Inspection on 21/02/06 for Benamy House

This inspection was carried out on 21st February 2006.

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

Benamy House 10/02/09

Benamy House 06/02/07

Benamy House 18/10/05

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 21st February 2006 2:30 Benamy House DS0000007588.V266226.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.V266226.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.V266226.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.V266226.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 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.V266226.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 February 2006. All of the residents returned home during the inspection and the inspector talked to them. They were all satisfied with the home . She also met with the parents of two of the residents who were very pleased with the care provided to their sons. They continue to be pleased with the way their sons have developed new skills and independence. What the service does well: What has improved since the last inspection? What they could do better: Mr Smith should complete his NVQ 4 in management which he expects to achieve by this April. Please contact the provider for advice of actions taken in response to this Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Benamy House DS0000007588.V266226.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.V266226.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): These standards were not assessed during this inspection. EVIDENCE: Benamy House DS0000007588.V266226.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): 7 Residents can make choices about their day-to-day lives. EVIDENCE: The recreational and social activities reflect the different choices and interests of different residents. Daily records showed that staff ask a resident, for example, whether they can tidy up in his room. Records also show that residents go to their rooms when they want to and are choosing how they want to spend their time within the home. A more able resident has decided to reduce the number of days he attends day-care, and , though encouraged to socialise, can spend time following his own interests of music etc in his room as he chooses. He confirmed that he could choose whether he wanted to be in his room or whether he wanted to go out with other residents. Benamy House DS0000007588.V266226.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): 16 Staff recognise residents rights to make choices and also encourage them to take responsibility for day-to-day life in the home. EVIDENCE: See also Standard 7 . The home has set up simple systems to make sure that the rights of all residents to make choices are respected: they have a rota so that each resident has a turn in deciding what TV programme or DVD is on in the lounge. Residents can also watch programmes in their own rooms. Residents are expected, within the limits of their abilities, to take responsibility for looking after the home. Although they are supervised to keep them safe, residents have been able to develop their skills in tasks such as preparing meals and clearing up afterwards and was seen to work as a team. Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 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 the following standard(s): 20 The home looks after residents medication safely and enables residents who can, to take medication independently. EVIDENCE: One of the residents is able to order, look after and take his medication by himself, with the home just doing occasional checks with him. For another resident, Staff store his medication securely and he takes his own medication out of a monitored dosage pack which is set up by the pharmacist. These arrangements give residents the benefit of independence but provide enough safeguards to make sure that they are receiving the medication they need. The only other medication handled is occasional antibiotics. The home does the required recording of medication administered. Staff have not had formal external training but in view of the limited use of medication in this home, but it will be enough if the manager makes sure that he gives staff regular refresher training in supervision sessions. Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed during this inspection. EVIDENCE: Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed during this inspection. EVIDENCE: Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 There are enough staff on duty to meet residents needs and the staff have received training they need to look after residents safely. It was not possible to assess whether the home make sure that new staff are suitable to look after residents because no new staff have been recruited for some time. EVIDENCE: Care in this home is provided by Mr and Mrs Smith, with three extra staff. They provide at least one person on duty at all times which seems enough given that some residents are fairly independent in their self-care. They are able to provide a varied and busy lifestyle for residents. Staff have received essential training such as first aid and food hygiene and three of the staff including Mrs Smith have achieved NVQ 2 in care. Two newer staff also completed the LDAF induction training. No new staff have been recruited for a while so it was not possible to look at the homes current practice in making sure they only appoint staff who are suitable and safe to work with residents. However the Smiths have been made aware of current requirements in this area. Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The manager is suitably experienced and qualified to run the home and expects to achieve the recommended management qualification soon. Until now, the Smiths have relied on receiving informal feedback about how the home is meeting their needs from residents and relatives but they now have formats to use to make sure they find out all the information they need to continue to provide a good service. Mr and Mrs Smith take reasonable steps to make sure that the home is a safe place to live and work. EVIDENCE: Mr Smith is a nurse specialising in learning disabilities with many years of experience. He has been running this home for a number of years and has gained a good knowledge of the individual needs of the residents. He has been working towards the recommended qualification for managers and expects to achieve this by April 2006. The Smiths have relied a lot on receiving feedback from relatives who are closely involved with residents care. They are now using their care plans to Benamy House DS0000007588.V266226.R01.S.doc Version 5.0 Page 16 review their success in achieving goals for individual residents and have developed a formal system to check that the care is provided in the home in the way they wish. They have undertaken that they will begin to use this formal checking system. The Smiths have a fire safety system suitable for the scale of the home and carry out checks on this and regular fire drills. The gas services and electrical appliances are checked regularly. Mr Smith has received training in health and safety. The home employs a handyman to make sure that regular maintenance tasks are carried out promptly and he keeps a record of what he has done. Benamy House DS0000007588.V266226.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 X X X X Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Benamy House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 3 x DS0000007588.V266226.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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA37 Good Practice Recommendations The manager should achieve NVQ 4 in management. Benamy House DS0000007588.V266226.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. 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