Inspection on 20/12/05 for Bamburgh Crescent, 10

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bamburgh Crescent, 10 11/09/06

Bamburgh Crescent, 10 26/05/05

Bamburgh Crescent, 10 21/12/04

Bamburgh Crescent, 10 21/06/04

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 Bamburgh Crescent, 10 10 Bamburgh Crescent Shiremoor Newcastle upon Tyne Tyne & Wear NE27 0NX Lead Inspector Deborah Haugh Unannounced Inspection 20th December 2005 04:00 Bamburgh Crescent, 10 DS0000033083.V269637.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 Bamburgh Crescent, 10 DS0000033083.V269637.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. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bamburgh Crescent, 10 Address 10 Bamburgh Crescent Shiremoor Newcastle upon Tyne Tyne & Wear NE27 0NX 0191 200 8625 0191 200 8625 christine.browell@northtyneside.gov.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) North Tyneside Council Mrs Christine Browell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. It is recognised that a percentage of the service users may also display physical disabilities 26th May 2005 Date of last inspection Brief Description of the Service: Bamburgh Crescent is set in a residential street in the Shiremoor area of North Tyneside. It is a single storey building, which has been designed to meet the needs of adults with learning and physical disabilities. The Home provides short stay residential care breaks. Nursing care can be provided on an individual basis. A bus route, pub and local shops are within easy walking distance. Service users are able to access all parts of the premises. The Home consists of two units, one of which is used to care for one adult who requires extra care and support. The other unit provides three places for adults with a range of care needs. There are two kitchens, a laundry, two lounges, two dining areas, a sit-down shower/toilet and an assisted bath/toilet and four single bedrooms. There are two ramps to the rear of the Home and a small garden to the front. Street parking is available. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The un-announced inspection took place on 20/12/05 from 4pm until 6.45 pm. The Registered Manager, Mrs Christine Browell was not on duty during the visit. Mr Tom Carney was the person in charge. At the time of the visit there were 2 service users having a respite at the home. Time was spent looking internally and externally around Bamburgh Crescent to check the cleanliness, maintenance and decoration during the visit. Staffing levels were checked. The views of service users were sought and time was spent observing the contact between the service users and staff. At the time of the inspection there were no visitors. Two service user care plans were examined. Arrangements for the administration and management of medication were checked. Health and safety arrangements were examined as well as the catering, training, finances, quality assurance, protection and complaints. What the service does well: The atmosphere in the home was homely, relaxed and jovial. The two service users have different needs and staff demonstrated their knowledge, understanding and skills for each person. The staff were energetic and spoke enthusiastically about their roles and achievements at the home. One of the service users spoke of her plans for the evening, going to the cinema, having popcorn and a disco she had enjoyed the previous night. She was clearly enjoying her time at Bamburgh Crescent. Staff consulted with the service users about preferences and choices throughout the visit. Ideas and suggestions from staff motivated the service user to make choices. The standard of decoration and furnishing in the home is good. Staff in the home are trained and have exceeded the National Minimum Standard of 50 trained to NVQ Level 2 in care. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 6 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. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 2 was assessed at the last inspection and was met. EVIDENCE: Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10 Service users have care plans and risk assessments which enable them to fulfil their potential and have their needs met. Service users are empowered in the home. Service users confidential information is respected and stored appropriately but one area must be addressed. EVIDENCE: Two care plans were examined and there are a range of needs identified which include service users preferences and strengths. Arrangements for the administration of medication is now included in the care plans. Risk assessments are in place and good guidance is provided. All records are shared with service users and/or their representative. Daily records are useful and positive. Staff are able to describe the approaches, which they take to support people who come to stay at Bamburgh Crescent. Staff are skilled and competent. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 10 The Staff Handover Book, which is securely stored, is on occasions used to record confidential information that should be cross-referenced to the service users own record. The Local Authority was asked to review this practice. