Care Home: Clifton Court Limited

What the care home does well The providers, manager and some staff are long standing so know the service and service users well. We found that the home provides person centred individualised support. This means that people get the support they want and need in the way they prefer. There is good information about the home to help prospective residents make a decision about moving in. Trial stays are supported so people can get a feel of what life is like at Clifton Court before they decide to move in. The environment enhances peoples lives in that it is safe, very homely and well maintained. Staff have gone to the time and trouble to decorate the home ready for Christmas making it feel very festive. The home works closely with health professional to ensure that people remain healthy and have their needs met. People who use the service said I could not be anywhere better, A very happy house, they make it as happy as possible, This is a home from home, They really do look after you, I am very happy here. Service users have been fully involved and consulted about the running of the home.This has lead to some changes and improvements. What has improved since the last inspection? The range of activities has been improved and an activity coordinator is employed. Service users said they have lots to do and especially enjoy local clubs and outings organised by the home. There has been some redecoration with more planned. The manager has completed a train the trainer course which enables her to train staff so they keep up to date with required training. What the care home could do better: The manager has identified in the AQAA what needs to improve and has plans to do this. The manager plans to improve care plans so they include more about the persons life. This means staff will have an awareness about the persons history and what is important to them. The manager plans to improve the assessment they use so they can gather more information about a person. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clifton Court 23 Richmond Road Basingstoke Hampshire RG21 2NX     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: Kim Rogers     Date: 1 0 1 2 2 0 0 8 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. the things that people have said are important to them: They reflect 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 25 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Clifton Court 23 Richmond Road Basingstoke Hampshire RG21 2NX 01256325715 01256325213 sj-sbstenning@supanet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sarah Jane Yarney Type of registration: Number of places registered: Clifton Court Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 6 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. Date of last inspection Brief description of the care home Clifton Court is registered to provide personal care for up to six male and female service users over the age of 65. The home is owned and managed by Mr and Mrs Stenning; their daughter Mrs Sarah Jane Yarney is the registered manager. Clifton Court is a large, detached, house in a quiet residential area of Basingstoke. The home is close to the town centre and the local public transport system. The building is a double storey domestic house with six single bedrooms. There is a sitting room and separate dining room. At the rear of the house there is a small, very well maintained, Care Homes for Older People Page 4 of 25 Over 65 6 0 Brief description of the care home garden with a patio area, lawn with established borders and a profusion of pots and hanging baskets. There is parking at the front of the home. The current fee for the home is 535 to 560 pounds per week. For more information about thee fees please contact the provider. Care Homes for Older People Page 5 of 25 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: This was an unannounced key inspection of the service.This means we assessed the key Minimum Standards. The last key inspection was carried out on 4.09.06. We carried out an Annual service review of the home on 19.12.07. For more details please contact the Provider. We looked at information we have received from the home including the Annual Quality Assurance Assessment. This gives good information about how the home has improved and how they intend to further improve outcomes for people who use the service. We made a visit to the home and spoke to the manager, staff and service users. We had a look around the home and sampled records. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: The manager has identified in the AQAA what needs to improve and has plans to do this. The manager plans to improve care plans so they include more about the persons life. This means staff will have an awareness about the persons history and what is important to them. The manager plans to improve the assessment they use so they can gather more information about a person. Care Homes for Older People Page 8 of 25 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 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 10 of 25 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. There is good information about the home to help people make a decision about moving in. Assessments are carried out before a person moves in to ensure the home can meet the persons needs. Evidence: We found that assessments are carried out before a person moves in to ensure the home can meet the persons needs. People and their representatives are involved in this assessment process. The manager has plans to improve the assessment tool by adding information about the persons life history to ensure they have a whole picture of the person. Trial stays and visits are offered with review held after about a month so the person has the opportunity to see what life is like at Clifton Court. Care Homes for Older People Page 11 of 25 Evidence: There is good information about the home including a colour brochure with photographs. This means people have the information they need to make an informed choice about the home. We found that each person has a contract detailing the terms and conditions of their stay. Care Homes for Older People Page 12 of 25 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. Service users know their health, social and personal care needs will be met. Medication practice is safe protecting service users. Service users feel they are treated with respect and their privacy is respected. Evidence: We found that each person has a service user plan that is developed with them. This details the persons needs and how the staff are to meet those needs. We found care plans are clear and easy to follow so staff can easily use them on a day to day basis. We found plans are regularly reviewed so any changing needs are recognised and supported at an early stage. People are involved in reviewing their plans so they get a say about their support. The manager plans to improve service user plans by including background information including the persons life history and significant life events. This means that staff will know more about the people they are supporting. From observations and talking to staff and service users we found the home offers person centred individualised support. Care Homes for Older People Page 13 of 25 Evidence: We found that risk assessments are carried out when there may be a potential risk to a person. Risk assessments are clear and easy to follow so staff