Inspection on 23/10/07 for Adey Gardens Care Home

This inspection was carried out on 23rd October 2007.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Adey Gardens Care Home 14/10/09

Adey Gardens Care Home 22/08/06

Adey Gardens Care Home 13/02/06

Adey Gardens Care Home 25/08/05

Adey Gardens Care Home 21/03/05

Adey Gardens Care Home 07/07/04

Adey Gardens Care Home 16/12/03

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Adey Gardens Care Home South Street Newbottle Houghton Le Spring Tyne & Wear DH4 4EH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Hilary Stewart     Date: 2 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Adey Gardens Care Home South Street Newbottle Houghton Le Spring Tyne & Wear DH4 4EH 01915120544 01915120527 wendyannewalker@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Rolamgold Limited (Muscat Walker & Hayim) care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Adey Gardens is registered to accommodate up to 37 older people, 12 on the first floor who require personal care, including up to 3 people with dementia over the age of 65, and 25 people who require nursing care aged 50 and over are accommodated on the ground floor. This is a purpose built home situated in the village of Newbottle in Houghton-le- Spring. It is of traditional brick, two storey building set in pleasant, secure landscaped gardens on the edge of the village green. Nearby there are two restaurants and several public houses, a hairdressing salon, shops, a newsagent and post office. The bus stops outside the home, and transports to all local areas as well as to the cities of Sunderland and Durham. The home has a large reception area, leading to a spacious conservatory. Service users have access to a variety of lounges and dining areas with a separate designated smoking area. There is easy access to the Care Homes for Older People Page 4 of 26 0 0 25 Over 65 3 34 0 Brief description of the care home home for those with disabilities, a passenger lift services both floors and there is a large car park provided. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. How the inspection was carried out: Before the visit we looked at: Information we have received since the last visit on 22nd August 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service and the staff. Care Homes for Older People Page 6 of 26 The Visit. An unannounced visit was made on 23rd October 2008. During the visit we Talked with people who use the service staff and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean safe and comfortable. Checked what improvements had been made since the last visit. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. The home charges 402.00p to 750.00p per week. We told the manager what we found. What the care home does well: What has improved since the last inspection? An activities coordinator has been employed by the home so the people have interesting and stimulating leisure activities which help them retain their confidence and self esteem. The conservatory roof and the bathrooms have been repaired so the home is more comfortable and pleasant for the people who live at the home. Staff are receiving supervision six times a year so they are supported to provide good care for the people who live at the home. The manager carries out risk assessments when people have bed rails so they are kept Care Homes for Older People Page 8 of 26 as safe as possible. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they are offered a place at the home. This makes sure that only people whose needs can be met at the home are offered a place. The home does not provide intermediate care. Evidence: People have an assessment by their care manager before they move into the home. The manager looks at this assessment to see if the home can meet the persons needs. They then carry their own assessment out prior to the person moving in so they can use this information for the care plan. People can visit the home before they make a decision. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All of the people who live at the home have individual care plans through which staff monitor and promote the health of the people at the home to maintain their well being. This helps the people stay healthy. Furthermore the manager and staff respect the privacy and dignity of the people who live at the home. This is so the people know that they are valued as individuals. Evidence: The manager said and records showed that each person who lives at the home has an individual care plan. Each plan is kept electronically, the manager said a more detailed version is printed out for staff to use. Records showed that the plans covered health and areas of daily living. The care plans looked at were general and each persons needs were presented in a similar way. Some needed more detail about how to meet the individual needs of each person. For example one persons care plan said that staff need to assist them to have a bath but it didnt say how many staff, of what gender or if the person needed a hoist. Another persons care plan states that staff should reduce triggers to control their behaviour but it does not say what the triggers are or how Care Homes for Older People Page 12 of 26 Evidence: staff should reduce them. Interventions in the care plan were general and did not refer to the person individually. One intervention in a persons care plan, under the heading of attention seeking behaviour stated maximise the clients potential using encouragement and support which will reduce this behaviour and promote a return to normal functioning. There wasnt any information about the person concerned or what the attention seeking behaviour was or what type of encouragement or support the staff needed to give the person. There are risk assessments that the manager said were being completed at the time. There are procedures for staff to follow when they deal with medication. The manager said that all staff have received training in how to safely administer medication. Staff said and records showed that any changes of medication or medication procedures are recorded and followed in the home. Two staff always sign them as a safety measure. The manager said that people are supported to manage their own medication if, following a risk assessment it was found to be safe enough. The medication records were up to date. Records showed that the peoples health care needs are met at the home. Details of visits by the district nurse visits to their GP and hospital appointments are recorded in the individual files. The manager said that the health and welfare of the people who live at the home is monitored all of the time. One person who lives at the home said the staff get the doctor if people need them. Another said if I wanted any help I would ask. The people who live at the home looked comfortable. One person said the staff are here when I want them another said If staff are not around I know how to use the nurses call system. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home are able to follow their own daily routines which satisfy their social cultural and religious needs. They can see their family and friends at any reasonable time. This helps to prevent them from feeling and becoming isolated. Evidence: The manager and staff said that they arrange a variety of outings for the people who live at the home. An activities coordinator has been appointed who has planned an activity programme for the year. Records showed that people are asked to suggest what they would like to do. The manager said that they have made staff more aware of the need to include social activity in the care of the people at the home during their training. Records showed that some people had been involved in a variety of activities such as going out shopping or for walks. The activities coordinator said that they arrange group activities in the morning and spend time with individuals who are less physically able in the afternoon. They have arranged for singers to come to the home as well as church services. Some of the people at the home were playing bingo during the visit. One person said there are things going on. Staff and the people who live at the home said that relatives and visitors are welcome Care Homes for Older People Page 14 of 26 Evidence: and encouraged to visit at any reasonable time throughout the day and evening. Visitors were observed during the visit. The manager said that the people have been asked for their opinions about the food provided and the menus are based on the likes and dislikes of the people who live there. A cook is employed and they said that there are choices at meal times and if people want something different they will make it for them. Special diets can be catered for. One person said I can have what I ask for another person said the food is fine.The cook had a list of peoples likes and dislikes in the kitchen. Hot drinks and snacks are always available throughout the day and evening. The kitchen was well stocked and there were fresh fruit and vegetables. Staff were observed sitting with people at meals times and talking with and supporting them. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about and most have had training in how to protect people from harm, so the people who live at the home are kept safe. Evidence: Copies of the homes complaints procedure are in the information about the home. The propcedure is also displayed on the wall. The manager and staff said that the people who live at the home and their relatives know how to make a complaint. One complaint has been made to the home and the Director was in the process of dealing with it. The manager said that there is a complaints record which is kept up to date. One of the people at the home said I would tell the staff if I had a complaint. Another person said they felt they could speak to some of the staff about any problems they had. The manager said that surveys they had sent to relatives and visitors had shown that they knew how to make a complaint. The manager said that all staff have had training in how to safeguard the people they care for. There is a copy of the Local Authority procedures and the home has copies of their own adult protection procedures for staff. Staff said that they have had the training and they could describe what they needed to do if someone disclosed abuse to them. All staff have had training on the homes whistle blowing policy and procedure. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and clean home, although some repairs and improvement are necessary. Evidence: The home is comfortable, warm and clean. There are enough bathrooms and showers for the people who live at the home. The manager said that there are plans to improve the bathrooms. In one of the bathrooms the flooring needed to been repaired as there was a gap in the covering which could make it difficult to clean properly and lead to a risk of cross infection. All of the bathrooms had hand soap and paper towels. Each person has their own bedroom and they looked comfortable and clean. They were all personalised and made very individual. One of the rooms had a noticeable odour. The director dealt with this immediately.The laundry is organised and clean. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the people who live at the home and they have opportunities fro training so they know how to give them good care and meet their needs. Furthermore the home has a recruitment procedures in place, which help to prevent risk of harm to the people who live there. Some records did not show that all checks had been carried out. Evidence: Staff said that they receive training, which helps them with their work. The manager said that all staff receive the training and support they need. Staff said and records showed that they all have mandatory training such as first aid, food hygiene and safeguarding adults training. The manager said that only two staff do not have vocational qualifications and eight staff are completing training in dementia care. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week.The manager said that they always work with more staff so they can cover sickness and holidays. One member of staff said there are a lot more staff working here than some other homes I have worked in one person who lives at the home said there are always staff about. The manager said that all staff have been CRB Criminal Records Bureau checked at an Care Homes for Older People Page 19 of 26 Evidence: enhanced level to make sure they are suitable people to work at the home. They repeat this check every three years. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. Some records showed gaps in staff s work history that had not been explored during the recruitment process. Records did not show that issues highlighted during the recruitment process had been explored. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered person is qualified and experienced and runs the home in the best interests of the people who live there and there are procedures in place that make sure they are protected as much as possible. Evidence: The manager said that the people who live at the home and their families are asked their views about the running of the home as much as possible. Staff said and records showed that the people have key workers who monitor their care at the home. One person said the staff are very nice and another said if I need staff I just use my call buzzer. Safety checks have been carried out on the equipment in the home such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that fire drills and fire instruction take place but fire instruction was not as regular as it should be. The Care Homes for Older People Page 21 of 26 Evidence: manager and staff said that this has taken place but had not been recorded. Staff said that they have fire drills and instruction. Records showed that regular training is provided for staff in fire safety and first aid. The manager said and records showed that they are qualified and experienced to run the home effectively. It was observed that there was a friendly atmosphere at the home and a pleasant rapport between the people who live at the home the manager and staff. The staff said that they could approach the manager with any concerns. Staff said that they liked working at the home. The manager said that staff receive individual supervision six times a years and they have regular staff meetings. Records showed that individual formal supervision takes place but did not show that it was as often as it should. The home has procedures for staff when they deal with the peoples money so it is kept safe. Records showed that staff sign records when any of the residents money is used and the manager checks them regularly Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans set out in detail 16/01/2009 the action staff need to take to make sure that all aspects of the health, personal and social care needs of the person are being met. Care plans are person centred and written in a way that is easy to understand and look at all areas of the individuals life. 2 29 18 A full employment history 18/12/2008 ,together with a satisfactory written explanation of any gaps in employment must be kept in respect of all staff working in the home. So only suitable people work at the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 26 1 2 19 38 The flooring in the bathroom should be repaired. When staff have fire instruction the names of the staff receiving it and the date must be recorded. Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!