Inspection on 27/01/06 for Blyth Star Enterprises

This inspection was carried out on 27th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blyth Star Enterprises 09/10/08

Blyth Star Enterprises 29/05/07

Blyth Star Enterprises 27/06/05

Blyth Star Enterprises 28/02/05

Blyth Star Enterprises 30/09/04

Blyth Star Enterprises 17/02/04

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

CARE HOME ADULTS 18-65 Blyth Star Enterprises 78 Middleton Street Blyth Northumberland NE24 4AB Lead Inspector Karena M Reed Unannounced Inspection 27th January 2006 3:30pm Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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 Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blyth Star Enterprises Address 78 Middleton Street Blyth Northumberland NE24 4AB 01670-360122 01670-352988 blythstar@btconnect.com 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) Blyth Star Enterprises Limited Mr B D Lyden Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Blyth Star is a home registered to provide personal care and support to seven adults with mental health problems, past or present. Nursing care is not provided. The home operates from a large detached house with front garden in a residential area in the centre of Blyth, it is in close proximity of the town and all its amenities and is well served by public transport systems. The resource is rehabilitative and prepares people for independent living. It also provides an outreach service supporting people who may be living independently within the community but who may require a level of support. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was not announced and involved a partial tour of the premises and time was spent with five service users. What the service does well: What has improved since the last inspection? What they could do better: Systems need to be introduced to ensure that immediate requirements made at inspections are actioned immediately by the provider in order to ensure the health and safety of service users and staff. To repair the bath panel. To repair the lose lavatory seat, Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 6 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. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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 Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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 at this inspection. EVIDENCE: Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): 15,17 Service users have appropriate personal ,family and sexual relationships. Service users are offered a healthy diet and enjoy their meals and meal times. EVIDENCE: Service users spoken to confirmed that they are involved in the running of the home and involved in making decisions about their lives. Staff support service users to maintain contact with family and friends if they wish . Some service users went home over the Christmas holiday period whilst other service users who remained at the home said they enjoyed a variety of parties and entertainment. Conversation with service users showed staff support residents to acquire skills and become more self sufficient in aspects of every day living. Service users all pursue their own individual hobbies and interests eg yoga, bowling, rugby, football, cycling, keep fit, literacy, aromatherapy, head massage etc. Service users take turns to cook the evening meal once a week for all the service users. They select a menu and will shop for the ingredients and prepare and cook the meal with the assistance of staff as necessary. At the time of inspection baked potatoes, quiche and baked beans and bananas and custard was being prepared for the evening meal. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): 22 EVIDENCE: Service users meetings take place weekly and service users stated they would raise any issues of concern at the meeting or discuss a matter privately with the manager or a member of staff. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): 24,25,26,27,28,29,30 The home is becoming better maintained. Some of the living areas are small and is it good to know efforts are being made to find more suitable premises, although the premises currently are ideally located for the town centre and other local facilities. There is a good standard of hygiene. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. On the whole the home is well maintained however some maintenance issues remain outstanding from the previous inspection and these should be addressed. A lavatory seat in the upstairs lavatory was lose. The bath panel from the upstairs bathroom needs to be replaced. The water pressure requires adjusting. The temperature to the upstairs bathroom was cold , no heating being evident and windows opened. There is one lounge and a dining room which is also used as a lounge. Service users bedrooms were basically furnished and personalized with their own belongings. Service users are supported by staff to be responsible for the cleaning of the home and the upkeep of their bedrooms. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 14 Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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 at this inspection. EVIDENCE: Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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): 42 The health, welfare and safety of service users are promoted and protected. EVIDENCE: There are sound systems in place to ensure the welfare and safety of service users. Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x x x x x x 3 x Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 18 YES 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. 2. Standard YA42 YA42 Regulation 13(4)a 13(4)c Requirement To ensure the bathroom panel is in place at all times. To repair the lavatory seat that is out of order. Timescale for action 01/03/06 15/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 Page 19 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 Blyth Star Enterprises DS0000000548.V275947.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!