Inspection on 11/07/05 for 6 Northumberland Road

This inspection was carried out on 11th July 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 Northumberland Road 19/11/08

6 Northumberland Road 09/11/07

6 Northumberland Road 22/11/06

6 Northumberland Road 01/12/05

6 Northumberland Road 04/03/05

6 Northumberland Road 25/05/04

Similar services:

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

Trevaylor Manor

Stallcombe House

Stroud Lodge

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

CARE HOME ADULTS 18-65 6 Northumberland Road 6 Northumberland Road Redland Bristol BS6 7AU Lead Inspector Melanie Edwards Announced 11 July 2005 09:30 th 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 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 6 Northumberland Road Address 6 Northumberland Road 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) 0117 9423628 0117 9709301 info@aspectsandmilestonestrust.org.uk Aspects & Milestones Trust Mr Keith Barber Care Home only 5 Category(ies) of MD Mental Disorder : 4 registration, with number MD(E) Mental Disorder -over 65: 1 of places 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 5 persons aged 18 years and over requiring personal care. Date of last inspection 4-Mar-2005 Brief Description of the Service: 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was able to meet all of the five residents currently living at the Home, as well as the manager, and, one of the care assistants. Staff were asked about their roles and responsibilities, their training needs, and how they assist and support residents, and carry out their duties. A range of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The internal and external environment 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 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 6 contacting your local CSCI office. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.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 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.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) 1,2 The statement of purpose and service users guide provides prospective residents and their representatives with the majority of information needed to make an informed choice about the Home, and resident’s mental health care needs are met. EVIDENCE: To ascertain how residents’ mental health needs, are assessed two individual residents assessment records were inspected. There was an assessment carried out for each resident’s physical, social and psychological needs. The assessments had been regularly reviewed and updated; demonstrating staff monitor residents changing needs. Mr Swanborough has encouraged residents to be actively involved in the assessment process, and residents had signed care documentation in agreement with care to be provided. All the residents were positive in their views of the staff and the care they provide. Examples of comments by different residents included, ‘it feels more like home now’,` I’m very happy here, he’s improved things’(referring to Mr Swanborough), and, `the staff are alright’. These comments were reflective of the views of all the residents the inspector met. A copy of the statement of purpose and service users guide was also reviewed to see what information is available for residents, and prospective residents about the Home. Mr Swanborough has put in place a detailed and informative 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 9 statement of purpose and guide to the Home. Because of the change in philosophy of care that is evident in the Home since Mr Swanborough become the manager, the inspector recommended that the statement of purpose should be updated to reflect the current philosophy and more inclusive approach. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 10 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) 6,7,8,9 Residents changing mental health needs, are met and are monitored and reviewed, and residents are being consulted and encouraged to participate in the day-to-day running of the Home. EVIDENCE: To review how care is provided two residents care plans were inspected. The care plans contained a range of information, and detailed how to support the residents with their health care needs. Care plans addressed the psychological needs of the residents and detailed how to respond to the person if they were distressed or angry. The care plans had been regularly reviewed and updated by staff, demonstrating staff monitor residents changing needs. Several residents told the inspector they are more involved in the day to day running of the Home since Mr Swanborough became the manager. Residents said they particularly liked being more actively involved in the menu planning for meals. There are also more regular ‘house meetings’ now taking place for all residents to be able to express their views about the day to day running of the Home, or any other matter they consider important. Residents were also observed approaching staff and talking to them in a relaxed and confident manner. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.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) 12,13,16,17 Residents have a varied well balanced diet, are supported and encouraged to live a fulfilling life in the Home and as a part of the community. EVIDENCE: Residents are supported and encouraged to go on trips to their preferred areas of interest on a regular basis and residents clearly gain much satisfaction from these opportunities. Several residents told the inspector how much they had enjoyed their very recent day trips, supported by staff, to Weston Super Mare, and to the City of Bath. Mr Swanborough said that there is a day trip to London planned for residents, supported by the staff team. One resident was observed leaving the Home to attend one of the regular community college classes that they attend, and they told the inspector they very much enjoyed these regularly classes. There are also a range of videos in the Home that one resident said were, `lovely to have’. Residents were seen leaving the Home independently to visit the local shops during the inspection. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 12 The menu record was inspected to ascertain if residents are being provided with a well balanced diet. There were choices of dishes recorded for each day and the menu was nutritionally well balanced, and varied. The lunchtime meal was seen being served; the meal consisted of baked beans on toast. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.