know what to do to minimise risks to people. This means that service users are kept safe. We found that health needs are recorded and each person has a GP. Staff work closely with health professionals including district nurses to ensure that people have the support they need with health matters. We sampled aspects of the homes medication practice and found that good records are kept of receipt and administration. Storage is adequate and orderly so staff can get to medicines easily. The manager said they plan to improve the storage by purchasing a new medication cupboard. The manager agreed to consider safe temperature and humidity levels when siting the new cupboard. Some people are responsible for their own medication supported by staff where necessary. We spoke to all of the residents and all said that staff are kind and respectful. All said that staff knock on their doors before entering and respect peoples privacy. We observed staff speaking respectfully and encouragingly to residents. Care Homes for Older People Page 14 of 25 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. Service users have the opportunity to take part in a range of activities including community activities. Friends and family are welcome to visit and people are happy with the food. Evidence: We found that the range of activities has been increased after consultation with service users. For example some people said they would like to go to a local club once a week. The manager arranged this and has provided extra staff to facilitate it. There is an activity person employed and people said they enjoy the range of activities on offer. Outings are arranged and residents said they are looking forward to an outing next week and recently enjoyed a theatre trip. One person said the staff arranged transport, wheelchairs and extra staff support so the outing would be a success. A hairdresser visits the home weekly as does a chiropodist. Residents said they enjoy reading the newspapers and magazines that are provided by the home. We found that cultural needs are supported and some people attend the local churches and church events. Residents are involved in the community and keep in touch with family and friends. Visitors are welcome at the home. Care Homes for Older People Page 15 of 25 Evidence: All spoken to said they are happy with the food and that they have a choice. Staff ask each person daily what they would like for tea and individual requests are catered for. A hot meal and dessert is served every day around midday. Roast lamb and fresh vegetables was served on the day of the visit. Residents said they have a roast dinner on Sunday and Wednesday and that there is always an alternative. The manager said the home uses local organic produce. Care Homes for Older People Page 16 of 25 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 know their complaints will be listened to and acted on. People are protected from harm and abuse. Evidence: We found that there is a complaints policy and procedure that is given to people when they move in. Service users said they have no complaints about the home. People said if they had a complaint they would speak to staff and are confident they would be listened to any complaint would be acted on. Neither the home nor the Commission have received any complaints about the service. There is a policy and procedure in place to safeguard vulnerable adults. Staff attend training in how to recognise and respond to abuse. This keeps service users safe. Care Homes for Older People Page 17 of 25 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. Clifton Court is a well maintained, safe place to live. Evidence: We found that the home is very clean and hygienic with good quality furniture and fittings. People said they are happy with their rooms, which are all single and personalised. The manager said people are encouraged to bring in their own pieces of furniture, pictures and photographs so the rooms feel like home. Each room has en suite facilities, there is a bathroom on the first floor and WC on the ground floor. Staff are currently decorating the home ready for Christmas. Residents said staff do their utmost to make the home feel festive and a happy place to be at Christmas. There are aids and adaptations that can be used to support people to be aa independent as possible including a stair lift. There are plans to improve the kitchen next year. Care Homes for Older People Page 18 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by enough competent staff. Recruitment checks are robust protecting service users. Evidence: We found that there are enough staff on duty to meet service users needs. This means that people are not kept waiting for support. Some staff are long standing so know the service userswell. The induction of new staff is adequate. The manager ensures that staff are up to date with mandatory training and has completed a train the trainer course. This means that the manager can facilitate in house training for staff. This ensures that service users are in safe hands. Staff have also had training relating to service users needs like Diabetes. Daily hand overs ensures that staff are aware of any changing needs. Service users said staff are very good and kind. One person said the girls are marvelous and we could not be anywhere better. Another person said that they really do look after you. Care Homes for Older People Page 19 of 25 Evidence: We found that recruitment checks are robust protecting service users. Prospective staff meet service users before they start work at the home. Care Homes for Older People Page 20 of 25 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. The home is well managed in service users best interests. Peoples health and safety is protected. Evidence: We found that the management of the home is stable with no changes since the last inspection. The manager has several years experience and has the required qualifications. The manager is the Registered manager so has passed the fit person process. The manager spoke with knowledge and understanding of service users needs and has ideas to improve the service. The Providers are supportive and live on site providing continuity and support for service users and staff. Service users spoke positively about the manager and providers. We found good quality assurance systems in place. Views about the service are sought from service uses and their representatives. The results are collated and action taken to address any issues raised. We found that changes have been made based on service Care Homes for Older People Page 21 of 25 Evidence: users views including changes to the menu and activities. This means that service users views underpin the review and development of the home. We found that the home does not handle service users monies or act on their behalf, which is safe practice. Service users or their representatives deal with finances. We found that service users health and safety is protected. Regular checks are carried out of the premises and equipment including fire equipment. Staff have training in health and safety including infection control, safe moving and handling and first aid. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 of 25 Helpline: 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 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 25 of 25 - 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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