Inspection on 03/10/06 for Self Unlimited North East

This inspection was carried out on 3rd October 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Self Unlimited North East 11/05/06

Self Unlimited North East 01/11/05

Self Unlimited North East 30/08/05

Self Unlimited North East 01/06/05

Self Unlimited North East 14/10/04

Self Unlimited North East 13/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Care Ponteland North Road Ponteland Northumberland NE20 0BW Lead Inspector Elaine Charlton Key Unannounced Inspection 3rd October 2006 08:45 Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 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 Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 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. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Care Ponteland Address North Road Ponteland Northumberland NE20 0BW 01661-860333 01661 821830 careponteland@btconnect.com www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) 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) Care Home 42 Category(ies) of Learning disability (42) registration, with number of places Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Six service users may also have a physical disability Two service users only are accommodated in Craster Cottage. One service user only is accommodated in Flat 1, Kielder Cottage. Fifteen service users only are accommodated in Cheviot Cottage, two of whom live in self-contained flats within the Cottage. Sixteen service users only are accommodated in Burnside Cottage, two of whom live in self-contained flats within the Cottage. Eight service users only, with a learning disability and dementia, are accommodated in Kielder Cottage. 11th May 2006 Date of last inspection Brief Description of the Service: CARE Ponteland is just outside Ponteland village next to the Police Headquarters. The site is in open countryside, close to local shops, public houses, restaurants, health centre, churches and swimming pool. There are four purpose built “cottages”, 5 flats, workshops, central kitchen, dining room and administrative offices. A maximum of 42 younger adults with a learning disability can live at CARE. Employment and educational opportunities both on and off site are available. There are only 35 people living at CARE Ponteland at the moment as work is taking place to improve the “cottages” and provide new services. Nursing and respite care are not provided. The weekly fees are between £846 and £546. Each “cottage” has a service user guide, which gives lots of information about what a service user can expect. Comments from service users who live at CARE are included. Inspection reports can be found in each “cottage” and in the main offices. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The locality manager and residential services manager were both present for this second inspection, which was carried out over two days and lasted for 10 hours. The reason for the inspection was to look at the requirements made at the last inspection to see if they had been met, and the key standards. Service user records were seen in Burnside, Cheviot and Crastor Cottages. A short tour of these three cottages, and Kielder Cottage, was made when hygiene levels and recording systems were checked. Staff records, supervision notes and quality assurance reports were also seen. We are testing a new way of working where ‘Experts by Experience’ are an important part of the inspection team. They help inspectors get a picture of what it is like to live in or use a social care service. “Expert by experience’ means a person who knows about social care services from using them. Lorna Jones an Expert by Experience joined the inspector on this site visit. Her comments and observations are included in this report in bold writing. About 20 service users were spoken to and what they said is included in the report. What the service does well: The management and staff have worked hard to improve standards at CARE. They have consulted widely with service users and their families and have secured grants to provide service users with REAL employment opportunities. The increase in confidence of staff and service users one year on is huge. Staff promote the rights and choices of service users to help them take part in social, leisure, educational and employment opportunities. There is a stable team of staff who give consistent and regular care to service users. Care plans are very detailed and promote service user choice and independence. Care plans reflect service users needs in a personal and sensitive way. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 6 Information is given to service users in a format that is easy for them to understand. Staff consult and listen to service users so they know what they want. The Expert by Experience, Lorna Jones said: A resident who had just moved in said she loved it. It was better than where she had been as they had hardly done anything. A resident invited us into his own flat where he was ironing. He likes living here. There are businesses being set up, Blooming Marvellous, Bee Creative, Catering Solutions and Come Clean. The residents will run these. What has improved since the last inspection? What they could do better: Ensure that the application process to register a manager is completed to promote the health, safety and well being of service users and staff. The Expert by Experience said: Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 7 Even though a large majority of residents go to college during the day I could not find out if they are able to access things like the cinema, theatre and other social activities at night or at the weekend. Although there were notice boards in each house I feel that they could do with being more visually accessible, with larger more colourful pictures. 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. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 8 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 Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 9 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): 1 and 2. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. People who might want to live at CARE are given easy to understand information to help them make their decision. Service users needs are fully assessed to help them be safe and independent. EVIDENCE: The new dementia unit in Kielder Cottage is now open and a service user guide has been written. The guide tells someone looking for a service what can be provided, how people are assessed, how to complain and what their bedroom will be like. Each cottage has a new service user guide. All the guides can be produced in large print and with pictures to make them easy to understand. Every service user has a person centred plan. Records are the same in each cottage and include a pictorial copy of the protection of vulnerable adults policy, complaints procedure and residency agreement. