Inspection on 17/07/08 for Avonridge

This inspection was carried out on 17th July 2008.

CSCI found this care home to be providing an Good service.

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

Avonridge 19/07/06

Avonridge 01/12/05

Avonridge 05/07/05

Avonridge 21/12/04

Avonridge 23/08/04

Avonridge 02/03/04

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 08/11/2008.

CARE HOME ADULTS 18-65 Avonridge Front Street West Bedlington Northumberland NE22 5TT Lead Inspector Karena M.Reed Key Unannounced Inspection 17th July 2008 12:30 Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 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 Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 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. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avonridge Address Front Street West Bedlington Northumberland NE22 5TT 01670 - 820313 01670 820313 kathleen.morrison@nap.nhs.uk 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) Northumberland, Tyne & Wear NHS Trust Mrs Kathleen Morrison Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2006 Brief Description of the Service: Avonridge is a purpose built bungalow situated in its’ own grounds in Bedlington. The building is in the centre of Bedlington surrounded by shops, pubs and other amenities. There are good transport links to the home. The home is registered to provide personal care to four residents under the age of sixty-five years who have learning disabilities. Nursing care is not provided. All of the bedrooms are for single occupancy with shared bathing and toilet facilities situated around the home. Residents have access to a lounge, dining room and large back garden. A Statement of Purpose and service user guide are available at the home. These guides describe the services and facilities provided by the home and how staff are trained to meet residents’ care and support needs. CSCI inspection reports are also available at the home detailing the quality of care provided. Fees payable for living at the home at the time of inspection in July 2008 are £949 17.Additional charges are payable for toiletries and hairdressing. The home is owned by Northumberland, Tyne & Wear NHS Trust - a local provider of services for people with learning disabilities and associated disorders. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 19th July 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on July 17th 2008 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. 4 surveys were sent to residents, relatives, 4 were returned. 4 surveys were sent to staff, 4 were returned. Comments include: “I am very happy here and don’t want to move.” Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 6 “Staff always listen to me and try their best to sort any problems out.” “The staff always treat me well.” “The service meets the requirements of service users’ needs.” “The service integrates with the local community giving residents scope for holidays, social outings etc.” “Service users needs, activities, etc are always met even if staff shortages.” “The service meets the needs of the service user, provides a stable staff team who know the service users well.” “Staff go out of their way to make sure service users activities are met.” “Staff support service users to lead as independent and active lifestyles as possible. Encourages them to try new things and make sure they have a community presence.” “Good relationships with families and friends of service users.” What the service does well: Residents, where able, described good relationships with the staff and said they were always kind and helpful. Staff spoken to were friendly and relaxed and showed a good understanding of residents’ needs. There are good arrangements for residents to maintain contact with their family and friends. The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. There is an excellent standard of hygiene around the home. The home is comfortable and well maintained. There is a good standard of record keeping. Residents enjoy a varied diet. Residents are encouraged and supported to pursue a variety of hobbies and interests if they wish to. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 8 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 Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are good arrangements in place to ensure that prospective residents and their relatives can make an informed choice about the home and that the home can meet their needs. EVIDENCE: Records for three residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 10 Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Residents living at the home have lived there for some years and they are involved in deciding who may come to live with them when a vacancy occurs. Comments from residents include: “I came to look around with my parents. Then had some visits before deciding it was where I wanted to live.” “ The staff sent me a booklet with information in about the home.” “I came for a visit after receiving information about the home and asked to stay.” “I came for a visit to make sure it was the right place for me.” Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are very good arrangements in place to ensure that residents’ care and support needs are recorded and to ensure that residents are involved in all decision making in their lives. EVIDENCE: There are detailed assessments in the residents’ care plans. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans show the amount of care and support that staff are providing to residents. Care and support needs are documented and give instructions to staff on how to support people that require support with tasks and carrying out any assessed tasks to help promote the independence of the person. Care plans Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 12 are being updated three monthly or earlier if required if a resident’s care and support needs change. Residents’ care records were in the written word and not in a format that may be more easily understood by residents and in ways they identify with, depending upon their needs. e.g pictorial or audio care plans for people with visual impairment. Residents care records showed that they have access to external health care services. GPs, Physiotherapists, Psychiatrist and Community Psychiatric Nurses were regularly consulted for advice and treatment. Records show residents are assisted to access chiropody, dental and optical services at least annually or as often as required. Residents’ records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Residents are asked individually and consulted about decisions involving themselves and the running of the home. Meetings are held regularly with service users about the running of the home and some resident representatives attend staff meetings. Residents help choose the colour scheme for their bedroom and communal areas of the home. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and up to date risk assessments were present in residents’ care records. Care plans contain a range of information including risk assessments for activities residents may be involved in. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents have access to a wide variety of activities both inside and outside of the home which helps them to enjoy a good quality of life. Residents are also supported to keep in touch with their families. EVIDENCE: Conversation with staff showed staff support residents to acquire skills and become more self sufficient in aspects of every day living. Comments include: ”Staff support service users to lead as independent and active a lifestyle as possible. They encourage service users to try new things and make sure they have a community presence.” Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 14 Some residents access the local community independently visiting the library and shops. Residents may attend day care services and College. Staff are constantly looking at other activities to introduce residents to which can take place from the home base. Residents all pursue their own individual hobbies and interests, some enjoy cinema, art clubs, literacy classes, drama, bowling, swimming, gardening, theatre trips, visiting museums, shopping, cookery and horse riding. Residents enjoy trips out to the fish quay in North Shields, the airport, the coast, local parks and other places of interest. Some residents may also visit leisure centres for swimming and snoezellen, a relaxation therapy. Residents are supported to holiday or have days out e.g Blackpool. Residents also attend some evening activities. Some residents are supported to attend the local church. Within the home residents bedrooms are equipped with their own televisions, music centres, books, pictures and whatever is of interest to the resident. Comments include:” Staff go out of their way to make sure service users activities are met. They work longer shifts to go to evening activities.” Residents’ care plans and case records detail any family involvement. Conversation with staff also provided evidence that residents are encouraged to maintain contact with family and friends, staff providing the necessary levels of support for them to do so. Comments include: “The home has good relationships with families and friends of service users.” Residents are asked individually daily what they wish to eat. A light snack is available at lunch times and a cooked meal is served in the evening. Residents are involved with grocery shopping and cooking. Residents often eat out. Residents have access to the kitchen out of meal times and are able to prepare snacks and drinks with the support of staff. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19.20 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are good arrangements in place to ensure that residents’ health and social care needs are met. EVIDENCE: Three care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of service users. The care plans accurately recorded the needs and the care and support provided by staff. The home also respects the wishes of an individual when dealing with their increased dependency. Records showed when residents had seen health professionals e.g. doctors, community nurses, psychiatrists and psychologists. Records also showed when residents had seen opticians and dentists. Training records showed staff members receive training about medication before they are able to administer it to residents. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 16 No resident administers their own medication currently. A system could be put into place to oversee the medication of residents if they should retain and administer their own medication. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The home has a good, clear, user-friendly complaints and protections system and residents’ views are listened to and acted upon. EVIDENCE: There is a complaints procedure if complainants are not happy with the homes investigation and response. There is a simple procedure for residents to use to remind them of their right to complain. The home keeps a record of complaints. No complaints have been received by the home since the last inspection. Two allegations of abuse have been reported and investigated but they were not upheld. As part of staff induction staff receive training about the rights of people with learning disabilities. New staff complete the LDAF Course, Learning Disability Award Framework. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Comments include: ”If I’m not happy about something I tell the staff and ask them to help me or tell my mum ad ask her to help.” Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 18 “I can speak to everybody if I have any problems.” “Staff always listen to me and try their best to sort any problems out.” Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,30 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. The home provides a comfortable and safe environment for those living there and all areas are well maintained, clean, tidy and free from offensive odours. EVIDENCE: Since the last inspection the bathroom walls have been decorated. Two bedrooms have new bedding and curtains. All bedrooms are comfortable and well furnished and personalized according to the interests and wishes of the residents. Some residents spend time in their bedrooms listening to music and relaxing as well as spending time with other residents and staff in the communal areas. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 20 The home is clean, well decorated and well maintained. There is a very good standard of hygiene around the home. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 People who use the service experience adequate quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. There are enough staff, who have been properly recruited and supported, to meet the needs of the people living in the home, however more training is required. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 7.30am – 9.00 pm 9.00pm - 7.45am 2 staff minimum 1 waking staff Staff members carry out cooking and cleaning with the help of residents where possible. There are eleven permanent members of staff on the staff team. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 22 Equal Opportunities legislation is adhered to when recruiting and selecting staff. The necessary checks are being carried out prior to the workers being appointed. CRB checks are carried out before a person is appointed. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Staff receive LDAF Learning Disability Award Framework as part of their induction. Over 90 of the staff team have achieved a National Vocational Qualification. Staff and their records showed that they also receive advice and /or training in other areas: challenging behaviour, low vision, Disability Discrimination, first Aid, risk assessment, person centred planning, protection of vulnerable adults, Staff have not received training in Equality and Diversity, infection control, oral health and training was not up to date for Food Hygiene. Staff had not followed an accredited safe handling of medication course. Staff also wanted specialist training about Autism, dementia care and Downes syndrome. This training had already been identified and requested by staff and management at the home but had been cancelled by the training department. Staff receive supervision every two months from the person in charge. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42 People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service. Residents and staff benefit from the ethos, leadership and management approach of the home which encourages the involvement of residents and staff and ensures that the health, safety and welfare of residents are promoted and protected. EVIDENCE: The manager has the relevant qualifications for managing the home. An assistant team leader is in place at the home with a level 4 in management too. The home is well run and there is an ethos of involving residents as much as possible in the running of the home. Residents are also involved in decision making in their daily living. Some new systems and records have been Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 24 introduced into the home that ensure the rights of residents are further recognised and that individualised care and support are provided to householders. Residents living at the home have lived there for some time and appear to like living there. Documents detailing fire safety, risk assessments in the environment, water temperatures, financial records and statutory records were all up to date. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 x 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x 3 3 x Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 26 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. YA35 Standard Regulation 18(1)(i) Requirement Staff must receive the identified training to ensure the specialist needs of residents can be met. Timescale for action 30/10/08 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 YA7 Good Practice Recommendations Information should continue to be given in an accessible format for people with learning disabilities and visual impairment e.g pictorial and audio care plans. Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Avonridge DS0000000645.V368621.R01.S.doc Version 5.2 Page 28 - 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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