Inspection on 09/08/06 for Chibburn Court, 10

This inspection was carried out on 9th August 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chibburn Court, 10 23/09/08

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

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Prince Bishop Court

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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 Chibburn Court, 10 10 Chibburn Court Widdrington Morpeth Northumberland NE61 5QT Lead Inspector Bill Middlemist Key Unannounced Inspection 9th August 2006 10:00 Chibburn Court, 10 DS0000066785.V295428.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 Chibburn Court, 10 DS0000066785.V295428.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. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chibburn Court, 10 Address 10 Chibburn Court Widdrington Morpeth Northumberland NE61 5QT 01670 791482 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) Northumberland Care Trust Ms Sandra O’Shea Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable Brief Description of the Service: 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. The home is domestic in size and is not recognisable as a care home. All of the rooms are on the ground floor and there is access for people who have mobility difficulties. There is a spacious lounge, dining room and kitchen. Each bedroom provides enough space for moving and handling equipment, and there is an assisted bathroom. Outside there are attractive gardens to three sides of the building. Chibburn Court is in Widdrington, a semi rural village in Northumberland, and is close to good road networks and local towns such as Morpeth and Ashington. Northumberland Care Trust runs the home. The care fees for this home are dependent on the type of placement and complexity of assessed care needs. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted for five hours. Assessments and care planning were inspected to assess if each person’s needs are being met. Daily living was discussed with the Manager and staff, and records were reviewed, to ensure that people are being offered choices, inclusion, rights and independence. Health records were inspected to make sure that each is getting the healthcare they need. A tour of the building was done to find out if it is safe and well maintained. The way staff are recruited, trained and supervised was looked at to see if people’s best interests and protection are being promoted. The overall management of the service was assessed to see if this is a well run home. What the service does well: Assessments are very detailed and care plans are being developed. Risk assessment and risk management plans are good and are constantly being developed. Each person is getting out and enjoying the local community. The food is good. The way each person’s health is dealt with is excellent. All of the rooms are nicely decorated and there is lots of space. The staff are well trained to do their jobs, and there will be more training in the future. 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. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Chibburn Court will offer information on the services provided to any prospective person to help them make a choice about where to live. Each person’s needs have been assessed so that the home can develop individual Service User Plans. EVIDENCE: Chibburn Court was commissioned specifically for people who are living there. The home’s statement of purpose outlines the services it provides. The Service User Guide is being developed in a way that is specific to the communication needs of the people living there. Each person has had comprehensive and detailed assessments carried out by a number of professionals who have long experience of individual care and support needs. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has an individual plan. Parts of these plans need more work to make sure that the care and support that people get is consistent. Each person gets the support they need to make decisions. Each person takes risks as part of their lifestyle and further work is need to support them safely. EVIDENCE: A lot of good work has been done to make sure that each person has individual plans that reflects their care and support needs. More work needs to be done to develop the plans further, to reflect the community setting and the need for consistency. Some inappropriate language is being used in communication plans. This needs to change to reflect the obvious values of the service and to ensure that people are not labelled inappropriately. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 10 Plans clearly detail how each person makes decisions, and there are good guidelines for staff to constantly observe and assess decisions and outcomes. There are good risk assessment and risk management plans that balance each person’s rights with safety. More work needs to be done with risk assessments, to promote each person’s safety as more opportunities in the home and community arise. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person is taking part in activities that suit them. Each person has become part of the local community. Each person is supported to have appropriate relationships. Each person’s rights are recognised and promoted. Each person is offered a diet that suits them. EVIDENCE: Good use is being made of the local and wider community. Each person gets the opportunities to go out to different and stimulating places at a pace that suits them. Activities include those in line with “an ordinary life in the Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 12 community”, such as going out for meals, shopping, attending church and days out to places of interest. Each person is being supported to maintain relationships with the people that are important to them. There are detailed guidelines for staff on communicating with each person in a way that helps build trusting relationships. The home ensures that people’s rights and responsibilities are properly recognised in everyday living. People’s privacy is respected through staff being courteous and following care plans that promote privacy and dignity. Staff were observed talking with people and involving them in what was going on during this inspection. This has also resulted in the development of each person’s communication skills. Each person has specific needs regarding meals and nutrition. Menus are made up with support from a dietician, and each person gets sensitive support at mealtimes. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 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 the following standard(s): 18, 19, 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. Each person gets the personal support they need and prefer. Each person’s physical healthcare needs are being met. Each person is supported by the way the home deals with medication. EVIDENCE: 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. