Inspection on 26/07/05 for Clayton Road, 62

This inspection was carried out on 26th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Clayton Road, 62 27/09/07

Clayton Road, 62 11/09/06

Clayton Road, 62 20/02/06

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 62 Clayton Road Jesmond Newcastle upon Tyne NE2 1TL Lead Inspector Anne Brown Unannounced 26 July 2005 10:30 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. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 62 Clayton Road Address Jesmond Newcastle upon Tyne NE2 1TL 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) 0191 281 1956 0191 281 1956 frank.martin@newcastle.gov.uk Newcastle City Council Mr Frank Martin CRH 10 Category(ies) of LD - Learning Disability (10) registration, with number of places 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The ground floor only must be used to accommodate service users who have a physical disability. Date of last inspection 23/2/05 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. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six hours. A tour of the premises took place and a sample of care records were inspected as well as other records. Six of the ten service users were seen and five members of the care staff were spoken to. An interview was held with the acting manager on the first day of the inspection and a further visit was made to speak with the service users. What the service does well: What has improved since the last inspection? What they could do better: Infection control training should be provided for the staff team. Specialist training courses should also be made available for challenging behaviour, epilepsy and bereavement counselling. Some health and safety issues should be addressed and some repairs to the premises should be carried out. Some care plans were not up to date as evaluations needed to be carried out at the end of each stay. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 6 The domestic hours provided in the home should be increased by 37 hours per week. 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. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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) 1 Prospective service users are provided with sufficient information to make a choice about coming to stay in the home. EVIDENCE: A comprehensive Statement of Purpose and Service User Guide is provided. The Acting Manager said the Service User Guide is being reviewed with the assistance of an advocacy service to provide formats which will be more accessible for the people staying in the home. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 10. The format of the care plans is easy to understand and contained very detailed guidelines to address complex needs. However some evaluations were out of date. Service users’ are encouraged by the staff team to make decisions about their day to day lives which ensures their lives are fulfilling. They are regularly consulted on all aspects of their life in the home. EVIDENCE: Six care plans were examined and they contained a great deal of detailed information about the personal, social and complex health care needs of the service users. The plans are evaluated at the end of each stay. However the evaluations in two care plans were out of date. The staff on duty were well aware of the needs of the service users and were observed consulting and communicating with them. Regular meetings are held in the home where service users are asked their opinion on the service offered in the home. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 10 The locks on the two filing cabinets should be repaired to ensure confidential information is secure. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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, 13, 14 and 17. 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. 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 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. Two service users said they had enjoyed a short holiday in Edinburgh with some members of staff. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 12 Menus are reviewed on a regular basis and the staff were observed to be offering choice on the day of the inspection. Five service users confirmed that they enjoyed their stays in the home and were treated well by the staff. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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, 19 and 20. The health care needs of the service users are well met and recorded in the care plans. Aids and adaptations are provided and moving and handling training is provided for the staff team. The staff give the residents the personal support they require and according to their preferences. An appropriate system is in place for dealing with medications. EVIDENCE: The acting manager confirmed that mandatory health and safety training for the staff team is up to date. Adequate equipment is provided throughout the home. Service users are supported with healthcare needs and there are detailed guidelines on the individual care plans. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate other than that the key to the medication cupboard was not held by the person in charge of the shift, and external and internal medications were not stored separately. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 14 Consent to medication forms are completed and risk assessment for selfadministration is carried out. Lockable facilities are provided in the bedrooms. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 standard(s) 22 and 23. 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. Two complaints have been received by the home since the last inspection. One complaint has been investigated and satisfactorily resolved. The other complaint is presently under investigation. The manager confirmed that all staff had received adult protection training early this year. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 standard(s) 24, 25, 27, 28 and 30. The standard of the facilities and décor within the home are good providing service users with a comfortable and homely place to stay. Bedrooms are provided with suitable facilities although some minor repairs need to be carried out. There is a choice of communal spaces within the home. All areas were clean and hygienic. EVIDENCE: A tour of the premises was carried out. All areas were found to be clean and comfortable. The manager has recently enrolled to receive infection control training which will then be cascaded to the staff team. Two lounges, a dining room and games room are provided in the home. A secluded garden is available at the rear of the premises and there is a small car park at the front of the premises. The home has recently been inspected by the Environmental Services Officer and Senior Health and Safety Officer from Newcastle City Council. The 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 17 manager confirmed that she is in the process of carrying out their recommendations. Some minor repairs need to be carried out. Bedside lights were not available in all rooms and a mirror was not provided in one bedroom. The lighting in one bedroom was not adequate. One bedroom which had previously been used as a snoozelen room had a projection screen on the wall and a wood panel across the bottom of the window. The wood panel blocks some of the view and creates a space which could be a safety hazard if a service user climbed over the wood panel. There was no cover on the radiator. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35. The minimum staffing levels in the home are met but due to sickness the domestic hours are low. The staff team works positively with the service users to improve the quality of their lives. Staff receive regular training although some specialist training is still required. EVIDENCE: The manager and staff confirmed that two care officers are on duty each morning and four in the afternoon Monday to Friday. This is increased to four care officers on duty all day during the weekends to ensure the individual needs of the service users are met. Due to sickness the domestic hours in the home has been reduced by 37 hours per week. However the domestic working in the home has ensured that the premises are clean and tidy. The manager is currently addressing the shortfall in hours. Training needs are discussed with the staff team during supervision sessions. Mandatory training is up to date and other specialist training has been provided. The staff on duty said they would like to receive training on epilepsy, challenging behaviour and bereavement counselling. Seventeen members of care staff are employed in the home. Three members of staff have completed National Vocational Qualification (NVQ) Level 3 and 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 19 four are undergoing this. The domestic assistant has registered to complete NVQ Level 1. The manager confirmed that more staff will be registered for NVQ training in the near future. The members of staff on duty during the inspection were experienced and communicated well with the service users. Three service users confirmed that they enjoyed good relationships with the staff and they treated them well. It was felt that the provision of a dishwasher would enable the staff team to spend more time with the service users. However service users should still be encouraged to help with the washing up if this is appropriate. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 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) 39, 40 and 42. Regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the service users. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the service users. Risk assessments are carried out but some need to be more comprehensive. EVIDENCE: Regular staff and service user meetings are held in the home and the minutes were available for inspection. The manager is requested to ensure all matters are followed up at the next meeting by adding ‘matters arising from the last meeting’ to the agenda. The staff on duty stated that the Acting Manager was supportive and approachable. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 21 Risk assessments are carried out but some are not as comprehensive as they should be. The recommendations following recent visits made by the Health and Safety Officer and Environmental Services Officer should be implemented. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 x 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 x 2 3 x 2 Standard No 11 12 13 14 15 16 17 3 x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 2 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 62 Clayton Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 3 x 2 x B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 23 No 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 6 10 20 25 26 Regulation 15(2)(b) 17(1)(b) 13(2) 23(2)(b) 16(2)c Requirement Care plan evaluations to be brought up to date. Repair locks on filing cabinets to ensure confidentiality. Adhere to pharmacy guidelines. Repair wallpaper border in bedroom 5. Repair wall behind the bed in bedroom 6. Provide bedside lamps in all bedrooms. Provide a mirror in bedroom 2 and remove projection screen and wood panel. Provide adequate lighting in bedroom 1 and replace towel rail. Repair grabrail in downstairs shower room. Repair wall plaster behind the kitchen sink unit. Expand information in risk assessments and implement recommendations of Health and Safety Officer and Environmental Services Officer. Timescale for action 31/8/05 31/8/05 Immediate 31/8/05 31/8/05 6. 7. 8. 27 28 42 23(2)(j) 16(2)(j) 13(4) 5/8/05 5/8/05 31/8/05 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 24 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. 4. 5. Refer to Standard 30 33 33 35 39 Good Practice Recommendations Infection Control training to be provided for staff. Shortfall in domestic hours to be addressed. Dishwasher to be provided to enable staff to spend more time with the service users. Training to be provided for staff in specialist areas, i.e. epilepsy, challenging behaviour and bereavement counselling. Ensure all issues raised in meetings are followed up and recorded. 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 25 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. Extracts may not be used or reproduced without the express permission of CSCI 62 Clayton Road B53-B03 S33054 Clayton Road V240650 260705 Stage4.doc Version 1.40 Page 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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