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 10 The records of two service users were seen in both Burnside and Cheviot Cottages. Records are good and include emergency information sheets, daily recordings and sections on health and well being, food and drink, social and spiritual needs, education and employment, and finances. Care plans are clear, signed by service users and evaluated each month. The monthly evaluations are more outcome based. Work is continuing in team meetings to improve these further. Service user records showed that they saw their optician, dentist, physiotherapist and chiropodist regularly. Everyone can see other health care professionals as and when they need. Service user wishes are noted in care plans, including whether or not they want to have a job or go to college. Work is being done so that person centred plans can be kept electronically. One service users file was seen in Crastor cottage. These records were excellent. They are very personal and sensitive and give very clear information about health care and dietary needs. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 11 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, 7 and 9. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users sign their person centred plans and care plans. This shows that they have been involved and know what has been said. Service users can make decisions and choices about their daily life and their care plans show this. Risk assessments are carried out and support service users to be independent and safe. EVIDENCE: Service users were seen making choices and said that they were helped to do this. Where it is not possible to do something because it is not safe the person is told why, and other choices are given to them. Risk assessments are in place and include clear information, for example, about how staff should support service users who have challenging behaviours. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 12 Staff and service users had signed all the records that were seen. Formal house meetings take place and minutes are typed up for everyone to see. Copies of minutes go to the locality manager, her deputy and CARE headquarters. People are told that they can have the support of an advocate in the service user guide. For the last inspection service users were helped by independent advocates to complete their questionnaires. Service users came and spoke to the inspector all through the inspection. They were all positive about what they could do, what they wanted to do, and the help they got from staff. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are encouraged to take part in educational, employment and social opportunities to promote their independence. Service users are encouraged to have visits from/to friends and family, this promotes their involvement in the community and to continue to be part of their family. Meal times are flexible and service users have a menu to choose from which promotes health eating. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 14 EVIDENCE: The Expert by Experience said about Burnside and Cheviot Cottages: Residents can choose to watch the communal television or their own. A resident invited us into his own flat where he was ironing. He likes living here. Sleep over staff are available or waking nights if needed. A resident who had just moved in said she loved it. It was better than where she had been as they had hardly done anything. People living here have a range of disabilities. A couple have moved on to supported living. About activities, college and employment she said: There are new developments in progress. The old woodwork section is being turned into a café and retail shop, both of which will be open to the public. Residents will run these. There are businesses being set up, Blooming Marvellous, Bee Creative, Catering Solutions and Come Clean. The residents will run these. Residents go out to college. This was where the majority of people were today. Residents run a garden centre. Residents can do pottery. The Four Seasons group looks at numeracy, reading, setting and reading the clock. Residents had made a poster, which showed activities. A person who comes for day care likes coming to CARE and does pottery and jewellery making. She has decided to come twice a week, as she likes it that much. Even though a large majority of residents go to college during the day I could not find out if they are able to access things like the cinema, theatre and other social activities at night or at the weekend. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 15 There is a choice of menu for lunch or residents can choose to eat in their rooms. There is also a desert. A substantial meal is available for tea. Residents can celebrate their birthdays in the communal hall if they wish or they can go out for a meal. They have and can use their own disco equipment. Residents can relax after a meal and there is no pressure to get back to what they were doing. Staff eat with residents. An accessible mini bus, people carrier and cars are available to transport residents to external activities such as trampoline and archery. Two service users had recorded in their care plans that they did not want to go out to work or to college. One service user is doing voluntary work at Four Paws where pets have hydrotherapy, and Doggi Days, a dog walking service. One service user has a car which staff are insured to drive. A service user who lives in one of the flats invited the inspector to look around. She said she could join in meals in the main cottage, or prepare her own food if she wanted. Service users are helped and encouraged to stay in touch with their relatives and friends. At lunchtime a main meal is provided in the communal hall. Service users can have a meal in their cottage if they choose. It had been planned to stop having the main meal in the communal hall but service users voted against the change. Consultation is taking place on a new four-week menu. The new menu is being used and service users are to be asked at the end of the first four-week period to say what they liked and disliked. Service users were seen making drinks in the cottages whenever they wanted. The café building is now being fitted out and the training room was handed over by the builders during the inspection. CARE nationally is to make service users “Dreams come True” as part of their Ruby Anniversary celebrations. The Committee meets on the 30 October to Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 16 make their final decisions. Anyone whose dream is not granted will receive a gift voucher. Daily diaries of holidays are being written to help