Inspection on 27/06/05 for Blyth Star Enterprises

This inspection was carried out on 27th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 but made no statutory requirements on the home.

Other inspections for this house

Blyth Star Enterprises 09/10/08

Blyth Star Enterprises 29/05/07

Blyth Star Enterprises 27/01/06

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 27th June 2005 9:00 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. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Blyth Star Enterprises Address 78 Middleton Street Blyth Northumberland NE24 4AB 01670 360122 01670 352988 BSEAS@bseas.iofm.net Blyth Star Enterprises Limited 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) Mr B Lyden CRH 7 Category(ies) of MD Mental Disorder (7) registration, with number of places Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28-2-2005 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 orovided . 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 B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not given prior notice of this inspection which took place over 1 and a three quarter hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. A senior and two project workers were on duty at the time of inspection, a visitor to the home and two service users were available to talk to during the inspection. What the service does well: What has improved since the last inspection? The premises are becoming better maintained and there is a programme of decoration and refurbishment. The organization are looking for larger premises which would lend itself better to carrying out its rehabilitative function with possibly flats on the premises to assess when service users are ready to live more independently. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 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. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 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 Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 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) 2,4,5 The process followed in the home ensures that potential residents are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. The home receives comprehensive information when a referral is made. The information assists the home to carry out their detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. There is a comprehensive training programme to ensure that staff are equipped with the necessary skills in order to meet the needs of the residents. EVIDENCE: Inspection of records for four residents showed that full assessments had been carried out prior to their admission. A relatively new resident confirmed that they had visited the home and full information about the way it was run and the costs of care before moving in for a trial stay. The resident was also very happy with the care and attention received. Another resident stated they were well cared for and supported by staff, they were looking forward to going on holiday later in the summer. Staff spoken to maintained they receive training to assist them to meet the various needs of the residents as individually as possible. Training includes: Psychosocial interventions, Indian head massage, community mental health, reflexology, aromatherapy, diabetes awareness, asthma awareness, etc. New Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 9 staff follow the LDAF training as part of their induction. Future training includes: person centred planning, future strategies. The majority of staff have a recognised professional qualification in mental health. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 10 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) 6,7,8,9, There are excellent arrangements in place to ensure that residents’ social care needs are met. Care plans clearly address all their needs to ensure that the staff team are fully informed and aware of the support they need to provide. Comprehensive risk assessments are carried out to assist residents to lead as fulfilled lives as possible and they are well supported by staff to take calculated risks as necessary. Systems are in place and residents spoken to maintained that they are encouraged to be fully involved in all decisions effecting their daily and future living requirements. EVIDENCE: Four care plans were inspected. These were found to contain relevant individuals plans of care. They also contained risk assessments outlining the agreed risk to ensure residents independence was promoted . Daily entries into case records were available indicating the care provided by staff. Resident meeting minutes and residents spoken to maintained they were involved in the running of the home. Residents seemed articulate and vociferous in their views about the running of the home. Meetings took place Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 11 every week and an agenda was prepared. Topics included: household tasks rosters, social events, activities and holidays. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 12 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) 11,12,13,14,15,16,17 The philosophy of the Home is for service users to access and participate and use community facilities wherever possible eg leisure, health, spiritual, social, educational needs, etc. Social activities and meals are both managed creatively and provide daily variation and interest for people living in the home. Visitors are made welcome or staff support residents to maintain contact with family and friends as they wish. EVIDENCE: Residents spoken to confirmed that they are involved in the running of the home and involved in making decisions about their lives. Residents records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Records and conversation with staff and residents 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. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 13 A previous resident of the home was visiting with her dog she confirmed she was made welcome. Residents take turns to cook the evening meal once a week for all the residents. They select a menu and will shop for the ingredients and prepare and cook the meal with the assistance of staff as necessary. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 14 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) 18,19 There are excellent arrangements in place to ensure that residents’ health care needs are met, care plans outline the needs to ensure that the staff team are fully informed and aware of the support they need to provide. EVIDENCE: It was apparent during the inspection, that attention was paid to residents’ dignity and privacy and staff were seen to act respectfully at all times. Four care plans and case records were inspected. They contained relevant individual plans of care detailing care and support required for some complex needs. Records showed when residents had seen health professionals eg doctors, community nurses, etc. Records also showed when residents had seen opticians and dentists. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 15 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) 22,23 There is a complaints procedure, which works well as residents have confidence that they can raise any issues and know that they will be dealt with. Staff have a good knowledge and understanding of Adult Protection issues which protects residents from abuse. EVIDENCE: The home has a complaints procedure. There was evidence that any complaints are listened to and investigated and a written record kept. There have been no complaints about the home since the last inspection. Residents stated and resident meeting minutes confirmed that they would readily raise any issues of concern with the manager. A procedure for responding to allegations of abuse is available. It was confirmed from staff spoken to that staff are given training in Adult Protection. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 16 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) 24,30 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. 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. There is one lounge and a dining room which is also used as a lounge. Residents bedrooms were basically furnished and personalized with their own belongings. A lavatory downstairs was out of order. The window in the lounge was broken although staff informed me it had been reported. The bath panel from the upstairs bathroom needed to be replaced. There is a large garden to the front which does not afford much privacy for residents when they sit outside to sunbathe or have BBQs’, there is no back garden. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 17 Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 18 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) 32,33,35 Good staffing levels are maintained which means that there are always enough staff on duty to meet the needs of residents. Many residents attend local day resources either full or part time and come and go during the day. There are good training arrangements in place, which means staff are given a thorough grounding in the areas they need to know to provide good care and enhance their personal development. EVIDENCE: On the day of inspection and recent staff rosters showed two project workers were on duty from 9.00am until 4.30pm and two part time project workers from 7.15am until 1.45pm and a senior project worker was also on duty. This is enough to meet the needs of the residents. There is a senior member of staff on each shift. Staff as well as caring duties also support the residents and teach them cooking and cleaning skills as part of the rehabilitative process. There is currently a vacancy for a full time project worker. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 19 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) 37,38,41 The manager provides clear leadership throughout the home, which ensures all of the staff team are aware of their roles and responsibilities. There are adequate health and safety measures in place to ensure the safety of all who live and work in the home, but action is required for outstanding requirements for maintenance contracts. EVIDENCE: The registered manager Mr Barry Lydon has successfully managed the home for some years. He is still, studying for a relevant qualification in management and expects to obtain this in 2005. The positive comments of residents and staff give confidence that the manager provides good leadership throughout the home and promotes a philosophy of involvement of residents and staff. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 20 There is a system in place to ensure that staff are given training in fire safety, basic food hygiene, first aid, infection control and good hygiene. These courses are all up to date for staff. The fire log book indicated that fire safety checks are carried out routinely as recommended by the Fire Brigade. Maintenance contracts were still not available for gas and electricity. Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 21 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 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 4 4 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Blyth Star Enterprises Score 3 4 x x Standard No 37 38 39 40 41 42 43 Score 2 3 x x 3 x x B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 22 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. 3. 4. 5. Standard 42 42 42 42 37 Regulation 13(4)a 13(4)c 13(4)a 13(4)c 9(1(2)b)(i ) Requirement To ensure the bathroom panel is in place at all times. To repair the lavatory that is out of order. To replace the broken window in the sitting room. To carry out requirements from previous inspection. To obtian the necessary qualification in management and social care. Timescale for action June 28th 2005 June 28th July 1st 2005 July 31st 2005 December 2005 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 Good Practice Recommendations Blyth Star Enterprises B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 B53-B03 S548 Blyth Star V226642 270605 Stage 4.doc Version 1.30 Page 24 - 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. 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