Inspection on 11/01/06 for Berrishill Grove, 26

This inspection was carried out on 11th January 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Berrishill Grove, 26 02/10/08

Berrishill Grove, 26 29/06/07

Berrishill Grove, 26 30/10/06

Berrishill Grove, 26 23/05/05

Berrishill Grove, 26 07/01/05

Berrishill Grove, 26 29/09/04

Berrishill Grove, 26 04/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Berrishill Grove, 26 26 Berrishill Grove Red House Farm Whitley Bay Tyne And Wear NE25 9XU Lead Inspector Bill Middlemist Unannounced Inspection 10:30 11 January 2006 Berrishill Grove, 26 DS0000000367.V250089.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 Berrishill Grove, 26 DS0000000367.V250089.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. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Berrishill Grove, 26 Address 26 Berrishill Grove Red House Farm Whitley Bay Tyne And Wear NE25 9XU 0191 2537212 0191 253 7212 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) Northgate & Prudhoe NHS Trust Karen Anne Wilkinson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation with board and care is provided at any one time shall not exceed 4 men or women 23rd May 2005 Date of last inspection Brief Description of the Service: 26 Berrishill Grove provides residential care for four adults with a learning disability. Nursing care is not provided. The home is a modern, spacious bungalow on a quiet housing estate in Monkseaton. There are good road and transport links and the house is close to local shops and amenities. Each resident has a single bedroom and there is a bathroom and toilets. The house has a good sized garden at the rear and an area for parking to the front. Berrishill Grove is part of Northgate and Prudhoe NHS Trust. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted for 2 hours. The main part of this inspection was to assess how well the people who live here are cared for and supported. Shared parts of the home such as the kitchen and bathrooms were inspected. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Standard 2 is not currently applicable to this home. EVIDENCE: Berrishill was developed specifically for the people who currently live there and is unlikely to have any vacancies in the near future. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Each person has a service user plan that reflects their needs and individuality. EVIDENCE: 2 service user plans were inspected: the plans are detailed and there is a focus on each person’s individual needs, including how independence will be encouraged and promoted. The plans are linked to risk assessment and risk management plans to balance safety with promoting inclusion and choices. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 17 Each person takes part in activities that suits them. Mealtimes offer a healthy and varied diet. EVIDENCE: Each person has an activities programme that offers them the opportunity to be part of the local and wider community. Some people follow predictable routines in line with their assessed needs and preferences. There was some evidence that limited staffing levels at some weekends may reduce the choices and opportunities available during the week – see standard 33: this must be reviewed. The home’s menus are varied and offer a healthy diet: some people require a soft diet and staff are instructed to present this in an attractive way. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 10 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, 20 Each person gets the personal support they require. Each person’s physical healthcare needs are being met. There appropriate systems in place to support each person’s medication needs. EVIDENCE: All personal support is provided in private. There are no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. There was evidence that people are encouraged to choose their own clothes and to take care of their appearance. People’s healthcare needs are met through the home’s systems making sure that they get to the right kind of help at the time that they need it. The home is very good at monitoring people’s conditions and making referrals to specialists before potential complications develop. Each person is reliant on care staff to administer medication in line with the home’s medication policy and procedure. Records were examined and a spot check made on a limited number medications: all those inspected were in order. There was evidence that staff have received the right training in order to deal with medication. All medication was stored in line with pharmacy guidelines. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 11 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 assessed and met at the previous inspection. EVIDENCE: Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 12 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, 30 Each person is living in a homely and comfortable environment that is clean and hygienic. Bathrooms are not meeting all people’s needs. EVIDENCE: Berrishill provides a accommodation in line with “an ordinary home in the community: it is not recognisable as a care home. All shared rooms are spacious and attractively decorated and furnished. Outside there are well kept gardens. 2 people who live here prefer to have a bath but are experiencing changing mobility needs, and the current bath is not suitable or safe according to staff. The home must consider providing bathing facilities, following an assessment by an Occupational Therapist that reduce risks to people and staff members. Everywhere that was inspected was clean and hygienic. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 13 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): 33, 35 The staff team at Berrishill are effective but staffing levels need to be reviewed. Each person benefits from an appropriately trained staff team. EVIDENCE: Staffing levels through the week are suitable for the current needs of each person who lives here: at weekends there are times when staffing levels are low and could be limiting choices as some people now require a staff ratio of 2:1. Staffing levels must be reviewed to ensure that people are offered choices and inclusion. The staff team are well trained and have an on going programme of training. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 14 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): 41, 42 The health, safety and welfare is promoted. EVIDENCE: All records that were inspected were in order, however, correction fluid should be used on those records required by regulations. All matters relating to health and safety that were inspected were satisfactory. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 15 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 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 2 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Berrishill Grove, 26 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000000367.V250089.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No 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 YA27 Regulation 23 Requirement Staffing levels at weekends must be reviewed. The bathing needs of at least 2 people must be reassessed. Staffing levels at weekends must be reviewed. Timescale for action 28/02/06 2 YA33 18 31/01/06 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 Refer to Standard YA41 Good Practice Recommendations Correction fluid should not be used on care documents. Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 17 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 Berrishill Grove, 26 DS0000000367.V250089.R01.S.doc Version 5.0 Page 18 - 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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