people in the future to decide whether they may like to visit the same place. There are no barriers to people who are physically less able being involved in the community, work or educational opportunities. Several service users have partners who they spend time with. Staff support people who may not be comfortable with, or fully understand their sexuality. Everyone is able to choose who provides their personal care and how this is done. Each staff team has both male and female carers. Staff and service users have put together care plans that record their wishes in the event of their death. The care plan shows what they want to happen, who is to be there, and what music should be played. Records seen were very sensitive. Relationships between staff and service users were seen to be warm, sensitive and friendly. Nine people have paid employment in the community. Eight service users do voluntary work. College courses include drama, daily living, computer skills, gardening, craft, music, cookery, keep fit, DJ skills, office skills, small animals, woodwork, visiting places of interest, citizenship, employment and art. CARE Ponteland is an accredited training unit through the Accredited United Award Scheme. Candidates for training can do as many units as they wish for a fee of £13.75 per year. Credits go towards building a portfolio. Each unit is certificated. Two new support documents have been introduced. One for Enterprise Support Services (day care) and one for REAL (Realistic Employment for Adults with a Learning Disability. A grant of £50,000 has been awarded to CARE to support employment opportunities. Each of the REAL employment schemes has been asked to produce a business plan to show how the money would be spent. Any service user wanting to work in one of the schemes has to complete an easy to use application form. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 17 The locality manager and residential services manager have worked with service users to produce a Lets Cook Book. This has gone through the first stage of accreditation. Four workshops based on the book are being presented at the annual service user conference. The course compares cooking healthily/unhealthily, right and wrong hygiene issues. Vegetarian, vegan and the diets of different religions are covered. The project has been trailed in a mainstream school for young mums. Work is now being done to produce a similar training book for domestic tasks. Each service user will have a vocational profile. CARE has entered two teams in the North East Ability Counts Football League. Football kits and equipment have been ordered and training has started. The first games are on the 15 October. For people staying at CARE for Christmas, lunch is going to be served in the main hall followed by an afternoon disco. Friends from other CARE houses in the area and who receive a domiciliary care service have been invited to the lunch. A Glitz and Glamour ball is being held for service users. This event is free of charge. Limousines have been booked to take service users from CARE to the venue in Ponteland where they will have a disco and buffet. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 18 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 and 20. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans show that service users choose how they want to receive personal support, and who from. Staff work closely with health care professionals to support service users physical and emotional health needs. Policies, procedures and training in the safe handling of medication promote the health and safety of service users. People are helped to look after their own medication if they wish. EVIDENCE: Care plans detail the way in which service users wish to receive personal care and by whom. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 19 Records seen showed that everyone had had the chance to see their dentist, chiropodist and/or optician. Visits from doctors and nursing staff are recorded on a separate sheet in each persons file. Policies and procedures are in place and staff have had training to support the safe dispensing of medication. Every service user now has their own medication cabinet in their bedroom. In Kielder Cottage eight separate cabinets have been provided in the treatment room. In Cheviot Cottage a member of staff was seen dispensing medication in a sensitive and private way. The service user and staff member went into the treatment room and the door was closed for privacy. Some service users have said they do not want their medication to be kept in their bedroom. Arrangements for them have not changed. All keys for medication cabinets are kept in a locked key cabinet in the cottage office. Each cottage has a separate refrigerator for medication that needs to be kept cool. One service user showed the inspector that they were looking after their own medication. Service users can see their GP or any other health care professional as they wish or their health dictates. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 20 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 and 23. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users know they are listened to and their views are acted upon. Policies, procedures and staff training protect service users from abuse, neglect or self-harm. EVIDENCE: Policies and procedures are in place to help service users and staff make, record and investigate complaints, concerns or disclosures. No complaints have been received since the last inspection. Each cottage has a separate complaints log. A report is sent to the locality manager each month and then forwarded to HQ. Each service user file had a copy of a service user-friendly complaints document. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 21 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 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a comfortable and homely environment. The Cottages are kept in a clean and hygienic way. EVIDENCE: The Expert by Experience said: Kielder Cottage Was originally going to be for people with dementia, but will now also take people with challenging behaviour. There is room for eight residents. There are two large bedrooms and six smaller ones, a communal area with kitchen, sitting area, conservatory and staff office. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 22 Cheviot and Burnside Sixteen residents live in each of these cottages. There were notice boards in the hallways and both cottages displayed the same notices. There were posters with events and pictures to show the event. There was a notice about a Glitz and Glamour ball and football teams. Staff keep the in/out board up to date. Although there were notice boards in each house I feel that they could do with being more visually accessible, with larger more colourful pictures. Residents do their own laundry, cleaning and cooking, there is a rota for this with residents’ photographs on. Each cottage has a laundry room and an area to store shoes and boots. The communal hall can be rented out. There is a television, pool table and darts board in the hall. Bathrooms in the cottages are being updated and tiles in wet rooms have been removed, the area waterproofed and tiles put back. All corridors in the cottages have or are in the process of being redecorated. The new colour scheme has brightened the corridors and entrance halls. The major alterations in Kielder cottage have been completed. Two service users have moved in, and another person was due to visit. The sensory garden attached to Kielder cottage won an award in the local garden competition. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 23 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, 35 and 36. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are supported by staff that are competent and well trained. Service users are protected by consistent use of the Company’s recruitment procedures. Staff receive regular supervision to support service users. EVIDENCE: The records of two recently employed staff members were seen and found to be complete. All checks had been carried out including evidence of identity, criminal records bureau clearance and references. Interview notes are now sent to Headquarters where use of the new interview questions and the scoring system are being monitored. Over 50 of staff have achieved a National Vocational Qualification at level 2 or above. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 24 Staff training and supervision records are kept in the cottages. A new training format and system for requesting training has been introduced. Requests for training have to be supported by the member of staff’s immediate line manager and have to outline the benefits for the cottage and service users. Long-standing staff members are being registered to complete the Learning Disability Award Framework Induction/foundation course. Staff personal development records are kept in each cottage. The recording matrix is new and has been set up to record future training needs. Staff who are allocated a place on a training course are sent a memo. They are asked to sign and return the tear off slip to confirm they will attend. In house evaluation forms are used to gain feedback on the effectiveness of training courses. Cottage managers are all working to achieve their registered managers award. The locality manager is supporting them with underpinning knowledge sessions for each unit. The main staffing file is held in the administrative office. These are likely to be transferred into the individual cottages. People Learning Continuously is a quarterly appraisal system where staff key responsibilities are measured. Strengths and development needs are identified. Each section sets out what and how much is being measured for example attitude, skills, and knowledge. Only three areas at a time are looked at. Staff can add their own areas to those already listed. Supervision records were seen in both Burnside and Cheviot cottages. Standard systems are in place for recording supervision dates and meetings. Managers in both cottages are on target to meet the minimum supervision level of 6 sessions each year. Supervision monitor sheets should include details of why a session has not taken place even if this is because of long-term sickness, maternity or unpaid leave. All staff have had the opportunity to access on site computer training through the Trades Union Council. Recording systems to identify and confirm the content of induction training are being reviewed. An orientation checklist is also used. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 25 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): 37, 39 and 42. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users benefit from a well managed home. Service users are consulted and kept informed about the results of quality assurance reviews. Service users health, safety and welfare is promoted through risk assessments and staff training. EVIDENCE: The residential services manager is in the process of applying to be registered as the manager for CARE Ponteland. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 26 A monthly report is sent to the Operations Director. This covers areas of care and the premises. CARE Ponteland has adopted it’s own Continuous Quality Improvement Programme. The quality assurance document sets out what people can expect and how views are going to be obtained. The document is very clear and thorough. An action plan has been put together for the next 12 months, ending in August 2007. A service user quality summary has been produced and it is called “Working Together”. This discusses care plans, the My Health Booklet and person centred plans. How they will be reviewed, how many people use day services, go to work, college, staff changes, inspection, health and safety and the future. This is an excellent booklet making use of pictures, charts and text. Service user survey has been updated for this year. Central office staff will contact families and professionals directly. Regular maintenance checks are carried out and service contracts are in place. All staff have access to policies and procedures which include health and safety, equal opportunities, ethnic and minority groups, harassment, sexuality and relationships, alcohol and the use of substances, the values of privacy, choice, fulfilment, rights, independence, and whistle blowing. Policies and procedures are regularly reviewed and updated. Two new four-wheel drive vehicles have been ordered for use on site and to support service users to get out and about. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 27 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 3 2 4 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X 4 X 4 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 2 X 4 X X 4 x Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 28 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 YA37 Regulation 8 Requirement The process to register a manager must be completed. Timescale for action 30/12/06 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. 2. Refer to Standard YA2 YA36 Good Practice Recommendations Continue to promote the increase in outcome based evaluations of care plans. Consider recording on the monitor sheet the reason supervision has not taken place. Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 29 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 Care Ponteland DS0000000598.V311502.R01.S.doc Version 5.2 Page 30 - 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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