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14, 15 & 17 (NMS 12 is not applicable as the home provides respite care.) Service users enjoy the same access to the community as other people. Service users have the opportunity to join in a variety of leisure activities when they wish. Service users are able to maintain personal relationships with people they wish. Service users are offered a healthy diet, which takes into account personal preferences. EVIDENCE: There is evidence from talking to one of the service users, staff, outings log book and daily records that people are able to access ordinary facilities, leisure and activities in the community. These have included ten-pin bowling, basketball matches, the cinema, shopping at the Metro Centre, Royal Quays and pub meals Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 12 One of the service users was consulted about their menu choice and was asked to choose for the week with staff support. Staff were encouraging and the service user clearly enjoyed planning her food for the week. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 (NMS 18 & 20 was assessed at the last inspection and met) Service users health is promoted and maintained. EVIDENCE: Due to the nature of the service health checks are not routinely made. Health needs are responded to and health advice sought where required. Appointments are attended with relevant health care professionals with staff if required. Advice is sought from professionals and care plans reflect this. The staff monitor service users health needs, which are recorded in the care plans. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 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 Service users and/or their representatives can share concerns and make complaints that they know will be listened to and investigated fully. Service users are protected from potential abuse, neglect and harm. EVIDENCE: North Tyneside Council has a complaints procedure. ‘How to make a complaint’ document is available in the home. This document is pictorial as well as written in large print. Contracts between service users and/or their representatives include the complaints procedure. Staff have received Protection of Vulnerable Adults (POVA) training and are fully conversant with the Local Authorities Whistle Blowing Policy. Staff are supported to deal with challenging behaviour via training and advice from the Behaviour Assessment Team. A full audit of service users monies was not undertaken. But staff explained the procedures for recording and safeguarding money looked after on behalf of service users. Two signatures are required, receipts are obtained and each service user has a lockable facility in their bedroom. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 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, 27, 29 & 30 Service users live in a well maintained, clean and decorated home however some areas require attention. EVIDENCE: The external areas of the home were checked and visibility was poor at the rear of the home. There is no light. This is a potential hazard in the dark evenings. A garden gate where the refuse bins are stored is missing. The pathways around the home have been made safe. The internal areas of the home are comfortable and furnished to a high standard. The decoration and cleanliness is good. The bathrooms were checked. Aids and adaptations will be assessed by a competent person and provided where required. The water pressure/flow in the single unit bathroom is very slow and takes up to 30 minutes to fill. The bath is metal and so the optimum temperature is lost as well as service users having to wait a long time to bathe. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 16 The bath in the 3-bed unit is damaged and must be repaired or replaced. A shower chair is rusty and a potential hazard to service users and must be repaired or replaced. The home must ensure that the temperature for shower/bathing is at a safe temperature for service users between and does not exceed 43oC. A thermometer must be provided in both bathrooms to check the hot water temperature each time a service user bathes and a record made. Daily hot checks are made and recorded in the home. When the showers are used the whole bathroom is flooded and water seeps to other areas of the home unless staff are vigilant. The flooring level to the drain area must improve. The kitchens are modern clean and homely. Lounge areas are comfortable. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 17 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, 33, 34 & 35 Staffing numbers are appropriate to the assessed needs of the residents, size, layout and purpose of the home, at all times. Service users are cared for by experienced and appropriately trained staff. Recruitment arrangements must be robust. EVIDENCE: The home maintains the level of staffing in accordance with previous agreements with the local authority and this reflects the size and layout of the building and the needs of the residents currently living in the home. The current levels of staffing are 11am to 2pm 2 staff 2pm to 11pm 2 staff 11pm to 7am 1 or 2 sleeping over/or on waking night duty in the home Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 18 Staff files have training certificates and refresher training is being dealt with. Over 50 of the staff have obtained a relevant care based qualification, which exceeds the standard. Staff personnel files were not available so basic record required and recruitment standards could not be fully examined. However staff are able to describe in detail the checks, which are made. Two references are required, one from the last employer. Criminal Record Bureau and POVA checks are obtained. Staff are required to make declarations regarding any criminal convictions and health. Due to the confidential nature of the records and which only the Manager has access to documents were not accessible at this inspection. Staff on duty were skilled, experienced and demonstrated a respect for the service users and promoting good quality outcomes for the people they care for. