Inspection on 26/05/05 for Bamburgh Crescent, 10

This inspection was carried out on 26th May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bamburgh Crescent, 10 11/09/06

Bamburgh Crescent, 10 20/12/05

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 10 Bamburgh Crescent Shiremoor Newcastle upon Tyne Tyne & Wear NE27 0NX Lead Inspector Glynis Gaffney Announced 26, 29 and 31 May 2005 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. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 10 Bamburgh Crescent Address Shiremoor Newcastle upon Tyne NE27 0NX 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) 0191 200 8181 0191 200 8625 Christine.Browell@northtyneside.gov.uk North Tyneside Council Mrs Christine Browell CRH 6 Category(ies) of LD Learning disability (6) registration, with number of places 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21 December 2004 Brief Description of the Service: Bamburgh Crescent is set in a residential street in the Shiremoor area of North Tyneside. It is a 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, with the exception of the rear garden which is in a very poor condition. 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. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced, took place over 10 hours inspector. A tour of the premises was undertaken, and records was inspected, as were a selection of other records. on duty and three residents were spoken to. The Home’s interviewed. and involved one a sample of care Three of the staff Manager was also As part of the inspection, service users were asked to comment upon the quality of care provided at the Home. Please find their comments detailed below: • • • • • • • • • 3 persons stated that they liked living at the Home. One person said that they liked living there some of the time; 4 persons stated that they felt well cared for; 4 persons felt that they were treated well; 4 persons felt that their privacy was respected; 2 persons stated that they would like to be more involved in the Home’s decision-making process. Two persons stated that they would like to be more involved in decision-making some of the time; 4 persons felt that the Home provided suitable activities; 3 persons commented that they liked the food. One person said that they liked the food some of the time; 6 persons commented that they felt safe at the Home; 6 persons stated that they knew whom to contact if they were unhappy with their care. Service users’ relatives were also asked to comment upon the quality of care provided at the Home. Please find their comments detailed below: • • • • • • • • 7 persons commented that both the Home’s owners and members of staff made them feel welcome in the Home; 5 persons commented that their relatives and friends were made to feel welcome. Two people did not respond to this question; 7 persons commented that they were kept informed of important matters affecting their relative and friends; 7 persons commented that they were consulted about the care provided to their relatives/friends; 7 persons commented that the Home had sufficient numbers of staff on duty; 7 persons commented that they had been made aware of the Home’s Complaints Procedure; 7 persons confirmed that they had not made a complaint; 6 persons commented that they had been provided with access to a copy of the Home’s inspection report. One person stated that they had not; B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 6 10 Bamburgh Crescent • 7 persons stated that they were satisfied with the overall quality of care provided at the Home. One carer in particular said: ‘I can leave my son at Bamburgh Crescent and go away or stay at home and never worry about the care he receives. He comes home refreshed, happy and clean as if he has had a great holiday. The staff are friendly and will help in any crisis.’ What the service does well: What has improved since the last inspection? What they could do better: The Home has only been open for a short period of time and the numbers of people using the Service has begun to grow. In line with this growth, the Home’s Key Worker System needs to be developed with the full involvement of staff and people using the Service. The Home’s garden is not fit for purpose and needs to be made safe and accessible. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 7 The Manager would like to move ahead with publishing service users’ views of the Home. The Manager would like to produce a quality assurance report within the next 12 months which will act as the Home’s development plan. To develop the way in which the Home assesses the risks posed to service users during their stays at Bamburgh Crescent. Plans of care completed by the Home should be made available in a format and language which can be understood by service users, wherever possible. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3. Service users are only admitted into the Home on the basis of a full Care Management assessment of need. Residents’ care records contained the required documentation. The Home’s Manager and her staff team were able to demonstrate that they had the skills and knowledge required to meet the needs of the service users admitted into the Home. EVIDENCE: Care Management assessment and care plan information was available in each service user’s care records. A member of staff was able to describe how he met service users’ individual, and sometimes very complex, care needs. Another carer said that he had the skills and knowledge required to care for such people. This person also said that staff were able to access specialist advice from medical practitioners and community nursing staff when required. Although the Home had not yet provided a placement to a person with a different cultural background, the Manager was clear about how she would access specialist advice if this was considered necessary. For example: North Tyneside Council are able to provide staff with access to translation services. The Inspector observed staff communicating with service users in a way which used each persons’ strengths and abilities. