Inspection on 11/09/06 for Clayton Road, 62

This inspection was carried out on 11th September 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clayton Road, 62 27/09/07

Clayton Road, 62 20/02/06

Clayton Road, 62 26/07/05

Clayton Road, 62 23/02/05

Clayton Road, 62 25/08/04

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 Clayton Road, 62 62 Clayton Road Jesmond Newcastle upon Tyne Tyne & Wear NE2 1TL Lead Inspector Anne Brown Key Unannounced Inspection 11 and 12 September 2006 11:30 th th Clayton Road, 62 DS0000033054.V295970.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 Clayton Road, 62 DS0000033054.V295970.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. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayton Road, 62 Address 62 Clayton Road Jesmond Newcastle upon Tyne Tyne & Wear NE2 1TL 0191 281 1956 0191 281 1956 frank.martin@newcastle.gov.uk 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) Newcastle City Council Social Services Department Mr Frank Martin Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The ground floor only must be used to accommodate service users who have a physical disability 20th February 2006 Date of last inspection Brief Description of the Service: 62 Clayton Road is a care home registered to provide personal care for ten adults with learning disabilities. It is a local authority resource offering respite care. The home is located in a residential area of Jesmond, Newcastle Upon Tyne. The property was converted into a care home and has been extended since it was built. Accommodation is over three floors. A passenger lift is not provided and service users with physical disabilities are accommodated in ground floor rooms. There is easy access to local facilities, shops and public transport networks. The registered manager is absent from the home at present and Mrs Alayne Dugdale is currently acting manager. The fees are £9.24p per night. Information about the home and inspection reports are readily available. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six and a half hours. A tour of the premises took place and a sample of care records were inspected along with the fire log book, accident book, incident book, complaints and compliments and minutes of meetings held in the home. Staff files held in the Civic Centre were not examined on this occasion, as there have been no new appointments in the home since the last inspection. Five service users were seen and six members of the care staff were spoken to. An interview was held with the acting assistant team leader on the first day of the inspection and a further visit was made to speak with the service users. Eight questionnaires were returned by service users and five were returned by relatives. What the service does well: The home provides a good respite service to over 100 service users. The staff team enjoy their work and make every effort to ensure the home is pleasant and comfortable. Privacy and dignity is respected and the staff deal with the individual needs of the service users in a competent and caring manner. The service users who made comments said they enjoyed staying in the home and the staff team were kind and friendly. A comment from a service user’s questionnaire said ‘the staff are brilliant, they are magic’. The staff team are offered a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the service users’ needs. The service users are supported in accessing activities outside the home on a regular basis. There are service users from different ethnic backgrounds and service users who have a wide variety of needs. The staff are aware of the importance of making sure that care plans focus on individual needs. Clayton Road, 62 DS0000033054.V295970.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. Clayton Road, 62 DS0000033054.V295970.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 Clayton Road, 62 DS0000033054.V295970.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): 2 and 4. 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 have their individual needs assessed prior to admission. This ensures that the staff are aware of all their needs and are able to meet these. Prospective service users are invited to visit and spend time in the home, which helps them to decide if it is suitable for them. EVIDENCE: The resource continues to conduct a thorough pre-admission assessment. This includes obtaining the Care Management Assessment and, where applicable, information is sought from carers/relatives, health care professionals and other care services that the service user has accessed or continues to use. There is a carefully phased introduction to the resource, which includes staying for meals, and initial overnight stays. Initial care/support plans are devised as a result of an assessment of needs. These are built on during the service user’s stays. Clayton Road, 62 DS0000033054.V295970.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 and 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. There are care plans that contain guidelines for dealing with complex needs, which explain what staff need to do. However some evaluations were out of date, which may mean some information is not correct. Service users are encouraged to make decisions. The care staff support the service users to take risks as part of their lifestyle. EVIDENCE: A sample of care plans was examined. Evaluations have not been carried out at the end of each stay. Some care plans and internal assessments were not dated. The manager and the deputy are in the process of carrying out an audit on all care plans to ensure they are up to date. The staff on duty were well aware of the needs of the service users and were observed consulting and communicating with them. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 10 Regular meetings are held in the home when service users are asked their opinion on the service offered in the home. Risk assessments are available on the case files. These assist the residents to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. The staff have knowledge of equality and diversity issues and these are carefully considered when writing the care plans. Clayton Road, 62 DS0000033054.V295970.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 and 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. Links with the community and opportunities to participate in social and personal development activities are good. The service users are encouraged to mix with other people and participate in worthwhile activities. Staff respect the service users’ rights. Well-balanced menus are in place and alternatives are offered. EVIDENCE: At the beginning of each stay service users make choices about how they wish to spend their time. This information is recorded in the daily reports. External activities include visiting local shops, cafes, pubs, theatre and other local places of interest. The staff confirmed service users had recently enjoyed trips to Amble market and North Shields fish quay. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 12 The staff confirmed that they encourage and assist service users to use local transport systems. The majority of service users attend local day centres during the week. Staffing levels are increased at weekends to ensure the service users have access to activities of their choice. One questionnaire from a service user stated they could not do what they wanted if there were staff shortages, but most service users said that their requests were met. The staff were fully aware of the service users’ rights and ensure these are respected. A nutritious menu plan is in place and the staff confirmed that alternatives are always available. Any changes to the menu are recorded. There are guidelines in place to ensure residents receive appropriate support at mealtimes. Clayton Road, 62 DS0000033054.V295970.