Inspection on 05/07/05 for Avonridge

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Avonridge 17/07/08

Avonridge 19/07/06

Avonridge 01/12/05

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 Mary Blake Unannounced 5 July 2005 13.00 th 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. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Avonridge Address Front Street West Bedlington Northumberland NE22 5TT 01670 820313 01670 820313 N/A Northgate & Prudhoe NHS Trust 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) Mrs Kathleen Morrison CRH 4 Category(ies) of LD Learning disability (4) registration, with number of places Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 21st December 2004 Brief Description of the Service: Avonridge is a lpurpose built bungalow situated in gardens in Bedlington. The building is furnished and decorated to a satisfactory standard and access for the disabled with adequate car parking space at the side. All of the bedrooms are single with communal bathing and toilet facilities situated around the home. There is adequate communal lounge and dining space. The home is close to local amenities and transport networks. The home is owned by Northgate and Prudhoe Trust a local provider of services for people with learning disabilities and associated disorders. The home was fully occupied at the time of the inspection with four male residents. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, the first of the year and took place over one day A full tour of the premises was carried out. Residents care records and additional statutory records were examined. Three staff were spoken to and the inspector met two residents on her visit. The inspector was unable to assess previous requirements as the Registered Manager was not present and she could not access staff records. 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 B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 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 standard(s) 3 Prospective and current residents needs are adequately assessed and they have the opportunity to visit the home. EVIDENCE: Discussion with staff confirmed that residents care needs had been assessed prior to admission. The staff spoke knowledgeably about the skills and experience needed to deliver the services and care the home offers. Staff were observed communicating effectively with residents. There had been no new admissions and the home does not take unplanned admissions. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 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 standard(s) 6 Residents are aware of their assessed and changing needs and personal goals are reflected in their personal centred plan. EVIDENCE: On examination of a sample of service user plans these were found to be comprehensive care plan that assists them to become as independent as possible. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 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 standard(s) 12,13 & 14 Residents are able to take part in appropriate educational/training, social and leisure activities. Residents are part of the local community Residents engage in extensive leisure activities. EVIDENCE: On examination of records, discussions with residents, staff and observation of residents it was evident that residents are supported to work, learn and participate in education/training. Residents have opportunities to attend College and the Earth Balance Centre. The staff provided evidence that residents have opportunities for personal development both in the home and through involvement in a range of community based activities; this was further evidenced through personal centred planning and recording on case files. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 10 Personal centred plans indicated that most residents access community facilities during the day either full or part time. Some attend college courses, adult training centre placements, in order to gain work experience or a therapeutic or educational benefit. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 11 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) 20 remains outstanding and will be reviewed at next inspection. EVIDENCE: Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 12 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 A satisfactory complaints system was in place. EVIDENCE: The home has a complaint procedure, which is displayed, throughout the home. Examination of the complaint record indicated that there had been no recorded complaints since the previous inspection. The Commission has not been asked to investigate any complaints since the last inspection. Discussions with the staff indicated that they felt confident with the Registered Manager and how she responds to any concerns they raise. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 13 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) 24,25,26,27,28 Residents live in a homely, clean, comfortable and safe environment. Resident’s bedrooms and communal areas suit their needs and lifestyles and promote their independence. Residents have access to bathroom and toilets that provide privacy and meet individual needs. EVIDENCE: The homes central position gives good access to local facilities and amenities and as it is a bungalow it is in keeping with the surrounding neighbours. The inspection of the building indicated that the premises appeared safe, comfortable, bright and airy, clean and free from odours and generally of a good standard. The homes communal areas are small but comfortable, safe and fully accessible. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 14 Individual rooms were personalised, lockable, with appropriate furniture and fittings. Bedrooms had undergone re-decoration and refurbishment with high quality furniture and fittings. There are sufficient bathroom and toilet facilities available to residents. The bathroom ceiling was water damaged and tiles need replacing and staff reported that this awaiting repair. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 15 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) 31,33,34 & 36 Resident’s benefit from and effective staff that team that are clear on their role and responsibilities. The inspector was unable to confirm if residents are protected by the homes recruitment policy and practices. The inspector was unable to confirm that residents benefit from supervised staff. EVIDENCE: Observations and discussions with the staff indicated that they had knowledge of the homes aims and objectives and policies and procedures. They spoke of supporting and developing relationships with residents. There were three staff on duty and examination of the staffing rota indicated that staffing levels were being met. The staff rota did not include the full names of staff. There were no vacancies and agency staff are not used. Recruitment and supervision records were not available for inspection. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 16 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) 38,39,41 &42 Resident’s benefit from a well run home with a manager who has developed an open and inclusive atmosphere. The homes record keeping procedures safeguards resident’s rights and interests. Effective quality assurance and monitoring systems are not in place The health, safety and welfare of residents are protected. EVIDENCE: On observations of staff and residents it was evident that they felt confident with the openness and approachability of the Registered Manager. The Registered Manager communicates a clear sense of direction and leadership. The records examined were secure, up to date and in good order. However staff recruitment and supervision records were not available. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 17 The monthly proprietor visits had not been carried out at the given timescales. Staff spoke knowledgeably about the health, safety and welfare of residents. Records in relation to maintenance of the building and fire prevention/fighting equipment were satisfactory. The Fire risk assessment was updated in October 2004. Fire drills were taking place frequently but did not detail individual staff attending. The Environmental and Fire Prevention Services had undertaken satisfactory visits. Accidents were appropriately recorded and followed up. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.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 x 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 x 2 2 x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Avonridge Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 2 3 x B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 19 yes 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 YA20 Regulation 13 Requirement Produce procedures for dispensing medicines to service users on leave from the Home and for dealing with Medical Device Agency alerts Outstanding as of October 2004 Ensure that the information specified in Schedules 2 and 4 of the Care Homes Regulations 2001 is available for inspection in the Home Outstanding as of October 2004. Put in place arrangements to ensure that all staff have regular, recorded supervision meetings at least six times a year with their senior/manager, covering those areas specified under Standard 36.4 Outstanding as of October 2004. Staffing rota must include full names of staff The Propreitor must visit the home, unannounced, on a monthly basis and produce a report of this visit. Timescale for action 1st October 2005 2. YA41YA34 7, 9, 17 & 19 1st October 2005 3. YA36 18 1st October 2005 4. 5. YA33 YA39 17 26 1st September 2005 !st September 2005 Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 20 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 YA39 YA35 YA42 Good Practice Recommendations Continue with the implementation of the Home’s Quality Assurance systems. 50 of the care staff team should achieve NVQ Level 2 in Care by 2005. Individual names of staff/residents should be recorded within the fire drill record. Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 Page 21 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Avonridge B53-B03 S645 Avonridge V222351 050705 Stage4.doc Version 1.30 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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