Inspection on 08/06/05 for Avenue Community Nursing Home

This inspection was carried out on 8th June 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Avenue Community Nursing Home 11/06/07

Avenue Community Nursing Home 18/10/05

Avenue Community Nursing Home 24/01/05

Avenue Community Nursing Home 29/07/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Cosin Lodge

Farmborough Court

Cragston Court

Coalway Lane Nursing Home

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

CARE HOME ADULTS 18-65 Avenue Community Nursing Home 47 The Avenue Linthorpe Middlesbrough TS5 6PE Lead Inspector Jackie Herring Unannounced 8 June 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Avenue Community Nursing Home Address 47 The Avenue Linthorpe Middlesbrough TS5 6PE 01642 816721 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) Avenue Community Nursing Home Limited Pat Fellows Care Home 13 Category(ies) of MD Mental Disorder (13) registration, with number of places Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: The Avenue Community is a 13 bedded care home for adults with mental disorder. It has been operating for approximately 22 years and is a converted Victorian property close to the centre of Linthorpe in Middlesbrough. There are nine single bedrooms and two double bedrooms none of which have ensuite facilities, however the rooms do meet the size requirements. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection, which took place over one inspection day, three and a half hours of inspection time in total. The inspector had discussion with the manager during the inspection process. A small number of records were examined; including, two sets of resident’s records and minutes from residents and staff meetings and there was also informal discussion and indirect observations. Ten of the thirteen residents were spoken to and were very happy to share their views of the home and the impact on their lives with the inspector. This was a very positive inspection and the inspector was warmly welcomed to the home by all. What the service does well: What has improved since the last inspection? Details of the financial viability were received and confirmed that the situation was fine. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 6 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. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 8 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 standard(s) 2 It is evident that assessment of resident needs and aspirations are paramount to any admission to The Avenue. EVIDENCE: There had been no new residents admitted in the last three years, however reflecting on previous evidence and through discussion it was reaffirmed that individual needs are assessed prior to admission and thorough the trial basis and throughout life with The Avenue. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9 Residents are well aware of their assessed needs and care plans, they are active in decision making both on an individual basis and in aspects of life in The Avenue, as a result their independence is promoted. EVIDENCE: Two sets of residents’ records were examined during the inspection and they continue to be extremely well written and contained detailed information about the individual residents, their assessed needs and lifestyles. They contained evidence of resident involvement with their records and they had signed the assessment and care plan documentation. The assessments and care plans examined had been reviewed and updated and there was evidence of regular evaluation of care. They were truly reflective of the individuals’ current situation and needs. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 10 Residents said, “We make decisions and have control over our daily life”. Another resident said, “I get up at 6am, I don’t have to, it is my choice, I can go out when I want, all I have to do is let the staff know”. A resident also said, “We are kept fully aware of all events of the home, for example when we are getting a new washing machine or the electrician is visiting”. There was discussion about residents meeting and also weekly menu meetings, which residents found extremely useful. Resident meeting minutes were made available for examination and included details of expenditure decisions for the home, such as the purchase of a new central heating boiler. It also included details of activities and holidays and it was evident that there was much consultations. Residents records also contained details of choice and decision making and recording in one residents file was, “he has chosen to share room with other resident”. Risk assessments were also contained within resident’s records and residents confirmed through discussion that they were able to take risk, which increased their independence. This included going out of the home, assisting in the kitchen, taking medication and doing their own washing and ironing. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13 , 14, 15, 16, 17 The lifestyle of residents within The Avenue is very much individualised and is underpinned by appropriate social and recreational activities as well as the opportunities for personal development. Residents’ benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. EVIDENCE: An examination of resident’s records demonstrated that recreation and social activity plans were in place, which had been signed up to and agreed by the residents. One resident spoke enthusiastically about the computer course they were completing and said, “I am really enjoying the computer course.” During discussion about involvement with the local community, residents did not see that their home was any different from any other home in the local community and spoke very positively of neighbourly relationships. One resident said, “there is no stigma at all, this home just blends into the community”. A number of resident were attending day care facilities, which they said they enjoyed. They also accessed the local churches and shops. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 12 One resident was extremely proud of their role within a local nursing home as a volunteer associate activity coordinator. Residents spoke enthusiastically about their holidays, a number of residents are going to Llandudno and one resident is going to Southern Ireland. The residents had particularly enjoyed a trip in Limousines and a glass of champagne. Residents spoke about maintaining contact with friends and family and said that this was positively encouraged. One resident said, “I go and stay with my daughter every few weeks for the weekend”. Other residents spoke of visits and maintaining contact via the phone. Residents firmly believed their rights were respected and confirmed that they had voted at the most recent elections. Residents confirmed that they were actively involved in the menu planning and said they meals were very good. They confirmed that there was fresh fruit and vegetables and also said that they could access the kitchen and make snacks if they wanted to. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 standard(s) 18, 19, Healthcare needs and personal care needs are well met at The Avenue. EVIDENCE: Residents confirmed that there physical, emotional and psychiatric needs are met within the home. They discussed visits to the GP, Consultant Psychiatrist appointment, CPA meetings and other physical checks such as mammograms. One resident said, “if you are poorly, this is recognised and responded to appropriately”. Residents confirmed that they received care in the way they wanted and preferred it. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 standard(s) 22, 23 The views of residents are paramount at The Avenue and are acted upon. Residents are protected from abuse, neglect and self-harm by the systems in place. EVIDENCE: Residents firmly believed they had a voice in the home and that they were listened to and appropriate action taken. Examples of this included the weekly menu meeting and regular residents meeting. During discussion with residents, they were well aware of the topic of abuse and gave examples of this to the inspector. They were clear about what action they would take if they observed or heard anything of this nature. They were confident in reporting any such incidents to the manager and were confident that the correct action would be taken. They said that there had never been any incidents of this nature in all the time they had resided at The Avenue. At previous inspections the policy and procedure were in place for Protection of Vulnerable Adults and staff were fully aware of this. No changes have been made to this since the last inspection and there have been no new staff appointed. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 standard(s) 27 The current hot water situation did not always allow for residents to have a hot bath. The garden needs to be developed further to ensure a safe and accessible environment for all residents. EVIDENCE: During discussion with the manager and residents, they stated that there had been some problem with the upstairs boiler and there had been occasion when there was no hot water for baths, although they could still have showers. It was confirmed that several quotes had been obtained for the repair or renewal and that the work would be completed in the near future. The garden was very pleasant, however there was a mound of garden rubbish in the centre of the lawn and had been there for some time. This is in need of further development to make it more accessible and safe for residents to use Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not examined during this inspection. EVIDENCE: Care workers continue to complete NVQ Level 2, which is an outstanding recommendation from the previous inspection. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not examined during this inspection. EVIDENCE: The manager continues to complete the NVQ level 4 in Management, which is an outstanding recommendation from the previous inspection. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Avenue Community Nursing Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 19 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. Standard YA27 Regulation 23 Requirement The hot water boiler must be repaired or replaced. Timescale for action 30 June 2005 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 YA24 YA35 ya37 Good Practice Recommendations The garden should be developed further to ensure that it is safe and accessible to residents. Care staff should continue to completed the specified National Vocational Qualification. The manager should continue to complete NVQ level 4 in Management. Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Avenue Community Nursing Home B51-B01 S144 Avenue Community V231426 080605 Stage 4.doc Version 1.30 Page 21 - 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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