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 19 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): 39 & 42 Quality assurance systems ensure that service users receive the service they need and want. Systems are in place to protect service users from health and safety hazards but some areas require attention. EVIDENCE: Quality assurance systems are in place in the home. One of the staff team members is the Quality Assurance lead and has co-ordinated a recent in-depth consultation process. This consultation has involved service users and families who use the service at Bamburgh Crescent. Results and action plans have been shared with all concerned via a newsletter, report and letters. The home has identified areas, which they do well, and areas, which need to develop. The Quality Assurance Report will now act as the homes development plan. Within the Local Authority quality checks are in place and a Best Value Review is underway. A check of the health and safety checks was undertaken. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 20 Staff receive fire instruction but staff names are not recorded. The last Fire Safety Officers visit was 12/09/05. A Fire Risk Assessment was completed 14/06/05. Appropriate checks are in place for emergency lights (weekly), fire extinguishers (monthly), fire alarm (weekly) and the fire blanket (monthly). An Environmental Health Officer report 01/11/05 requires that high-risk food (joints of meat) are probed and temperatures recorded. A probe has been purchased but to date no recordings have been made despite high-risk food being prepared. An Electrical Portable Appliance test was completed and passed 08/08/05. The last Chlorination test was completed 26/09/03. A Gas Safety certificate is in place 17/05/05. The Electrical Wiring certificate is dated 25/01/05. Moving and handling equipment was serviced in June 2005 and December 2005. An asbestos assessment was completed March 2004. The home has a repair log in place. The following records were not in place at the time of the inspection. - Servicing Certificates of the following must be available for inspection. 1. Fire Alarm System 2. Emergency Lights 3. Fire Extinguishers 4. Water Chlorination Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 21 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 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 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X 2 3 LIFESTYLES Standard No Score 11 X 12 N/A 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bamburgh Crescent, 10 Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 4 X X 2 X DS0000033083.V269637.R01.S.doc Version 5.0 Page 22 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. Standard 1. YA32 Regulation 18 Requirement Ensure that staff receive refresher training in the following areas: health and safety; manual handling; Fire Safety. The following areas must be addressed in relation to the premises: 1. Provide an external light to the rear of the property. 2. Provide a gate by the refuse containers. 3. Improve the water pressure /flow to the single unit bath. 4. Improve both shower flooring levels so that wastewater flows towards Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 23 Timescale for action 01/02/06 2 YA29YA27YA42YA24 13(4)(5) 23(2) 31/01/06 the drain instead of flooding other areas of the bathroom and home. 5. Repair/replace bath in 3-bed unit. 6. Repair/replace shower chair in 3-bed unit. 7. Provide thermometers in both bathrooms to test the hot water temperature each time a person bathes/showe rs and record. 3 YA42 23(2)(b) Servicing Certificates of the following must be available for inspection. 5. Fire Alarm System 6. Emergency Lights 7. Fire Extinguishers 8. Water Chlorination Staff names must be recorded for fire instruction. Probing of high risk foods must commence as required by Environmental Health Officer November 2005 Version 5.0 31/03/06 4 YA42 16(2)(j) 20/12/05 Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Page 24 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 2. Refer to Standard YA20 YA10 YA34 Good Practice Recommendations Ensure that service users medication administration records contain an identification photograph. Review the practice of recording service users confidential information in the Staff Handover Book Ensure that staff files held in the Home contains a copy of the persons last Personal Development Review. Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 25 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 Bamburgh Crescent, 10 DS0000033083.V269637.R01.S.doc Version 5.0 Page 26 - 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. 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