CARE HOME ADULTS 18-65
Blenheim House Trenchard Avenue Thornaby Stockton-on-Tees TS17 8HJ Lead Inspector
Julia Connor Unannounced Inspection 20th December 2005 11:55 Blenheim House DS0000038025.V258822.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 Blenheim House DS0000038025.V258822.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. Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Blenheim House Address Trenchard Avenue Thornaby Stockton-on-Tees TS17 8HJ 01642 391535 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) Stockton-on-Tees Borough Council Mrs Angela Mary Rutland Care Home 29 Category(ies) of Physical disability (29) registration, with number of places Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Four named individuals who are over the age category are able to reside at the home for as long as regular reviewed assessment determines their needs can continue to be met by the service. 12th July 2005 Date of last inspection 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. 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 three communal lounges. The home is close to local shops and amenities. There is a car park at the front of the home. Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection commenced at 11.55 am and concluded at 2.40 pm. Two Residents and two members of staff were spoken to during the inspection. 13 Residents’ and 4 relatives’ returned comment cards. What the service does well: What has improved since the last inspection?
The external doors to the quadrangle and the fascia boards have been redecorated. Personnel files now meet the requirements stipulated in schedule 2 of the Care Homes Regulations 2001. The registered manager now ensures that the staff receives training appropriate to their needs. Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 6 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 DS0000038025.V258822.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 Blenheim House DS0000038025.V258822.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’ are admitted to the home following an assessment which they have been involved in. EVIDENCE: Three Residents’ files were audit and all contained assessment documents; with evidence that the Resident had been involved in his/her assessment. Blenheim House DS0000038025.V258822.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): Standards 6 –10 were not assessed during this inspection. EVIDENCE: Blenheim House DS0000038025.V258822.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): 15 and 17. Residents’ are able to have personal relationships. Residents’ are offered a healthy diet, which they enjoy. EVIDENCE: Residents’ engage in personal relationships if they so choose. One Resident stated that he had made new friends whilst living in the home. Another Residents stated that her friends visited her at Blenheim but she had also made new friends since moving into the home. One Resident informed the Inspector that the ‘food was too good’; the other Resident stated that it was alright. Both Residents’ stated that an alternative meal was available if required. The Residents’ who returned the comment cards agreed that the food was good. Blenheim House DS0000038025.V258822.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 Residents’ retain, administer and control their own medication where appropriate. There are policies and procedures for dealing with medication. EVIDENCE: There is a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Risk assessments are in place for those Residents’ who wish to administer their own medication. The Senior Officer administers medication to those Residents’ who do not wish to self medicate or are unable to do so. Blenheim House DS0000038025.V258822.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): 23 The home has the Teeswide Protection of Vulnerable Adults Guidance and a Stockton Borough Council Whistle blowing policy. Staff are aware of the action to take should they witness any form of abuse. EVIDENCE: The staff interviewed by the Inspector stated that they had heard of No Secrets and the Protection of Vulnerable and were aware of what action to take should they witness any form of abuse. Residents’ who spoke to the Inspector stated that the were happy living in the home and that if they had any worries or concerns they would speak to their Key Worker or the Manager. Blenheim House DS0000038025.V258822.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): Standards 24 –30 were not assessed during this inspection. EVIDENCE: Blenheim House DS0000038025.V258822.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): 34 and 35 Residents’ are supported and protected by the homes recruitment practices. The staff have received training to carry out their role at the home. EVIDENCE: Personnel files now contain the required information as stipulated in Schedule 2 of the Care Home Regulations 2001. There was evidence that the staff received training to keep them up to date with current care practises. Blenheim House DS0000038025.V258822.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): Standards 37 – 43 were not assessed during this inspection. EVIDENCE: Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 16 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 X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 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 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Blenheim House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000038025.V258822.R01.S.doc Version 5.0 Page 17 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. 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. Refer to Standard Good Practice Recommendations Blenheim House DS0000038025.V258822.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Tees Valley Area Office 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
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