Inspection on 27/10/05 for Acacia House

This inspection was carried out on 27th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Acacia House 21/09/07

Acacia House 04/10/06

Acacia House 12/07/05

Acacia House 26/01/05

Acacia House 10/09/04

Acacia House 24/03/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Acacia House West View Ashington Northumberland NE63 0RZ Lead Inspector Bill Middlemist Announced Inspection 27th October 2005 10:00 Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 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 Acacia House DS0000000649.V249747.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 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. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Acacia House Address West View Ashington Northumberland NE63 0RZ 01670 395740 01670 815286 mary.hunter@nmht.nhs.uk 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) Newcastle, North Tyneside & Northumberland Mental Health NHS Trust Mrs Mary Hunter Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Acacia House provides a service organised on the core and cluster model to people who have enduring mental health problems. The aim of the service is to provide quality psychiatric care and support in a social care setting. The home’s accommodation consists of a six-bedded ‘core’ home and three ‘cluster’ homes, all of which are close to each other. None of the buildings are recognisable as care homes. Each person living in this setting has a single bedroom and a range of other facilities that are in line with an ordinary life in the community. Acacia House is close to the town centre of Ashington, where there are shops, cafes and pubs for people to go to. The home has its own transport and there is a good range of bus services nearby. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 hours. Care planning for 4 people was inspected, including how people are supported socially and how their healthcare needs are being met. Time was spent with the people who live here and staff were observed offering care, support and advice. An inspection was made of the kitchen and bathrooms. Records looking at staff training and supervision were inspected, as well as matters concerning Health and Safety. 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. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 6 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 Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 2 People get the assessment support they need before they move in or if there are changes in their needs. EVIDENCE: This standard was assessed and met at the previous inspection; there was continuing evidence that the home is keeping up the standards it has already set. Each resident has comprehensive assessments carried out by a variety of professionals; the staff at Acacia House carry out their own assessments that lead to detailed care and support plans for the people who live here. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6 People’s needs and goals are set out in individual plans. EVIDENCE: Each person has a service user plan that describes their individual needs and how the home will meet them. The plans state what staff need to do to care and support people. The plans are reviewed and revised on a regular basis, either as a matter of routine, or at the person’s request. Plans are updated to reflect people’s changing needs. People’s likes and dislikes are recorded. Each person has a weekly planner that describes their preferred routines. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 14, 15, 16 People living here get offered appropriate leisure opportunities, and get support to maintain links with families and friends. The home recognises people’s rights and promotes people’s responsibilities. EVIDENCE: People have good access to leisure activities both inside and outside of the home. Each person is able to go on holiday to a place of their choosing. There are also opportunities to go out in a group or on a one to one basis with staff. On the day if this inspection, several people chose to out to a local pub after lunch. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 10 Staff support people to keep in touch with the others, such as relatives and friends, who are important to them. People have opportunities to mix with people who do not have disabilities, through the use of what the local community has to offer. The home ensures that people’s rights and responsibilities are properly recognised in everyday living. People’s privacy is respected through staff being courteous and only entering bedrooms when they have permission. Staff were observed talking with people and involving them in what was going on. People are able to spend time in the home as it suits them, they can choose to be with others or spend time alone. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 19 People’s physical and emotional health needs are being met. EVIDENCE: Matters that affect people’s mental wellbeing are very well recorded: any signs that people may not be well are identified and staff have clear instructions on how to act in such situations. The home works in line with the Care Programme Approach which means that each person’s care and support is systematically reviewed and action is taken on any changes. The home works closely with a range of other professionals to ensure that any specialist needs are met. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 22, 23 The complaints procedure is easy to follow; all of the residents knew to whom they could complain. The Protection of Vulnerable Adults is prominent throughout the work that Acacia House does. EVIDENCE: No complaints have been logged recently. All of the residents spoken to were aware of the complaints procedure and were clear about whom they could complain to should the need arise. The theme of protecting vulnerable adults runs throughout the care planning and delivery carried out by staff at Acacia House; this is supplemented by staff training in this subject and policies that promote protection. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24, 27, 30 Acacia House is homely, comfortable and safe, apart from the condition of the carpets in some areas. This home is clean and hygienic. EVIDENCE: People have a number of shared spaces to enjoy throughout the home, it is well laid out and supports the kind of lifestyle people want to have. Each bathroom is suitable for the current needs of the people who live here, and a walk in shower has recently been installed. Everywhere that was inspected was clean and hygienic. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 36 People are being supported by an effective and appropriately trained staff team. The staff team are well supported and supervised. EVIDENCE: Staffing levels have improved since the last inspection. Staff continue to demonstrate that they have good knowledge of each person’s individual needs and how they should be met. Those staff observed on duty during this inspection displayed respect for residents and also demonstrated good values and attitudes. There is a good staff training programme that includes all statutory training, as well as training in subjects that relate directly to the needs of residents; there are also opportunities for staff in continuing professional development. Supervision is linked to achieving good outcomes for the people living here, and for continuous professional development. All staff supervision was up to date at this inspection. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This is a well run home where people clearly benefit from the manager’s way of working. Good systems are in place to ensure that resident’s opinions about the care and support they receive are heard. All matters inspected relating the Health and Safety of residents and staff were satisfactory. EVIDENCE: The Manager’s skills, knowledge and experience have ensured that Acacia House is well run and that most systems are in place to ensure continued good practice is carried out, and good outcomes for residents are achieved. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 16 A number of resident’s questionnaires were inspected and cover a wide range of subjects that are important to residents. These take place periodically and offer an indication of how satisfied people are with the service they receive. There are unannounced visits made every month by a Responsible Individual from the 3 NNN’s Trust, and a report of findings from these visits, including resident’s views, contribute to Quality Assurance systems. All matters relating to Health and Safety that were inspected were satisfactory, including the Fire Log, Risk Assessments for safe working practices, medication audit, accident book, gas safety records, and complaints. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Acacia House Score 3 4 X X Standard No 37 38 39 40 41 42 43 Score X 4 3 X X 3 X DS0000000649.V249747.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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. 1 Refer to Standard YA24 Good Practice Recommendations The carpet in the hall, stairs and landing should be replaced. Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 19 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 Acacia House DS0000000649.V249747.R01.S.doc Version 5.0 Page 20 - 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. 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