Inspection on 09/11/05 for Aberwicke

This inspection was carried out on 9th November 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

Aberwicke 01/05/09

Aberwicke 23/04/07

Aberwicke 20/07/05

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 Northumberland TD15 1RP Lead Inspector Jim Lamb Announced Inspection 9th November 2005 10:30 X10029.doc Version 1.40 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 Aberwicke DS0000000584.V257552.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 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 DS0000000584.V257552.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aberwicke Address 99 Main Street Spittal Berwick Upon Tweed Northumberland TD15 1RP 01289 - 331448 01289 - 331448 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) Mrs H Bettison Mrs H Bettison Care Home 3 Category(ies) of Learning disability (2), Physical disability (1) registration, with number of places Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 2 residents with learning disability, one of whom is over the age of 65 years 1 resident with a physical disability Date of last inspection 20th July 2005 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 sea views and is in within walking distance of the sea front. The home is close to all local amenities and there are good transport links. The home is well maintained and there is a homely atmosphere. The home provides care for three adults, two with learning disabilities, one of who is over 65 years and one with a physical disability. There are two ground floor bedrooms and one on the first floor. The gardens are landscaped, highly attractive and seating is provided. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual announced inspection visit. It took place over 4.30 hours during the morning and afternoon. The inspector spoke to both of the homes service users separately, the manager, one member of staff and two relatives. Time was spent examining the homes policies and procedures, the service users care records and looking around the home. 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 DS0000000584.V257552.R01.S.doc Version 5.0 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 Outcomes 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, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 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. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) 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. (YA NMS 4) 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 the following standard(s): 1234 Both service users needs were fully assessed prior to admission to the home. Admissions to the home are rare, however there is sufficient information available to enable prospective service users to make an informed choice about the home. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. The two service users interviewed confirmed they had been given copies of the guide. Which were available in large print. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 8 The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Both service users interviewed confirmed they had a copy of their individual contract. Both service users’ files were checked and on each were a copy of a full needs assessment. These were carried out by the referring social worker. Both contained a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. The 2 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the provider to meet these needs. Without exception both service users interviewed said their needs were fully met and they were extremely happy with the care offered to them. Staff interviewed and Mrs Bettison had had a range of relevant training and experience. All service users are invited to visit the home prior to admission. Overnight stays can also be arranged. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 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 the following standard(s): 7 8 9 10 The service users care plans cover all aspects of health, personal and social care needs. The service users receive personal support in such a way as to promote and protect their privacy, dignity and independence. Systems are in place to support the safe administration of medications. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 10 EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of family input. The care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Both service users health, personal and social care needs are clearly stated and fully met. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Both service users receive support from their families to manage their finances. Both service users’ confirmed that they are able to make decisions for themselves. Staff have undertaken accredited medication training. One service user manages their own medication and there are appropriately detailed medication procedures in place. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 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. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 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 the following standard(s): 12 13 14 15 The service users recreational and social needs are fully met, daily routines promote independence and choice. The service users receive a well- balanced nutritional diet. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 12 EVIDENCE: The service users informed the inspector that they have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. Mrs Bettison has regular contact with these external agencies in order to monitor each service user progress. Both service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. Both service users said that they frequently visit family and friends for overnight stays. The service users families have enjoyed holidays abroad with Mrs Bettison and the service users. The service users spoke enthusiastically about their holidays abroad and their regular visits to Mrs Bettison’s caravan. The inspector met with two relatives on the day of the inspection, they said that the service provided by Mrs Bettison was “first class” and that there “relatives lifestyle had improved dramatically since moving into the home”. There was evidence that daily routines promote independence, choice and freedom of movement. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. Both service users said that the food was very good and are involved with the food shopping. No special diets are currently needed. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 13 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) 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 the following standard(s): 16 18 A satisfactory Adult Protection Policy was in place and if implemented in practice, should ensure that the service users are properly protected. EVIDENCE: The home does have a complaints procedure it contains details of how to contact the CSCI to make a complaint, that complaints would be responded to and that complainants would not be victimised. Both service users interviewed confirmed that they had been given copies of the procedure and that Mrs Bettison listened to their concerns and were confident that these are be dealt with fairly. The home does keep a record of complaints. In the last twelve months there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. Each service users has an individual bank account, both are able to manage their own finances with support from their relatives. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 14 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 live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) 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 the following standard(s): 19 20 21 22 23 24 25 26 The home provides a safe comfortable environment for both service users. The house is clean and hygienic. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. The service users said it was very homely and comfortable. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 15 One service user enjoys gardening and helps with the planting and weeding. To the rear of the home there is a superb courtyard garden with raised flowerbeds, the service users said that this is a great place to socialise during the summer months. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms if they wish. Furnishings and fittings were domestic in design and in good condition. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Room sizes meet the minimum required. Both service users showed the inspector their bedrooms; these were spacious and highly personalised. The rooms were centrally heated and the heating level could be controlled within each bedroom. The home was clean, well maintained and free from offensive odours. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 The service users holistic needs are fully met by the staff team. Appropriate recruitment procedures are in place in order to protect service users. All staff employed have received appropriate training to ensure the needs of the service users are met. EVIDENCE: Mrs Bettison lives in the house and provides the majority of the care and support to the service users. Inaddition there are two staff employed who provide staff cover as needed. Both service users said that the care that they received was excellent and that they felt that they were part of the family. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 17 Both the staff were over 18 years of age and those left in charge were at least 21. The inspector checked staff records and found that 100 of the home’s staff is qualified to NVQ level 2. All statutory training was found to be up to date. The home has a thorough recruitment process which includes obtaining two written references, obtaining full employment histories and checking gaps in these, a criminal records check, medical checks, obtaining proof of ID and of any qualifications. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 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. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 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 the following standard(s): 32 33 34 35 37 38 Mrs Bettison provides consistent leadership, guidance and direction to staff and ensures that the service users are properly cared for and protected from harm. The service users financial interests are protected. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 19 EVIDENCE: This service is a very small and operates very much like a family home; in the last year all of the staff team have attended several courses to keep themselves up to date. The home does have a quality assurance system, which seeks the views of service users. Service user and relative’s meetings also take place regularly. Both service users’ confirmed they felt involved in the process and that it had improved the quality of care offered, they said that they are consulted about all aspects for the running of the home. Service users said that they are informed when inspections take place, that they enjoyed being involved in the inspection process and that they have access to inspection reports. Copies are available for relatives/others to see. The records inspected were found to be appropriately completed, these included the fire log book, accident book, staff training records and Health and Safey manual. There was information which verified that appropriate maintenance contracts for the home are in place. Mrs Bettisons husband is an electrical engineer and he has ensured that the electrical wiring throughout the home is safe. The local Fire Officer has visited the home and was satisfied with the homes fire safety procedures. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 20 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 3 2 3 3 3 4 3 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X 37 3 38 3 Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 21 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 Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Cramlington Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI. Aberwicke DS0000000584.V257552.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!