Inspection on 07/11/05 for Annitsford Drive, 15

This inspection was carried out on 7th 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

Annitsford Drive, 15 08/05/07

Annitsford Drive, 15 31/05/05

Annitsford Drive, 15 06/02/05

Annitsford Drive, 15 15/07/04

Annitsford Drive, 15 08/02/04

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 ADULTS 18-65 Annitsford Drive, 15 15 Annitsford Drive Fordley Cramlington Northumberland NE23 7AP Lead Inspector Jim Lamb Announced Inspection 7th November 2005 09:30 Annitsford Drive, 15 DS0000033093.V249035.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 Annitsford Drive, 15 DS0000033093.V249035.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. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Annitsford Drive, 15 Address 15 Annitsford Drive Fordley Cramlington Northumberland NE23 7AP 0191 200 8001 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) North Tyneside Council Mrs Jacqueline Thompson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: Annitsford Drive provides short-term personal care and accommodation for up to six younger adults with physical and learning disabilities. The home is located in a residential area of Annitsford operating within the Care in the Community function of North Tyneside Council. The home is close to local amenities and the town centre of Cramlington. The home has been adapted to accommodate service users with physical disabilities. All bedrooms are single and there are additional communal areas for people to use. Annitsford Drive, 15 DS0000033093.V249035.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. Time was spent looking at the homes policies and procedures and the service users care records. Time was spent talking to one service user present on the day, staff and touring 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. Annitsford Drive, 15 DS0000033093.V249035.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 Annitsford Drive, 15 DS0000033093.V249035.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): The homes revised statement of purpose and service users guide provide service users with sufficient information to enable them to make an informed choice about the home. Prior to admission to the home, all service users needs are fully assessed. 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. These are available in a range of formats eg on audiotape, DVD and large print. The inspector saw a copy of the new standard contract used. It contained the range of information required by the standards. Two 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. They did contain a range of appropriate information and service users were involved in drawing up both these initial assessments and the home’s subsequent service user plans. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 8 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. The care plans were checked and one staff member interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All service users are invited to visit the home prior to admission to meet other service users and staff. Unplanned admissions are avoided where possible. Annitsford Drive, 15 DS0000033093.V249035.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): Good progress has continued in developing service users care records to cover all aspects of health, social and personal care. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. These have recently been reviewed and up-dated and service users and their representatives were consulted and invited to attend the review meetings. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 10 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. During their stay, if necessary service users receive support from staff to manage their finances. Service users’ are encouraged and supported to make decisions for themselves. Annitsford Drive, 15 DS0000033093.V249035.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): Social activities are well organised, creative and provide stimulation and interest for people using the service. Meals are nutritious and balanced and offer a healthy varied diet for service users. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated annually or more frequently if needed, all service users participate in this process, and their relatives are invited to attend. Validated intervention treatment programmes are accessed if a need does arise. During their stay at the home service users 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, leisure, education and training. Annitsford Drive, 15 DS0000033093.V249035.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. 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. The service user spoken to said that the food was very good. Some service users are involved with the food shopping. A range of special diets can be catered for. Annitsford Drive, 15 DS0000033093.V249035.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): The home has procedures in place to ensure that the service users holistic health care needs are met. EVIDENCE: There was evidence within the service users care records that they have access to external health care services and that their privacy is respected at all times. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. The inspector examined the records and the procedures for the administration of medication; these appeared to be appropriately detailed. The home now has a controlled drugs cupboard. The dispensing pharmacist offers good support and advice and visits the home on a regular basis. There was evidence that staff had received appropriate training relating to ageing, illness and death. Annitsford Drive, 15 DS0000033093.V249035.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): There are appropriately detailed procedures in place to ensure that service users views, concerns will be listened to, taken seriously and acted upon. Procedures are also in place to ensure that service users are protected from abuse. 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. The home does keep a record of complaints. There has been one complaint received during the last twelve months, this was investigated and resolved immediately. 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 detailed financial records on behalf of the service users during their visits to the home. There was evidence of personal spending and receipts are kept. Annitsford Drive, 15 DS0000033093.V249035.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): Many improvements have been made; the home is very well maintained. The home provides a safe and comfortable environment for service users. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. The environment was homely and comfortable. The grounds were tidy, safe, attractive and accessible. The fire service had made visits to the home. Requirements made had been actioned. 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. The dining areas are large enough to cater for all service users. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 16 Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. A new assisted bathroom has recently been installed. Doors were labelled and had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Lighting levels were sufficient and there was emergency lighting throughout the home. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities appeared to be well organised. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 17 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): The procedures for the recruitment of staff are robust and offer protection to service users. The deployment and number of staff available is sufficient to meet the needs of the service users. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty. The manager said that staffing levels were appropriate and that there were additional staff on duty at peak times of the day. All 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 70 of the home’s staff is expected to qualify to NVQ level 2/3 by December 2005. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 18 Two staff files were examined, 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 manager confirmed these processes occurred and that they received statements of terms and conditions. Training needs of staff are identified via supervision and appraisal sessions. All staff receives a minimum of three days paid training. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 19 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): The home is well managed and there is good guidance and direction to staff to ensure service users receive consistent care. Practices promote and safeguard the health, safety and welfare of service users. EVIDENCE: The registered manager has many years experience in senior management and will commence a level 4 National Vocational Qualification in management in November. In the last year all of the staff team have attended several courses to keep themselves up to date. All statutory training for staff is up to date. The home does have a quality assurance system, which seeks the views of service users, via meetings and questionnaires. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 20 Service user and relative’s review meetings also take place regularly. The home also has an annual development plan. Service users are informed when inspections take place and have access to inspection reports. Copies are on display for relatives/others to see The records inspected were found to be appropriately completed, these included the fire log book, accident book and personal allowance records. There was information which verified that appropriate maintenance contracts for the home are in place. The manager agreed to check that the home has a current electrical wire certificate. Procedures for the promotion of continence and tissue viability should be made available and kept in the home. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 21 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 3 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 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 x 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Annitsford Drive, 15 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 x 3 2 3 3 x DS0000033093.V249035.R01.S.doc Version 5.0 Page 22 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. 1 2 3 Refer to Standard YA42YA 42 YA40YA 40 YA37YA 37 Good Practice Recommendations A copy of the homes electrical wire certificate must be forwarded to the CSCI. Procedures must be made available for: tissue viability and Continence promotion. The registered manager must complete level 4 NVQ in care. Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 23 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 Annitsford Drive, 15 DS0000033093.V249035.R01.S.doc Version 5.0 Page 24 - 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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