Inspection on 10/11/05 for Coanwood Drive

This inspection was carried out on 10th November 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coanwood Drive 18/04/07

Coanwood Drive 01/08/06

Coanwood Drive 16/08/05

Coanwood Drive 14/01/05

Coanwood Drive 22/06/04

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 Coanwood Drive 22 Coanwood Drive Mayfield Glade Cramlington Northumberland NE23 6TL Lead Inspector Glynis Gaffney Announced Inspection 10th November 2005 09:30 Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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 Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coanwood Drive Address 22 Coanwood Drive Mayfield Glade Cramlington Northumberland NE23 6TL 01670-739319 01670 739319 coanwood.drive@stcuthbertscare.org.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) St Cuthberts Care Mrs Marie S S Johnson Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th January 2005 Brief Description of the Service: 22 Coanwood Drive is registered to provide care and support to seven adults with a learning disability. The service is provided in a residential area on the outskirts of Cramlington. The house is within walking distance of the town centre and public transport links. Residents are accommodated at Coanwood Drive for a limited period of up to two years. During that time residents are helped by staff to develop the skills needed to live as independently as possible. An outreach service is provided from Coanwood Drive to support people with learning disabilities within the community. Some of these people moved on from Coanwood Drive and levels of support vary to suit individual needs. Additional staff are provided for this service. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced, took place over 10 hours and involved one inspector. A tour of the premises was undertaken and a sample of records were examined. Three of the staff on duty and three residents were spoken to. The Home’s Manager was also interviewed. As part of the inspection, residents were asked to comment upon the quality of care provided at the Home. Please find their comments detailed below: • • • • • • • • • 3 persons stated that they liked living at the Home. One person said that they liked living there some of the time; 4 persons stated that they felt well cared for; 3 persons felt that they were well treated. One person felt that they were treated well only some of the time; 3 persons felt that their privacy was respected. One person felt that their privacy was only respected some of the time; 3 persons stated that they would like to be more involved in the Home’s decision-making processes. One person stated that they would only like to be more involved some of the time; 4 persons felt that the Home only sometimes provided suitable activities; 3 persons commented that they liked the food. One person said that they only sometimes liked the food served; 4 persons commented that they felt safe at the Home; 3 persons stated that they knew whom to contact if they were unhappy with their care. No relative questionnaires, or surveys completed by professionals visiting the Home, have yet been received. What the service does well: The Home had a warm, welcoming and relaxed atmosphere. Staff appeared to have developed warm and caring relationships with the people in their care. Residents were satisfied with the care and support provided at the Home. The 12staff team demonstrated enthusiasm and commitment in their attitude and approach towards meeting residents’ care needs. The staff team have developed ways of working with residents which take account of each person’s ability to communicate their needs, wishes and preferences. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 6 The Home provides residents with opportunities to learn and practise skills which will eventually enable them to live independent lives in their local communities. Staff, with support from their Manager, are able to provide each person with the right amount of support and skills training, building upon those they have already gained. 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. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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 Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): Key Standard 2 was assessed during the 2005 Unannounced Inspection. EVIDENCE: Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): 7 and 9. Key Standard 6 was assessed as part of the 2005 Unannounced Inspection. Staff support residents to make decisions about how they live their lives. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Staff were able to describe how they provide residents with the support and information they need to make informed decisions about their daily lives. For example, one resident said that he was free to: Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 10 • • • • Choose what time to get up and go to bed. However, this person also said that house rules had recently been agreed in respect of this matter; Come and go within the house and his bedroom; Choose how he spent his time and with whom; Manage his own finances with staff support. Residents are provided with opportunities to participate in the day-to-day running of the Home. For example, some of the residents living at the Home said that: • • • Residents’ Meetings take place on a regular basis; They are made aware of what is going on within the Home in terms of activities/outings, etc; They are encouraged to take responsibility for everyday household chores such as food preparation and