Inspection on 01/12/05 for 22 North Paddock Court

This inspection was carried out on 1st December 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

22 North Paddock Court 09/07/08

22 North Paddock Court 25/07/06

22 North Paddock Court 13/09/05

22 North Paddock Court 01/02/05

22 North Paddock Court 12/11/04

22 North Paddock Court 12/01/04

Similar services:

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

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

CARE HOME ADULTS 18-65 North Paddock Court, 22 22 North Paddock Court Lings Northampton Northants NN3 8LG Lead Inspector Mrs Sara Morrison Unannounced Inspection 1st December 2005 03:00 North Paddock Court, 22 DS0000012873.V266054.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 North Paddock Court, 22 DS0000012873.V266054.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. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service North Paddock Court, 22 Address 22 North Paddock Court Lings Northampton Northants NN3 8LG 01604 412501 01604 412501 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) The Brain Injury Rehabilitation Trust Mrs Gillian Taylor Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: North Paddock Court provides care and support for three residents between the ages of 18 and 65 years who have a mental disorder, arising out of an acquired brain injury. The service is part of the Disability Trust Brain Injury Services. The trust works in partnership with a number of clinical specialists to provide assessment and rehabilitation programmes. External health care professionals meet therapeutic and health care needs. The home is and end of terrace four bedroomed house situated on a residential estate close to local amenities, with easy access to a range of community activities and public transport from the centre of Northampton. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours during the afternoon and early evening, was carried out as part of the regular inspection visits required by law and was unannounced. Prior to the inspection time was taken to review the information gathered since the last inspection and plan this inspection visit. The inspection included a tour of the house, discussion with both service users, discussion with the member of staff on duty and the manager. The method of inspection was to track the lives of the service users. This was achieved by speaking to them about the service they receive, talking to staff that provide their care, observation of the interactions between everyone and the routines of daily life. What the service does well: What has improved since the last inspection? What they could do better: Service users could not think of anything that the home could do better and were very pleased with the service they receive. The manager and staff should carry on building on their current good practice and continue to make the home a good place to live. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 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. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 7 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 North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 8 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): Standards in this section were not reviewed at this inspection. EVIDENCE: North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 9 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 & 9 There is a good system for ensuring service users are involved in the plans to meet their goals and needs. Service users are supported to make decisions, take risks and be as independent as possible. EVIDENCE: Service users have diaries in which they write the plan for each day. They explained that each evening a member of staff sits with them and helps them to plan the next day. Service users’ said that they found the record in their diaries useful to refer to as they had short-term memory problems One person said that she works twice a week in a charity shop. She said she enjoys the work and has progressed from sorting clothes to working in the shop. She said that she had previously worked in a café however had found this too stressful and staff had enabled her to find work more suitable for her. Staff explained that they encourage people to be as independent as possible and have programmes for achieving this. One person who recently moved on was working towards going into town on her own. North Paddock Court, 22 DS0000012873.V266054.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, 14 & 15 The values of staff and ethos of the home is very positive, there are good opportunities for service users to maintain and develop independent living skills . EVIDENCE: Through discussion it was evident that staff have thought through a number of issues relating to the personalities of the service users and created equal opportunities for both people to maintain and develop their daily living skills. One service user explained that she enjoys cooking and staff have organised a file for her with plastic wallets for her favourite recipes. Another service user said that staff support her to clean her room and do her washing. Service users said they both work on a part time basis in a charity shop and local café, they said that they both work on different days and enjoyed the one to one time they had with staff when the other service user was at work. There is a range of activities that service users said they enjoy. One person said that she has joined a local weekly wood walk that staff support her to North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 11 attend. Another person said she enjoys going to the library, the cinema and the local theatre. The manager discussed the difficulties that the service users have in meeting new friends. She said that service users are in close contact with their families but do not have friends locally. The manager said she is working on this issue with staff and is endeavouring to widen service users’ circle of contacts. North Paddock Court, 22 DS0000012873.V266054.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): Standards in this section were not reviewed at this inspection. EVIDENCE: North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 13 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): 23 Staff understand issues of abuse and protection, and ensure the safety and well being of service users. EVIDENCE: Service users were very clear about speaking up if they had any concerns or complaints. They said they would speak in the first instance to their key worker and then to the manager if necessary. Service users said they were very confident that any problems they raised with staff would be promptly dealt with. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 14 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 & 30 The house is well maintained, decorated and furnished and provides a comfortable and homely place to live. EVIDENCE: Since the last inspection the ground floor shower has been fixed and bedrooms have been re-decorated. Carpets have been replaced throughout and new settees provided in the lounge. The hall, landing and stairway are due to be re-decorated. There was a high standard of cleanliness. Service users said they are very pleased with their rooms and there was lots of evidence of personalisation and their own possessions. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 15 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): 33 There is a good staff team who appear to work well together in the best interests of the service users. EVIDENCE: The manager explained that there have been some changes in the staff over the last year, however she considers that this has been beneficial and there is a good cohesive team. There are three care staff and the roster is organised for each person to work a 24 hour shift. The shift starts at 7.30 am and ends with a sleep in duty. The manager generally works Monday to Friday however covers a shift at the weekend once a fortnight which enables all staff to have every other weekend off. The member of staff said that she likes working the long shift and considers it provides continuity for the service users. In addition there are more opportunities for longer activities, as service users do not have to return home during the afternoon in order for staff to change over. North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 16 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): Standards in this section were not reviewed at this inspection. EVIDENCE: North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 17 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 X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 North Paddock Court, 22 Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000012873.V266054.R01.S.doc Version 5.0 Page 18 NO 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. Standard Regulation Requirement Timescale for action 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 North Paddock Court, 22 DS0000012873.V266054.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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