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) 18,19,20 Residents are supported to meet their physical and mental health needs in the way they prefer, however the systems in place for the handling administration, storage and disposal of resident’s medication are only partially safe. EVIDENCE: The procedures for the administration, storage and disposal of medication were reviewed, to monitor what systems are in place for the handling of medication. The medication administration charts of three residents were inspected in detail. There was a photograph of the resident maintained with each record, to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and contained the signature of the dispensing member of staff, demonstrating resident’s medication is administered safely, the reasons for any omissions had also been written on the charts. However one medication chart had been written by staff in a way that was cluttered on the chart and, could cause a medication dispensing error. There were records being kept of some medication being dispensed, directly on the administration chart. This also made the administration charts very cluttered, and there was no record if there was an error on the charts of the reasons for this. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 14 The care assistant on duty and Mr Swanborough assisted residents in a good humoured and friendly manner, and residents have evidently built up warm and trusting relationships with staff. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 There are procedures in place to ensure residents’ complaints are investigated promptly and thoroughly. EVIDENCE: There was a copy of the complaints procedure for resident’s to make a complaint on display on a wall in the hall, and this is a well-frequented part of the Home. The procedure includes the contact details for the Trust and the area office of the Commission for Social Care Inspection, if someone is not happy with the outcome of a complaint investigated by the Home. The complaints record book was viewed to ascertain how the Home responds to complaints. There had been no new complaints recorded since before the last inspection, the record did include the details of how the complaints were to be dealt with. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 The current group of residents benefit from living in a suitable satisfactorily decorated Home environment. EVIDENCE: Northumberland road is a Victorian property close to local shops and amenities, and a bus route into the centre of Bristol City centre, making the home accessible to a range of community based facilities. However the Home would not be currently suitable for someone who cannot manage to walk up stairs, as there is no lift. Since the last inspection there has been a programme of redecoration and repair, and bedrooms have been recently redecorated. One resident said they had chosen the colour scheme for their room and they were happy with it. The environment was adequately clean and tidy. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 17 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) 32,33,35,36 Residents are supported to meet their needs by well-trained and supervised staff. EVIDENCE: The staff duty record for shifts June and July 2005 were inspected to review the number of staff on duty to support residents to meet their needs. There is a minimum of one member of staff on duty for a working a sleeping in shift, and between two and three staff on duty during core hours during the day between 10am and 5.30pm to work closely supporting residents both in and out of the Home. The training records demonstrated staff had attended some training relevant to the needs of the residents however the records are in the process of being updated by Mr Swanborough to ensure that they include all the range of training that staff have attended. Mr Swanborough said he is in the process of planning a staff team ‘away day’ to consider a range of mental health care issues relevant to the needs of residents and the Home. Based on the positive comments made by all of the residents to the inspector staff evidently support residents in a sensitive manner, and work well as a team. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 18 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) 37,38,42,43 Residents views and wishes are at the centre of management decisions made in the Home, and generally the health and safety of residents, staff and visitors, is maintained. EVIDENCE: Mr Swanborough is to be commended for developing and leading the service, based on seeking the views of residents as well as their active involvement in the day to day running of the Home. It was very noticeable how relaxed and confident residents were to approach Mr Swanborough and engage him in conversation. Three residents said how ‘Tony’ was ‘very nice’ and `very helpful.’ 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 19 The fire logbook record showed that the range of required fire safety checks were being carried out, and were up to date, helping to ensure the safety of people who are in the building. There are also regular health and safety checks carried out of the environment, helping to ensure that the building is satisfactorily maintained. There are policies and procedures as well as up to date risk assessments in place that support and guide staff in their care practises, and health and safety matters. However there are no current risk assessments in place addressing the need for window restrictors to be put in the windows of the first floor. An assessment of the vulnerability levels of residents residing in these bedrooms, and any necessary action that may need to be taken would be an additional safe guard for residents. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 20 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 3 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Northumberland Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 3 D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 21 NA 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. 2. Standard 20 42 Regulation 13.2 23(1),(b), 13.4, Requirement Medication administration charts must be clearly written and easy to follow. Carry out a risk assessment on the need to provide window restrictors on first floor bedroom windows. Timescale for action By 18/07/05 By 11/08/05 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. 2. 3. Refer to Standard 1 20 Good Practice Recommendations The statement of purpose should be updated to reflect the changes in the philosopy of care since Mr Swanborough became registered manager. Cease recording daily medication stock levels on residents medication administration charts. 6 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 22 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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 Northumberland Road D56_D05_S26564_NorthumberlandRd_V223772_110705_Stage4.doc Version 1.30 Page 23 - 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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