Inspection on 10/12/05 for 6 Greenford Walk

This inspection was carried out on 10th December 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 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

6 Greenford Walk 29/06/07

6 Greenford Walk 04/07/05

6 Greenford Walk 06/10/04

6 Greenford Walk 12/05/04

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 Greenford Walk Thorntree Middlesbrough TS3 9NX Lead Inspector Shaun Common Unannounced Inspection 10th December 2005 01:00 6 Greenford Walk DS0000000120.V272514.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 6 Greenford Walk DS0000000120.V272514.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. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 6 Greenford Walk Address Thorntree Middlesbrough TS3 9NX 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 251518 01642 218279 Walsingham Mr Bryan Hubbard Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user over the age of 65 years. Date of last inspection 4th July 2005 Brief Description of the Service: 6 Greenford Walk is registered as a care home with the Commission for Social Care Inspection under the Care Standards Act 2000 to provide care and accommodation for up to 6 people who have a learning disability. The home is situated in a local authority estate within walking distance to local amenities. It is a detached house having a large fenced garden to the rear and a garden to the front with parking space. The service at Greenford Walk is provided by Walsingham, a registered charity and is managed by Mr Bryan Hubbard. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of Greenford Walk by the Lead Inspector. The inspection took place on a Saturday afternoon. Three residents were out, two were at home, and one retuned during the inspection. The visit started at 1pm and lasted two and a half hours. The inspector spoke to two residents, staff and looked at records. 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 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 the following standard(s): Choice of Home was not assessed at this inspection. EVIDENCE: 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 the following standard(s): 6 Residents assessed needs are appropriately reviewed and reflected in care planning. EVIDENCE: Individual Needs and Choices was examined at the last inspection. Only a statutory requirement that was evident in the last inspection report was revisited. Two resident’s files examined demonstrated that reviews were being held six monthly. These were noted to be of good quality and resident focussed with resident’s views being clearly recorded. Findings in reviews reflected in current care planning. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 the following standard(s): Lifestyle was not assessed at this inspection. EVIDENCE: 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 10 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 & 20 Residents are empowered to make their own choices and are well supported. Medication systems afford clarity, however auditing system lacks clarity. EVIDENCE: Files examined demonstrated clearly how resident’s personal and intimate care needs were to be met. Personal support was identified and interviews with residents evidenced that this is prevalent. One resident who spoke to the inspector stated: ‘Staff wake me up in the morning and knock on the door first’, staff help me’, ‘I help choose the wallpaper and meals’. ‘I cook and The home has linkworkers allocated to each resident and a resident confirmed this was the case. Medication administration was clear and there were individual records for each resident. There were no resident’s undertaking self-medication. The records, however, could not demonstrate an audit trail and the assistant manager confirmed that there was no system in place for this. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 11 All staff have received training in the safe handling of medication from the manager who is a qualified nurse (RGN, RMNH). The assistant manager also confirmed that the manager has received further training from the organisation. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 the following standard(s): Complaints and Protection was not assessed at this inspection. EVIDENCE: 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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 the following standard(s): Environment was not assessed at this inspection. EVIDENCE: 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 14 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, 34 & 35 Staff are experienced, trained, qualified and competent to meet residents needs. EVIDENCE: The training profile was examined and detailed training that the staff team as a whole had undertaken. It was difficult to assess any individual due to the layout of this profile and home should develop a system of individual training profiles for each staff member. The home has not recruited any new staff of late, however the assistant manager advised that all staff have completed induction, foundation and other essential training as required. Again this was difficult to assess due to the current method of recording training within the home. Training certificates are sent to the organisations head office that retain these documents, so access to these was possible via fax. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 15 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, 39 & 42 Residents are involved in, and are the focal point of, planning and improvement. Residents are kept safe through robust maintenance and health and safety monitoring. EVIDENCE: The home has in place a system that records relatives and others views of the home and a plan in an accessible format that reflects aims and outcomes for residents. This plan shows progress made and review. Staff hold regular meetings with residents, seeking their views and these meetings are recorded in a format that is accessible to all. The home’s health and safety records were examined. Records that showed all required tests, repairs and maintenance were up to date as was the fire risk assessment document and accident records. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 16 The manager of Greenford Walk is appropriately experienced and qualified to run the home. 6 Greenford Walk DS0000000120.V272514.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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Greenford Walk Score 3 X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000000120.V272514.R01.S.doc Version 5.0 Page 18 No 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 20 Regulation 13 Requirement The Registered Manager must ensure that medication administration records enable auditing to take place. Timescale for action 15/01/06 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 35 Good Practice Recommendations All staff at the home should have individual training profiles. 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 Page 19 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 6 Greenford Walk DS0000000120.V272514.R01.S.doc Version 5.0 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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