Inspection on 25/01/08 for 3 Clive Road

This inspection was carried out on 25th January 2008.

CSCI found this care home to be providing an Good service.

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

3 Clive Road 30/01/07

3 Clive Road 15/02/06

3 Clive Road 05/10/05

3 Clive Road 24/11/04

3 Clive Road 19/05/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 3 Clive Road Middlesbrough TS5 6AF Lead Inspector Val Daly Unannounced Inspection 25th January 2008 09:30 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 Clive Road Address Middlesbrough TS5 6AF 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) 01642 818132 Mr D Kerrison Mrs S Kerrison Vacant Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2007 Brief Description of the Service: Clive Road is registered with the Commission for Social Care Inspection under the Care Standards Act 2000 as a care home providing care and accommodation for 3 adults who have a mental disorder. The home is situated in a busy residential area and is indistinguishable from other homes in the street. It is well maintained and provides a pleasant and safe environment for the people that live there. Residents at the home are encouraged to live as independently as possible and have developed a high degree of autonomy in their lives. Residents are encouraged in everyday activities and domestic tasks but emphasis is placed upon development and retention of skills. Weekly fees are £335.00 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was a key unannounced inspection and was completed by an inspector in one inspection day. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. A number of records were looked at including assessments of people who use the service and plans of care, staff recruitment records, complaints and maintenance records along with the annual quality assurance assessment. Two people, who use the service and a member of staff, were engaged in discussion about living at Clive Road. The proprietor had completed an Annual Quality Assurance Assessment prior to the inspection. The AQAA is the services self-assessment of how they think they are meeting the National Minimum Standards. This information is received prior to the inspection and it is then used as part of the inspection process. On the day of the visit the home did not have a registered manager and a senior member of staff provided the information and documentation required. This was a positive inspection; everyone had contributions to make and there was a friendly and happy atmosphere. What the service does well: The home provides a cosy, homely environment. The proprietors and staff ensure that it is very clean and well maintained. During the inspection discussion took place with two people use the service. They both enjoyed a variety of interests and activities, which keep them busy most days. One person is a member of a chess club and he also enjoys weekly visits to a pub with friends to take part in a quiz. He also likes to meet friends from the Day Centre he attends in an Internet café. During discussion he said how he enjoyed playing his keyboard and sometimes went to one of the ‘sister homes’ where others liked to listen to him play. The other person spoken to said ‘this home is much nicer than the previous home I lived in’. He said he likes to keep to his routines, goes to church every day, visits a friend in Stockton at lunchtime and has a couple of pits of beer in a pub there. He likes his tea early and retires to bed at about 9:30pm. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 6 People who use the service also enjoy meals out and one person had chosen to go to an Australian pub for his birthday, another said he had already seen the menu and had chosen his meal. At Christmas one person stayed at a friends and the other two had their main meal at the ‘sister home’ nearby. There was also an evening meal out at an Italian Restaurant. 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. The summary of this inspection report can be made available in other formats on request. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience excellent quality outcomes in this area. Each persons care needs are assessed prior to the move to the home, and periodically thereafter. This will help ensure that each person’s needs are met at the home and inappropriate admissions avoided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An assessment of the needs and wishes of people who may wish to use the service is carried out before admission to the home. Since the previous inspection the assessment documentation has been reviewed and developed further. Included is information regarding, personal details, a description, mental health history, medical history, the activities of daily living including plans and fears for the future, family and friends. The file of one person who uses the service was examined and this information was contained in it. Further assessments are carried out regularly and the person who uses the service is involved and signs to show agreement. If a person who uses the service does not wish to take part this is documented in the care documentation. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience good quality outcomes in this area. People who use the service are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the previous inspection, new care plan documentation had been introduced. There is information written for each area of daily living, which forms a comprehensive and detailed picture of the person who uses the service. However the documentation could be further developed to include a ‘plan of action’ where a need is identified. One person interviewed knew about their care plan and said he was involved in the reviews of the plan with his key worker and signed to agree. The key worker also writes a monthly summary. Information for the plan is gathered from the person who uses the service, relatives where possible, social worker and health professionals. One person interviewed said ‘my key worker gives glowing reports about me’. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 10 Each person has individual risk assessments in their plan depending on their needs and activities that they carry out. The risk assessment documentation had been improved upon, was detailed and included scoring to denote a high, medium or low risk. They are either reviewed annually or as the situation changes. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. Links with the community are very good and enrich people’s opportunities. The meals are good, offering both choice and variety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection discussion took place with two people use the service. They both enjoyed a variety of interests and activities, which keep them busy most days. One person is a member of a chess club and he also enjoys weekly visits to a pub with friends to take part in a quiz. He also likes to meet friends from the Day Centre he attends in an Internet café. During discussion he said how he enjoyed playing his keyboard and sometimes went to one of the ‘sister homes’ where others liked to listen to him play. The other person spoken to said ‘this home is much nicer than the previous home I lived in’. He said he likes to keep to his routines, goes to church every day, visits a friend in Stockton at lunchtime and has a couple of pits of beer in a pub there. He likes his tea early and retires to bed at about 9:30pm. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 12 People who use the service also enjoy meals out and one person had chosen to go to an Australian pub for his birthday, another said he had already seen the menu and had chosen his meal. At Christmas one person stayed at a friends and the other two had their main meal at the ‘sister home’ nearby. There was also an evening meal out at an Italian Restaurant. Menus offer greater choice and people who use the service and staff usually choose meals weekly. The main meal of the day is at teatime and on the day of the inspection it was liver and onions. Two people spoken to said it was one of their favourite meals. There are a variety of choices for lunch depending on what people who use the service are doing. It may be a packed lunch for someone who will be out most of the day or light foods such as soup, sandwiches, and salad. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 &20 People who use the service experience good quality outcomes in this area. People who use the service receive good support from staff to ensure that their personal, physical and emotional needs are met. The homes procedures for storing and administering medication are robust to safeguard the people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people who use the service were involved in the inspection. They both praised the staff for their support in both personal and health areas. One person said he could always discuss any problems with his key worker. The care plans contain information, which shows the support that people need and wish to have. Staffs know the people who use the service very well and someone is always available to talk to. Each person who uses the service has his own General Practitioner. Their Psychiatrist also sees them at regular intervals. At the time of the inspection two people self medicated and they each had a locked facility in their room to keep the medication safely. Risk assessments were in place and staff checked compliance with medication. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. The home has a complaints system, which people can use if they are unhappy, have a grievance or dispute. Staffs have received training in adult protection to safeguard the people who use the service from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the complaints procedure is on display in the home for people who use the service and it is also in each person’s room. Both people spoken had never had to complain but said they would be quite comfortable talking to any member of staff if they had a problem. They said they were happy and very settled. There had not been any complaints made since the previous inspection. Examination of the staff training files showed that all staff had received training in Adult Protection. A member of staff interviewed was able to describe the procedure to follow in the case of suspected abuse. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area The environment is attractive homely and comfortable for the people who live there. All areas were safe, well maintained and extremely clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is very comfortable and homely. Since the previous inspection re decoration and refurbishment had been ongoing around the home. The lounge had been re decorated making it a much lighter area. The kitchen and bathroom had also been re painted. New bedroom furniture had been purchased for one of the people who use the service and they had chosen the colour scheme. There was a new stair carpet in place and the front and rear doors to the home have also been replaced. The senior carer on duty said that the proprietors intended to build an extension to the rear of the house to create a larger kitchen and dining area. The home was very clean without any odours. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 People who use the service experience good quality outcomes in this area Staffs have a clear understanding of their roles. Recruitment policies and procedures are robust. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has recruitment policies and procedures in place. One staff file examined showed that the home’s policies are being followed and all the required documentation was in place. Training for staff is ongoing. Since the previous inspection training has been delivered in Fire Safety, Health and Safety and refresher training in the Monitored Dosage System of medication. However whilst it is apparent from reading documentation, speaking to a member of staff and people who use the service that staffs are meeting needs and wishes it would be beneficial if training in aspects of Mental Health was available. At the time of the inspection 50 of carers had achieved NVQ level 2 or above in care. One of the carers was undertaking NVQ level 3. The member of staff interviewed said that she received regular supervision for one of the proprietors. Confirmation of this was in the persons personnel file. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area The home regularly reviews aspects of its performance through a programme of self-review and consultations, which include seeking the views of people who use the service and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection one of the proprietors was managing the home, as there was not a registered manager in place. However the proprietor was in the process of applying to the Commission for Social Care Inspection for a manager to be registered. The staff group are very skilled and have worked at the home for several years ensuring continuity for the people who use the service. Everyone in the home has a say in how it is run and they are consulted as to any changes, which may take place. Meetings take place every three months as well as everyday discussions. People who use the service are given questionnaires annually to complete, which cover areas such as, the environment, staff attitude, food, complaints, 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 18 activities and personal bedrooms. An action plan is formulated from the completed questionnaires. Staff records showed that training in health and safety is received, and a member of staff interviewed confirmed this. The home has health and safety policies and procedures in place. 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 19 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 X 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 20 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 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 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 © 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 3 Clive Road DS0000000062.V357063.R01.S.doc Version 5.2 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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