Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Derwent Care Derwent Care 2 Benton Terrace Stanley Durham DH9 0NT three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kathy Bell Date: 0 5 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Derwent Care Derwent Care 2 Benton Terrace Stanley Durham DH9 0NT 01207281788 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) : Mrs Janette Heslop care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 3 Benton Terrace is a care home registered to provide personal care and accommodation for three adults with a learning disability. The home was opened in 1996, by Mrs J Heslop and her late husband Mr W Heslop. Mrs J. Heslop is now the sole owner. She runs this, along with two other homes in the Derwentside area, with support from relatives who help with the day-to-day management of services. The people who run and manage these services are members of the same family and have been involved with the homes since they opened. So they have a strong commitment to making them happy places to live and work. This home is an end terrace house in the same street as its sister home, Fourways, in the centre of Stanley, County Durham. The two homes share the same registered manager and team of support staff but they are registered as separate services. The property is like an ordinary house and provides a comfortable home for current service Care Homes for Adults (18-65 years)
Page 2 of 8 Brief description of the care home users, on two floors. It would not be suitable for people with poor mobility, because the bedrooms and bathroom are upstairs. Visitors who use wheelchairs would not have much space to get in and out of the house, or to move about downstairs. There is a well-kept front garden and a paved yard at the back, and free parking on the street outside. Local amenities, like shops, pubs and a community centre are nearby, and there are regular bus services. The two homes in Benton Terrace share the use of a mini bus and a car, which helps the residents to go out and about, in the wider area. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This inspection was one of a number carried out by CSCI to check that the rating was correct. The homes were chosen randomly: we did not have concerns about this home. We were satisfied that the rating for this home should remain excellent. Each person has a care plan which explains in detail about every aspect of their lives and the help they need. The care plans recognise their individual choices and prompt staff to record any religious or cultural needs. Staff have recorded risk assessments for any activities which might put people at risk and these explain clearly what staff must do to protect people. The care plans also include the activities each person wants to do and staff record clearly when they have done these. This is for everyday activities within the house like playing cards, as well as going out on the minibus, for swimming, trampolining or other activities. This means that staff know they are responsible for helping people take part in rewarding activities of their choice. The care plans make sure that the staff know exactly the help each person needs. Because they explain what the person can do themself, staff can help people be as independent as possible. Throughout the parts of the care plan which tell staff what to do, the importance of respecting their privacy and dignity is stressed. Clear records are kept of when people see a doctor and what happened. The records showed how staff ask for advice whenever they are concerned. The manager described how they had persisted in asking for medical investigation when they knew by someones behaviour that she was not well. While she was in hospital, staff stayed with her. There are safe systems to look after peoples medication. Where a doctor has prescribed medication to take in an emergency for seizures, there are clear instructions for staff. But the home should try and agree a full care plan with health professionals and care managers to make sure that everybody agrees to this. This should include a list of who has been trained to give this medication. The home has a satisfactory policy for dealing with complaints but has not actually received any. The manager described how staff have to interpret peoples behaviour when they are not happy about something. All staff have had training in safeguarding adults. Care plans include a section on peoples capacity to make decisions and who, for example, family members, may help them with this. In discussion, the manager showed her understanding that staff needed to be aware of when they were restricting peoples choices even when this was in their best interests. Two staff are usually on duty through the waking day and one person sleeps in at night. On the day of this visit, one of the staff had gone off sick but the staff from the home run by the same company which is two doors away in the same terrace could provide support if necessary. There is a training programme for staff including key training such as moving and handling and first aid, with regular refresher training. Staff have also had training in challenging behaviour, the Mental Capacity Act, diversity and the safe handling of medicines. Staff who have already had training in medication are now repeating this. Care Homes for Adults (18-65 years) Page 4 of 8 The manager is very experienced and has the qualifications expected for care homes managers. She carries out her own spot checks within the home to make sure that the care is of the standard she expects. She also talks with staff to make sure they understand important policies. Each year, surveys are sent out to relatives and care professionals and provided for people who live in the home. The results of the last surveys were not yet available in the home. We saw a business plan where the manager and the company agree that they need to develop more a formal quality assurance system. This shows they recognise the importance of it, even though they are already doing many of the important parts of a quality assurance system. The Regulation 26 visit reports for the last two months were not available in the home. We saw the records of regular checks of the fire safety system and hot water. Staff also carry out safety checks on the minibus. The home has reviewed its fire risk assessment. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 39 24 The home must continue to 01/04/2008 develop and improve its quality assurance system and produce an annual plan using the views and interests of service users and their representatives. Care Homes for Adults (18-65 years) Page 6 of 8 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 Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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 Adults (18-65 years) Page 8 of 8 - 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!
