Inspection on 05/03/07 for 71 Middleton Avenue

This inspection was carried out on 5th March 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 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

71 Middleton Avenue 05/01/09

71 Middleton Avenue 02/02/06

71 Middleton Avenue 07/06/05

71 Middleton Avenue 29/09/04

71 Middleton Avenue 22/04/04

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 71 Middleton Avenue Stockton-on-Tees TS17 0LL Lead Inspector Shaun Common Key Unannounced Inspection 5th March 2007 11:00 71 Middleton Avenue DS0000000013.V316793.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 71 Middleton Avenue DS0000000013.V316793.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. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 71 Middleton Avenue Address Stockton-on-Tees TS17 0LL 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 750617 www.mencap.org.uk Royal Mencap Society Mrs Christine Anne Lambert Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons shall not at any one time exceed 6 people with learning difficulty 2nd February 2006 Date of last inspection Brief Description of the Service: 71 Middleton Avenue is registered with the Commission for Social Care Inspection under the Care Standards Act 2000 as a care home providing care and accommodation for up to 6 adults who have a learning disability in spacious single rooms. The home is a purpose built bungalow and is situated in a residential area near a sports field. The home has been established since 1993 and is located within a short bus journey of local facilities such as shops and a leisure centre. The home provides spacious accommodation and is suitable for wheelchair users. The Registered Manager advised that it costs £429.48 to £750.00 for a person to stay a week at 71 Middleton Avenue. 71 Middleton Avenue DS0000000013.V316793.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 visit to 71 Middleton Avenue. The visit began on a Monday morning at 11.00am and went on until 2.30pm. The inspector looked around the home as well as talking to residents, the manager and staff and also looked at a number of records. The inspector was made to feel welcome by all. One relative/friend stated in a questionnaire they returned: If I had to take up residential care, this would be where I’d like to live. Another stated: ‘We feel (name of resident) has never been so happy where he is’. What the service does well: What has improved since the last inspection? What they could do better: There are no areas identified through inspection where the home can improve. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 6 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. 71 Middleton Avenue DS0000000013.V316793.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 71 Middleton Avenue DS0000000013.V316793.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users needs are fully and appropriately assessed. EVIDENCE: One service users file was examined in detail. This file contained a full assessment of need, which was noted to be comprehensive. 71 Middleton Avenue DS0000000013.V316793.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): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care planning is comprehensive and effective and residents are supported to make decisions. Risk is appropriately assessed and residents supported. EVIDENCE: The service users file examined contained a comprehensive care plan. This care plan was clearly linked to the assessment and contained explicit detail on how the residents’ needs were to be met on a day-to-day basis. The plan took into account residents’ views. Advocacy services are utilised by the home in addition to their relatives being fully involved in decision making. Four residents returned questionnaires in which relatives or professionals assisted them to complete. Of the four questionnaires, three people stated they ‘Always’ make decisions about what they do each day and one stated ‘Usually’. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 10 Four relatives/friends returned questionnaires and stated that they are consulted about the care of their relative/friend if they cannot make their own decisions. Risk assessments were in place and noted to be reviewed on a regular basis by staff through team meetings. 71 Middleton Avenue DS0000000013.V316793.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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate and varied activities are in place and residents have regular visits from relatives. Daily routines are relaxed and flexible and a healthy, varied diet is provided. EVIDENCE: Evidence in the home demonstrated that residents attend a local community centre where they undertake activities appropriate to their assessed needs and development. There are a range of activities provided by the home and residents have a choice. The Registered Manager ensures that where activities are provided, additional staffing is in place where needed to support residents choices and lifestyles. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 12 Evidence is in place of regular visits by relatives to the home. Four relatives/ friends who returned questionnaires stated that they are able to visit and the visit can be in private. The home has flexible routines that were observed and it was noted that staff treat residents with dignity and respect. Staff interactions with residents were positive. The home had in place a menu that was examined. The menu was varied and balanced. The manager advised that residents contribute to the development of the menu. A mealtime was noted to be a relaxed occasion. 71 Middleton Avenue DS0000000013.V316793.