Inspection on 18/10/06 for Clifton Road, 52

This inspection was carried out on 18th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Clifton Road, 52 02/05/07

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 Clifton Road, 52 52 Clifton Road Grainger Park Newcastle upon Tyne NE4 8DQ Lead Inspector Hilary Stewart Key Unannounced Inspection 18th October 2006 12:30 Clifton Road, 52 DS0000064263.V295231.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 Clifton Road, 52 DS0000064263.V295231.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. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton Road, 52 Address 52 Clifton Road Grainger Park Newcastle upon Tyne NE4 8DQ 0191 298 3614 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) None The Edward Lloyd Trust Ms Judith Louise Wright Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Number 52 Clifton Road provides residential care for adults who have a learning disability. Nursing care is not provided. The home is a large semi detached house in the West End of Newcastle and looks the same as the other houses in the area. Public transport is available a short distance away. The nearest local amenities are on the West Road. All of the householders have their own bedroom with bathroom. The house has gardens to the front and rear. Inspection reports and copies of the homes statement of purpose are available from the home. Each householder is charged £737.85p per week to live at the home. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector telephoned the home just before they went to make sure they could speak to the manager. They arrived at the home at 12.30pm and the inspection lasted for 6 hours. During the inspection they met with all of the people who were living at the home. A number of questionnaires were sent out to care managers. Other ways the inspectors looked at the home included: • • • • • • • Talking with the householders and staff Talking with the manager Reading the householders files and other care records Watching the staff and householders together Looking around the home Joining the staff and householders at meal times Case tracking some of the householders care plans What the service does well: The staff team at the home value the differing needs of the residents who live there and make sure that they are aware of each person’s preferences. They treat the residents as individuals and support them to live the life they choose as much as possible so they will gain confidence. Staff make a lot of effort to enable the residents to experience a variety of activities so they have more choice. This helps build their self-esteem and confidence. The staff team make sure that the home is clean, warm and pleasantly furnished so the residents can be comfortable and relaxed. Staff work hard to enable residents to use local services so they are part of the community. There are procedures in place at the home that make sure that the residents are protected and kept safe from abuse. The staff are supervised and trained so they know how to provide the residents with good care. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 6 Staff listen and talk to the residents to support them to make informed decisions about their lives so they feel their opinions are valued. The staff make sure the residents health care needs are met so their good health is maintained. 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. Clifton Road, 52 DS0000064263.V295231.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 Clifton Road, 52 DS0000064263.V295231.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 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 residents have their needs assessed at the home so individual care plans can be developed. This makes sure that the residents are getting the care that they need. EVIDENCE: Records showed and the staff said that each of the householders have an individual care plan. The staff involve the householders as much as possible in developing their individual care plans. One householder showed me their care plan and said that their key worker helps them with it. Clifton Road, 52 DS0000064263.V295231.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 good. This judgment has been made from evidence gathered both during and before the visit to this service. All of the residents at the home have an individual plan that is reviewed regularly. This will help staff meet the needs of the residents more effectively. Staff enable and support residents to lead their own lives so they can be as independent as possible. EVIDENCE: All of the householders have an individual care plan that is reviewed regularly. They also have a Person Centred Plan. Householders go to their reviews and the staff support them to take part. Records showed and staff said that the householder’s care plans are reviewed when they should be. The files were looked at and found to contain up to date information about the care of the people who live in the home. The manager and staff said that “speak Easy” meetings are held every week. Individual meetings are held with their key worker to talk about their wishes and needs. They decide on different activities and things they would like to do Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 10 in the future such as holidays. One householder said, “We’ve been abroad” and “ we’ve been to a party it was good”. Each person has up to date risk assessments that show staff the procedures to follow so they can reduce the risk when working with the householders. The manager said that the householders make decisions about their own lives every day such as what they want to eat and where they would like to go. One householder has started to make lunches at a community centre to fund raise another get information every week about activities with a friendship group. That day three householders had been on a tour to the BBC studios and another two had been to a coffee morning. Clifton Road, 52 DS0000064263.V295231.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 adequate. This judgment has been made from evidence gathered both during and before the visit to this service. The householders use local facilities so they can be involved with the local community. Staff support them to make their own choices as much as possible. This enables them to become more independent. Social activities are well organised, creative and provide stimulation and interest for people using the service so they can become more confident. If all of the meals provided at the home were written down in the records it would show that the householders are provided with nutritious and varied diet, which helps maintain their general health and interest. EVIDENCE: The manager said that the residents use the local shops, swimming pool and talk to the neighbours who have been to the house. They go for walks and Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 12 local people say hello and speak to them. On the day of the inspection one householder was going to be visited by a relative and was having a birthday celebration. The householders said that they have their friends over to visit them at home one person said that they have a “ take away when their friends come to visit”. Staff said that all of the householders are in different friendship groups. If they have friends they will encourage and supported to visit them or for their friends them to come and visit them. The home has a householder’s charter of rights that says what rights they have. Staff said that they would always knock on the bedroom doors before they entered and they encourage the householders to lock their bedroom doors. All of the householders are registered with the local GP. Records showed and staff said that they attend appointments. The home’s menus are based on the known likes and dislikes of the service users. Staff said that they are always trying to find new menus to see if the residents like them and to provide interesting things for them to try. One householder was looking at a menu file, which had large pictures of different foods. Householders pick the meals for the week every Saturday night. The staff said that at least three meals are served to householders, which are varied, nutritious. One householder said that their favourite meal was “toad in the hole” another said that “we always have fruit”, fruit was available in the kitchen. Records showed that not all of the food served was being recorded. Householders are involved with the shopping and special diets can be catered for. Clifton Road, 52 DS0000064263.V295231.