Inspection on 16/12/05 for 50 Belle Vue Grove

This inspection was carried out on 16th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

50 Belle Vue Grove 12/12/08

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 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 08/07/2008.

CARE HOME ADULTS 18-65 50 Belle Vue Grove Middlesbrough TS4 2PZ Lead Inspector Brenda Grant Unannounced Inspection 16th December 2005 09:30 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 50 Belle Vue Grove Address Middlesbrough TS4 2PZ 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 851160 H4037@mencap.org.uk Royal Mencap Society Mrs Alison Leslie Bellwood High Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Manager, Mrs Allison Bellwood-High, should attain (by 2005) a qualification, at Level 4 NVQ, in Management or equivalent. One named individual who is above the age category is allowed to reside in the home. 3rd November 2004 Date of last inspection Brief Description of the Service: 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. A new service is being offered at the home for people who also have psychological needs. The home had a flood earlier this year and the original residents were re-located to another care home, they are not returning to 50 Belle Vue Grove. This building has been dried out, decorated and provided with new furniture. The home has just started admitting new residents; two residents have already moved into the home. 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. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours, the inspector looked around the building and the grounds of the home as well as inspecting a number of records. Two service users and the manager were spoken to on the day of the inspection. Staff supported service users to be involved with college, day care, work placements and other activities. Staff were observed appropriately speaking to residents. The residents were happy to show the inspector around the home. Both residents said they, ‘like the new home’ and ‘staff are kind and helpful’. The Commission for Social Care Inspection has received an application for the home to have a new registered manager; the application is being processed. What the service does well: What has improved since the last inspection? What they could do better: That the home has a Service User’s Guide. Residents to have written contracts or a statement of terms and conditions with the home. Each resident to have a Care Plan. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 6 The Complaints Procedure to have timescales for when there will be a response to a complaint and that the procedure includes information about the Commission for Social Care Inspection. Complete staff files must be kept at the home. The manager must attain National Vocational Qualifications Level 4, or equivalent, in management and care. 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. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5. Prospective residents do not have all of the information they need to make an informed decision about where to live. Prospective users’ individual aspirations and needs are assessed. Residents do not yet have individual written contracts or a statement of terms and conditions with the home. EVIDENCE: The home has a Statement of Purpose that describes the services that are available for residents. The manager said a Service User’s Guide, that will give residents further information about the home, is being developed. The two residents said they were fully involved with the assessment process. Assessments were available at the home; they gave full information about resident’s needs. The assessments were signed and dated by residents and a representative of the home. The manager said residents have not yet been offered contracts with the home but contracts will be provided in the near future. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. Care Plans have not yet been developed. EVIDENCE: The two new residents have only lived at the home for a short period of time. Both residents have been assigned key workers who are to involve the residents when preparing and developing the Care Plans. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 17. Residents are able to take part in age, peer and culturally appropriate activities. Residents take part in the local community events. Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Residents said they regularly go out on their own or with staff. One resident has lots of friends and various activities that s/he regularly enjoys to take part in. The manager said she and the staff are to develop programmes of activities for each resident. Both residents said they would hope to find work placements in the future. Residents have already made local contacts with: the community centre, leisure and college facilities, pubs and a church. The home is awaiting delivery of a fridge/freezer, until then staff and residents are shopping daily for the food. Residents said they prepare and cook their own food with the support and guidance from staff. The record of food indicated residents had a healthy diet. One resident said ‘the food is great’. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 11 Residents said they had their meals in the dining room and that they enjoyed their mealtimes 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 Residents physical and emotional health needs are met. Residents retain, administer and control their own medication and are protected by the home’s policies and procedures. EVIDENCE: Residents said they were satisfied that their physical and emotional health needs were met. The manager said the home had readily available access to health care specialists who would give support to residents whenever it was needed. One resident self medicates. The medicines are kept in a lockable facility and staff monitor and support the resident to collect, store and to take the medicines appropriately. The home maintains records of all medication. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. The home has a Complaints Procedure but it does not give full information. EVIDENCE: Residents said they had no complaints to make about the home. There was a Complaints Procedure that residents could refer to but it did not give details, of a timescale, for when there would be a response to a complaint and the procedure did not give information about the Commission for Social Care Inspection. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. Residents live in a homely, comfortable and safe environment. EVIDENCE: Residents said, ‘It is homely, comfortable and I feel safe’. ‘It is better than where we were before’. ‘There is a more relaxed atmosphere’. The home has been redecorated and there is new furniture to make this a homely and comfortable environment. All rooms that were used by residents were seen to be satisfactory. One resident, who has lots of belongings, said s/he was happy to have one of the larger bedrooms. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34. It was uncertain whether residents were supported and protected by the home’s recruitment policies and practices. EVIDENCE: The manager said staff’s personnel files were not available at the home because they had not been relocated, to the home, from the regional office. The manager said new staff had been appointed and recruitment procedures had been followed. The manager said the files would be brought to the home within the next few weeks. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37. Residents benefit from a well run home but the manager needs to achieve gaining management and care qualifications. EVIDENCE: The newly appointed manager has experience of running a care home. The manager confirmed that she is undergoing training for the Registered Manager’s Award. Once that has been completed, the manager said she is to undertake training for the National Vocational Qualification, Level 4, in Care. 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X X 1 Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 50 Belle Vue Grove Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000000056.V273591.R01.S.doc Version 5.0 Page 18 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 2 Standard YA1 YA5 Regulation 5 5 Requirement The home must provide residents with a Service User’s Guide. The home must provide residents with a written contract or statement of terms and conditions. The home must prepare a written Care Plan for each resident. The home’s Complaints Procedure must give information of timescales for when there will be a response to a complaint and the procedure must give details of the Commission for Social Care Inspection. Staff’s complete personnel files must be available at the home. The manager must attain qualifications at National Vocational Qualification Level 4, or equivalent, in care and management. Timescale for action 31/01/06 31/01/06 3 4 YA6 YA22 15 22 31/01/06 31/01/06 5 6 YA34 YA37 17 9 31/01/06 30/09/07 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 19 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 50 Belle Vue Grove DS0000000056.V273591.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Tees Valley Area Office 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. 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