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): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal support is clearly recorded and delivered as stated in practice. Health needs are recorded, as well as updates and changes and these needs are met and evidenced. Medication systems are clear and robust. EVIDENCE: Personal support was clearly recorded in detail in care planning. Observations by the inspector demonstrated that what is recorded in planning was delivered in practice with residents receiving a very good level of personal support and care by sensitive and professional staff. Health care is clearly recorded in residents’ files with links with professionals and visits by professionals being clearly recorded, along with the purpose of their visit and any outcome and changes to be made in care delivery. Staff interviewed knew residents’ overall support and health care needs very well and met these needs when observed in practice. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 14 Medication systems were examined and procedures observed. Medications were noted to be stored and administered safely and records were clear and up to date. Each resident has a file with a record that details how their medication is to be administered by staff, taking into account residents needs and wishes. All staff who administer medications had undergone relevant training in medication safe handling. 71 Middleton Avenue DS0000000013.V316793.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): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Complaints processes are in place and procedures and training for staff in protecting vulnerable people are evident. EVIDENCE: The home has a complaints procedure in place and a method of recording and responding to complaints. The Registered Manager was in the process of discussing the complaints procedure with senior management of the organisation in relation to including the service commissioning bodies into the complaints procedure. The Registered Manager stated that residents’ relatives as well as stakeholders have received a copy of the complaints procedure of the home. There were no recorded complaints. Of four questionnaires returned by residents all four stated they knew who to speak to if they were not happy. All four stated they knew how to make a complaint and would be supported by advocates or relatives or these people would act on their behalf. Four relatives/friends returned questionnaires and stated that they were aware of the homes’ complaints procedures. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 16 The home has in place an appropriate adult protection procedure that is in line with the Department of Health’s ‘No Secrets’ guidance. Staff interviewed understood the procedure to be followed should they suspect and incident of abuse had occurred at the home. Most staff had undertaken training in adult protection and those that had not, were newer staff. These staff members had however, undertaken the organisations induction training, which covers adult protection and had also been placed onto the next up and coming adult protection training course. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 17 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): 24 & 30 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 set out, decorated and furnished and conducive to the care of adults. EVIDENCE: Middleton Avenue was observed to be well decorated, furnished, comfortable and homely. The home was noted to be clean and hygienic throughout. All four questionnaires returned by residents stated that the home is ‘Always’ fresh and clean. One relative wrote in a residents questionnaire, ‘Each time I have visited, the home has always been fresh and clean’. 71 Middleton Avenue DS0000000013.V316793.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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent, trained, knowledgeable and mostly qualified. Recruitment processes are effective. EVIDENCE: An interview with a staff member evidenced competency, knowledge and skills to deliver appropriate care. Staff understood residents’ needs and care planning matters and were observed to deliver these in practice. Five from eight care staff employed are qualified to NVQ Level 2 in Care. One is undergoing this training and two are awaiting places. Two staff training and recruitment files were examined and demonstrated that basic training as well as induction and foundation training were in place. Recruitment information was in place as required. Four questionnaires returned by residents stated that staff ‘Always’ treat them well. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 19 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): 37, 39 & 42 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 by a qualified and competent manager. Quality assurance systems have improved and moved forward and health and safety matters are up to date. EVIDENCE: The Registered Manager has completed relevant qualifications and is competent and experienced to carry out her role in running the home. A quality assurance system is in place that takes into account stakeholders, residents and relatives’ views. A development plan was under construction at the time of inspection and is work ongoing. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 20 Health and safety matters were examined and all information found to be up to date and in order such as; fire drills, fire tests, fire equipment servicing, fire risk assessment, boiler and hoist maintenance, as well as maintenance of portable electrical appliances and the homes’ fixed electrical wiring. An accident book was available. 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 21 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 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 4 3 3 X 3 X 3 X X 3 X 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 23 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 71 Middleton Avenue DS0000000013.V316793.R01.S.doc Version 5.2 Page 24 - 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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