Inspection on 11/08/05 for Astley House

This inspection was carried out on 11th August 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

Astley House 14/09/09

Astley House 02/07/09

Astley House 05/07/07

Astley House 01/06/06

Astley House 04/12/05

Astley House 31/01/05

Astley House 01/07/04

Astley House 05/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Astley House 1/2 Hartley Gardens Seaton Delaval Whitley Bay NE25 0AB Lead Inspector Karena M.Reed Unannounced 11 August 2005 10:00 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Astley House Address 1/2 Hartley Gardens Seaton Delaval Whitley Bay Tyne & Wear NE25 0AB 0191 237 7209 0191 237 7209 N/A Mrs M Powers Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Miss L A Campbell CRH 15 Category(ies) of DE - Dementia (10) registration, with number OP - Old Age (5) of places Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 27-1-2005 Brief Description of the Service: Astley House is a large, detached house which used to be the village police station. The home is situated in a residential area within the village community of Seaton Delaval, it is close to local facilities. It is in close proximity of the Northumbrian coast and the nearby countryside. It is registered to provide personal care to fifteen service users , the categories of registration are for five older people and ten older people with memory loss. Bedrooms are all for single occupancy ,some are situated on the ground floor.There is a large lounge and dining room combined lounged overlooking a wellstocked garden to the front of the building. there are two bathrooms, one of which contains an assisted bath. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 4 care plans, 2 staff files, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records. The proprietor, manager, cook and two carers were spoken to during the inspection. Time was also spent with 9 service users during the inspection. What the service does well: What has improved since the last inspection? What they could do better: To ensure staff receive training about the needs of people with memory loss in order to have some insight into the condition and to ensure they have some understanding of the specialist needs. Staff to take staggered breaks so service users are not left unattended. Skimmed milk not to be used for the daily diet of service users unless advised as part of specialist diet by a dietician. Training is required for all staff about Protection of Vulnerable Adults. To continue to find ways to engage and consult with service users to try to maintain the independence of the person. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 6 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. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4,5 Service users care records showed the home receives detailed information when a referral is made. The information assists the home to carry out their detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. The training programme does not include training about the needs of people with memory loss to ensure that staff are equipped with the necessary skills in order to meet the needs of the service users. Prospective service users have the opportunity to visit the homes as often as they wish before making the final decision if they want to live there. EVIDENCE: Inspection of records for four service users showed that full assessments had been carried out prior to their admission. A service user recently admitted confirmed that they had visited the home and received information verbally about the way it was run before moving in for a trial stay. The service user was also very happy with the care and attention received. The training records and observation did provide some indication that staff had a basic understanding about the needs of people with memory loss but this was not backed up by any in depth training to make staff more aware of the Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 9 specialist needs eg about communication, reality orientation, activities, maintaining the independence of the person. Service users have the opportunity to visit the home as many times as they choose to decide if they wish to live there. This may involve teatime visits, day and overnight stays and can be altered according to the wishes of the individual. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 There are good arrangements in place to ensure that residents’ health and social care needs are met. Detailed information is available to ensure that all health care needs are clearly addressed and to ensure that the staff team are fully informed and aware of the support they need to provide. EVIDENCE: Inspection of the records for a recent admission showed that an assessment had been carried out prior to their admission. This was combined with information received from the care manager’s assessment of the service user’s care needs. The resulting care plan recorded detailed information about the health and medical needs of the service user and the amount of staff intervention required in order to provide support. Information is also collected in order that the home can make an assessment of the service users social needs. Service users have a choice of General Practitioner if they are unable to retain their own when they move into the Home. There was evidence that GPs and Community Nurses were regularly consulted for advice and treatment. Records were available to show district nurses visit the home as required and service Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 11 users are assisted to access chiropody and optical services at least annually or as often as required. Staff assist service users to receive support from relevant mental health departments, as necessary. These departments will also provide some training to staff about the specialist needs of service users. Staff receive training about medication before they are given the responsibility of administering it to service users. The medication system was not examined at this inspection. All of those residents spoken to, who could comment, said that they were treated well by the staff and well cared for. It was apparent during the inspection, that attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The Home provides support to service users to access and use community facilities when possible e.g health and spiritual needs. Social activities provide variation and some interest for service users. Visitors are made welcome and staff support residents to maintain contact with family and friends as they wish. Service users are not enabled to exercise choice and control over their lives. Meals provide daily variation and interest for people living in the home. EVIDENCE: There was no evidence of any activities or social interaction with service users by staff at the time of inspection, after breakfast was served and medication was issued. Staff were observed having their mid morning break together and service users were left to watch an un tuned television. I was informed a programme of activities is in place this includes: carpet bowls, videos, sing-along, memory lane bingo, manicurist, dominoes, hairdressing. Various parties are also arranged, which are well supported by relatives and families in order to raise finances for the amenities fund for the benefit of service users. Staff consult individually with service users to try to find out their wishes but specialist training is required in order to make the interaction more meaningful and in order to ensure service users are provided with choice and in order to maintain some control of their lives. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 13 On the day of inspection, the lunch comprised minced steak and mushroom, dumplings and vegetables, rice pudding or cheese jacket potato and salad. Several boxes of long life skimmed milk were stored and are used for drinks for service users, although full fat long life milk is available for cereals. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. Staff require up to date knowledge and understanding of Adult Protection issues which protects service users from abuse. EVIDENCE: The home has a complaints procedure. There have been no complaints about the home since the last inspection. A procedure for responding to allegations of abuse is available. Records showed that staff need to update their training about Adult Protection. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The home was well maintained with good quality furnishings and décor in the communal areas, which creates a pleasant and homely environment for those living there. There is a quite a good standard of hygiene around the home. Systems are in place to provide a safe environment for service users and staff. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. The home is well maintained and the lounge, dining room and some bedrooms have recently been decorated and refurbished. There is a large bright and airy lounge with French windows leading to the garden, there is also a dining room which has recently been refurbished to provide a cosy, restaurant type environment with smaller more intimate seating arrangements for the benefit of service users. Service users bedrooms were personalized to their tastes. There are an adequate number of bathrooms with equipment to help those with physical disabilities and some separate lavatories around the home. There are good laundry facilities in place and staff receive training about infection control. There is a large, well tended garden with pleasant sitting areas. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Adequate staffing levels are maintained to meet the needs of service users currently. The staff have a basic understanding of the service users support needs. This is evident from the positive relationships that have been formed between staff and service users. There are basic training arrangements in place, which means staff are given a basic knowledge of the needs of service users in order to provide care. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team provided evidence that the numbers of staff are as follows: 8.00am- 1.00pm 3 1.00 pm –4.30pm 2 4.30 pm- 10.00pm 2 1 trainee 10.00pm-8 2 These numbers include the manager who works some supernumary hours. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, cleaning and gardening. The necessary checks are being carried out prior to the workers being appointed. There is a stable committed staff team and there is a low turnover of staff. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 17 Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Staff stated that they receive induction training, staffing records showed this was the home’s induction and not the recognised T.O.P.P.S induction training to be carried out over 6 weeks and six months foundation to give staff a basic training about care. Four members of the care staff team have now achieved National Vocational Qualifications at level 2 and 4 staff members have also achieved level 3 and another two staff members are to begin studying at levels 2 and 3. Staff confirmed that they also receive advice and /or training in other areas, such as challenging behaviour and mental health awareness. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36,37,38 The manager is committed to ensuring the home is run for the benefit of service users. Records were quite well documented and statutory health and safety checks were carried out within the required time scales. For the most part the health and safety of service users are protected. EVIDENCE: The manager, Miss Lesley Campbell, has worked at the home for twenty years and has managed it for the last eleven years. She has obtained the Registered Manager’s award and has contributed to the home achieving the Investors In People award. The positive comments of service users and staff give confidence that the manager provides good leadership throughout the home and promotes a philosophy of individualized care to service users which could be progressed with staff attending a course about memory loss in order to promote and encourage involvement with service users. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 19 Discussions with the manager and the staff records viewed provided evidence that the staff are supported in their roles through regular supervision. The two staff files looked at did not contain photographs of the staff members or a copy of their birth certificate or other evidence as required by the Care Standards Act 2000 for proof of identity. There is a system in place to ensure that staff are given training in moving and handling skills, fire safety, first aid, infection control and good hygiene. The hot water temperature to one of the bathrooms was over the recommended 43 degrees centigrade. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 3 3 3 3 2 2 Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 4,12,14,30 30 Regulation Requirement Timescale for action November 1st 2005 September 15th 2005 August 11th 2005 October 31st 2005 October 31st 2005 3. 4. 5. 38 18 37 18(1)(a)(c Training for staff regrading )(i) memory loss must be provided. 18©(i) The recognised T.O.P.P.S induction training must be carried out with all new staff members. 13(4) The hot water temperature must be reduced to no more than 43 degrees centigrade 13(6) POVA training must be provided for all staff members. 19(1)(b)p Staff files must contain all the ara 1-7 information as stated in schedule Schedule 2 Care Standards Act 2000 2 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 15 Good Practice Recommendations To stop using skimmed milk as part of the service users daily diet. Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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 Astley House B53-B03 S518 AstleyHouse V237346 110805 Stage4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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