Inspection on 06/06/05 for 10 Whitfield Avenue

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

10 Whitfield Avenue 16/06/08

10 Whitfield Avenue 21/11/06

10 Whitfield Avenue 08/11/05

10 Whitfield Avenue 14/12/04

10 Whitfield Avenue 07/06/04

10 Whitfield Avenue 12/01/04

Similar services:

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

1a White Ladies Close

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 10 Whitfield Avenue Seabridge Newcastle Staffordshire ST5 2JH Lead Inspector Berwyn Babb Unannounced 06 June 2005 14:10 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 10 Whitfield Avenue Address Seabridge Newcastle Staffordshire ST5 2JH 01782 254000 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Choices Housing Association Ltd, 1a King street, Newcastle, Staffordshire, ST5 1EN Care Home 3 Category(ies) of LD-3 registration, with number of places 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 December 2005 Brief Description of the Service: Whitfield Avenue is a three bedded, semi-detached house located in a residential area near to Newcastle-under-Lyme town centre, and if necessary residents can make use of the frequent bus service to get into town. Retail outlet nearby include a number of local shops, and a mini market. There are several public houses near by that are popular with residents. It offers accommodation for up to three males who have differing degrees of learning disabilities. On the ground floor there is a large lounge that is tastefully decorated and furnished and has adequate, comfortable seating. There is a kitchen that leads to a conservatory which doubles as a dining room and smoking area. The kitchen also includes a small area that is used to house the domestic washer and dryer. There is a downstairs WC. There is one ground floor bedroom used by a resident for whom the stairs presented a respiratory problem, and this is fully furnished and has been personalised to reflect his particular tastes. The first floor comprises of two bedrooms, a bathroom / shower and a WC. There is a large private garden to the rear, where the summer house is used by the men as a club house in good weather, having been furnished with all the necessary facilities for music, entertainment, and a mini-bar. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector found a domestic style of facility, that was providing accommodation and care for three men with learning disability situated in the heart of a residential district of Newcastle. The building was in good order and staff were attending to the care needs of the residents who were in the building at the time of the inspection, there being one gentleman absent at that time, being engaged in his occupation with a local adversary group. He later returned and all the gentlemen were spoken to, unanimously indicating that they were content with their lives at 10 Whitefield Avenue. Staff were observed to be dressing their dignity and privacy, and to be carrying out the assistance needed by these gentlemen in a sympathetic, knowledgeable, and good-natured manner. They were open and helpful to the inspector, and in their conversation displayed a wide understanding of the conditions and assessed needs of the gentlemen that they cared for. What the service does well: What has improved since the last inspection? What they could do better: Currently there is no registered care manager recognised by the Commission for Social Care Inspection. It was a requirement of the report of the inspection of 14th December 2004 that the care manager should be registered within one month, I.e., by 14/01/05. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 6 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. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 and 6 All standards assessed were met and the judgement was that the home provided suitable information and used appropriate procedures to ensure that they were able to meet the assessed needs of prospective residents, and provide them and/or their supporters, with sufficient information to make an informed choice about admission. As a result of this those gentlemen resident at number 10 Whitfield Avenue had been able independently, or with assistance, to make an informed choice to live in a home that was capable of meeting their needs. EVIDENCE: At the time of the inspection this home did not have any vacancies, the registered provider not only has procedures in place to enable prospective residents to establish whether they chose to live there or not, it uses the information it has on both assessed needs of the enquirer and its own service provisions, to try and advice on a best match available within the group as a whole. Evidence was observed in promotional documentation and from discussion with staff. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 9 The tenancy agreements inspected during the afternoon gave a very clear statement of what the residents were able to expect from the registered provider with regards to their accommodation and care in the home. The care plan of the person most recently admitted to the home showed that he had been the subject of a full care management assessment before being advised that the home would be able to meet his needs. This home does not currently offer Intermediate Care. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9, and 10 Those standards assessed met, demonstrating that the health care needs of the residents were being both recorded and catered for, and that they were treated with dignity and respect, and this ensured that they would receive the best possible attention to their health needs, from a staff group who instinctively located the individual at the centre of all planning. EVIDENCE: Each care plan was viewed, and all provided for meeting the assessed health needs of the residents. There were no incidents recorded or highlighted in discussion where the health needs of the gentlemen had not been met. One gentleman administered his own medication, and the relevant risk assessment for this was evident in his care plan. Storage and recording mechanisms for medication were reviewed and felt to be sound and appropriate. There were no discrepancies in the M. A. R. sheets. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 11 Staff were observed to include residents in their conversation at all times, and one resident confirmed that their dignity was always respected, and that things like advocacy and grief counselling were offered to them when a need arose. