Inspection on 19/07/06 for Avonridge

This inspection was carried out on 19th July 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Avonridge 17/07/08

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 08/07/2008.

CARE HOME ADULTS 18-65 Avonridge Front Street West Bedlington Northumberland NE22 5TT Lead Inspector Bill Middlemist Key Unannounced Inspection 19th July 2006 11:00 Avonridge DS0000000645.V295176.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.V295176.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.V295176.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/communityh 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.V295176.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Avonridge is a purpose built bungalow situated in its’ own grounds in Bedlington. The building is maintained to a satisfactory standard and access for the disabled with adequate car parking space is on the site. All of the bedrooms are single with shared bathing and toilet facilities situated around the home. There is an adequate communal lounge and dining space. The home is close to local amenities and transport networks. 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.V295176.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that lasted for three and a half hours. Care and support plans were inspected to assess that each person’s rights, choices, inclusion and independence are being promoted. Shared parts of the building were inspected. The needs and preferences of each person were discussed with staff, and staff were observed doing their jobs. Records about promoting health and safety were inspected. 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. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 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 Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person’s needs have been assessed and recorded. EVIDENCE: Each person has an assessment of needs. Supplementary assessments have carried out as a result of changing or developing needs. The group of people that live at Avonridge has been stable over several years and there are no vacancies. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 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, 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has a detailed and individual service user plan. Each person is able to make decisions about their lives. Each person is able to take managed risks as part of their preferred lifestyle. EVIDENCE: Each person’s service user plan is well written, with clear guidelines to promote choice, rights, inclusion and independence. Each plan is reviewed regularly to make sure that they are reflecting people’s care and support needs. Some information in the plans is out of date or no longer relevant, and should be archived. If any choices need to be limited to promote safety then this is well recorded. Each person is well supported by staff when they need to make any kind of decisions. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 9 Each person’s file includes individual risk assessments and risk management plans that are clearly linked individual plans. There is a good balance between taking risks, independence and keeping safe. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has opportunities to take part in activities that suit them. Each person is part of the local community. Each person is supported to have appropriate relationships. Rights and responsibilities are promoted. Each person is offered a healthy diet. EVIDENCE: Care plans include how people will be involved in their local and wider community. Good use is made of what the local community has to offer, such as leisure centres, shops, pubs, restaurants, theatres, cinema and other places of interest. People can access these places through use of the home’s own car. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 11 Staff support people to keep in touch with the others, such as relatives and friends, who are important to them. People have opportunities to mix with people who do not have disabilities, through the use of what the local community has to offer. The home ensures that people’s rights and responsibilities are properly recognised in everyday living. People’s privacy is respected through staff being courteous and only entering bedrooms when they have permission. Staff were observed talking with people and involving them in what was going on. People are able to spend time in the home as it suits them, they can choose to be with others or spend time alone. People are involved in the running of the home through care and support planning; those who wish to be involved in housekeeping tasks such as laundry, cooking and cleaning have it recorded in their individual plan. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person gets the personal support they need. Each person’s healthcare needs are being met. Each person is supported by the way the home deals with medication. EVIDENCE: All personal support is provided in private. There are no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. There was evidence that people are encouraged to choose their own clothes and to take care of their appearance. People’s healthcare needs are met through the home’s systems making sure that they get to the right kind of help at the time that they need it. The home is very good at monitoring people’s conditions and making referrals to specialists before potential complications develop. Each person is reliant on care to staff to administer medication in line with the home’s medication policy and procedure, this includes staff explaining what Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 13 medication is being given and why it has been prescribed. Records were examined and a spot check made on a limited number medications: all those inspected were in order. There was evidence that staff have received the right training in order to deal with medication. All medication is now stored in line with pharmacy guidelines. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person’s views are listened to and acted on. Good systems are in place to protect people from abuse and neglect. EVIDENCE: The home has an effective complaints procedure that details action to be taken in the event of a complaint being made, including timescales, and ensures that people will not be victimised for making a complaint. The home has procedures for the protection of vulnerable adults which includes whistle blowing; the home has provided evidence that procedures has been followed in the past and that prompt action was taken to protect residents. There are good guidelines available for staff to meet the needs of people whose behaviour may challenge the service, and staff confirmed that they view behavioural challenges as a means of communication. Staff were observed working within guidelines to promote safety and consistency. The home has an effective system for recording transactions made on resident’s behalf and accounting for each person’s money. The system is further audited on a weekly and monthly basis. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Parts of Avonridge could be made more homely for the people who live there. Avonridge is clean and hygienic. EVIDENCE: The building is domestic in size and not recognisable as a care home. Each person’s room is individualised to reflect their personalities and preferences. The entrance hall has needed to be redecorated for some time. The lounge is not homely, the carpet is old fashioned, and the paintwork is looking dirty in places – there is an overall lack of coordination in what could be a very attractive shared space. The curtain rails are bending under the weight of the curtains and should be replaced. In the kitchen the cooker hood is not working and the tiling around the sink unit needs attention. Outside there are attractive and well maintained gardens. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 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 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person is supported by competent and qualified staff. Each person’s individual and joint needs are being met by appropriately trained staff. EVIDENCE: Staff demonstrated a good working knowledge of each person’s needs and the use of consistent strategies to meet them. Staff also provided evidence of a willingness to use training to achieve and better understanding of each person’s individuality and diversity. They were observed offering sensitive support to people during the inspection, and displayed good values and attitudes. The Northumberland and Tyne and Wear Trust hold all staffing records relating to recruitment centrally. All training required by law is up to date. Staff reported that all requests for training are usually delivered. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 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 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, 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person benefits from a well run home. Quality assurance systems are in place to monitor the home’s performance. The health, safety and welfare of each person is being promoted. EVIDENCE: The Manager is qualified and experienced to run this home. Good systems are in place to ensure the efficient running of the service in the manager’s absence. Quality assurance systems have been developed and are used to gain people’s views of the service they receive. The home receives an unannounced monthly visit from a Locality Manager where quality matters are inspected. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 18 All matters about health and safety that were inspected were satisfactory, these included the Fire Log, accident book, and a range of tasks that record due diligence such water temperatures, fridge temperatures, testing of electrical equipment and water supply. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 19 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 X 4 X 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 X 3 X Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 YA24 YA24 Regulation 23 16 Requirement Complete the redecoration of the entrance hall. Replace the cooker hood in the kitchen and repair the tiling around the sink. Timescale for action 30/09/06 30/09/06 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 Refer to Standard YA6 YA24 Good Practice Recommendations Archive all care documents that are out of date. Redecorate the lounge and replace the curtain rails. Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Avonridge DS0000000645.V295176.R01.S.doc Version 5.2 Page 22 - 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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