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 10 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, 7, 9 and 10. A clear and consistent care planning system was in place and provided staff with the information they needed to satisfactorily meet residents’ needs. Service users are supported to make decisions about their lives with the assistance of staff. Service users are supported to take risks as part of an independent lifestyle. Staff respect information given by service users and their families and treat it in a confidential manner. EVIDENCE: The information held in service users’ care records, including the individual plan of care, is based on the Care Management assessment and care plan. Individual plans of care were in place for each person and covered all aspects of health, personal and social care with one exception: plans of care were not in place addressing service users’ needs for assistance with medication. However, risk assessments and plans of care will be put in place where service users have expressed a wish to self-medicate. One service user was aware that staff wrote things down about him during his stay, but he could not recall 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 11 having seen anything. However, his plan of care had been read and signed by a family member. The Home cares for a number of individuals who need 1 to 1 care and support. These service users may display behaviours which require staff to plan strategies for working with them. Such strategies were in place and had been agreed with other professionals. There are occasions when the 1 to 1 unit is secured by way of a keypad to enable staff to safely care for the person staying there. The use of the keypad will be based on individual guidelines drawn up with each person and their families. The plans of care examined were not in a format and language which could be understood by all service users. Service users’ plans of care set out what each person is able to do for themselves and what assistance is required from staff. The plans are usually built around the decisions that each service user is able to make. Where a service user is unable to make decisions, staff consult with their carers about how best to provide care. One service user said that staff encouraged him to make choices and decisions in the following areas: when to have a shower; what to eat; where to spend his time and with whom. Staff interviewed spoke of the importance of finding the best way of communicating with each service user. A carer said that this allowed staff to encourage each service user to make decisions about matters affecting their daily lives, no matter how small. A carer told the Inspector that the Home’s key worker system needed to develop further as the numbers of people using the Service grew. He was however able to confidently describe the role of a key worker and the benefits it brought to the way he worked with service users. The Manager confirmed that the Home receives satisfactory risk assessment information prior to a service user’s first stay at Bamburgh Crescent. Mrs Browell said that the Home would then complete its own in-house risk assessments taking account of the information supplied to them by other professionals. For example: where it is identified that a service user might require assistance with transfers, a manual handling risk assessment is undertaken by the Occupational Therapy Service and the information made available to the Home. The Manager confirmed that a new risk assessment format has been introduced and staff have been provided with training. Service users’ care records were securely stored. The care records examined were accurate and up to date. Staff were clear about the importance of handling information relating to service users in a confidential manner. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 12 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) 13, 15, 16 and 17. Standard 12 is not applicable given the purpose of the Home. Opportunities to join in everyday community activities are provided. Service users are offered a healthy diet which takes account of personal likes, dislikes and special dietary needs. Service users enjoy the meals served at the Home. Although service users are encouraged to form relationships with staff and other people staying at the Home, the right to privacy is recognised and respected. EVIDENCE: A service user said that during his stay at the Home, staff had assisted him to: visit the cinema in Newcastle; enjoy a meal at a local pub; walk along the sea front. A member of staff that over the years, the staff team had acquired a lot of knowledge about events and activities taking place within the local community. The Inspector was told that the Home has built up a good relationship with its local neighbours. Staff are prepared to be flexible and 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 13 work shifts which are built around the needs and interests of service users visiting the Home in any given week. Service users are supported and encouraged to build relationships, wherever possible, with other people visiting the Home. A member of staff told the Inspector that whilst every effort is made to plan service users’ stays, taking account of individual preferences and wishes, there are times when people visiting the Home do not get on with each other. The Inspector was advised that in such situations, staff would try to ensure that everyone had opportunities to ‘be alone’, whilst also encouraging service users to be tolerant of each other. A service user commented that it was his choice about who he made friends with. He also said that he had been told that he could see any friends or visitors in the privacy of his own bedroom. One service user said that staff respected his privacy and always knocked on his bedroom door before entering. This person also said that staff always addressed him in a polite and respectful manner. Service users are offered the opportunity to hold the key to their bedroom door where appropriate. Although service users are able to lock their bedroom door, staff can still gain access in the event of an emergency. Opportunities are available for service users to join in everyday household chores. One person said that he was encouraged to ‘do as much as he could.’ Throughout the inspection, staff were seen to talk with service users, rather than between themselves. A Diet and Nutrition Policy was available and set out how the Home ensures that service users receive a good diet when staying at Bamburgh Crescent. A member of staff demonstrated a good understanding of the dietary requirements and personal likes and dislikes of the service user with whom he was working. Prior to a service user’s first stay at Bamburgh Crescent, a member of staff visits the person in their own home, to find out about what assistance is required with eating and drinking. A service user confirmed that staff had asked him what he wanted to eat during his stay at the Home. He also commented that the chicken sandwich he had had for his Sunday lunch was ‘really beautiful’. Each week’s menu is built around service users’ individual preferences and on what information has been obtained from their carers, and any other professional working with them. The menu for the week ahead was examined. Although, it set out the main meal choice for each day, there was no record of the food and beverages served at the breakfast, tea and supper-time meals. Care records examined contained plans of care related to dietary care needs and the support required at meal times. Both kitchens were visited and found to be clean, tidy and hygienic. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 14 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) 18, 19 and 20. Staff provided personal support in such a way as to promote and protect service users’ privacy, dignity and independence. The systems in place to support the safe administration, storage and disposal of medication were considered satisfactory and promoted residents’ good health. EVIDENCE: A service user told the Inspector that he was provided with personal care within the privacy of his bedroom. This person was able to describe the ways in which staff helped him and confirmed that he was: • • • • Not rushed; Always asked about how things should be done with him; Happy with the way in which staff supported him; Glad that male staff were there to help him. Personal care guidelines had been prepared for another service user setting out how his needs were to be met and covered areas such as - bathing and night-time routines. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 15 A Medication Policy was available. Individual guidelines were in place to ensure that emergency medication is properly administered. It is the Home’s practice to obtain consent from service users, or their carers, to confirm that it is acceptable for staff to administer their medication. One service user’s medication records were examined and these were satisfactorily completed. The record did not contain an identification photo. A detailed record of medicines received into the Home was in place. A secure facility was available to ensure that medicines were safely locked away. There were no service users administering their own medication or taking controlled drugs at the time of the inspection. All staff had received accredited training in the handling of medicines, including the giving of emergency medication. Hand wash facilities were available in the medication room. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 16 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) Standards 22 and 23 were not assessed on this occasion. EVIDENCE: 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 17 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 The Home’s garden areas were not fit to be used by service users and could place them at risk of potential harm or injury. EVIDENCE: A tour of the garden areas was undertaken and a number of health and safety concerns were identified. Some of those concerns are detailed below: • • • • Pathways around the building are very uneven and could cause service users to trip and fall; The front gate had come away from one of its hinges; A handrail on a ramp leading from the rear of the building into the garden had partially rotted away and was loose; The cover on the utility meter was broken and had been tied closed using sellotape and string. An ‘Immediate Requirement Notice’ was served requiring North Tyneside Council to resolve the concerns identified. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 18 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, 32, 33 and 34. Staff were clear about their own and each others’ roles and responsibilities. Staff generally have the skills, competencies and qualities to meet service users’ needs, although the arrangements to provide staff with refresher training were not satisfactory. The Home has sufficient numbers of staff on duty to meet residents’ assessed needs. Service users are supported and protected by the Council’s recruitment policy and practices, although some of the required information was not available in the Home’s staff files. EVIDENCE: Staff interviewed were clear about, and supported, the main aims of the Home. They were able to demonstrate their knowledge of key policies and procedures. Staff spoke about how they spent time with service users relaxing and getting to know them and their background and personal interests. One carer commented that the staff team did not have enough female carers to be able to offer gender appropriate care, without on some occasions, having to move staff around on shift. However, the Manager has just appointed another female carer which she hopes will rectify this problem. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 19 A rota was in place showing which staff were on duty. However, the roster examined did not include staffs’ full names and job titles. The following minimum staffing levels have been agreed with the Commission: 7am to 11am Two staff 11am to 2pm Two staff 2pm to 11pm Two staff 11pm to 7am 1/2 staff sleeping over/or on waking night duty in the Home Extra staff are sometimes rostered on duty to enable service users to take part in leisure pursuits and to provide care and support to those with complex care needs who require 1 to 1 staffing. Mrs Browell said she aims to always roster two staff on duty throughout the working day, although this level may be reduced, or increased, depending on the needs of the service users accommodated. In addition, where there are no service users in the Home, staffing may be reduced to one carer only. The Manager uses her hours to: • • • • Carry out required management tasks; Cover shortfalls in the rota; Relieve sleep-in staff who have experienced disturbances during the night-time period; Work a shift where a female carer is not on duty. The Home’s Manager also undertakes on-call duty to support other learning disability services. This is currently unpaid. Staff felt that they had, or were in the process of obtaining, relevant vocational qualifications. Over 50 of the care team had obtained a relevant care based qualification. Some of the staff files examined did not contain certificates confirming that staff had received training in all of the required areas. The Manager agreed to rectify this matter following the inspection. Also, some staff needed to update their training in basic food hygiene, manual handling and fire safety. One member of staff had not received training in the protection of vulnerable adults. Some staff personnel records did not contain all of the required information such as copies of references and application forms and evidence of identification. Identification photos were not available in any of the staff files checked. All Staff had received a Personal Development Review during the previous 12 months. Staff interviewed confirmed that it was not always possible to do 1 to 1 uninterrupted work with service users because of staff taking holidays, 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 20 sickness and there not being enough female staff. A carer also said that the Manager had had to honour commitments made by the Service to provide respite care to particular service users. This has resulted in there being some groupings of service users that have made it difficult for staff to meet their individual needs in the best way possible. The Inspector was advised that this situation would shortly resolve itself. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 21 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) 37 Service Users live in a home which is run and managed by a person who is fit to be in charge, is of good character and able to discharge her responsibilities fully. The Manager provides consistent leadership, guidance and direction to staff and ensures that service users receive good quality care. Staff morale was high. EVIDENCE: A Registered Manager was in post. Mrs Browell is a qualified social worker and has obtained the relevant management qualification. She has worked with children and adults who have learning disabilities over the past ten years and has considerable experience working with individuals who have complex care needs. Mrs Browell has worked as the Manager of the Home for over five years. Staff were clear about who they reported to on their shift. Staff interviewed told the Inspector that the Manager had made it clear to them the standards of care that they were expected to work to. One carer was 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 22 able to clearly describe the purpose, aims and objectives of the Home. Staff felt that they knew what was going on within the Home and felt able to raise any matters of concern with their Manager. Staff had been issued with a copy of the General Social Care Council Code of Conduct. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x 2 x Standard No 10 Bamburgh Crescent Standard No 31 32 Score 3 3 Version 1.20 Page 23 B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc 11 12 13 14 15 16 17 x x 3 x 3 3 3 33 34 35 36 3 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 32 Regulation 18 Requirement Timescale for action 01/02/06 2. 34 7, 9 and 19 3. 34 7, 9 and 19 Ensure that staff receive refresher training in the following areas: health and safety; manual handling; Fire Safety. Ensure that documentary 01/11/05 evidence of any relevant qualifications held by staff is available within the Home for inspection purposes. Ensure that each staff members 01/11/05 file contains the following information and is available within the Home for inspection purposes: an identification photograph; a copy of the persons current passport (if any) and birth certificate; copies of two written references relating to the person; evidence that the person is physically and mentally fit to do their job. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 25 10 Bamburgh Crescent 1. 2. 3. 4. 6 17 20 34 Ensure that plans of care are put in place where staff provide service users with assistance with their medication. Ensure that a record is kept of food served at all main meal times. Ensure that service users medication administration records contain an identification photograph. Ensure that staff files held in the Home contain a copy of the persons last Personal Development Review. 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 26 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 10 Bamburgh Crescent B53-B03 S33083 Bamburgh Crescent 10 V221008 260505 Stage 4.doc Version 1.20 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!