Inspection on 04/07/05 for 6 Greenford Walk

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10/12/05

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 4 July 2005 09:30 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 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 6 Greenford Walk Address Thorntree Middlesbrough TS3 9NX 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) 01642 251518 01642 218279 Walsingham Mr Bryan Hubbard Care Home 6 Category(ies) of LD Learning disability (6) registration, with number of places 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6 October 2004 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 B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 started at 09:30 in the morning and lasted a total of three and a half hours. The inspector talked with three residents and looked around the home as well as speaking to staff and looking at records. Two residents were on holiday and one was out with a staff member. Residents and staff were very welcoming. 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 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 6 contacting your local CSCI office. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 2 Residents needs are assessed and planned for and they are included in these processes. EVIDENCE: Individual service user assessments were available. Examination of the home’s assessments evidenced that residents and their relatives’ were involved in the assessment process. The home has developed a unique individual plan for each person, which was noted to be detailed and involved residents in its development. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 6, 7 & 9 Residents are empowered to make their own choices and decisions with appropriate support and safeguards in place. Review processes are not as robust as they should be. EVIDENCE: Individual plans of care were in place in the two files examined. Each plan evidenced resident’s involvement. The plans were noted to be very detailed and personalised and covered all aspects of residents assessed care needs. Plans were noted to be formally reviewed annually. The senior support worker stated that informal reviews occur regularly throughout the year, however the home must carry out formal reviews that include significant professionals, family, friends and advocates as agreed with residents, at least every six months or at the residents request. These reviews must update and reflect changing needs; and these must be recorded and actioned. There was clear evidence that residents are enabled to make their own choices and decisions with appropriate guidance and support as required from staff and other professionals. A resident said ‘I like it here, they help me to shop and cook, I visit and telephone my friends’. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 10 Risk assessments in place were comprehensive, covering all aspects of daily life. Residents were fully involved in the risk assessment process. One record demonstrated that the risks had been discussed with a resident who wished to participate in a particular activity that the staff and other professionals felt was not safe at this time. The issues were explained to the resident who agreed with the level of risk and chose not to participate in the said activity. Unexplained absences had been responded to appropriately by the home though it was noted that these were very infrequent. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 15, 16 & 17 Residents enjoy varied activities, work opportunities and involvement in the local community. Good links with family and friends are enabled and residents have autonomy and are empowered to make their own choices and decisions. A varied, healthy diet is provided at the home. EVIDENCE: Records examined demonstrated that residents were able to attend work placements and college as well as fulfilling activities. One resident spoke to the inspector about a work placement that they attended and that they enjoyed very much. The resident said ‘I work at ****. They give me a lift there and I make my own way home. I start at 9.30 and finish at about 2 O’clock.’ Records demonstrated a range of activities and involvement in the local community and staff supporting residents in these activities. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 12 Two service users spoke about their friends and one about their family. One resident said ‘ I like using the phone to speak to my friends and I visit my friend on a Friday’. Residents were observed to interact well with each other and with staff members and were able to make their own choices and decisions. Staff were observed respecting residents privacy and dignity by knocking and bathroom and bedrooms doors and waiting for residents to invite them in. Residents preferred from of address was recorded in their files and staff were noted to use residents preferred form of address. Menus showed that a balanced and varied available. One resident stated ‘They help thing is cooking for other people’. Service meals and had choice as to what is diet was offered with an alternative me to shop and cook and the best users contributed to the planning of offered. Mealtimes were flexible. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 19 Resident’s health care needs are fulfilled and monitored. Records that support this work are in place. EVIDENCE: Residents care plans and records evidenced access to appropriate healthcare services as required. Recording demonstrated support to service users regarding their healthcare needs and monitoring of their health. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 An effective and accessible complaints system and procedure empowers residents. Systems that help protect residents are in place. EVIDENCE: The complaints record was examined and there have been no complaints since the last inspection. The complaints procedure has been developed individually for each service user and is constantly under review. This procedure was noted to be personalised and easily accessible and in a format that enabled residents to access this procedure. Two residents spoken to said they had no complaints about the home and understood how to make a complaint if they were unhappy or concerned about anything. One resident said ‘I like it here, its very nice’. The home has in place a copy of ‘No Secrets’, the Department of Health guidance in relation to adult protection and a procedure for responding to suspicions of abuse. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 standard(s) 24, 26 & 30 The home is well decorated, furnished, and conducive to the positive care of residents. EVIDENCE: A tour of the premises was undertaken and residents were happy to show the inspector their bedrooms. The home was noted to be clean, tidy and homely and residents were particularly happy with the environment, commenting on the ‘quiet lounge’ as being a real positive for them. Bedrooms were personalised and well decorated. Residents spoke of choosing the decorating schemes. One resident helped to decorate their room themselves. Residents spoke proudly of their bedrooms and personal space. 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Staffing was not assessed at this inspection. EVIDENCE: 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 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 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) Conduct and management of the home was not inspected. EVIDENCE: 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 18 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 3 x x x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Greenford Walk Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 19 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 6 Regulation 15 Requirement The Registered Manager must ensure that Service Users Plans are reviewed formally at least every six months. Timescale for action from 4/7/05 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 Good Practice Recommendations 6 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 20 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 Greenford Walk B51-B01 S120 6 Greenford Walk V233133 040705 Stage 4.doc Version 1.30 Page 21 - 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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