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Inspection on 05/10/05 for 3 Clive Road

Also see our care home review for 3 Clive Road for more information

This inspection was carried out on 5th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents take part in a variety of activities and are encouraged by staff to develop themselves further. A resident said he could take part in activities of his choice and this was confirmed in his care plan. He described his lifestyle and hobbies. He is part of a chess club and a music club and attends both on a regular basis. He said he goes out most days and particularly enjoys taking the bus to the moors and going for long walks. He takes a packed lunch, provided by the home and whilst he can make this up himself he usually likes the staff to do it for him. Another resident helps out with planting and weeding in a garden centre.

What has improved since the last inspection?

The manager who is new in post is settling in to her role, maintaining the stability of the staff team.

What the care home could do better:

At the time of the inspection the annual assessments of residents required reviewing and dating.

CARE HOME ADULTS 18-65 3 Clive Road Middlesbrough TS5 6AF Lead Inspector Val Daly Unannounced 5 October 2005 10:00 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 Clive Road Address Middlesbrough TS5 6AF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01642 818132 Mr D Kerrison Mrs Beryl Dennis Care Home 3 Category(ies) of MD Mental Disorder (3) registration, with number of places 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 24/11/2004 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 B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10am and lasted for three hours. One resident and one member of staff were spoken to during the inspection. Numerous records including care plans, policies and procedures and menus were examined. What the service does well: What has improved since the last inspection? The manager who is new in post is settling in to her role, maintaining the stability of the staff team. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 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. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 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 standard(s) 2 & 5 Resident’s needs are assessed periodically but documentation requires reviewing and dating. Each resident has a written statement of terms and conditions. EVIDENCE: The two residents in the home have lived there for many years and therefore re assessments of needs and wishes are carried out annually. However at the time of the inspection the annual assessments required reviewing and dating. Each resident has a written statement of terms and conditions of business, which is signed by the resident. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 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 standard(s) 7,9 &10 The individuality of residents is constantly promoted and they are encouraged to make choices about their lives. Confidentiality agreements are in place. EVIDENCE: Documentation showed that residents make decisions about their lives. Risk assessments are in place where required and they are signed and agreed by the resident. One resident spoken to was aware that information about him is kept, which may be discussed with other health professionals and said he had signed a confidentiality agreement. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 &17 A range of opportunities is available to residents to take part in age appropriate activities. A good range of meals is available to residents, which meet their dietary needs. EVIDENCE: A resident said he could take part in activities of his choice and this was confirmed in his care plan. He described his lifestyle and hobbies. He is part of a chess club and a music club and attends both on a regular basis. He said he goes out most days and particularly enjoys taking the bus to the moors and going for long walks. He takes a packed lunch, provided by the home and whilst he can make this up himself he usually likes the staff to do it for him. There is a four weekly menu in place in the home, however this can be changed weekly if the residents wish. The menu is put up on a daily basis and if a resident wants a change to the main meal a request just needs to be made before 10am for any extra shopping or cooking requirements. The residents prefer to have their main meal at teatime as this allows them full days out if they wish. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 11 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 standard(s) 20 Medication arrangements are appropriate for the needs of the residents, and are managed in a safe manner. EVIDENCE: The home has policies and procedures for the receipt, recording, storage, handling and administration of medication in place. At the time of the inspection one of the residents was keeping his own medication. It was documented in his care plan when medication was ordered and received. The resident and staff sign for the medication. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 12 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 standard(s) 22 & 23 The home has a complaints system which residents can use if they are unhappy. There are satisfactory procedures in place, which protect the residents from abuse. EVIDENCE: The home has a complaints policy and procedure in place, however there had not been any complaints made to record. One resident said he could discuss any concerns with staff in the home. Staff files showed that training in ‘No Secrets’, the protection of vulnerable adults had been completed. Information about adult protection is available to residents. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 25 & 30 The home is homely, comfortable, and clean and provides residents with a safe and well-maintained environment in which to live. EVIDENCE: The residents live in a comfortable and safe environment. Resident’s bedrooms are individually decorated and furnished to suit the residents, choices, needs and lifestyle. The home was extremely clean and odour free. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These six standards were not assessed at this inspection. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 & 42 Resident’s views are taken into account in the running of the home. Residents are protected by the health and safety policies and procedures. EVIDENCE: A resident spoken to during the inspection said that there are regular meetings where any likes or dislikes in the home can be discussed. He also felt that he could talk to staff at any time if he had any concerns. The home has health and safety policies and procedures in place and training fir staff is carried out. 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 16 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 2 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 4 Standard No 11 12 13 14 15 16 17 x 4 4 4 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Clive Road Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. Refer to Standard Good Practice Recommendations 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Unit B - 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. Extracts may not be used or reproduced without the express permission of CSCI 3 Clive Road B51-B01 SN62 3 Clive Road VN243126 051005 Stage 4.doc Version 1.40 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!