Inspection on 18/10/05 for Benamy House

This inspection was carried out on 18th October 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 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

Benamy House 10/02/09

Benamy House 06/02/07

Benamy House 21/02/06

Benamy House 08/02/05

Benamy House 25/05/04

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 Benamy House Benamy House 25 Candlish Terrace Seaham Durham SR7 7LG Lead Inspector Ms Kathy Bell Unannounced Inspection 18th October 2005 Benamy House DS0000007588.V257707.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 Benamy House DS0000007588.V257707.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. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Benamy House Address Benamy House 25 Candlish Terrace Seaham Durham SR7 7LG 0191 58113039 0191 5815009 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) Mrs Gail Smith Mr Russell Smith Mr Russell Smith Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: Benamy is owned by Gail and Russell Smith and Mr Smith is the registered manager. The Smiths have described their services as having an extended family approach, with social outings sometimes including the Smiths children. Residents relatives are supported as well if appropriate. The home is registered for adults with learning disabilities, between the ages of 18 and 65 years and four men live there. The premises are a large end terraced house near Seaham town centre. All the bedrooms are single and the home has a dining room and large lounge/activities room. The home is decorated and furnished in a domestic style. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one afternoon in October 2005 and all the residents returned to the home during the course of it. Apart from one complaint, residents were satisfied with the home although some are unable to comment fully. The relatives of two residents also spoke with the inspector during the inspection. They were extremely pleased with the way the Smiths have cared for their sons and increased their independence . What the service does well: The home is good at developing the skills residents need in everyday life, such as looking after their personal care and housework. They have been able to work well with residents parents who say that it has been good for their sons to develop their abilities. The Smiths work in partnership with parents, respecting their knowledge of their children. They also provide some support to elderly parents as part of the extended family of the home which has benefits for residents. Residents enjoy a range of activities, and the Smiths continue to try new things for them, using community facilities most of the time. They have recently been on holiday to places chosen by residents. Benamy House DS0000007588.V257707.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. Benamy House DS0000007588.V257707.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 Benamy House DS0000007588.V257707.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): 2 Residents have only been admitted to the home after their needs have been assessed. It is essential that homes have this information so they can be sure they will be able to meet residents needs. EVIDENCE: All the residents have lived in the home for some time but before their admissions, each had been assessed by a care manager. Benamy House DS0000007588.V257707.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&9 Each resident has a care plan which explains the help they need and how staff are meant to provide that help. These are essential to make sure that each of the residents needs is identified and that staff work consistently with them. As residents gain in independence and carry out more household tasks the risks which follow have been assessed and reasonable judgments made about how to manage the risks. EVIDENCE: Staff keep a care plan for each resident up-to-date. These cover all aspects of daily life and needs. As part of developing independence, for example travelling independently, or developing housework skills, risks are assessed and steps taken to avoid harm coming to residents. These risk assessments have been recorded. However a risk assessment has not been completed yet for leaving a resident unsupervised in the building although his mother has agreed that this is reasonable to do. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 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 and 17 Residents take part in a range of leisure activities, as well as the day placements arranged by care managers in some cases, usually using community facilities. They are able to maintain close relationships with their families. Residents enjoy a varied diet which takes into account individual needs and are involved in the preparation of meals. EVIDENCE: Some residents attend day placements arranged by care managers. Residents who are at home in the daytime have a varied programme of activities, including everyday tasks such as shopping, and trips out. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 11 They continue to try new activities such as an art class and exercise class. They visit local pubs and clubs and recently enjoyed holidays which were chosen to suit each residents interests. Within the home, residents are able to pursue their own interests, for example, drawing materials for one and a guitar for another. Residents parents are full of praise for the way the Smiths involve them in the care of their children and say they feel free to visit at any time. The Smiths also support parents in practical ways and help residents maintain contact with their families. The menus show a varied diet and residents are involved in the preparation of meals. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 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 Care plans provide the information to staff so that residents receive the personal support they need. The Smiths make sure that residents receive the health care they need. EVIDENCE: Care plans include detailed guidance on the personal care needed and the overall aim is to promote independence. Relatives confirmed that residents have gained self care skills and independence. Care plans show that health care needs have been assessed and health advice is obtained when necessary. Regular dental etc checkups are arranged. Parents have confirmed that the Smiths have been successful in managing long-term health problems. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 13 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 Although there is a satisfactory complaints procedure, a resident s dissatisfaction about a particular issue had not been dealt with formally as a complaint. Staff must always take it seriously when a resident is unhappy about their care and follow their complaints procedure. However parents were confident that they could raise any issues with the Smiths. A recent adult protection referral (there was no abuse) showed some lack of understanding of the reasons for the procedures. The Smiths should undertake further training in this area as soon as it is available. EVIDENCE: There is a satisfactory complaints procedure. Residents parents said that they were confident in raising any matters they wished to and that the Smiths were always asking if they were happy. During the inspection a resident made a complaint and discussion with the Smiths showed that he had made the same complaints to them. Although Mr and Mrs Smith later explained that they had discussed his concerns with him and his mother it had not been treated formally as a complaint. While it is correct to deal with concerns at an informal level where possible, using the formal complaints procedure is a way of making sure that a resident knows who else to talk to if he is not satisfied with the response. A recent adult protection referral was made but all concerned were satisfied that no abuse had taken place. However the Smiths showed a lack of understanding of some of the reasons behind the multiagency procedures in this area and must undertake further training as soon as it is available. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 14 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 The home is a comfortable and safe place to live and is decorated and furnished in a domestic style. It appeared clean and hygienic on the day of inspection. EVIDENCE: The home provides a single room for each resident and a dining room and lounge/activities room. It is decorated and furnished in a domestic style and appears to be maintained and kept clean in a satisfactory way. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 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 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): These standards were not assessed during this inspection. EVIDENCE: Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 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 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): These standards were not assessed during this inspection. EVIDENCE: Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 17 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 3 X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Benamy House Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000007588.V257707.R01.S.doc Version 5.0 Page 18 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 YA22 Regulation 22 Requirement Complaints from residents must always be treated as complaints to make sure that they are dealt with thoroughly and so the resident knows what to do next if he is still not satisfied. Mr and Mrs Smith must undertake training in adult protection procedures as soon as this is available. Timescale for action 01/11/05 2 YA23 13 01/06/06 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 YA32 YA37 Good Practice Recommendations 50 of care staff should achieve NVQ 2 by 2005 using LDAF accredited training to provide underpinning knowledge. The manager should achieve NVQ 4 in management by 2005. Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Benamy House DS0000007588.V257707.R01.S.doc Version 5.0 Page 20 - 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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