Inspection on 19/10/05 for Avenue The (1)

This inspection was carried out on 19th 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

Avenue The (1) 07/07/09

Avenue The (1) 26/07/07

Avenue The (1) 03/08/06

Avenue The (1) 02/02/06

Avenue The (1) 27/01/05

Avenue The (1) 29/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Avenue The (1) 1 The Avenue Knaresborough North Yorkshire HG5 0NL Lead Inspector Brian Hallgate Unannounced Inspection 19th October 2005 08:30 Avenue The (1) DS0000007885.V258357.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 Avenue The (1) DS0000007885.V258357.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. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Avenue The (1) Address 1 The Avenue Knaresborough North Yorkshire HG5 0NL 01423 856576 01423 541889 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) Henshaws Society for Blind People Mr David Anthony Houston Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for a maximum of 5 Resident with Learning Disabilities all of whom have an additional Physical Disability 27th January 2005 Date of last inspection Brief Description of the Service: 1 The Avenue is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged under 65 years who have learning disabilities with an additional impairment. The house is situated within walking distance of Knaresborough town centre. There are local amenities close to the home. It is a large three storey detached house with a small garden to the front. All bedrooms are designed for single occupancy. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours, including preparation time, and was an unannounced inspection that commenced at 8.30am. A tour of the home was made with a support worker and a number of records were inspected. Four service users, 2 support staff and the registered manager were spoken to. Staff were observed interacting with the service users. 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. Avenue The (1) DS0000007885.V258357.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 Avenue The (1) DS0000007885.V258357.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): 2 The assessments prior to admission to the home are comprehensive and provide informed decisions about moving into the home. EVIDENCE: A comprehensive care management assessment is completed by a care manager from the local authority placing the person before they move into the home. An individual service plan is developed by the staff team on admission. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 8 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 and 9 There is a clear planning system in place to provide staff with the information needed to care for the service users. EVIDENCE: Service plans are available for each service user and copies of individual risk assessments are well documented on individual case files. Service users are involved in decisions about their plan and risk assessments. The service users sign these copies where appropriate. The plans include input from specialist services and day care provision. There is a daily routine for each person in their own files with specific details of how each person spends each day of the week. Key workers undertake regular reviews and the plans are amended and updated if required. Service users are fully involved in decisions about their lives and there is evidence of this in the service users files and from discussions with staff. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 9 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): 12, 13, 15, 16 & 17 Social activities are individualised and staff keep service users aware of their options. All service users decide what they eat and shop individually for the food they wish to purchase. EVIDENCE: The service users plans contain full details of the activities each service user takes part in on each day of the week. Staff inform service users of available leisure activities and service users choose to take part in the activities if they wish. Those service users who wish visit local shops and pubs in their community. Each service user has a day at home each week to develop their life skills. Many of the daytime activities on the other days are centred around the Henshaws arts and crafts centre. All service users have some contact with their families and staff assist them to communicate with their families where necessary. Some service users use sign language to communicate. Service users plans their own meals individually, go to the shop to purchase the food and cook their own meals, with support by staff if necessary. Staff cook Sunday lunch for those service users who wish to eat it. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 10 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 The health needs of service users are met with access to specialist services when required. EVIDENCE: Service users are independent in personal care tasks. They are all registered with a GP and access to specialist services is through the GP surgery as required. Two service users self medicate. Staff assist two service users to administer their medication. There is a monitored dosage system. Records and medication checked were correct. Staff have received external and internal training in the administration of medication. Medication is kept in a locked draw in a locked room. From speaking to staff, observing the interaction between staff and service users and from reading their personal records it appears that the service users physical and emotional needs are being met. Two service users stated, through signing, that they were happy living in the home. Two service users were attending day care and the other service user was not feeling very well and was in bed. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 11 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 There are satisfactory complaints and abuse policies and procedures and staff were fully aware of what action to take if they received a complaint or considered that there was a possible abuse situation. EVIDENCE: There is a written policy and procedure on dealing with complaints. There is a complaints book. No complaints have been made since the last inspection by any of the service users. There is a copy of the York and North Yorkshire Vulnerable Adults policy and staff were aware of what action to take if there was a suspected caser of abuse. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 12 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): 24 & 30 The standard of the environment within the home is good providing service users with a homely place in which to live. EVIDENCE: The home is a large three-storey house with a lounge, dining room, kitchen and utility room on the ground floor. All service users have a single bedroom accessed by stairs. The home has been decorated throughout since the last inspection. The home is clean, homely and hygienic. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 13 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): 32, 34 & 35 The service users receive a good standard of care from an experienced motivated staff team EVIDENCE: There is sufficient staff on duty to meet the needs of the service users who are independent and do not require personal care from staff. They support and encourage the service users when necessary and assist them to communicate with others. The staff team comprises a manager and four support staff. One support worker is in possession of a NVQ Level 2 award in care and the other staff are presently working towards their award. Three members of staff are undertaking a signing course at the local college. Other training completed during the year includes health and safety, moving and handling, protection of vulnerable adults, medication and fire prevention. All staff have a current first aid certificate. The procedure for recruiting new staff is sound. Two personnel files were inspected and found to be satisfactory and up to date. The needs of the service users appear to be met by the staff. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 14 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, 39, 41 & 42 The house in managed in an open and inclusive manner by the manager who enjoys the support of the staff team. EVIDENCE: The registered manager is undertaking his NVQ awards and has almost completed the awards. Staff spoken to stated that the house was well run and managed. Two service users stated, through signing, that they were happy living in the home. Due to the limitations of verbal communication skills, staff have devised pictures and signs that are used to ascertain how service users feel about living in the home. This is used also as a means of obtaining information for monitoring the quality of the care provided. Fire alarm tests, service of fire safety equipment, electrical safety certificate and the recording of hot water temperatures were checked and found to be correct. The gas safety certificate expired in September and the organisation had not ensured that an up to date certificate was available. Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 15 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Avenue The (1) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 3 1 x DS0000007885.V258357.R01.S.doc Version 5.0 Page 16 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 42 Regulation 13 Requirement A gas safety certificate must be obtained as soon as possible and a photocopy of the certificate forwarded to the Commission for Social Care Inspection Timescale for action 19/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Avenue The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 The (1) DS0000007885.V258357.R01.S.doc Version 5.0 Page 18 - 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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