Inspection on 19/10/05 for 12 Linden Road

This inspection was carried out on 19th 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

12 Linden Road 18/02/09

12 Linden Road 05/02/07

12 Linden Road 21/02/06

12 Linden Road 08/10/04

12 Linden Road 08/10/04

12 Linden Road 08/10/04

12 Linden Road 08/10/04

12 Linden Road 14/06/04

12 Linden Road 14/06/04

12 Linden Road 14/06/04

12 Linden Road 14/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 12 Linden Road Brotton Saltburn-by-Sea TS12 2RU Lead Inspector Ray Burton Unannounced Inspection 19th October 2005 10:00 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 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 12 Linden Road DS0000000054.V259724.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 Adults 18-65. 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. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 12 Linden Road Address Brotton Saltburn-by-Sea TS12 2RU 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) 01287 678489 01287 678489 Real Life Options Ms Janet Fenson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th October 2004 Brief Description of the Service: Linden Road care home is a purpose-built two-storey property located in a housing estate on the outskirts of Brotton. The home provides long-term care for six residents with a learning disability. Accommodation is provided in single bedrooms. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on 19th October 2005. A total of five hours was spent at the home. The inspector spoke to the manager and two members of staff. Various documents were examined including care plans, personnel files, training records, staff rosters and medication administration records. What the service does well: What has improved since the last inspection? What they could do better: 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. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The home had a Statement of Purpose that met the requirements of the National Minimum Standards. The pre-admission process and assessment procedure ensured prospective residents and their families were given sufficient information about the home and knew that needs would be met. EVIDENCE: A Statement of Purpose was in place setting out the aims, objectives and philosophy of the home. Each resident and family member had been given a contract that met the requirements of the National Minimum Standards. There had been no admissions to the home for eight years, however the manager stated that no one would be admitted unless an assessment had been received from a care manager and the home had conducted its own assessment to determine if the prospective residents needs could be met. She said that this assessment would be carried out by herself and Real Life options Area Manager plus input from other appropriate professionals if required. The assessment process would be followed by an invitation being extended to the prospective resident and his/her family to visit the home to meet existing residents and staff. The opportunity for overnight stays would be afforded followed by admission for a trial period, during which time there would be ongoing assessment to determine the suitability of the placement. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 The homes care planning process ensured that residents needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle. The home had appropriate policies and procedures to deal with confidentiality and the Data Protection Act. EVIDENCE: Three care plans were examined, each was well organised and provided a comprehensive, up-to-date and detailed picture of all aspects of personal, social and healthcare need and the support required to ensure the need was met. Risk assessments and risk management strategies were in place and signatures provided evidence that these had been discussed, and any limitations of choice agreed, with next of kin. The plans contained evidence that residents were involved in the care planning process and that their views were listened to and acted upon by staff who, in conversation, indicated that they were aware of service users right to self-determination and fully supported them to exercise choice and make decisions about their lives. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 9 Regular reviews ensured that changing needs were identified and addressed. None of the residents was able to communicate verbally however alternative means of communication were employed: gesture, body language and signing. One resident was able to read and write, another communicated by computer. Each resident, according to his/her ability and understanding was offered opportunities to be involved in the day-to-day running of the home by attending staff meetings, being involved in staff recruitment, menu planning and participating in everyday household tasks such as shopping and meal preparation. The home had appropriate policies and procedures covering confidentiality and the handling, storage and sharing of sensitive information. All service user records were properly maintained and securely stored. The manager said that the Data Protection Act and the importance of maintaining confidentiality were fully covered in induction and foundation training. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Residents were treated with respect and presented with opportunities to lead fulfilling lives. Residents were encouraged to take part in appropriate leisure activities in the home and were supported by staff when engaging in activities in the community. Staff encouraged and assisted residents to maintain family and friendship links. Residents were offered a healthy and varied diet. EVIDENCE: It was observed during the inspection that staff treated residents with respect and that there was a relaxed and friendly atmosphere in the home. Routines were flexible, promoted independence and allowed residents to exercise personal choice and control over their lives (subject to their individual plan). 