Inspection on 12/12/08 for 50 Belle Vue Grove

This inspection was carried out on 12th December 2008.

CSCI found this care home to be providing an Excellent 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

50 Belle Vue Grove 04/01/08

50 Belle Vue Grove 26/01/07

50 Belle Vue Grove 09/02/06

50 Belle Vue Grove 16/12/05

50 Belle Vue Grove 03/11/04

50 Belle Vue Grove 16/06/04

Similar services:

1 Lanark Close

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 50 Belle Vue Grove 50 Belle Vue Grove Middlesbrough TS4 2PZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Lowther     Date: 1 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: 50 Belle Vue Grove 50 Belle Vue Grove Middlesbrough TS4 2PZ 01642851160 01642828624 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Miss Janine Louise Walker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accomodated is : 5 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability Code LD, maximum number of places 5 Date of last inspection Brief description of the care home 50 Belle Vue Grove is registered with the Commission for Social Care Inspection, under the Care Standards Act 2000 as a care home providing care and accommodation for up to five adults who have a learning disability. Currently there are four male residents who live there, and one bed is used for respite care. The home is part of the Mencap organisation. It is situated in a leafy residential area close to shops and a large hospital. Residents are provided with support to enable them to lead an independent lifestyle and they are encouraged to participate fully with the local community. 5 Over 65 0 care home 5 Care Homes for Adults (18-65 years) Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This inspection was a key unannounced inspection and was completed by an inspector in one inspection day, on 12th December 2008. 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. The inspector spent some time looking around the home and talking to the people who live in the home, staff and visitors. Records were looked at, including care records and Care Homes for Adults (18-65 years) Page 5 of 24 maintenance certificates. The manager 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. The fees charged at the time of this inspection were between one thousand, one hundred and ninety five pounds and one thousand, two hundred and fifty pounds per week. The cost of hairdressing, personal toiletries and clothing is not included in the fees. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are appropriately assessed before they are admitted to the home. Their individual needs and aspirations are considered. Evidence: Although there have been no admissions to the home since the last inspection, two sets of documentation were examined and they showed that a full assessment had been carried out prior to the person moving into the home. The assessment documentation contained evidence to confirm that social workers, community nurses and the people who are going to live in the home are all involved in the assessment process. Assessments covered areas such as preferred recreational activities, personal care, nutrition, dress management, emotional status, medication and health, independence/leisure, culture/religion and finance. People who live in the home confirmed that they had been assessed before they moved into the home. The manager confirmed that people are invited to visit the home on several occasions before the final decision is made about whether they go to live there. This is to make sure that the home can appropriately support and care for them. Care Homes for Adults (18-65 years) Page 9 of 24 Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All of the people who live in the home have care plans. These contain risk assessments and show how risks are managed. The files also include information about how people are supported and assisted with making decisions and living their lives as independently as possible, within their capabilities. Evidence: Each person who uses the service has an individual care plan, which showed involvement from the person and the multi agency professionals and staff. People spoken with confirmed that they attend reviews and are given a copy of the document. Two sets of documentation were examined, which showed the information was detailed. Within the plans there was also a personal profile of the person. One person said, My keyworker talks to me all of the time about my care plans. Sometimes I do not always agree at first until the reasons are explained to me. Then I understand. Individual programmes were in place for each person covering areas such as Care Homes for Adults (18-65 years) Page 11 of 24 Evidence: attendance at work, training and education and social and leisure activities. The aim of the service is for people to be as independent as possible and to eventually move into the community into their own home. On the day of the inspection a visiting professional said, This is an excellent resource. People are encouraged to be independent and are always involved with decisions. People are supported with managing their own finances. Each person has a budget plan and there is an agreement about how much they spend each week. Relevant and detailed risk assessments were in place for each person covering issues such as absences, mood change and offending behaviours. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered their choice of daily activities and can live their lives as they wish. Staff care for people in the way they want. People are encouraged to have a healthy and varied diet. Evidence: All of the people have an agreed weekly programme ranging from attending day centres to taking part in employment, work experience, training and education. Social activities are also programmed to individual choice including visits to a sports centre or the pub and shopping trips into town. Holidays are arranged on a regular basis. One person said, I like going to Blackpool. I am going again soon. People confirmed that they are assisted to maintain personal relationships and family contact. They also confirmed that people are given a choice. When asked if people were allowed to do what they wanted to do at the weekend the responses were positive. Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: Menus are tailored to individual need. People are encouraged to have a healthy diet. Food records are now kept, this was a requirement in the last inspection report. One person said, I get four good meals a day and I get a choice. Care Homes for Adults (18-65 years) Page 14 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of people are met. There are suitable arrangements in place for dealing with medication. Evidence: Two care plans were examined which detailed the personal support given to the people who use the service. Each person has their own General Practitioner and a care coordinator appointed by the multi disciplinary team. The care plans identify all physical, emotional and mental health needs and are evaluated on a minimum of a six monthly basis or when a need changes. Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. All staff who give medication have received appropriate training. There is a procedure in place for people who wish to administer their own medication. Staff would assess them first to make sure that this is safe. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. Evidence: The home has a complaints policy and procedure in place. There had been one complaint made to the home since the previous inspection. This was dealt with by the company. Staff are always available for people who use the service to go to if they have any concerns or are unhappy. One person said, We speak to the staff or manager. You are made aware of the complaints procedure if you are unhappy with anything. Another said, When I had a complaint the manager took me to her office and put my complaint in writing. It was sorted out from there. The home has a safeguarding policy and procedure in place. There was evidence in staff training files to show that training in the protection of vulnerable adults had been carried out. Staff confirmed that they know the procedure to follow and would have no hesitation in whistle blowing if they suspected an incident of abuse had occurred. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. Evidence: A tour of the home was carried out. All areas were very clean, tidy and well decorated. People who use the service are involved in choosing the decor and furnishings in their own rooms and also in the communal areas. Bedrooms were very individual containing personal possessions. The last inspection report contained a requirement that the cracks in the wall and ceiling of the first floor hallway were in need of repair. This work has commenced and the manager confirmed that this would be completed in the near future. People have access to a large garage where a pool table is kept. People said they liked this facility and use it a lot. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. Evidence: The home has a rota in place, which is flexible for the needs of the people who use the service. There is a policy and procedure in place for the recruitment of staff. Although staff records were not available during this visit, they were assessed as good at the last inspection. The manager confirmed that staff do not start work before two written references are obtained and a CRB check has been made. On commencement of employment each member of staff has an induction programme. A member of staff who only been in post a few weeks confirmed that the induction was very good and that he had been given enough information and support. Staff receive appropriate training, which helps them with their work. Staff training files were examined which showed training had been carried out in Safeguarding People, Health and Safety Management, Food Safety, First Aid, Fire Safety, Medication and Mental Health training. Most of the staff have achieved NVQ level 2 or above or are working towards it. Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: The home has a formal supervision system in place. One member of staff said, We have regular supervision meetings to see if there are any ways we need help or advice to do our job better. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. Evidence: The manager has been in post for several years and is qualified and competent to run the home. People who live in the home and staff confirmed that she is approachable and is always available for support. The home has further developed the quality assurance system as required in the last inspection report. People who use the service are given a survey annually to complete to seek their views about life in the home and the service provided and staff give support to complete these. An action plan is then formulated to address any suggestions or concerns raised. People are also consulted informally on a regular basis and are encouraged to express their views. One person said, The manager asks all the time if everything is alright. When we tell her something is not she tries to do Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: something about it straight away. The home has health and safety policies and procedures in place. The maintenance certificates seen at the time of this inspection were found to be in order. Training files showed that staff have received training in health and safety and fire safety. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 The remaining crack in the ceiling of the first floor hallway should be repaired and then redecorated, so that the building is kept in a good state of repair. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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