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 and 20. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The health care needs of the service users are well met and recorded in the care plans. There are appropriate aids and adaptations and moving and handling training is provided for the staff team, which ensures the safety and well being of the service users. The staff give the service users the personal support they require and according to their preferences. An appropriate system is in place for dealing with medications, which protects the health of service users. EVIDENCE: The staff on duty were aware of the individual needs of the service users and confirmed they had been given appropriate and specialised training. Appropriate equipment is provided throughout the home to meet the needs of the service users. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 14 The questionnaires from the service users confirmed they were always treated well by the staff. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. Photographs of the service users are not held on the medication records for identification purposes. Clayton Road, 62 DS0000033054.V295970.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 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. The home has a satisfactory complaints system and training in adult protection has been provided for the staff, which helps to protect the service users from abuse. EVIDENCE: A suitable complaints procedure is in place. A complaints log is maintained to record any complaints received and the outcome of the investigation. No complaints have been received since the last inspection. The assistant team leader confirmed that the majority of staff had undergone training on the protection of vulnerable adults. The staff on duty were aware of the procedure to follow if they suspected abuse. The staff on duty were aware of the whistle blowing policy and how to report any concerns about poor practice in the home. Appropriate records, receipts and signatures are retained when dealing with money held on behalf of the service users. However each person’s money was not held separately. Clayton Road, 62 DS0000033054.V295970.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 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. The home is well maintained, safe and comfortable. Some areas are showing signs of wear and tear. Communal lounges are available on each floor and there is a pleasant, secluded garden at the rear of the premises. The home is clean, hygienic and free from offensive odours. EVIDENCE: The staff make every effort to ensure the home is safe and comfortable for the service users. All areas were clean and hygienic. New sofas have been provided in the downstairs lounge. New bedding and towels have been purchased and a suitable extractor fan has been fitted in the downstairs bathroom. A wardrobe has been provided in bedroom 2. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 17 The doorbell has been repaired as it is affected by the damp weather. The staff reported no problems with this at present. A number of areas are showing signs of wear and tear. The assistant team leader stated that this had been reported to Newcastle City Council. A representative is due to visit the home to arrange redecoration of the middle lounge, bedroom 6 and the back corridor. The kitchen unit doors were showing signs of wear and tear. Outdoor games have been purchased and the assistant manager stated that the service users have been enjoying playing these in the back garden. There is no passenger lift, which means some service users are unable to access the games room on the first floor. Clayton Road, 62 DS0000033054.V295970.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, 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. The staff team are well trained and competent to support the service users. The recruitment policy and practice supports and protects the service users. The needs of the service users are met by appropriately trained staff. The staff team are well supported and supervised, so that they are able to do their job well. EVIDENCE: Eight members of staff have achieved NVQ Level 2 or above. Training programmes are in place to ensure staff receive mandatory health and safety training and specialist training. The home will be closed for three days in April to enable the staff team to receive specialist training. The acting deputy manager is in the process of arranging an appropriate programme. The staff on duty confirmed that they receive good training to carry out their roles. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 19 An appropriate recruitment and selection process is in place. Staff files are held at Newcastle Civic Centre. They were not inspected on this occasion as no new appointments have been made in the home. A member of the care staff has been appointed as acting deputy manager to assist the acting manager. At the last inspection there was a shortfall in domestic hours. This is now covered on a temporary basis and interviews are arranged to appoint a permanent member of staff. A programme is in place to ensure all staff receive formal supervision at regular intervals. Some staff confirmed that these sessions had taken place. However the night staff have not had formal supervision for a considerable time. Clayton Road, 62 DS0000033054.V295970.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 and 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. The home is well run with a focus on the service users. The management and staff team respect the service users views regarding the running of the home. The health, safety and welfare of service users are protected by the systems the home has in place. EVIDENCE: The acting manager has experience in working with adults with learning disabilities. The staff team and service users, who commented, confirmed that she is supportive and approachable. Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 21 Regular meetings are held with the day staff and service users to discuss any issues that arise and to ensure the home is run in the best interests of the service users. Minutes of the meetings were available for inspection. Meetings with the night staff have not been held for over a year. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the service users. The fire logbook indicated that tests are carried out at the correct intervals. Charts are maintained to record water temperatures, fridge and freezer temperatures and food temperatures. No unsafe practices were noted during the inspection. Clayton Road, 62 DS0000033054.V295970.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 X 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Clayton Road, 62 DS0000033054.V295970.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15(2)(b) Requirement Care plan evaluations must be up to date. All care plans and assessments should be dated. Photographs must be placed on medication administration records. Night staff must receive formal supervision at regular intervals. Timescale for action 31/12/06 2. 3. YA20 YA36 13(2) 18(2) 31/10/06 30/11/06 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. 3. Refer to Standard YA24 YA24 YA27 Good Practice Recommendations Redecoration programme should continue. Kitchen unit doors should be renewed. Regular meetings should be held between the management and the night staff. Clayton Road, 62 DS0000033054.V295970.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 Clayton Road, 62 DS0000033054.V295970.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. 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