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, and 15 All those standards assessed were met, demonstrating that the home provided and facilitated lifestyle experiences acceptable to, and suitable for the residents ensuring that contact with family and friends were maintained and encouraged, that any choices they were able to make effecting their lives were respected, that their meals were of their liking, whilst retaining a balanced and healthy option, and that any preferences, hobbies or cultural or social and religious needs they may have were respected. EVIDENCE: All the residents subscribed to being satisfied with the lifestyle experience they enjoyed in and through the home during their conversations with the inspector. They also spoke of their occupation in the scheme operated by Choices, to include men in the work of the maintenance team, and appeared to very much enjoy the opportunities this afforded them to meet with their friends at other Choices homes. The inspector learned how upon the death of a parent of one of the residents, another family member with whom he had lost contact for over twenty years, had started to visit. The staff were very positive about this contact and said that they were encouraging a continuation of the link. In a care plan, the inspector was able to read of the long term work being done with one gentleman to improve his presence in the local community. This included a very positive use of risk assessments to enable someone, rather than restrict 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 13 them. A member of staff was observed facilitating tea for the gentlemen, all of whom had different preferences, and all of whom were positive about the food. In care plans, details were observed of dietary stratagems to improve body mass maintenance, some to reduce weight, and others to maintain it. The new kitchen was talked of with pride by two of the residents, and with satisfaction by the staff. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, and 18 The standards assessed were met demonstrating that the residents knew how to complaint, and to whom, and that staff were deeply imbedded in a culture of being their first line advocates to keep them as safe as is humanly possible. EVIDENCE: The inspector spoke at length with two of the residents, both of whom expressed appropriate responses to how they would complain about something, both confirming that those policies and procedures which the company had produced to facilitate a robust culture of listening to and responding to complaints. A member of staff spoke knowledgably and with some conviction about the protection of the vulnerable adults in the care of the home, and care plans showed details of the appropriate use of advocacy services to assist the gentlemen to uphold their rights and freedom. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 23, and 26 Those standards assessed were met, demonstrating that the environment was suitable for residents. The property was well maintained and appeared to be safe and comfortable with sufficient toilets and bathing facilities and personal and communal space. It was scrupulously clean and hygienic with adequate evidence of attention to health and safety matters. EVIDENCE: There was evidence of further refurbishment since the last inspection, with the kitchen having been completed, and the lounge and conservatory looking very fresh and appealing. Two bedrooms were visited and these were both clean and well decorated, and according to their occupants, suited there chosen needs and requirements. One gentleman was proud to say how much energy he put into the sweeping and tidying, and the results were a credit to him, and those members of staff who also help keep the establishment, clean, fresh, tidy, and odour free. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, and 30 Staffing numbers and qualification and experience were observed to be appropriate to cater for the assessed and expected needs of the residents. From this it was deduced that the residence were having their needs met by a group of staff who were trained, experienced, skilled, to do the work for which they had been employed by an organisation whose recruitment policies were directed at protecting the individuals at the home. EVIDENCE: The staff rota showed two people on duty throughout the waking day when there were residents present in the home, with one sleeping in at night. There had been a couple of changes in personnel, but generally there was a very stable staff group, with each member undertaking regular refresher courses in all mandatory training, and the person who is in process of being registered as care manager, additionally having qualified as a trainer in the Management of Actual and Potential Aggression. She is now able to offer a five day course authenticated by the British Institute for Learning Disability on restraint and de-escalation. Throughout the course of the inspection, a member of staff was observed to be continuously, but unobtrusively, using her skills to maintain the dignity and stability of one gentleman who has quite profound behavioural difficulties. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, and 36 Those standards assessed were met, and from the evidence taken on the day the home appeared to be a safe place to live, with the Person Centred Planning for each resident being central to the programmes for running the establishment. EVIDENCE: It became apparent from observation and from talking to those people staffing the home that the whole culture of the home revolved round the needs of the residents. The provision of an almost one to one ratio of staff to residents ensured that needs and choices of the individual were the prime motivator for staff intervention, witness at tea time, three different meals being prepared, at slightly different times, to accommodate each persons taste. The evidence of the care plans was that where individual choice was dangerous to the person directly, or to their health, then risk assessments had been 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 18 initiated to inform planning that recognised the duty of care to ensure the wellbeing and safety of each individual in the home. On a communal level, this devotion to an ethos of safety was observed in the regular environmental safety checks recorded in the documentation. 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 x x x 4 x x 4 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 4 x x x x 3 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 20 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 37 Regulation Reg.9 [1] Requirement There must be a registered Care Manager for the home. Timescale for action 14/01/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 10 Whitfield Avenue E51-E09 5111 Whitfield Ave V233382 060605 stage 4.doc Version 1.30 Page 22 - 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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