Inspection on 27/10/05 for The Corner House

This inspection was carried out on 27th October 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 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

The Corner House 18/04/07

The Corner House 27/07/05

The Corner House 18/10/04

The Corner House 16/04/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Corner House 67/69 Wash Lane Clacton On Sea Essex CO15 1DB Lead Inspector Ray Finney Final Unannounced Inspection 27th October 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 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. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 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 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) 01255 432415 01255 474120 Mr Madan Lal Jagota Mr Sanjay Jagota, Mr Rahul Jagota Mrs Ethna Harbrow Care Home 57 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (57) of places The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 57 persons) 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 The total number of service users accommodated in the home must not exceed 57 persons 27th July 2005 Date of last inspection 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 seafront promenade and within walking distance of the town centre shops. There is an established older part to the home and a new extension. Overall the home can accommodate 56 people over the age of 65 years of age. The majority of the rooms are for single occupancy, with five double rooms; most rooms have en-suite facilities. Bedrooms are located on the ground and first floors with access to the first floor by a passenger lift or stairs. There are two dining areas and five lounges in total. The home has well-maintained gardens, which are laid to lawn with shrub borders. Parking is available at the front and side of the property as well as unrestricted parking on the street outside. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report was compiled from information gathered during an unannounced inspection on 27th October 2005 for six hours and an additional visit of one hour on 17th August 2005. On both occasions the inspector was given every co-operation from the registered manager, Ethna Harbrow. Service users in the home preferred to be referred to as residents. The inspection included discussions with the manager, staff, nine residents and one visiting relative, observations during a tour of the home and samples of records examined. One completed relatives’ questionnaire was received. The atmosphere in the home was relaxed, warm and welcoming. Residents and the relative spoken with were highly complimentary about the home and said it was “superb”, ‘is very happy here, it’s home’ and one resident who had recently moved in said “I can’t find the words, I love it here”. What the service does well: What has improved since the last inspection? What they could do better: Information about available activities could have been displayed in a more eyecatching format to ensure residents were aware of planned activities. The home had a quality assurance and quality monitoring system that asked for The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 6 the views of service users, relatives and other professionals. However the system would benefit from having the results of the survey presented in a report format that would be more readable for residents, their representatives and other interested parties. 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 DS0000017959.V261775.R01.S.doc Version 5.0 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 The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 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): 3 and 4 (Standard 6 is not applicable) A full assessment of needs was undertaken before new residents were admitted and the home was able to meet the assessed needs. EVIDENCE: Records examined showed that a comprehensive assessment of needs was carried out by the registered manager before admitting a new resident. Plans of care were developed from the assessments. There was evidence of family involvement in pre-admission assessments and reviews. One relative had written to the home complimenting the manager on the person centred way the assessment had been carried out. Information from the manager demonstrated the home’s ability to meet the needs of older people. Staff received a comprehensive programme of induction. Training records examined showed that staff had the skills and experience to deliver the care needed. The manager said that sometimes a ‘back to basics’ in-house training was delivered to ensure standards were maintained. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 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, 9, 10 and 11 Residents have individual plans of care that set out their health, personal and social care needs. Residents, where appropriate, were responsible for their own medication and were protected by the homes policies and procedures for dealing with medicines. Service users were treated with respect and the home upheld their right to privacy and dignity. The home’s procedures around dying and death ensured residents and their families were treated with care, sensitivity and respect. EVIDENCE: Since the last inspection the manager had introduced a new system of care planning, which was more comprehensive than the previous system. Samples of care plans examined contained photographs, pre-admission assessments and covered areas including environmental needs, daily routines, personal care, continence, communication needs, appointments with health professionals, night time needs, dietary preferences, activities and interests. There was evidence in the care plans of monthly review. As part of the new care planning system, the manager had introduced daily review books for each resident. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 10 The home’s policy and procedures for the administration of medication was examined. The home operated a monitored dose system. The controlled drugs books and Medicine Administration Record sheets were examined and all were found to be in order. Since the last inspection the home had installed a new controlled drugs cupboard and medicines fridge, which met all requirements. Only one resident was self-medicating at the time of the inspection. Information from the manager and records examined showed that an assessment had been completed around awareness of what the medication was for and the side effects. The resident had signed an agreement around self-medication. The manager informed the inspector that all senior carers were trained in administering medication, ordering drugs and issues around controlled drugs. The manager said she carried out spot checks on controlled drugs. The home’s policy on privacy and dignity was examined. Interactions between staff and residents were observed to be appropriate and respectful. Training records examined showed that staff received training on how to treat residents with respect as part of the induction process. Shared rooms contained appropriate screening to ensure personal care could be delivered in privacy. The home’s policy and procedures around death and dying was examined and met the requirements of the standard. The manager informed the inspector that relatives were supported to stay at the home if thy wished. Some relatives chose to arrange funerals from the home and facilities were provided to enable this to happen. This was planned in a discreet manner to ensure privacy and not to upset other residents. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents’ social, cultural, religious and recreational interests and preferences were met by the home. The home encouraged contact between residents and family, friends and the local community. Residents were supported to make choices and retain control over their lives. The home provided residents with a wholesome, appealing and balanced diet that was served in pleasant surroundings. EVIDENCE: A programme of activities was provided by the home and the activities rota was displayed on the notice board. The manager informed the inspector that the activities co-ordinator came in on Wednesdays for bingo and on Fridays for one to one ‘Health and Beauty’ sessions with residents. On days when the activities co-ordinator was not available, other activities such as ‘Exercise and Movement’ were carried out by carers. The home also booked a variety of entertainers to come in; singing and music were popular and history talks from a local historian and film shows on a large screen were planned. Although the activities rota was displayed, it would benefit from being produced in a more colourful and eye-catching format to attract residents’ attention and ensure they were aware of what was available. Some residents chose to get involved in household activities within the home such as making tea or washing up. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 12 The inspector observed that residents were able to entertain visitors. Records examined showed that relatives were involved and informed about the resident’s care. The manager said that a ‘befriender’ from Help the Aged visited twice a week and brought a baby and this was enjoyed by many of the residents. A local primary school choir visited to entertain the residents before Christmas and this was very popular so it had been booked already. The manager said the home was visited by representatives of a variety of religious denominations who held church services in the home. In addition, some residents attended local churches. Residents were able to bring personal possessions with them. On a tour of the premises the inspector saw evidence of personal items in residents’ rooms and many had their own personal furniture, such as reclining chairs. The inspector observed that the manager made arrangements with a prospective resident about bringing in their own furniture. Records examined showed that residents had access to personal records; care plans were signed by residents. Since the last inspection the manager had met with residents, who had expressed preferences about what they wanted to see on the menus. The manager said that only part of the meal was dished up before serving and vegetables were now presented in covered dishes at the table so that residents could help themselves. Although menus were not displayed, all service users were provided with a copy of the menu in their own rooms. The inspector observed that residents were served fresh, wholesome nutritious food. There was a variety of fresh fruit and vegetables available. Residents with particular dietary needs were supported to make appropriate choices. One resident with diet-controlled diabetes had had advice from a dietician around healthy eating. During the course of the inspection staff were observed offering drinks and biscuits regularly. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 and 18 The home ensured that residents’ legal rights were protected and that they were protected from abuse. EVIDENCE: The inspector saw advocacy service. service for advice. number had chosen evidence of information available to residents about an The manger said that two service users had used the Residents were included on the electoral register and a to vote at the last election. Members of staff were given information booklets about the Protection of Vulnerable Adults. The manager informed the inspector that PoVA training had been arranged for carers. Abuse awareness was part of the home’s induction process and staff files examined showed evidence of Abuse Awareness certificates. Carers and volunteers had CRB advanced disclosures, although checks had not been made on visiting professionals such as hairdressers. The manager informed the inspector that it was the choice of two residents to continue to use a hairdresser that they had used before admission to the home. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 21, 22, 25 and 26 Residents in the home benefited from safe and comfortable communal facilities. There were enough lavatories and washing facilities to meet the needs of residents. The home provided adaptations and specialist equipment needed by residents to make the most of their independence. Residents lived in safe, comfortable surroundings that were kept clean, pleasant and hygienic. EVIDENCE: During a tour of the premises, the inspector observed that communal facilities were of a high standard. There was plenty of communal space including a total of five lounges and two dining rooms. One lounge was used as a quiet area for residents who wished to have some privacy with visitors. One of the lounges had tea and coffee making facilities so that residents and their visitors could have refreshments whenever they wanted. Although the home was large, with 36 residents at the time of the inspection, the ample communal areas ensured that it did not feel crowded. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 15 The inspector observed that the toilets, washing and bathing facilities were sufficient and suitable to meet the needs of residents. The home had five bathrooms with assisted baths and two assisted showers and there were accessible toilets close to lounges and dining facilities. On a tour of the premises the inspector observed appropriate adaptations such as grab rails and ramps. Toilets had raised seats to make getting up easier for residents. There was a passenger lift to enable access to the first floor. Doorways were wide enough to accommodate wheelchairs. A new call system had been installed since the last inspection. The manager told the inspector that the system had four-metre flexes on the call buzzers so that residents could use them wherever they were sitting in the room. It was observed during a tour of the premises that radiators had protective covers. Since the last inspection bathrooms and toilets had been fitted with dispensers for protective aprons and new double toilet roll holders, all contained supplies of protective gloves. Pre-set valves were fitted to all water outlets to prevent risk of scalding and bathrooms also contained thermometers to check the water temperature of baths. The sluice room was clean and separate from residents’ bathing facilities. The standard of hygiene throughout the home was of a high standard and there were no offensive odours in either communal areas or residents’ rooms. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30 The home had appropriate staffing levels to meet the needs of residents currently living in the home. Staff had the skills to ensure residents were cared for safely. A training programme was in place to ensure staff were trained and competent to meet the needs of residents. EVIDENCE: The manager had used the ‘Residential Forum’ tool to calculate the home’s staffing requirements. At the time of the inspection the home had more staff than were needed for the number of residents living there because there were a number of vacant beds since the new extension was built. The home also employed two cooks, one kitchen assistant, four cleaners a day and an activities co-ordinator twice a week. The staff rota was examined and showed that staff were rostered flexibly to ensure that sufficient staff were available during busy times. The home had a programme for delivering NVQ training to staff. On the day of the inspection an NVQ assessor was working with a carer. The manager informed the inspector that the number of carers in the home with a minimum of NVQ level 2 had risen since the last inspection to 80 . The care coordinator was undertaking NVQ level 4. Information from the manager and training records examined showed that senior carers had training around care planning. Computer records were examined of the home’s projected training programme. Staff files showed that staff received training around Health and The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 17 Safety, Manual Handling, fire training, medication, therapeutic activities in dementia care and abuse awareness. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 18 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): 33 and 36 The home had an effective quality assurance and monitoring system to ensure the best interests of residents were promoted in the running of the home, however the views of interested parties could have been presented in a more readable format. Staff were appropriately supported and supervised. EVIDENCE: The inspector was provided with a copy of the homes annual development plan and copies of the quality assurance questionnaires. The home had sought the views of families and relatives, District Nurses, GPs and Social Workers. Records examined all contained very positive comments and high levels of satisfaction with the home. The analysis of returned completed surveys contained a tally of the number of responses to each question that were ‘good, neutral or poor’. However, it would benefit from having the results of the survey presented in a report format that would be more readable for residents, their representatives and other interested parties. The quality assurance The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 19 system would benefit from having a residents’ questionnaire in a format that meets the needs of the service user group, such as large print. Staff files examined showed evidence of Personal Development Plans and Individual structured supervisions. The manager had updated the system for supervision and appraisal. The manager said that she had just completed a training course around supervision and it was planned that senior carers would also do the course to enable them to carry out supervisions. The manager also carried out spot checks on staff but the system would benefit from documentation of outcomes of spot checks. The manager carried out yearly staff appraisals. The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 20 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 X 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X 3 X X The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP33 Regulation 24(2)(3) Requirement The registered person must make a copy of the quality assurance report available to residents and the system must provide for consultation with residents. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Corner House DS0000017959.V261775.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, 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 DS0000017959.V261775.R01.S.doc Version 5.0 Page 23 - 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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