Inspection on 10/05/05 for Chapel Lane, 4

This inspection was carried out on 10th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chapel Lane, 4 23/08/06

Chapel Lane, 4 17/01/06

Chapel Lane, 4 17/11/04

Chapel Lane, 4 10/06/04

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22 Sandown Road

The Highlands

Dilston College Of Further Education

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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 4 Chapel Lane Monkseaton WhitleyBay Tyne & Wear NE25 8AD Lead Inspector Janine Smith Unannounced 10th May 2005 10.15 am 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. 4 Chapel Lane Version 1.10 Page 3 SERVICE INFORMATION Name of service 4 Chapel Lane Address Monkseaton Whitley Bay Tyne & Wear NE25 8AD 0191 251 8734 0191 251 8734 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) Care (Cottage & Rural Enterprises Ltd) Application pending. CRH 6 Category(ies) of LD Learning disability registration, with number of places 4 Chapel Lane Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 17th November 2004 Brief Description of the Service: Chapel Lane was built within the last few years to provide a home for up to six adults who have a learning disability and who need residential care. Nursing care is not provided. It is within walking distance of local shops and other facilities. The house is detached and has three storeys. The home provides single bedrooms on the ground and first floor. The staff facilities are on the second floor. The first and second floor are reached by a staircase. There are a suitable number of bathrooms and toilets. A yard is available to the rear of the building and a small paved garden area to the front. 4 Chapel Lane Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6 hours and was an unannounced visit. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Two of the staff on duty and 5 of the residents were spoken to. What the service does well: What has improved since the last inspection? A new manager has been appointed who seems to have had a positive influence on the home. 4 Chapel Lane Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 4 Chapel Lane Version 1.10 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 4 Chapel Lane Version 1.10 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. Appropriate procedures are in place to ensure that prospective service users’ needs are properly assessed prior to moving into the home, which ensures that the home is able to meet their needs. EVIDENCE: There have been no new admissions for some time, however, appropriate procedures are in place should this occur. Statements of terms and conditions were in place on the two care records inspected. Discussion with the residents living in the home provided evidence that their needs were being met by the staff team. A statutory requirement was issued at the last inspection to add further required detail to the Service Users Guide. However, there was no evidence that this has been done. 4 Chapel Lane Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Residents are supported to develop their skills, take risks and participate in the running of home, which ensures that their lives are fulfilling and satisfying. The contents and presentation of the care plans is improving and this works should continue to ensure that residents’ individual goals and progress made towards them are clearly recorded. EVIDENCE: Two care records were examined. Some of the documentation was out of date and it was difficult to find evidence of how residents’ individual goals were being met. A resident confirmed that they were able to read and contribute to their care plan. Residents spoken to confirmed that they are given support by staff to develop their independent living skills, such as cooking and budgeting. Some now stay at home alone from time to time following an assessment of their skills and any risks involved. Some of the residents have clear plans for their future and are being given advice and support from staff to achieve these. One said that they had a very good relationship with their keyworker. Independent advocates have also been obtained for some residents where appropriate. 4 Chapel Lane Version 1.10 Page 10 Regular residents meetings are held. Joint decisions are made about such things as menu planning and cleaning routines. 4 Chapel Lane Version 1.10 Page 11 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 and 17. Residents are given advice and support to help them obtain jobs or work placements, spend time with friends and family and enjoy local community activities which all serves to enrich their daily lives. EVIDENCE: It was confirmed in discussion with a member of staff that residents are given good support to find suitable jobs or college placements. Residents spoke about the leisure activities they enjoyed, such as bowling, pubs, keep fit. They keep in contact with their families and friends who can visit them at home. They are given support with their personal relationships as necessary. The staff team have provided support to the residents in using public transport and now all of them can do this independently. 4 Chapel Lane Version 1.10 Page 12 Some of the residents plan a weekly menu and take turns to cook for each other. Two other residents have their own weekly budget so that they can develop their skills in planning, shopping for and preparing their own meals. A resident confirmed that she had voted in the recent General Election. 4 Chapel Lane Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19. Residents are given advice and support with regard to any health needs which helps them to maintain good health and wellbeing. EVIDENCE: Written records provided evidence that residents get regular access to dentists, opticians, etc., and see their doctors when required. A resident said he was supported to arrange his own appointments. It was confirmed that a requirement regarding the medication storage has been met. 4 Chapel Lane Version 1.10 Page 14 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 and 23. The home has a satisfactory complaints procedure. Adult Protection training has not yet taken place. This is important to help protect residents from abuse. EVIDENCE: The Manager stated that no complaints have been received since the last inspection. A resident said that they had a very good relationship with their keyworker and told her of any concerns. Regular residents meetings are held to discuss any general issues and remind residents of what to do if they are unhappy about anything. A requirement made at the last inspection to provide adult protection training to staff has not yet been met. However, the new Manager has made enquiries about this training and is hopeful that all of the staff will have places on a course in June this year. 4 Chapel Lane Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28 and 30. The house is suitably designed and maintained providing residents with an attractive and homely place to live. EVIDENCE: Three bedrooms were seen which were attractive and reflected the interests of their occupants. One bedroom did not have a chair, which should be provided if the resident wants this. The shared kitchen, dining room and lounge were pleasant areas to use and relax in. There are an appropriate number of bathrooms and toilets. Some of the residents were carrying out cleaning tasks during the inspection and the house was found to be very clean. One bedroom had signs of mould on the inside of the window which should be dealt with. The residents were choosing a new colour scheme during the inspection as redecoration is to take place shortly. 4 Chapel Lane Version 1.10 Page 16 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) 33. Minimum staffing levels are met, however, this means difficulties can arise if unexpected absences occur at short notice. EVIDENCE: Generally, there is a minimum of one member of staff on duty through the day and one sleeps on the premises through the night. Unexpected staff absences can cause problems in covering shifts. On the day of inspection a Support Worker had had to stay on duty from the previous day shift for this reason. The Manager feels that some more staff hours are required in order to provide more flexibility in shift patterns to enable more effective support of the residents. The member of staff on duty during this inspection was very experienced and enjoyed working with residents in the home. 4 Chapel Lane Version 1.10 Page 17 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. The new Manager was keen, enthusiastic and providing good support and leadership for the staff team. EVIDENCE: A new manager took up post at the end of March this year and evidence gathered indicates that she is having a positive effect on the running of the home. She has made an application for registration which is currently being considered. 4 Chapel Lane Version 1.10 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4 Chapel Lane Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x x x Version 1.10 Page 19 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. Standard 1 Regulation 5 Requirement Add more specific detail to the Service Users Guide to provide a clear description of the people for whom the service is intended and the relevant qualifications and experience of the registered provider, manager and staff. (Previous timescale of 31/12/04 not met) All staff receive adequate training in the protection of vulnerable adults. (Previous timescale of 1/3/05 not met.) Provide chair in resident’s bedroom. Clean mould from window frames in residents’ bedroom Timescale for action 30/6/05 2. 23 18 31/7/05 2. 3. 26 30 23(2)(e) 19(2)(d) 30/6/05 30/6/05 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 33 Good Practice Recommendations Keep staffing levels under review to ensure that all identified service users’ needs are met. Recruit pool of trained relief workers who can cover absences and provide consistency for service users. Version 1.10 Page 20 4 Chapel Lane 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. 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