Inspection on 09/02/06 for 50 Belle Vue Grove

This inspection was carried out on 9th February 2006.

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 3 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 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 08/07/2008.

CARE HOME ADULTS 18-65 50 Belle Vue Grove Middlesbrough TS4 2PZ Lead Inspector Joanna White Unannounced Inspection 9th February 2006 12:50p 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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.V282789.R01.S.doc Version 5.1 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.V282789.R01.S.doc Version 5.1 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.V282789.R01.S.doc Version 5.1 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. 16th December 2005 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 last year and the original residents were relocated 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; four 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.V282789.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection and was completed by one inspector in four and a half hours. Discussion took place with three service users, two members of staff and the registered manager. One member of staff was interviewed. Both direct and indirect observation took place and a range of records was examined including residents care plans, the homes policies and procedures and maintenance records. The inspection was very positive and the inspector felt warmly welcomed into the home by the manager who conducted herself in a professional manner throughout. There was much discussion throughout the inspection, which was very constructive and the manager positively received any areas identified for further development. What the service does well: What has improved since the last inspection? The home provides residents with a Service User’s Guide. The home provides residents with a written contract or statement of terms and conditions. The home’s Complaints Procedure gives 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 are be available at the home 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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.V282789.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were examined during this inspection. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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): 79 The service users are encouraged to make decisions about their lives within the context of their individual plan. Support is provided from the staff when necessary. The residents are supported to take risks as part of an independent lifestyle EVIDENCE: It was evident from examination of a random selection of two care plans and associated documentation and through conversation with the manager, staff and the service users that care plans were being developed to reflect service users involvement in the decision making process at an appropriate level. There was evidence the service users were also supported to make choices in consultation with the other professionals involved and within the context of their individual plans. On the day of the Inspection a service user was observed by the inspector with the support of a member of staff making a telephone call to withdraw money from his/her bank account. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 Page 10 Another resident who spoke to the inspector said he/she had agreed with the staff to do jobs in the home i.e. dusting, hovering, etc at times which were agreeable to him/her and which fitted in with his attendance at college. In another service users care plan there was a copy of a written agreement between the home and the service user about incoming mail, alcohol consumption and smoking. The care plans also contained information about employment, leisure activities, and contact with extended family members and friends which all had been agreed in consultation with the service user. Residents were very clear that their individual needs were being met in the home, one resident said, “I like living here”. Another resident said, “I like it here it is much better than the place I was living in before.” 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 16 The staff encouraged and assisted the service users to maintain family and friendship links within the context of their individual plans. The resident’ rights are respected and responsibilities recognised in their daily lives. EVIDENCE: The manager said the staff recognised the importance of the service users keeping in touch with their family and friendship links within the context of their individual plans. One service user who spoke to the inspector said he/she telephoned his/her sister each week and visited her on a regular basis. The manager said support was offered to another service user to visit his/her family. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 Page 12 The staff were observed talking to the service users about routines within the home. A service user told the inspector he helped with the cooking and laundry and another service user said he was interested in gardening. A third service user had a particular interest in painting and decorating. Each service user had a key to their room and during the inspection one of the service users was observed in his room watching television. Other residents were observed in the kitchen area with a member of staff talking about what they were going to have for tea. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Staff met the service users healthcare and personal needs in a sensitive and flexible manner in accordance with the wishes of the individual service user. EVIDENCE: Conversations with the manager staff and the service users and examination of the care plans indicated an awareness of the importance of providing personal care in a sensitive and flexible manner, and of consulting with the service users and supporting them to maintain as much control over their own lives as possible. The times for getting up /going to bed, baths, and meal times and other activities were flexible subject to any restrictions agreed in the individual service users Plan. The service users were supported to choose and buy their own clothes. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Written procedures were in place, which promoted the welfare of the service users EVIDENCE: The Abuse Prevention Policy-Protecting Vulnerable People from Abuse and the Abuse procedure were audited. The documentation needed to be updated to give details about The Commission For Social Care Inspection a copy of the No Secrets Guidance was also present in the file. The homes whistle blowing policy and service user anti harassment policy were audited. The manager shared with the Inspector the MENCAP Workforce Development Plan for the period 01 02 2006-31 01 2007 which confirmed the staff had received No Secrets training on the 14 12 2005. The member of staff who spoke to the inspector confirmed he had received training and was aware of what action to take should he become aware of any form of abuse towards the Service Users. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home was clean and hygienic and free from offensive odours. EVIDENCE: The home had been completely redecorated and on the day of the inspection was bright, airy and had a friendly and welcoming atmosphere. The bedrooms were comfortable and had been personalised by the individual service users to meet their individual needs containing hi- fi systems, TV, radios, video and cd players. Photographs and pictures were also present. The garden area was well maintained. The manager who spoke to the inspector agreed the doors at the right hand side of the patio area needed painting. She said one of the residents would be asked to complete this job. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 35 The home has an effective staff-training programme. EVIDENCE: The manager shared the contents of MENCAP Workforce Development Plan which included NVQ Level 2/ 3 /4 /RMA/ A1/ V1/LDAF /MENCAP Learning Programme /People Moving People/ No Secrets/ Health and Safety Foundation /food hygiene etc. The inspector audited the Individual Needs questionnaire which is completed by each new member of staff to identify their training needs and includes; induction 2-6 weeks, foundation1-6 months, refresher training, essential training, additional training, qualification training and any other comments. The training also includes the role of the key worker. Meeting the service users needs, the homes policies and procedures etc. Training is delivered both in house, but also from external professional who are involved with the home and external training agencies. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 42 The views of the residents are actively sought to underpin all self- monitoring, review and development by the home. The manager ensures as far as reasonably practicable the health safety and welfare of residents and staff EVIDENCE: The service quality file for the home was audited and contained information about developing a monthly report; a continuous improvement plan, a quality statement, the homes achievements etc. The manager confirmed an independent representative from Mencap had undertaken a service review of the home and she was waiting for the final report. This was an area the manager was looking forward to develop further. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 Page 18 The Homes Health and Safety Policies and Procedures were audited. The training records of the staff members were audited and confirmed Mandatory training in Health and Safety had been completed. The Manager also confirmed the Induction programme for staff covered health and safety training. The Homes Maintenance Records and were examined. Risk assessments were in place and reviewed regularly for the products, which were used within the home. Records showed that regular checks and servicing of equipment was undertaken. 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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 X 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 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 2 X X 3 X 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 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. 1. Standard YA37 Regulation 9 Requirement The registered manager must attain qualifications at National Vocational Qualification Level 4, or equivalent, in care and management. Timescale for action 30/09/07 2. YA39 24 The registered manager must 01/07/06 ensure effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. The registered manager must ensure the homes Abuse Prevention Policy-Protecting Vulnerable People from Abuse and the Abuse procedure documentation gives details of The Commission For Social Care Inspection. 31/03/06 3. YA23 13 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 Page 21 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.V282789.R01.S.doc Version 5.1 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI 50 Belle Vue Grove DS0000000056.V282789.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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