Inspection on 12/07/05 for Blenheim House

This inspection was carried out on 12th July 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blenheim House 29/05/07

Blenheim House 20/12/05

Blenheim House 20/09/04

Blenheim House 21/04/04

Similar services:

The Highlands

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

St Aiden`s Cottage

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

CARE HOME ADULTS 18-65 Blenheim House Trenchard Avenue Thornaby Stockton-on-Tees TS17 8HJ Lead Inspector Julia Connor Unannounced 12 July 2005 12.10 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. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Blenheim House Address Trenchard Avenue, Thornaby, Stockton-on-Tees. TS17 8HJ 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) 01642 391535 Stockton-on-Tees Borough Council Mrs Angela Mary Rutland Care Home 29 Category(ies) of PD Physical Disability (29) registration, with number of places Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2004 Brief Description of the Service: Blenheim is a purpose built home providing care for 29 younger adults with a physical disability. The home is on ground leveel but there are also two first floor flats, one of which has been converted for use by three Residents. However, on the day of the inspection these flats were not in use. The home is managed by Stockton-on-Tees Borough Council. Each bedroom is a minimum of 10 sq. m. There are three small dining rooms and two communal lounges. The home is close to local shops and amenities. There is a car park at the front of the home. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 12.10 p.m. and concluded at 5.40 p.m. Three Residents, one relative and two members of staff were spoken to during the inspection. What the service does well: One Resident who spoke to the Inspector stated that he could not ask for anything better. He stated that the staff was very nice and the food was good and he just had to ask if he wanted anything different to eat. He stated that he had a TV and CD in his bedroom and also liked to read in his bedroom. He went onto say that he was looking forward to his holiday as he was going to Blackpool next week. The second Resident who spoke to the inspector stated that she had been at the home for about a year and was happy. She stated that she had been nervous when she first entered the home but soon settled and that the staff encouraged her to be as independent as possible. She went onto say that she enjoyed painting and using the home’s computer and was looking forward to her holiday in Blackpool in August. She went onto say that her bedroom had been decorated as she wanted it, that the home was well run and that if she had any concerns she would speak to a member of staff. The third Resident who spoke to the Inspector stated that she was happy at the home and enjoyed going to her day centre where she had many friends. She stated that she liked to close her bedroom door and be on he own to do what she wanted and the staff respected her wishes. She stated that she had a computer in her bedroom which she enjoyed using and she also liked to sew. She stated that she liked to take her time attending to her hygiene and dressing and the staff encouraged her, telling her to take her time and not to dash. She went onto say that when she had been ill recently the staff had looked after her well. She stated that if she had any concerns she would speak to her key worker or another member of staff. The visitor who spoke to the Inspector stated that all of the staff at the home was very friendly and she could not wish for a better place for her relative, who got well looked after. She stated that the staff always let her know what was happening in regards to her relatives care. She stated that she had never had to make a complaint but if she did she was confident that it would be treated seriously and that action would be taken. She went onto say that she often had a meal with her relative and found the food very good and that a choice was always available. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 6 She stated that she knew that when she was at home her relative was being well cared for in the home as the staff went out of their way to be helpful. The Manager informed the Inspector that the home had just been given £1000.00 from Barclaycard Making a Difference and the money would be used to buy the Residents another computer. 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. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 1 and 5 Residents have the information they need to make an informed choice about where to live. The Residents contract is not comprehensive enough. EVIDENCE: The Manager has produced an additional document to supplement the welcome pack that is already available to the Residents. If these two documents are read in conjunction with the Statement of Purpose prospective Residents have the information they require to make an informed choice about where they wish to live. The contracts that the Residents are given do not cover all of the requirements listed in standard 5.2 of the National Minimum Standards for Adults (18-65). Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9. Residents know that their changing needs and personal goals are reflected in their individual plan and they are encouraged to make decisions about their lives, which includes taking risks. EVIDENCE: Three Residents files were audited and contained an adequate amount of information. It would be beneficial if the files were more structured as they are currently quite disorganised, e.g. the Residents care profile is at the front of the folder yet the summary for this document is at the end of the folder. It was evident from talking to the Residents that they were encouraged to make their own decisions about their life style, which included taking risks. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13 and 16. Residents have opportunity for personal development and are able to take part in appropriate activities in the home and the local community. The Residents rights are respected. EVIDENCE: Discussion with the Residents confirmed that they had opportunities for personal development. Two Residents spoke about their interest in computers, one Resident stated that she had her own computer in her bedroom and another Resident stated that she accessed the homes computer. Two of the Residents stated that they accessed the local facilities when they choose to. One Resident stated that he had enjoyed going into Thornaby to shop. The curbs to Thornaby and the local pub have all been made accessible to wheelchair users. