Inspection on 10/10/05 for Albany House

This inspection was carried out on 10th October 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

Albany House 20/10/08

Albany House 14/11/06

Albany House 13/06/05

Albany House 15/03/05

Albany House 09/08/04

Albany House 06/05/04

Albany House 16/12/03

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

CARE HOME ADULTS 18-65 Albany House 17 Esplanade Whitley Bay Tyne & Wear NE26 2AH Lead Inspector Jim Lamb Unannounced Inspection 10th October 2005 10:00 Albany House DS0000000362.V249919.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 Albany House DS0000000362.V249919.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. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Albany House Address 17 Esplanade Whitley Bay Tyne & Wear NE26 2AH 0191 2525021 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 Anne Elkin Mrs Anne Elkin Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Albany House provides personal care and accommodation for 10 service users who have mental health needs. The home is situated on the Esplanade, a busy street close to the sea front in the coastal town of Whitley Bay. The home is close to the towns many shops, leisure facilities and there is a good range of transport links near to the home. The accommodation is provided over three floors within a converted Victorian terraced house. All bedrooms are single; the home does not have a passenger lift. On street parking is available for nonpermit holders. The rear yard is accessible to service users and there is a seating area. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the homes second annual unannounced visit. The inspection commenced at 10.00.am. It took place over 3 hours during the morning and early afternoon. Time was spent talking to 5 of the homes service users, one member of the care staff and the homes registered manager. Policies and procedures and care records were also examined. 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. Albany House DS0000000362.V249919.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 Albany House DS0000000362.V249919.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): 235 The service users needs are appropriately assessed prior to admission to the home. The specialist needs of the service users are clearly identified and met, advocacy arrangements are in place. Service users are provided with a detailed copy of terms and conditions of occupancy. 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. It contained the range of information required by the standards. Four service users interviewed confirmed they had a copy of their individual contracts. Three 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. This information contained a wide 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 staff to meet these needs. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 8 All five service users interviewed said their needs were met and they were happy with the care offered to them. The two care plans were checked confirmed that a range of specialist services was provided to service users. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 10 The service users personal and health care needs are identified and met. The service users are provided with assistance and support they need to make decisions about their own lives. Risk management strategies are agreed and recorded; each individual service user or their representatives must sign these. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. The plans were holistic and clearly identified the service users needs. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 10 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis, copies of the review meetings were seen to be in place. The service users confirmed that self-advocacy is promoted and that they have access to a range of eternal agencies that promote independence, any rights that are restricted are linked to risk assessments. The service users risk assessments were found to be appropriately detailed, however the service users or their representatives should sign these. Each service user receives support from staff to manage their finances. Service users’ all said that they are able to make decisions for themselves. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 17 The service users have access to a range of community-based activities; all are able to choose from a range of leisure activities. Service users are supported to keep appropriate jobs and continue their education. Independent living skills are promoted. Meals are nutritious and balanced. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated every six months, all service users participate in this process, and their relatives are invited to attend. The service users said that they have access to a range of community-based activities and services, including supported work programmes, education and training. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 12 There was evidence that daily routines promote independence, choice and freedom of movement. Some service users are involved in housekeeping tasks. Staff were observed interacting in a sensitive and respectful manner with service users. 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. Without exception the service users said that the food was very good. Nutritional assessments have been introduced. A range of special diets can be catered for. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 21 The health care needs of the service users are identified and met. Systems are in place to maximise service user’s privacy, dignity, and independence. The homes medication systems are well managed. EVIDENCE: The service users said that their privacy and dignity are respected at all times, and that they were supported to make decisions for themselves. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well managed. No controlled drugs are currently prescribed. Staff has received appropriate training relating to ageing, illness and death, appropriate policies and procedures were seen to be in place. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 14 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 Vulnerable adult procedures ensure that the service users are protected from abuse. The service users are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: The home’s complaints procedures contain details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Service users interviewed confirmed that they had been given copies of the procedure. The home does keep a record of complaints. Since the homes previous inspection visit, 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. The Home maintains financial records on behalf of the service users; each has an individual bank account. As previously agreed, the home needs to introduce a new format for the accurate recording of the service users personal finances. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 15 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): These standards were not inspected during this visit. All standards were met at the previous inspection carried out on 23.5.05. EVIDENCE: Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 16 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): 31 33 34 36 Robust procedures are in place for the recruitment of staff. There is sufficient staff employed to meet the needs of the service users. EVIDENCE: Staff levels on the day of the inspection continue to meet the agreed level. There have been no changes to the staff team since the last inspection visit. Service users interviewed said that staffing levels were appropriate and that there needs were fully met. All the staff were over 18 years of age and those left in charge were at least 21. 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. The proprietor/ manager confirmed these processes occurred. Training needs of staff are identified via supervision and appraisal sessions. All staff receives regular supervision sessions. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 17 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): 37 38 39 41 42 The home is well managed providing guidance and direction to staff to ensure service users receive consistent care. The manager is about to commence the registered managers award. A recognised quality assurance system is in place. The service users health, safety and welfare are protected. EVIDENCE: The registered manager/proprietor has many years experience in senior management and is about to commence a level 4 National Vocational Qualification in management and care. The service users interviewed spoke positively about the manager and the care that they receive. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 18 The home does have a quality assurance system, which seeks the views of service users, via meetings and questionnaires. Service user and relative’s meetings also take place regularly. The home has an annual development plan. The manager said others are asked for their views of the home eg – GP’s, District Nurses, volunteers, advocates are sent questionnaires. Service said that they have access to inspection reports and the homes policies and procedures. There was evidence that the homes policies and procedures are reviewed annually. The records inspected were found to be appropriately completed, these included the fire log book, accident records, Health and Safey procedures. The Fire Officer has recently visited the home, recommendations identified have been addressed. Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 19 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 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Albany House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 3 3 x 3 3 X DS0000000362.V249919.R01.S.doc Version 5.0 Page 20 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 2 Standard 23 9 Regulation 20 13. 15. Timescale for action Introduce a new format to record 01/11/05 the service users finance records. The service user or their 01/12/05 representatives must sign the service users individual risk assessments. Requirement 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 37 Good Practice Recommendations The manager must complete the registered managers award by 31/12/05 Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 21 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 Albany House DS0000000362.V249919.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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