Care Home: Clayton Court

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What the care home does well The home is very clean and maintained to a high standard. It is well run and staff and residents are happy here. There is a relaxed atmosphere and a friendly rapport was noted between staff and residents. Residents are supported to pursue their hobbies and interests. Their individuality is respected. Staff are respectful of the beliefs of the residents here and support them to live the life they choose. Care plans are clear and residents say their care needs are met at all times. They feel well looked after and safe in the home. Staff are well trained and work as a team. They all enjoy their work and turnover is low. One resident said about the home `it is better than heaven`. What has improved since the last inspection? Training continues to improve as the home strives to maintain it`s high standards and keep up with changes to practise and legislation. The decor and maintenance of the home is a continuous cycle of improvement in the home. What the care home could do better: No requirements were made as a result of this inspection. Any areas for improvement were discussed and agreed with the manager. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clayton Court Rogate Road Hill Brow Liss Hampshire GU33 7QP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Palmer     Date: 0 2 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Clayton Court Rogate Road Hill Brow Liss Hampshire GU33 7QP 01730893130 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : cheryl.ward@clayton-court.demon.co.uk Trustees of De La Salle Order (GB) care home 10 Number of places (if applicable): Under 65 Over 65 0 0 10 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 10 10 0 The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Mental Disorder, excluding learning disability or dementia - MD Date of last inspection Brief description of the care home Clayton Court is a care home registered to provide accommodation and personal care for up to ten elderly (over the age of 65 years) persons. The registration also includes provision for those who may experience from dementia or mental illness. The home caters exclusively for retired Brothers of the De La Salle teaching order of monks and Care Homes for Older People Page 4 of 24 Brief description of the care home the registered accommodation forms part of the larger Community. The registered provider is the Trustees of De La Salle Order (GB). Mrs Cheryl Ward is the registered manager in charge of the day-to-day running of the home. Clayton Court is situated in a semi-rural position a few miles from the town of Petersfield. The premises consists of a two-storey detached building which, as well as accommodating Brothers who need care, also houses some of the more able Brothers who are part of the Community but who are not included in the registered number. All of the registered rooms are for single occupancy and have en-suite toilet and bath/shower facilities. There are two passenger lifts. There are a number of communal rooms and areas including a chapel, which forms an integral part of the home. Clayton Court is set in extensive grounds that are well maintained and easily accessed by residents. Fees are not charged as all Brothers covenant income to the order. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection included a site visit to the home over a period of 4.5 hours. During this time four staff were interviewed and the registered manager assisted with the inspection. Three service users were met and spoken to privately, others were observed and spoken to during the inspection. Care plans, medication records, policies and staff records were sampled. Other information used to make judgements about the standard of care in the home included the homes Annual Quality Assurance Assessment (AQAA) that they completed and returned to us. We also looked at the last inspection report and other information received by us since the last inspection including notifications of any events in the home. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are assessed to ensure that only those whose needs can be met are admitted to the home. Evidence: The home caters exclusively for retired Brothers of the De La Salle teaching order of monks and the registered accommodation forms part of a larger community. Prospective residents are aware of its existence and may have visited the home before to attend meetings or undertake a holiday, retreat or respite care. Many of the prospective residents will know current residents from their previous accommodations within the De La Salle community. The decision to move into Clayton Court at retirement for many is the consequence of a natural progression. Residents spoken with during the inspection indicated that their needs are discussed before they arrive at the home and that the manager carries out a pre-admission assessment. An example of an assessment was looked at during the inspection. It was seen to contain Care Homes for Older People Page 10 of 24 Evidence: the detail we asked for at the last inspection, such as medical history, personal care needs, what can be done independently, a social history of hobbies, interests and their working life. Emotional and psychological needs are also recorded. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have their health and personal care needs met. Arrangements are in place for the safe handling of medication. Evidence: Three care plans were sampled. The care plans contain detailed information and are kept under regular review and changes are made as necessary. There was written evidence that medical assistance is sought when needed and residents confirmed they can ask to see a doctor if the need to. They said they felt well cared for and in safe hands. The medication cabinet was seen to be suitably secure, clean and organised. No errors or omissions were seen on the records. Staff confirmed that they are trained in medication before being able to carry out these responsibilities. The storage of controlled drugs was sampled and the staff member assisting with this said they had taken advice from the pharmacist who had agreed the storage of one particular drug. We discussed arrangements for storing controlled drugs in the future and during the inspection the manager made arrangements to fit storage that met the Care Homes for Older People Page 12 of 24 Evidence: pharmaceutical guidance. The residents spoken to all said they are treated with respect by staff that are always polite and cheerful. One resident said the staff were like angels and went on to say they are so thoughtful, you dont even have to ask. Another resident said that staff had helped him physically and emotionally, in a way I have been most impressed by. He said we are cared for morning, noon and night. Residents said they felt their privacy is respected and their dignity upheld when receiving personal care. There is a respectful and friendly atmosphere in the home which was observed between staff and residents. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live here enjoy access to the facilities, equipment and support that they need to pursue their interests at Clayton Court and in the local and wider community. Friends and relatives are welcomed to the home and all enjoy fresh and wholesome food. Evidence: A wide range of activities is available in the home. Usual activities include local theatre trips, board games and playing cards. Residents birthdays and other achievements of staff and residents are celebrated. People are also encouraged to pursue their own hobbies and remain independent as far as possible. For example, gardening, letter writing, reading from the two extensive libraries in the home, painting and other artistic pursuits. Residents said their visitors are welcome and some residents have their own telephones to enable them to keep in touch with friends and family. Some also have computers and internet access if they wish. There is a bar in the home which is staffed by one of the independent Brothers. The Brothers all support each other and give assistance and stimulation to those who need it. Residents spoken to say they can life the life they choose and are never bored or short of something to do. Their religious needs are catered for with an in house Chapel and opportunities to worship Care Homes for Older People Page 14 of 24 Evidence: several times a day. Residents said they enjoyed the food all of which is home cooked with vegetables grown in the garden. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to complain and are protected by the homes policies for safeguarding them. Evidence: A complaints procedure operates in the home. Residents spoken to say they know how to make a complaint and feel that any concern they may have would be dealt with by the staff or the manager. Residents gave examples of minor niggles that had been speedily resolved to their satisfaction. The manager says the homes procedure for safeguarding adults is robust, there is also a whistle blowing procedure which is given to staff on their appointment. Staff have received training on safeguarding adults as part of their NVQ level two. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a calm, clean, spacious and homely environment, which meets their needs and is safe and well maintained. Evidence: The building and grounds are maintained to a high standard. Communal areas are spacious and homely in character. The decor and furnishings reflect the interests of those who live there. For example there are religious artefacts and books. A large dining room offers attractive surroundings for meals. A domestic sized laundry and kitchen are available for residents to use. Residents said the home was cleaned and maintained to a high standard. A maintenance person is employed and it was evident that jobs could be requested by residents and completed promptly. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for recruiting staff protect the people who use the service. The training and support enables staff to carry out their roles confidently and competently. Evidence: During the inspection there were suitable numbers of staff on duty to attend to the needs of residents. Residents spoken to said there were enough staff on duty during the day and night to meet their needs. They said the staff were angels and always respectful. They said call bells were answered promptly and they were cared for 24 hours a day. Staff were observed interacting in a positive and respectful manner at all times. They responded to requests from service users and were caring and polite. The staff spoken to during the inspection were confident and competent at their jobs. They spoke confidently and respectfully about the residents. They said there is on going training provided including mandatory courses such as, first aid, food hygiene, infection control, health and safety, safeguarding adults and fire training which are provided to all staff. Comments such as its really good here and we are all happy here were made. The AQAA states that the home has a policy on regular supervision for staff, every two months as well as annual appraisals. Staff said they are well supported and attend regular staff meetings where they feel they can air their views and be listened to. Staff turnover is low and moral is high at this home. The home has 73 percent of its staff having NVQ level two, or above. This exceeds the guidance of at Care Homes for Older People Page 18 of 24 Evidence: least 50 percent. The home operates a robust recruitment procedure. The recruitment files of three new staff members were looked at. These contained the records required to meet the standards. For example: an application form two suitable references, a criminal record check and a protection of vulnerable adults check. The home never employs agency staff. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from the home being well managed to suit their needs and uphold their beliefs. Evidence: The manager is qualified to NVQ level 4 and has completed her registered managers award. Residents spoke highly of the management of the home and said they felt it is well run and they are in safe hands. There is a clear line management structure and regular meetings held for staff and residents to air their views. The home undertakes their own quality assurance and they act on the things that people tell them. Surveys are sent to residents on a regular basis. Other stakeholders are consulted as appropriate. The AQAA was sent to us when we asked for it and gave us clear information. The home can identify where it needs to improve and strives for excellence in all areas. People are safeguarded by the arrangements for fire safety which is overseen by a company contracted to test the equipment at regular intervals. The home also tests Care Homes for Older People Page 20 of 24 Evidence: fire alarms and holds regular drills. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!