Inspection on 20/07/05 for Aberwicke

This inspection was carried out on 20th 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

Aberwicke 01/05/09

Aberwicke 23/04/07

Aberwicke 09/11/05

Aberwicke 08/02/05

Aberwicke 02/09/04

Aberwicke 26/02/04

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 MIXED CATEGORY MAJORITY OLDER PEOPLE Aberwicke 99 Main Street Spittal Berwick upon Tweed TD15 1RP Lead Inspector Anne U Brown Announced 20 July 2005 12:30 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 Older People and 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. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aberwicke Address 99 Main Street Spittal Berwick upon Tweed TD15 1RP 01289 331 448 01289 331 448 n/a Mrs H Bettison 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) Mrs H Bettison CRH 3 Category(ies) of LD Learning Disability (2) registration, with number PD Physical Disability (1) of places Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 2 Residents with learning disability, one of whom is over 65 years 1 resident with a physical disability Date of last inspection 08.02.05 Brief Description of the Service: Aberwicke is a terraced house on the main street in Spittal, which is on the outskirts of Berwick upon Tweed. The house has attractive views of the sea to the rear and is within walking distance of the sea front. It is on the local bus route to Berwick. The service is provided within a family home by Mrs Bettison. The accommodation is well maintained and there is a homely atmosphere. Aberwicke is registered to provide care for three adults, two with learning disabilities, one of whom is over 65 years and one person with a physical disability. The registered accommodation is located on two floors of the house with two bedrooms on the ground floor and one on the first floor. There is a bathroom on each floor. There are currently two service users accommodated in the home. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection lasted four and a half hours and involved discussion with the Manager, two residents, two relatives and one member of staff. Two residents’ records were inspected together with other records relating to the running of the home. One staff member’s file was seen. 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. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 6 Residents have their needs fully assessed before moving into the home. Intermediate care is not provided at Aberwicke. EVIDENCE: Records showed that a full assessment was carried out before each resident was admitted. Copies of the care management assessment were available. The Manager confirmed that prior to admission each person’s needs are discussed with the Care Manager and a care plan is drawn up. The Manager confirmed that intermediate care is not provided. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) are: 7. 8. 9. 10. 11. • • • • • • The service user’s health, personal and social care needs are set out in an individual plan of care. Including their physical and emotional health needs. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7 Older People Standards, 7, 8, 9, 18 Younger Adults Standards Each resident’s health, personal and social care needs are set out within an individual plan. Residents make decisions about their lives and assistance is provided as needed. Arrangements are in place for residents to be consulted on and take part in all areas of life in the home. Residents are supported to take risk as part of an independent lifestyle. Residents receive the personal support in the way they prefer and require. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 9 EVIDENCE: Each resident has an individual plan detailing their health, social and personal care needs and how these are met. One resident said that he knew about his care plan and was involved in drawing it up. Records show that residents are supported to take risks as part of their lifestyle. Risk assessments are in place in an appropriate form. Resident were able to give examples of how they are encouraged to make decisions about their lives and these included managing their own finances and their attendance at college/day services. Information within records also confirmed that residents are encouraged to make decisions about their lives. The routines in the house are arranged to suit the needs of those living there. As this is a family home there are few formal routines and Mrs Bettison gave appropriate examples of how each person is consulted about the day to day running of the house. Residents confirmed that they are asked for their opinion about how the house is run. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 (Older People), 12, 13, 15 (Adults) Residents maintain contact with family/friends/representatives and the local community as they wish. Residents are encouraged to make choices and exercise control over their lives. Residents are assisted to find appropriate jobs, education/training and/or take part in valued and fulfilling activities. EVIDENCE: Evidence was available from records, discussion with residents, relatives and staff that contact with families and friends is encouraged and supported. One resident described how he regularly visited his family and friends for overnight stays. The Manager said that relatives regularly visit the house and this was confirmed by discussion with relatives who said they were very satisfied with the arrangements for visiting. Residents said that they could make choices about their lifestyle and routines. These included choices about managing their finances and personalising their rooms. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 11 Residents said that they are assisted to identify appropriate daytime activities to suit their needs and interests. Records also confirm this and that residents have opportunities to take part in events in the local community, activities and choice about who they spend their time with. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Written guidance is in place for dealing with complaints and information about the complaints procedure is available in the residents’ guide. Residents said that they feel satisfied that they could speak to the Manager about any concerns. No complaints have been made since the last inspection. An appropriate complaints recording system is in place. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 25, 26 (Older People) and 24, 30 (Adults) Residents live in a homely, safe and well–maintained environment. The sitting, dining and kitchen are well appointed and meet residents’ needs. The house is clean and hygienic. EVIDENCE: The location of the home is convenient for local amenities. The garden is very well maintained. Most of the garden is paved and seating is provided. Residents have been involved in planning and working in the garden. Residents said they enjoy sitting out in the garden and that they take an active part in helping with the planting and weeding. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 14 The sitting and dining rooms on the ground floor are well furnished and maintained. Residents said they are involved in choosing colour schemes in the house. The house was clean and hygienic at the time of the inspection. Arrangements for washing residents’ clothing and bedding are satisfactory. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 Residents’ needs are met by the staff team. Appropriate recruitment procedures are in place to protect residents. Training for staff is provided that is appropriate to ensure the needs of residents are met. EVIDENCE: Mrs Bettison lives in the house and provides most of the support to the residents. In addition there are two staff employed who provide staff cover as needed. Residents confirmed that they feel adequately supported by the support provided at Aberwicke. Relatives of one resident said that they think the support provided by Mrs Bettison and her staff is more than adequate. Written guidance is in place relating to the recruitment of staff. Mrs Bettison is aware of the need to carry out appropriate reference and Criminal Records Bureau checks prior to appointment of staff. Staff records showed that appropriate checks are carried out. The Manager has completed management and care training. Training provided includes Handling of Medicines, Dementia, Moving and Handling and First aid. Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home and from competent and accountable management of the service. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 Residents are confident their views underpin review and development in the home. Residents’ financial interests are protected. The health, safety and welfare of residents are promoted and protected. EVIDENCE: This service is very small and runs very much like a family home. Residents confirmed that they are consulted about any issues affecting their lives. They felt satisfied that their views will be listened to and taken into account when any plans for the running of the home are reviewed. Written guidance is in place for health and safety. Records show that training in Moving and Handling, First Aid and Food Hygiene is regularly updated. The Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 17 Manager confirmed that she regularly reviews health and safety matters to take into account residents’ needs. Aberwicke B53-B03 S584 Aberwicke V229109 200705 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 Older People 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 x 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 3 x x x x 3 3 Score Standard No 7 8 9 10 11 Score 3 x x x x Standard No 27 28 29 30 3 x 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 4 14 4 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 4 x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 3 34 x 35 3 36 x 37 x 38 3 Aberwicke B53-B03 S584 Aberwicke V229109 200705 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 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. 1. Refer to Standard Good Practice Recommendations Aberwicke B53-B03 S584 Aberwicke V229109 200705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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. 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