Inspection on 30/01/07 for 3 Clive Road

This inspection was carried out on 30th January 2007.

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

3 Clive Road 25/01/08

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 Key Unannounced Inspection 30th January 2007 10:00 3 Clive Road DS0000000062.V329188.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.V329188.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.V329188.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 Mrs Beryl Ann Dennis Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by one inspector over one day. As a key inspection, all of the key standards were examined. A tour of the home took place, residents records were examined, records including accidents, complaints and menus were looked at and two residents, a member of staff and the provider were engaged in discussion about life at Clive Road. What the service does well: What has improved since the last inspection? Since the previous inspection the lounge had been re decorated and new furniture was in place. The bathroom had also been re painted and a new blind was in place at the window. Staff training is ongoing and a carer had enrolled on a course for NVQ 2. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 6 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.V329188.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.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident’s care needs are assessed prior to the move to the home, and periodically thereafter. This will help ensure that each resident’s needs are met at the home and inappropriate admissions avoided. EVIDENCE: Two residents files were examined and they both contained a full detailed assessment of needs. One of the residents had recently moved from another home. His care records contained a full assessment of needs and wishes. The resident had signed to agree each area of the assessment. On discussion with the resident he said he had looked around the home and spent time there also having a meal with the other residents to make sure he wanted to make the move. Further assessments are carried out on a regular basis and include the resident. 3 Clive Road DS0000000062.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. EVIDENCE: Residents are involved in their individual plans of care depending on their ability. The key worker carries out reviews and one to one discussions take place with the resident. Each resident has individual risk assessments depending on their needs and activities that they carry out. The risk assessments are detailed and are either reviewed annually or as the situation changes. The residents are aware of the risk assessments and take part in the reviews. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Links with the community are very good and support and enrich resident’s opportunities. The meals are good, offering both choice and variety. EVIDENCE: The residents have their own individual routines. One gentleman had recently been on a holiday to Germany with a friend. A comprehensive risk assessment had been undertaken prior to the holiday. Hobbies and interests for this resident include, playing chess, going to pub quizzes, playing his key board, bus trips out on the moors and visiting friends. Another resident attends church on a daily basis, he also enjoys going shopping into the town and once a week has a lunchtime drink with a friend. The third resident living in the home does voluntary work once a week at a large garden centre and he also attends college, part time. He enjoys having regular contact with a family member. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 11 There is a four weekly menu in place based on resident’s choice. The main meal is at tea - time when residents are usually all together. The menu is flexible depending on choice. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents 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 residents. EVIDENCE: The care plans examined detailed the personal support needed and given. All residents in the home have their own General Practitioner, most times residents attend appointments on their own but sometimes they ask for support from staff. Each resident receives support from staff to the level that they choose and require. There is always time for one to one chats with residents to ensure there are no problems. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 13 Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. Examination of medication administration records showed that the procedures were being followed. At the time of the inspection there was one resident who managed his own medication. A risk assessment was in place for this. 3 Clive Road DS0000000062.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints system, which residents can use if they are unhappy, have a grievance or dispute. Staffs have received training in adult protection to safeguard the residents from abuse. EVIDENCE: Two residents spoken to said they could talk to a member of staff anytime and felt that any problems would be sorted out. There had not been any complaints made since the previous inspection. The home has a complaints procedure in place, however changes have been made in the responsibility of investigating complaints. Therefore the policy needs re writing to include the Contracts and Commissioning Department of the Local Authority. The home has a policy and procedure in place for the protection of vulnerable adults. Staff training records showed that training has taken place. A member of staff confirmed she had received the training and was aware of the procedure to follow if required. 3 Clive Road DS0000000062.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is attractive homely and comfortable for the people who live there. All areas were safe, well maintained and extremely clean. EVIDENCE: The home was very comfortable, homely and very clean. Since the previous inspection the lounge had been re decorated and new furniture was in place. The bathroom had also been re painted and a new blind was in place at the window. The resident who had recently moved into the home showed the inspector his room. He had personalised it and he was very pleased with the way it looked. 3 Clive Road DS0000000062.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear leadership skills demonstrated by the provider and staff have a clear understanding of their roles. Recruitment policies and procedures are robust. EVIDENCE: The home has recruitment policies and procedures in place. Two staff files examined showed that the home’s policies are being followed and all the required documentation was in place. Staff in the home receives regular training. Since the previous inspection training has been delivered in First Aid, Fire Safety, Mental Health Awareness, Schizophrenia and Adult Protection. Training had also been arranged for later in February and March for updates on Moving and Handling and Food Hygiene. A carer had also enrolled for NVQ 2. A member of staff interviewed confirmed she receives regular training. 3 Clive Road DS0000000062.V329188.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home regularly reviews aspects of it’s performance through a programme of self-review and consultations, which include seeking the views of residents and staff. EVIDENCE: At the time of the inspection the provider, who has previously been a registered manager was overseeing the home. She was in the process of interviewing potential managers to fill the position. The home continues to be run based on the resident’s needs and wishes. The provider and staff work closely together and provide a family like environment for the residents. Meetings for residents are held every three months and minutes are taken and agreed to and signed by the residents. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 18 An annual audit of the home is undertaken and an action plan is formed where required. Residents are given questionnaires to complete, which cover areas such as, the environment, staff attitude, food, complaints, activities and personal bedrooms. One resident said he was pleased with everything in the home. Staff records showed that training in health and safety is received, a member of staff confirmed this. The home has health and safety policies and procedures in place. 3 Clive Road DS0000000062.V329188.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 3 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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 20 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. 1. 2. Refer to Standard YA22 YA35 Good Practice Recommendations The complaints policy needs re writing to include the Contracts and Commissioning Department of the Local Authority 50 of carers should complete NVQ training at level 2 or above. 3 Clive Road DS0000000062.V329188.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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.V329188.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. 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