Inspection on 05/02/07 for 6 Albion Terrace

This inspection was carried out on 5th February 2007.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

6 Albion Terrace 14/02/06

6 Albion Terrace 24/08/05

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 Neil McKenzie Key Unannounced Inspection 5th February 2007 10:00 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Albion Terrace Address Strathallen Saltburn-by-Sea TS12 1JN 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) 01287 622813 M C Independent Care Initiatives Position Vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 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. The lowest cost for a bed per week is £329 and the highest cost £616 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspection lasted for 7 hours. During the visits the inspector spoke to residents, and staff to find out what their views were about living and working at Strathallen. The inspector also spent time speaking to the manager of the home and the owner of the home. The inspector spent some more time watching how staff and residents are with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles medication. There was also questionnaire’s sent to the home, and these were looked at to help decide how well the home does in meeting the National Minimum Standards. What the service does well: It was evident from the inspection that the manager and staff work hard at Strathallen to ensure the residents are well cared for. Residents spoken to described how they are supported to do activities of their choice and get involved cooking food for each other. As one resident stated ‘like knitting and the job with the elderly’ another resident who likes cooking was attending a cooking course at a local college. Another resident had in place an individual funding package to help him use local sport facilities. A staff member commented, ‘love it friendly just like a family’ The home is good at providing individual plans to help residents live their lives to the full in a safe way. These plans had been made more personal by the use pictures and photographs chosen by the resident. Staff are also supported in the work they do by induction programme, regular supervision, staff meetings and training to ensure they meet the needs of residents. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The care needs, and aspirations, of any prospective residents are assessed prior to admission EVIDENCE: Three resident files were looked at. Residents living at the home have received the detailed assessment carried out in partnership with the local social services department. Copies of these assessments were available in resident files. The manager said that any prospective resident following an assessment is given opportunity to visit and stay at the home to help them decide if it is where they want to live. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments were detailed with evidence of review and updating. Support is given to all residents to try to ensure as independent a lifestyle as possible. EVIDENCE: Evidence was in place in the files examined that relatives and residents had been involved about the content and in particular any risks for a resident that may require actions by staff. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 10 Each care plan also included detail on how best to support a resident with information on, for example, how to assist with relationships, mobility and health. There was also evidence from records in care plans that show the home also works hard to reflect the wishes of residents and to help them make choices about their care, and activities. These are called,’ living action plans’. These action plans had been personalised by pictures and photographs to help residents understand the plans. The action plans were living documents as they were up to date and reviewed on a monthly basis. Residents had also signed them as their plan. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in a wide range of activity in the home and further a field. Resident’s dietary needs and choices are well catered for and relatives and friends are encouraged to maintain contact. EVIDENCE: Staffs work hard at supporting their residents to access appropriate activity. This includes residents attending different activities during the week. As one staff member stated, ‘you take a step back because they are very independent people’. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 12 Residents spoken to described how they are supported to do activities of their choice and get involved cooking food for each other. As one resident stated ‘like knitting and the job with the elderly’ another resident who likes cooking was attending a cooking course at a local college. Another resident had in place an individual funding package to help him use local sport facilities. Residents and staff described a choice menu that they are involved in choosing and cooking. At the time of the inspection a resident was being encouraged to prepare a meal for other residents. Evidence was available during the inspection in residents’ bedrooms and care plans of family and friends involvement with residents in the home. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents receive high levels of support based on individual needs with health care improved by the involvement of specialist health workers. Residents’ well being is promoted by effective storage and administration of medication. EVIDENCE: It was observed that staffs work hard at meeting the emotional and physical needs of residents. Records in files looked at and discussion with staff referred to specialist health professionals for support and advice as well as access to general practitioners. Each resident also had their own Health Action booklet designed to support residents when using health services. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 14 During the inspection the home’s arrangements for receiving, storing, administering, recording and returning resident’s medication were examined and discussed in depth with the manager. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. The manager was able to show and describe how medication is received and disposed of and how this is recorded. There is separate storage for controlled drugs and the home requires a separate logbook for when administering controlled drugs. At the time of the inspection no residents were being administered controlled drugs. Staff members who handle medication attend an external training course and receive a certificate on completion. This was evidenced in staff records. Individual residents’ medication record sheets contained photographs of the person to help ensure that residents receive the correct medication. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Observation confirmed that staff observe and listen to the views of residents. Staff understood adult protection issues and complaints; and this protects residents EVIDENCE: Records kept by the home-demonstrated evidence of residents using the complaints procedure and of these complaints being discussed with residents. Staff interviewed presented a clear understanding of adult protection and said they had done training on adult protection. Certificates held in staff records evidenced this. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and clean home but recent building work requires approval to ensure the work done is safe for residents and staff. EVIDENCE: A tour of the home demonstrated continuous improvement to the homes environment that is supported by a maintenance programme. The last inspection stated woodwork on the outside of the building is in need of repair and decoration and at the time of the inspection this still needed to take place. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 17 Recent building work to convert one large bedroom into two separate rooms and a staff office into a staff sleep over room still required approval by building control and fire service at the time of the inspection. Discussion with the owner of the home suggested that he was of a view that the bedroom was safe to use by an existing resident, who had already moved in, but the staff sleep over room required further work. Further discussion with Building control and the Fire service confirmed they were in the process of visiting the home regarding the above but as yet not provided certification of approval. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and well-trained staff team and made safe by good recruitment practice. EVIDENCE: At the time of the inspection there was 2 staff on duty at any one time during the day and evening and 1 staff member providing night covers with on call back up. In addition there is a domestic to support the staff team. Staff training files contained evidence that new staff members receive an in house induction and certificates demonstrated that staff also receive training specific to resident needs. At the time of the inspection half the staff had completed National Vocational Qualification (NVQ) in Care level 2 or 3. The staff files looked at contained certificates in NVQ. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 19 The recruitment files of staff were looked at and contained application forms that were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for the staff members prior to them starting work in the home. Staff files examined and staff interviewed demonstrated that staff receives regular supervision and staff meetings to support their practices in the home. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home is well run and whilst the needs and wishes of residents are central to the provision of care which is strengthened by regular self- monitoring reviews. EVIDENCE: The acting manager has worked hard to ensure the home is well run, and she feels she has benefited from the Registered Managers Award and completing the National Vocational Award in Management level 4. It is expected that the current acting manager will return to being the deputy manager and the owner will become the Registered Manager. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 21 There is evidence from the way staff, residents and relatives interact that the home is run in the best interests of those living there. Monthly meetings strengthen this with residents. The manager of the home has also introduced a regular audit to ensure the quality of care provided to residents is reviewed as well as policies and procedures. Health and safety of residents are promoted by training for staff in lifting and handling and fire awareness. Certificates kept in their personal records evidenced this. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 22 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA24 Regulation 23 (2) Requirement Recent building work to convert one large bedroom into two separate rooms for residents must have certification of approval from building control and fire service to ensure it is safe for residents. Additionally a recently converted office into a staff sleep over room requires approval by building control and fire service. Timescale for action 05/02/07 2. YA24 23 (2) The woodwork on the outside of 31/03/07 the building is in need of repair and decoration and consideration should be given to this before further deterioration takes place 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 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 24 1 YA20 The home should ensure they obtain a separate logbook for the possible handling of controlled drugs. 6 Albion Terrace DS0000000124.V328634.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 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 © 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 DS0000000124.V328634.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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