Inspection on 24/08/05 for 6 Albion Terrace

This inspection was carried out on 24th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

6 Albion Terrace 05/02/07

6 Albion Terrace 14/02/06

6 Albion Terrace 15/11/04

6 Albion Terrace 26/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 6 Albion Terrace Strathallen Saltburn-by-Sea TS12 1JN Lead Inspector Christine Moon Unannounced 24 August & 1 September 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. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 6 Albion Terrace Address Strathallen Saltburn-by-Sea TS12 1JN 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) 01287 622813 MC Independent Care Initiatives Mrs Diane Pearson Care Home 9 Category(ies) of Learning disability (LD) 9 registration, with number of places 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2004 Brief Description of the Service: Situated in the centre of Saltburn, Strathallen is a three-storey Victorian terraced house in keeping with other properties in the area. It is close to local shops and has easy access to bus services and the railway station. There are seven single bedrooms and one double room. There is an enclosed private garden to the rear of the home, with patio area. Strathallen is registered to provide accommodation for 9 service users with a learning disability. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 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 took place over two separate days spent within the home, a total of around four hours in all. The Inspector spent time talking with two proprietors of the home as well as chatting to residents, and observing every day life. The environment of the home was also viewed. What the service does well: What has improved since the last inspection? 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. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 6 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 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 7 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) Not assessed at this Inspection. EVIDENCE: 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 8 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) 6, 7 and 8 Residents are aware of their plans and these plans set out their assessed care needs and how they will be met. Staff are good at consulting service users and providing support, in order to maximise independence. EVIDENCE: On the day of the Inspection one resident talked to the Inspector about his Care Plan. He knew that staff talked with him about his needs and obviously enjoyed being involved in this discussion. He also knew that his needs are written into a Plan and that Plans are reviewed regularly to take account of any changes. Service users are able to make decisions about their lives. For example, during holiday times and weekends, service users can choose when to get up, and how their day will be spent. There is regular participation by service users into menus and food preparation, and specific days when each resident, with the support of staff, will decide on the menu for the main meal and help with preparation. In respect of the more formal structure of daily life, any day placements, work placements or college courses are discussed and arranged by staff and residents talking to each other about wishes and preferences. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 9 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) 11,12,13,14 and 16 Alongside opportunities for personal development, service users have access to a variety of activities, some of which take place locally. Staff positively encourage contact with family and friends. Rights and responsibilities are recognised and promoted by staff. EVIDENCE: Opportunities for personal development are many and varied. During the Inspection, one resident said that he was about to start a new work opportunity involving gardening and was really looking forward to this. Two residents have recently attended the Special Olympics held in Glasgow and were successful in winning medals. Most residents attend either day care centres or have enrolled on college courses of their choice. Outings from the home have taken place during the Summer - service users said they like trips to Whitby and Grosmont. Locally, outings to the beach are popular, as are walks in the Valley Gardens, trips to the cinema, bowling and meals out. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 10 Plans are in hand for most residents to have a holiday in Spain in October of this year. The ethos of the home is one where service users are encouraged, as far as is possible, to take responsibility for their own lives. A good example of this is the provision of the ‘flat’ at the top of the home where those who are able to can have more independence. There is a comfortable sitting room with television and a kitchen suitably equipped so that these residents are able to make their own hot drinks and prepare breakfasts, with support from staff where needed. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 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) 18 and 19 Personal support is provided in the way residents prefer it, and staff are good at meeting both physical and emotional health needs. EVIDENCE: Observation and discussion at the time of the Inspection confirmed that relationships between staff and residents are positive and supportive. It was clear that those arriving home were pleased to see care staff, who were welcoming to their residents and interested in hearing about their day. Much of the support provided at Strathallen is emotional, and again it was clear that staff try to ensure that they are positive and encouraging in the way they provide care. Where a higher level of emotional or psychological support is required, staff work with appropriate professionals in order to try to ensure that care needs are met. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 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) Not assessed at this Inspection. EVIDENCE: 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 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 and 30 Strathallen is comfortable and homely, with individual bedrooms suited to the needs of those who live there. Toilets and bathrooms are sufficient to meet the needs of residents, and provide privacy. On the day of the Inspection, the home was very clean and hygienic. EVIDENCE: Internal viewing of the home confirmed that Strathallen is a comfortable and welcoming home. Individual bedrooms seen were fit for their purpose and can be personalised according to the taste and preference of their owners. The flat, which is used by three service users, is particularly designed to promote, maximise and increase independence and those using this facility were very happy to be there. On the two days of the Inspection, the home was very clean and hygienic and reflects the fact that a dedicated cleaner is employed. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 14 Externally, it was noticed that exterior woodwork is in need of both repair and repainting. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users needs are being met by appropriately trained staff. EVIDENCE: Strathallen has in excess of 50 of staff trained to at least NVQ Level 2 or above. At the present time, one member of staff is progressing to NVQ Level 4, and one to NVQ Level 3. In addition, most staff are trained in the Safe Handling of Medication, by way of an accredited course. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 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 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) 37 and 38 The home is well run and service users benefit from care which is provided in a person-centred way. EVIDENCE: There is a definite sense of order within the home, which enables staff to make the most of time available for their residents. The ethos is one which places service users at the centre of all care provided and it was clear that those living at the home find staff approachable and supportive. One service user said that she ‘likes all the staff’ and knows that she can ‘talk to them’ if she needs to. The Registered Manager holds the Certificate in Social Services (CSS), plus an Assessor’s Award and Verifiers Award. She has recently started NVQ Level 4 in Management in order to meet the requirements of the Care Homes Regulations. 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 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 N/A N/A N/A N/A N/A Standard No 22 23 ENVIRONMENT Score N/A N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 N/A N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 N/A N/A N/A N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 N/A 3 N/A Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A 3 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Albion Terrace Score 3 3 N/A N/A Standard No 37 38 39 40 41 42 43 Score 3 3 N/A N/A N/A N/A N/A B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 18 Yes 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 37 Regulation 9 Requirement The manager should gain a qualification at NVQ Level 4 in Management by 2008. Timescale for action By 30th September 2007 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 24 Good Practice Recommendations The woodwork on the outside of the building is in need of repair and decoration and consideration should be given to this before further deterioration takes place 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 19 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 6 Albion Terrace B51 B01 S124 V246165 6 Albion Terrace 240805 Stage 4.doc Version 1.40 Page 20 - 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. 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