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 the outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents get personal support when they need it so they can be as independent as possible. The staff monitor and promote the health of residents who live in the home. This helps to ensure their well-being. EVIDENCE: Records showed that the householder’s health care needs are met at the home. Details of health checks, visits to their GP and hospital appointments are recorded in the householder’s individual files. The manager said that the health and welfare of the householders is constantly being monitored. Records showed that personal care needs are planned for and the householder’s health and well-being is discussed during staff meetings. The people who live at the home looked smart and well groomed. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 14 Staff said and records showed that any changes of medication or medication procedures are recorded and followed in the home. The manager said residents would be supported to manager their own medication if, following a risk assessment it was found to be safe enough. Staff said and records showed that householders manage their own medication when they can. Clifton Road, 52 DS0000064263.V295231.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 the outcome area is good. This judgement has been made using available evidence including a visit to the service. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about adult protection so the residents are kept safe. If they had training in the ‘Protection of Vulnerable Adults’ this would increase their skills and knowledge in how to safeguard residents at the home. EVIDENCE: The home has a complaints procedure. This is available to the householders their relatives and carers. Records showed that there had not been any complaints made since the last inspection. The manager confirmed this. One householder said that if they had a complaint they would “ tell the staff”. Another householder said that they “felt safe” at the home. Staff said that they know the procedure to be followed if an allegation of abuse was made in the home, but they have not been provided with training in the ‘Protection of Vulnerable Adults’ (POVA). The manager said that the owners of the home are still finding suitable training. A copy of the Local Authorities adult protection procedures is kept at the home. The home has a POVA procedure. The home has a ‘whistle blowing’ procedure and the manager said that staff have been told about this. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 16 Records are made of the resident’s money and what they spend it on. Receipts are kept and the money is checked everyday. One householder manages their own money. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 17 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 the outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home is comfortable, clean and generally in good repair (apart from a few areas) so the residents have a pleasant house to live in. EVIDENCE: The home is clean, comfortable and has been recently decorated. All householders have their own bathroom. One shower had mould around it, which was caused by damp from the outside wall. The manager said they had reported this to the company who carry out repairs some time ago. One of the kitchen cupboard doors was broken and some of the laundry floor was missing. The householders bedrooms looked very comfortable it showed that staff had worked hard to enable them to personalise their own rooms. They had been made individual and comfortable. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 18 Staff said that water temperatures are monitored by staff to make sure the water doesn’t get to hot. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 19 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, 33, 34 and 35. Quality in the outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home has a recruitment procedure to vet staff so the residents are kept safe. If more staff worked in the home the householders would be able to go out more often and on their own with staff, which would enable them to pursue their own interests, gain experience and build their self-esteem. Staff are supervised and get training so they know how to care for the householders well. EVIDENCE: Records showed and staff said that they are supervised and receive training when they are working at the home. One member of staff said that they felt “supported” by the manager. Staff said that they are vetted before they are employed at the home. The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they were suitable people to work at the home. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 20 Sufficient staff were on duty during the inspection. However records showed that only two staff were on duty over the weekends and after 5pm during the week. This restricts how often the householders can go out and leaves little time to go out individually. Staff said that having more staff would “enable the householders to have more 1 to 1 time with staff” and “go out to do individual things”. The householders said that they would like to go out more often. The manager said that 4 staff have completed vocational qualifications in the care of adults. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 21 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 the outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The manager has the experience and is in the process of completing vocational qualifications to run the home, so the residents are well cared for. Resident’s views are sought about how the home is run as much as possible, so they know they are listened too. There are procedures in place to promote the health and safety of the people who live in the home so they are protected and kept safe. Monitoring visits of the home take place and most copies of the reports are sent to the home so the manager and staff can act upon any issues and improve the service to the residents. Some reports had not been received by the home. The home has a quality assurance system so the service the residents get is looked at and improved. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager said that they have the relevant experience to run the home and will have completed a recognised vocational qualification by October 2006. Records showed that checks had been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that regular fire drills take place and the manager said that fire instruction is being carried out at the required intervals. Staff said that they have fire drills. Some of the householders said that they have taken part in fire drills at the home. Records showed that regular training is provided for staff in fire safety, food hygiene and first aid. The manager said that the home has regular monitoring visits; the home had not received copies of all of the reports. This meant that they were unable to act upon any issues in the reports that may have been in them. Records showed that the home has a quality assurance system and that the householders are asked their views about the running of the home. Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 23 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 2 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 X 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 24 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 YA17 Regulation 17 Requirement The registered person must make sure that a record of the food provided to the householders is kept at the home, which has sufficient detail. The registered person must make sure that all staff must receive training in the protection of vulnerable adults. Repair • The cause of the mould in the downstairs shower. • Repair the kitchen cupboard • Repair the laundry floor. The registered person must make sure that sufficient staff are on duty at the home to meet the needs of the householders. The registered person must make sure that all copies of the reports from the monitoring visits are lodged at the home. Timescale for action 01/12/06 2 YA23 13 01/12/06 3 YA24 23 01/12/06 4 YA33 18 01/12/06 5 YA37 26 01/12/06 Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Clifton Road, 52 DS0000064263.V295231.R01.S.doc Version 5.2 Page 26 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. 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