in a well-maintained and refurbished environment, that is bright and welcoming. Service users said that the “girls are really good”, ”they all work hard”, “everything is done for you”, “”food is good..there is always a choice.” “it is always clean.” Activities are offered twice a week with entertainers regularly. There is a regular menu, which changes seasonally. For each main meal there is a choice. Alternative can always be provided. Families and friends are encouraged to visit and spend time in the home. Individuals said that they had choice about rising and bedtimes and how time is spent during the day. Three people felt that they would like more activities. Care planning is in place. What the service does well: What has improved since the last inspection? New storage space has been created to give space for the storage of unused items i.e. commodes, zimmer frames. The quality assurance survey has been collated and information used to inform practice. Soap dispensers have been supplied in the toilets and bathrooms in most areas of the home, the outstanding 2 are ordered. There have been major refurbishments and new rooms opened. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 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. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 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 The Corner House I56-I05 S17959 Corner House V238172 UI 270705 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 (6 this service is not offered. There are written contracts/ statement of terms and conditions that are given to each person as they begin their stay at the home. An assessment of needs is carried out before a person moves into the home. Opportunities are offered for visits and trial stays at the home prior to deciding to stay on a permanent basis. EVIDENCE: The finance files of individuals have copies of the contacts/terms and conditions given to people. There are assessments on the care files. Staff outlined the process of a person coming to the home for a trial period. However the care files did not always give an admission date or a date when a place moved from a temporary to a permanent arrangement. There was no note on the file as to how the decision to stay in the home was arrived at and who was part of that process. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 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) 7,8,10 The individual plans of care include health, personal and social needs. Health needs are recorded and specialist service engaged as needed. Service users feel respected and privacy is observed. EVIDENCE: Health, social and personal needs were outlined in the individual care plans. Action was outlined in the plans to address needs. However in one file a health matter had been identified and not followed up and in 5 care plans the monthly monitoring of the plans was not being consistently done. Plans did include risk assessments but there was little evidence of these being monitored. Service users said that they were well treated by the staff and that staff worked hard. Staff were observed to deal with people with respect and dignity. Not all files had a photograph of the service user in them. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15 The lifestyle of the home matches the expectations and preferences of service users. Activities are offered to service users regularly. Contacts are encouraged with families and friends. There is a varied diet offered that takes account of preferences. EVIDENCE: Service users said that the home suited them and that they felt well cared for. Activities are regularly offered two afternoons a week, bingo and hand care. Entertainers also visit the home. 3 service users expressed the wish that more varied activities are offered on a regular basis. Contacts with the local community, families and friends are encouraged and there were visitors in the home during the inspection and evidence from the visitor’s book that many people visit the home. Service users are encouraged to choose when to rise and go to bed, what to wear, where to sit and what they wish to eat from the menu offered. The menu is balanced and varied with two choices being offered at mealtimes. Menu’s change seasonally and service users input choices to the menu planning. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 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 standard(s) 16 Complaints are taken seriously and dealt with according to procedure and within a clear time frame. EVIDENCE: There are no outstanding complaints. The most recent complaint was dealt with quickly and efficiently. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,23,24,26 This unit is a safe and well maintained environment. All communal areas are accessible to residents. There are sufficient lavatories and bathrooms. Rooms are designed with service users needs in mind and individuals have personal possessions around them. The home is clean and hygienic. EVIDENCE: There has been a recent programme of refurbishment and the building of 17 new en-suite single occupancy bedrooms. The furnishings within the home are of a good quality and reflect the needs of the service users. Rooms that were visited were well furnished and those with service users at home showed that individuals have bought possessions from their previous homes. The cleanliness of the home was to be commended. One bathroom had service users’ personal toiletries left after the person had been assisted with personal care. Also one bathroom was being used to store items such as a commode and zimmer frames. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 13 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) 29,30 The recruitment practices are based on the protection of the service users. Staff are trained and competent to do their jobs. EVIDENCE: The staff files that were audited showed that the criminal record checks for staff are in place and that written references are taken up prior to staff beginning work. 70 of the care staff team hold a National Vocational Training Award level 2. There is induction and foundation training for all new care staff. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 14 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) 35,36,38 Service users’ financial interests are safeguarded. Staff receive informal supervision. The health and safety of service users and staff are promoted and protected. EVIDENCE: The home manages small amounts of money for service users. Individual’s money is personally identified and each transaction is accounted for and receipted. Staff receive informal supervision and formal supervision has begun but as yet not all care staff receive this. The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 15 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 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 2 x 3 The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 16 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 op5 Regulation 14(1)(d) Requirement The registered manager must ensure that care files 1) show an admission date to the home and the status of a persons stay 2) make a note of the review where a decision is taken that a person will move from a temporary resident to a permanent resident and who was involved in that decision making. The registered manager must ensure that 1) there is a photograph of each service user on their care file 2) files record detail of each service user consistently using the record sheets which are avaliable 3) monthly reviews are carried out in detail and include reviewing risk assessments and goals. The registered manager must ensure that there are a range of activities within the home to cater for all the service users. The registered manager must ensure that 1) items not in use are stored appropriately and not left in bathrooms.2) individuals toileteries are stored in the persons room after use. The regsistered manager must Timescale for action By 30th of september 2005 2. op7 Schedule 3 By 30th of september 2005 3. op12 16(2)(n) By 30th of September 2005 By 30th of September 2005 4. op21 23(2)(l) 5. op36 18(2) By 30th of Page 17 The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 ensure that all care staff have formal supervision at least 6 times per year.(Repeat requirement.) September 2005. 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 Good Practice Recommendations The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex CO1 1RJ 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 The Corner House I56-I05 S17959 Corner House V238172 UI 270705 Stage 4.doc Version 1.40 Page 19 - 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. 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