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 11 Staff encouraged and supported residents to take part in a wide range of appropriate activities both in-house and in the community: TV and video; board games; visits to the local pub, theatres and cinema; meals in restaurants; swimming baths; specialist clubs; personal and food shopping; Flamingo Land; Sea World; museums such as Eden Camp and Beamish. Four residents regularly attended a day centre. Staff understood the importance of residents maintaining contact with family and friends and assisted with the making and receiving of telephone calls and the sending of cards for special occasions such as birthdays and Christmas. There were no visitors to the home during the inspection, however, the manager stated, relatives and friends were welcome to visit at any time and some residents received very regular visits from their family. She said residents were encouraged and supported to visit their family home whenever possible. Relatives were always invited to attend review meetings. The record of food served showed a balanced and varied diet was provided and that alternatives were always available should a resident not want the dish of the day. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate professionals provided additional support. EVIDENCE: Examination of care plans and conversation with the indicated an awareness of the importance of providing sensitive and flexible manner. The recent appointment support worker had made it possible for male residents care from a member of staff of the same gender. manager and staff personal care in a of a full-time male to receive personal Constant monitoring of health was undertaken and healthcare needs addressed by residents own general practitioner and other community based professionals e.g. District Nurse, Community Psychiatric Nurse, Psychiatrist, Speech & Language Therapist, Physiotherapist. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 13 None of the residents had been assessed as being able to control their own medication. All medicines were stored centrally in a secure facility and administered, according to the homes policy and procedures, by staff who had undergone suitable training. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home had a satisfactory complaints system and policies and procedures to protect residents from abuse and safeguard their legal rights. EVIDENCE: An appropriate complaints procedure was in place stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter was handled The procedure was displayed in the entrance hall, and next of kin had been given a personal copy. A pictorial version was contained in the Service User Guide given to each resident. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who had all received training in “Abuse Awareness” and “No Secrets” as part of their induction and foundation training. The manager stated that, where appropriate an independent advocate would represent the resident to safeguard their interests. Examination of the complaints record showed that the home had not received a complaint in the last twelve months. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Linden Road provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: The location and design of the home was suitable for purpose. Number 12 Linden Road provides comfortable and homely accommodation for six persons with learning disabilities. The external and internal fabric of the building was maintained in good condition. Décor throughout the house was pleasant and furniture was comfortable and domestic in design. All areas of the building, including the kitchen and laundry were accessible to residents, subject to individual risk assessments. Each bedroom was comfortably and appropriately furnished and had been decorated according to the wishes of the individual. Personal furniture and effects such as pictures, photographs, TV, CD player etc. reflected the personality and interests of the occupant. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 16 One resident, however, displayed extreme challenging behaviour manifesting in the destruction of personal belongings and the removal of paint and plaster from her bedroom wall. The home receives considerable input from various community-based professionals who are attempting to modify this challenging behaviour. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. Lighting was domestic in nature and emergency lighting had been installed throughout the home. Only one bedroom had an en-suite facility, however the numbers and suitability of lavatories and bathing facilities provided met the National Minimum Standard. A tour of the building revealed the home to be clean, hygienic and free from offensive odours. It was noticed however that the floor covering in the en-suite facility was very stained – this should be replaced. It was also observed that the stair carpet was starting to lift slightly. Although not yet posing a tripping hazard, it is recommended that remedial work be conducted to re-fix the carpet. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 The home had a robust recruiting policy and procedures, and an effective training programme. All staff received regular formal supervision. EVIDENCE: The home followed Real Life Options corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of three personnel files revealed the information required by Schedules 2 and 4 of the Care Homes Regulations 2001 were in place. Staff confirmed they had not been allowed to commence employment until the home had received two suitable references and a satisfactory Criminal Records Bureau check. Training records and conversation with two members of staff and the manager indicated the staff team had the skills and experience necessary to meet resident need. Prior to commencement of employment all new staff underwent an external four days induction course. This was followed by one day manual handling instruction and in-house induction specific to Linden Road. On-going training for all staff included: First Aid, food hygiene, autism awareness, epilepsy awareness, challenging behaviour, No Secrets, abuse awareness. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 18 All members of staff received formal supervision on at least six occasions per year. 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection. EVIDENCE: 12 Linden Road DS0000000054.V259724.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 12 Linden Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x X DS0000000054.V259724.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 27 Regulation 23(2)(b) Requirement Timescale for action 15/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 12 Linden Road DS0000000054.V259724.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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. 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