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 14 Each person’s healthcare needs are met through the home’s 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 people’s conditions and making referrals to mainstream service or specialists before potential complications develop. Each person is reliant on care staff to administer medication in line with the home’s medication policy and procedure. 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. All medication was stored in line with pharmacy guidelines. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 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 the following standard(s): 22, 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. Each person’s views are listened to and acted on. Each person is protected from abuse and neglect but further training is needed for staff to understand procedures. EVIDENCE: Each person makes his or her views known mainly through non-verbal communication. There are detailed guidelines for staff to assist them in making judgements about people’s views. The home works in line with Northumberland Care Trust’s policy and procedure on protecting vulnerable adults. Staff have received training in safeguarding adults, and the manager is fully aware of procedures. This home has been established to meet the specific needs of the people living there, and there is a good balance between understanding challenging behaviours and the need for protection. Some staff were not that confident in their knowledge of Adult Protection procedures. Extra training must be provided. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 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 the following standard(s): 24, 27, 28, 29, 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. Chibburn Court is homely and comfortable. Toilets and bathrooms promote privacy and dignity. Shared spaces complement each person’s individual rooms. Each person benefits from specialist equipment to promote safety. The home is clean and hygienic. EVIDENCE: The rooms at Chibburn Court are spacious and attractively decorated. Good efforts have been made to create a homely and comfortable place to live. All rooms are bigger than the sizes set out by the standards. There is ramp access to the front of the building. The lounge and dining room are open plan and provide lots of natural light. Double doors in the lounge lead to a decked area with a ramp leading to the garden. The gradient is quite Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 17 severe and there are plans for a gentler gradient that will suit each person’s needs and safety better. The gardens are attractive and well kept. There is tracking that leads from each person’s bedroom in to the assisted bathroom. Each bedroom is decorated in a way that reflects each person’s individuality. The bathroom has a Parker Bath that suits each person’s mobility needs. Everywhere that was inspected was clean and hygienic, and staff follow good hygiene procedures. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 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 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): 32, 34, 35, 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. Each person is supported by the Care Trust’s recruitment policies and practices. Each person is supported by appropriately trained staff. Each person benefits from well-supported staff, but formal supervision has not been started. EVIDENCE: Staffing levels reflect the care and support needs of each person. On the day of inspection there was the Manager and two qualified seniors, as well as four support staff. There is one person on waking night duty and an on call rota to support staff when needed. All staff have been recruited according Northumberland Care Trust’s procedures. All of the pre employment checks required by law have been followed. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 19 All staff have received induction training to the recommended standards, and in the specific needs of the people living at the home. Further training needs have been identified and there is on going training to support staff to do their jobs. Each member of staff receives day-to-day supervision in an informal way. Formal supervision has not yet been established. This must be started, as it is an essential part of staff support in a challenging behaviour service. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 20 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, 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person benefits from a well run home. Quality assurance systems are being developed so that the home can review the standards of care it provides. The health, safety and welfare of each person is promoted. EVIDENCE: The Manager is very experienced in working with people who have learning disabilities and complex needs. She has provided evidence throughout the registration process and inspection that the home places the needs of each person at the front of everything it does. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 21 This is a new service and quality assurance systems are still being developed. A Scheme Manager who is also very experienced in learning disability and complex needs supports the home’s Manager. A representative of the Trust’s Responsible Individual makes unannounced visits every month to check the quality of the service. All systems regarding health and safety are well established and recorded. The Fire Log was up to date. Water temperatures and fridge/ freezer temperatures are recorded each day. There is on going consideration to all aspects of safety within the home. Some food was not stored properly. The fridge in the kitchen is quite small in relation to the amount of food stored in it. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 22 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 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 2 X Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 23 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 YA6 YA9 YA23 YA36 YA42 Regulation 15 13 (4) (b) 13 (6) 18 (2) 13 (4) (c) Requirement Develop individual care plans. Develop individual risk assessment and risk management plans. Provide updated training in Adult Protection. Staff must receive formal supervision. Ensure that food is stored properly. Timescale for action 30/11/06 30/11/06 30/11/06 30/09/06 08/09/06 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 YA6 YA24 Good Practice Recommendations Remove inappropriate phrases from care plans. Consider buying a larger fridge. Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 24 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 Chibburn Court, 10 DS0000066785.V295428.R01.S.doc Version 5.2 Page 25 - 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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