Inspection on 23/09/08 for Chibburn Court, 10

This inspection was carried out on 23rd September 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chibburn Court, 10 09/08/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chibburn Court, 10 10 Chibburn Court Widdrington Morpeth Northumberland NE61 5QT The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Carole McKay Date: 2 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Chibburn Court, 10 10 Chibburn Court Widdrington Morpeth Northumberland NE61 5QT 01670791482 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : sandra.oshea@btconnect.com Northumberland Care Trust care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: Date of last inspection 0 9 0 8 2 0 0 6 A bit about the care home 10 Chibburn Court is a converted bungalow that provides care and support for up to three people who have a learning disability and complex needs. Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 5 of 26 How we did our inspection: This is what the inspector did when they were at the care home Unannounced visits were made on 23 and 26 September 2008. Before the visit we looked at, information we have received since the last visit on 9 August 2006. We looked at surveys of the views of people who use the service and the staff. Care Homes for Adults (18-65 years) Page 6 of 26 During the visits we talked with people who use the service, staff and the manager. We looked around parts of the building to make sure it was clean, safe and comfortable. We looked at information about the people who use the service and how well their needs are met. What the care home does well Care Homes for Adults (18-65 years) Page 7 of 26 Assessments and care plans are very detailed. This means that people receive the correct level of care that they need. Each person is getting out and enjoying the local community. The people living at the service are helped to stay healthy. The staff are well trained to do their jobs to benefit the needs of the people living at the service. Care Homes for Adults (18-65 years) Page 8 of 26 The Manager is good at her job and makes sure the home is well run, and that the standards of care and support for each person are high. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Carole McKay St Nicholas Building St Nicholas St Newcastle upon Tyne NE1 1NB 01912333300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Each person living at the home has had their needs thoroughly assessed. Evidence: Chibburn Court was commissioned specifically for the people who live at the home. Full and detailed assessments of the needs of each person were undertaken as part of the process toward the home opening. No further admissions have taken place since the last inspection. Each person living at the home has an updated assessment of their needs and these are written in a style that reflects each persons individuality. The assessments are thorough. In surveys the staff at the home confirmed that they are given up to date information about the needs of the people they care for. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Good systems ensure care is planned and reviewed with full involvement of people using the service and their representatives. This supports the people who live there taking account of each persons abilities and rights. Evidence: Each person living at the home has an individual plan that identifies their care and support needs. The care plans include risk assessments for safety and individual plans to manage the risks associated with leading a lifestyle involved in the community. The service has improved on this since the last inspection. Some of the people who live at the service cannot easily voice their wishes and preferences. Decision making for the people who live at the service has to be supported by other people and agencies. The manager has arranged for staff to receive training in supporting risk taking, and the capacity to consent. Also the manager said that she has arranged for advocacy services to be come involved in the home. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: In surveys the staff at the home confirmed that the way information is passed to them about service users needs usually works well for them. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use this service are supported to develop life skills that will enhance their opportunities to enjoy an increasing range of leisure and social opportunities. Evidence: Although local community resources are limited, the people who live at the home are encouraged and supported to make use of these. For example one person regularly attends a nearby church. On the day of the visit one of the female service users was receiving treatment from a beauty therapist who was attending the home. The service has developed a folder of information about services in the surrounding area and in Newcastle, the nearest city. This is so that staff can refer to this for ideas for discussion. There was evidence in the homes records that outings take place to events and leisure activities as well as day to day shopping trips and regular arranged Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: activities of interest to individuals. The people living at the service have each had a short holiday away from the home, supported by staff who work at the service. The staff planned these carefully to take account of individual needs and preferences. The service has developed links with the family and friends of the people who live at the service. Short life histories, supported by photographs, were being developed with people as part of the service user plan. Key individuals in the lives of the people living at the home were identified. The manager said that the menus have been developed with support from the local dietitian and she was able to demonstrate how this advice had been taken into account. The dietary needs and preferences of the people who live at the service are recorded in the service user plan. The staff were observed to include the people in the home into general conversation. The information in service user plans supports this by including guidelines to do with communication. A new aid to communication is being considered as a possible future way of developing the skills each person has. The individual routines of each person who lives at the home are respected. For example, people spent their time at home in different ways. Staff offered alternative activities for those people whose daytime activity had been cancelled due to temporary closure of a day service. There is evidence in the staff rota that staff hours are flexibly managed to address service users needs. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has very good comprehensive systems for supporting good health and promoting better health of the people who live at the home. Evidence: The home makes good use of recognised health promotion tools. One example is an assessment tool for good nutrition. This is in place in each persons file, along with other health screening tools. The service promotes good mobility. One person has recently been assessed for a new wheelchair, so that they can easily access more places. One persons mobility has improved since coming to live at the home to the point that they no longer need to use a hoist for all of their transfers. Moving and handling plans are very detailed and promote consistency when people receive personal support. Each person is well groomed and good care is taken to ensure that people feel comfortable and look good. Each persons health care needs are met through the homes systems making sure that they get to the right kind of help at the time that they need it. The home is very good at monitoring peoples conditions and making referrals to alternative services or specialists before potential Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: complications develop. For example, the home has recently involved the speech and language therapist to advise the staff team in supporting a person who has a risk of choking on food. Staff have attended courses to do with swallowing difficulties. Each person is reliant on care staff to administer medication in line with the homes medication policy and procedure. These procedures are thorough and individualised, where necessary. For example, there is a separate procedure for one person who needs to be given medication in food. Consent to treatment has been properly addressed. One medication error has been reported since the last inspection. This was fully investigated and the lost medication was accounted for. Records were examined and a spot check made on a limited number of medications. All those inspected were in order. There was evidence that staff have received the right training in order to deal with medication. Further specialised training is planned. All medication is stored in line with pharmacy guidelines. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service ensures that concerns can be raised and will address these. The staff are supported to safeguard the people who live at the home from harm or abuse. Evidence: The staff are trained to deal with concerns and in surveys they confirmed that they knew how to respond. There are detailed procedures for staff to follow in order to raise concerns themselves. Local and in house procedures are clearly available in the home for dealing with concerns and safeguarding vulnerable adults. Service users are also protected by clear guidelines for staff to do with current good practice around handling service users monies, and the use of physical intervention in keeping people safe from harm. The staff have received specialist support in the past to do with addressing behavior in positive ways to avoid harm. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a safe, comfortable and suitable place to live and has been adapted to meet the individual needs of each person living there. Evidence: The bungalow has good level access at entrance ways by safe pathways. Each person living at the home has their own bedroom with en suite facilities. The rooms are spacious and decorated to individualise the personal space for each person. The bathrooms are equipped with special baths and hoists to make access as safe and easy as possible. The communal areas are also very attractively decorated and furnished. They too are spacious. The home benefits from having a large attractive and private garden with a decked patio. Garden furniture allows for people to sit out in good weather. The access down into the lawned area is by way of steps or a steep ramp, so is not ideal for the mobility needs of people at the home. Internally the house is well maintained and the premises are kept clean, hygienic and odour free. Recent guidelines to do with infection control are being followed. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The staffing arrangements at the home are linked to the needs of the people who live there. Staff recruitment and training makes sure that people are safe and cared for by a confident, competent staff team. Evidence: The home has recently experienced a period of long term sickness affecting two of the staff. This is referred to in the staff surveys. But staff confirmed that through flexible arrangements for staff cover this has not affected the care and support service users have received. The manager said that staff were due to return to work later the same month. The home keeps records to do with supervision and training of staff. These are up to date. They show that training is planned and staff training needs are identified through the supervision process. All the support staff have a minimum level qualification and hold, or are training toward a National Vocational Qualification, NVQ, level 2 in care. The home employs qualified nurses in a senior capacity. Staff each have an individual file and these show that staff have been recruited following safe procedures. In surveys staff confirmed that they had been required to provide references and that checks into criminal records had been carried out, prior to them starting work. Staff confirmed that they had received induction training and that Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: the ongoing training was relevant to their role. Personal development plans are being produced for each staff member.There is evidence that an ongoing training programme ensures that staff receive updated training in the essential subjects such as first aid and moving and handling. Specialized training is also available in areas that are suited to the needs of the people who live at the home. For example staff have opportunities to attend training in the Mental Capacity Act. The service has not yet developed a process for assessing the impact that training has on the lives of the people who use the service. But annual appraisal of staff progress takes place. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The quality assurance process is not fully developed but the home is very well managed and this provides a safe place for people to live. Evidence: The manager is a qualified nurse and she is undertaking the registered managers award. She has demonstrated that she is competent and experienced to run the home. The service receives monthly monitoring visits from a representative of the provider. The report from the most recent visit was not available at the home. The manager said that the provider has developed a system of assuring the quality of the service, but this is not yet fully underway. Safety and safe working practice are supported by good maintenance and safety check processes. These are clearly recorded. Maintenance records and safety certificates are held at the home and these up to date. Staff are trained in safe working. Care Homes for Adults (18-65 years) Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 26 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 39 26 The registered provider must 18/12/2008 provide a copy of the report arising from the monthly visits for September 2008 to CSCI. So that CSCI can be assured that the service is being suitably monitored in the absence of a fuller quality assurance process. 2 39 24 The registered manager must fully introduce the quality assurance process. 27/03/2009 To ensure that the best interest of the people who live at the service influence future service development. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Adults (18-65 years) Page 24 of 26 improving their service. No Refer to Standard Good Practice Recommendations 1 24 The registered provider should provide easier access to the lawned area of the garden, so that people living at the home can use the area as easily as possible. The registered manager should carry out an impact assessment of all staff development to identify the benefits for the people who live at the service and inform future planning. 2 35 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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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