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 11 It was evident following discussion with Residents and staff that the Residents rights were respected and they were encouraged to make their own decisions. One Resident stated that she enjoyed her own company and often stayed in her bedroom and the staff respected her decision. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 Residents receive personal support in the way they prefer and their physical and emotional needs are met. EVIDENCE: The Residents who spoke to the Inspector were happy with the personal support they received from the staff. One Resident stated that she liked to take her time when attending to her personal hygiene and dressing, she stated that her key worker told her to take her time and not to dash. This Resident went onto say that when she had been unwell recently the staff had cared for her well and got her Doctor to visit her at the home, she stated that normally she would go to the Doctors surgery. There was evidence in the Residents notes that staff offered support to the Residents at a level that was acceptable. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 22 Residents feel that their views are listened to and acted upon. EVIDENCE: The Residents and visitor who spoke to the Inspector stated that they had never made a complaint but were confident that if they did so they would be listened to and the appropriate action taken. There is a policy and procedure for the staff to follow should they receive a complaint. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 29 and 30 Residents live in a homely, comfortable and safe environment, which is clean and hygienic. Bedrooms meet the Residents needs and promote independence, specialist equipment is available. EVIDENCE: The home is well decorated and the Residents and visitor who spoke to the Inspector expressed their satisfaction with the décor in the communal areas and their own bedrooms. One Resident stated that she had her bedroom just as she wanted it. Another Resident stated that his bedroom was pleasant and comfortable and he liked to stay in his bedroom to watch his TV and listen to music on his CD. A third Resident stated that she liked her own company and stayed in her bedroom as she had her computer and liked to sew in peace and quiet. Bedrooms are large enough for Residents who use a wheelchair. Bathrooms and showers are of a good size and have an overhead hoist to give every Resident the ability to have a bath or shower. On the day of the inspection the home was clean and odour free. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36 Residents are not supported and protected by the homes recruitment practices. Training is not up to standard. The management of the home supervises staff. EVIDENCE: Four staff files were audited and none contained the required information as stipulated in Schedule 2 of the Care Home Regulations 2001; for example one file did not have a criminal records bureau check (CRB) another file did have a CRB but it was a standard check not an enhanced check. One file had only one reference instead of two. Eye infections and diseases, cultural awareness and medication training was the only training that the Inspector could evidence as having taken place. The Manager stated that a training plan was currently being developed. The Inspector discussed with the Manager the possibility of having a training file with a sheet for every member of staff. The Inspector also suggested that the staff sign this sheet to confirm they attended the training. Supervision takes place on a regular basis; this was evidenced in the staff files and confirmed by the staff that spoke to the Inspector. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 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, 41 and 42 Resident’s benefit from a well run home. The homes record keeping does not safeguard the Residents rights and best interests. EVIDENCE: The Manager has the required experience and qualifications to ensure that the needs of the Residents are met. The Residents, visitor and staff spoke well of the manager. The home must further develop the Residents contracts as outlined in Standard 5.2. Staff files must contain the required information as stipulated in Schedule 2 of the Care Home Regulations 2001. The Manager must ensure that appropriate training is given to the staff. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 3 x x x 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blenheim House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x 2 2 x B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 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 YA24 Regulation 23 Requirement The two external doors to the ‘Quadrangle’ have flaking paint. These must be re-decorated. THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. The fascia boards have flaking paint and must be re-decorated. THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. The Registered Provider must ensure that staff records as required by Schedule 2 of the Care Homes regulations 2001, are fully up to date. THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. The Registered Manager must demonstrate that all staff receive the necessary training. THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. Timescale for action 31st August 2005 2. YA24 23 31st August 2005 3. YA34 & YA41 19 31st August 2005 4. YA42 13 31st Oct 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 19 No. 1. Refer to Standard 6 Good Practice Recommendations The care files would benefit form being more organised. Blenheim House B51-B01 SN38025 BlenheimHouse VN237537 120705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit 1 - Advance St Marks Court Teesdale Stockton-on-Tees. TS17 6QX 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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