cooking. During the inspection, residents were observed assisting the staff on duty to prepare the lunchtime and evening meals. It was evident that residents really enjoyed participating in such activities. There is a residents’ rota for laying tables and they are also encouraged to put crockery away after each meal. Residents are encouraged to take responsible risks as they go about their daily lives. Risks undertaken are carefully assessed and monitored by staff. Care Management information, and details of any risk assessments conducted, are obtained before an admission into the Home can take place. The Home’s preadmission assessment is used to establish how identified risks will be managed within and outside of the Home. Any risk assessment information obtained is integrated into each resident’s care plan. Ms Johnson explained that it was her preferred practice for staff to firstly get to know a new resident and then complete any necessary risk assessments. Where high-risk behaviours are identified, this information would then be forwarded to, and considered by, the Provider’s Risk Team. Completed risk assessment information was available in all of the care records examined. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): 13, 15 and 16. Key Standards 12 and 17 were assessed as part of the 2005 Unannounced Inspection. Residents are supported by staff to become part of, and participate in, their local community. Residents are encouraged to form meaningful relationships with staff and other people living at the Home. Residents’ rights are recognised enabling them to lead valued and fulfilling lives. Residents’ involvement in, and responsibilities for, the Home’s daily routines is encouraged enabling them to work towards achieving more independence. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 12 EVIDENCE: Residents are supported to become part of, and participate in, the local community. A resident said that she: worked in a local supermarket two days a week; attended a local college once weekly; went shopping, undertook her household chores and went out with friends when she had any free time. A member of staff commented that residents visit local pubs, churches and social clubs. Residents are kept up to date with what is going on in their local community. One resident said that ‘staff often talk to me about what is going on and ask whether I am interested in doing this or that.’ Residents are registered with local GPs and staff will, if considered necessary, attend GP and hospital appointments. The Home had no stigmatising signs publicising its status as a care home. A member of staff said that residents would be provided with information regarding how to access local advocacy services where this was considered necessary or had been requested. Residents are free to form personal friendships and relationships with people of their choice with support and guidance from staff as considered necessary. Residents commented that staff respected their privacy and always knocked on bedroom doors before entering. Staff were observed to address residents in a polite and respectful manner. Residents are offered the opportunity to hold the key to their bedroom door. Although residents are able to lock their bedroom door, staff can still gain access in the event of an emergency. Opportunities are available for residents to join in everyday household chores. For example, one resident said that she received staff support to: assist with lunch; clean her bedroom; draw up a shopping list and to go shopping. Throughout the inspection, staff were seen to talk with residents, rather than just between themselves. Residents are supported and encouraged to build relationships, wherever possible, with other people living at the Home. A resident commented that it was his choice about whom he made friends with. He also said that he could see visitors in the privacy of his own bedroom. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): 20. Key Standards 18 and 19 were assessed as part of the 2005 Unannounced Inspection. Although the systems in place to support the safe administration, storage and disposal of medication were generally satisfactory and promoted residents’ good health, the need for improvement in some areas was identified. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 14 EVIDENCE: A Medication Policy was available for staff to refer to. Residents’ consent to staff administering their medication is not currently recorded on their Medication Administration Records (MARs). Although residents’ MARs were generally satisfactorily completed, there were gaps where staff had failed to sign the records confirming that medication had been administered. The MARs checked did not contain identification photos for each resident. A record of medicines received into the Home was in place. A secure facility was available to ensure that medicines were safely locked away. Two residents were administering their own medication at the time of the inspection. Where a resident administers their own medication, a supportive goal plan is put in place. One resident orders and then collects his own medication. This person also sets up his own dossette box with support from staff. Lockable facilities were available in all bedrooms. Hand wash facilities were not available within the room in which medications are stored. Although staff had received inhouse medication training, not all staff had received accredited training in the handling of medicines. In addition, a record of the in-house medication training provided to two recently employed staff was not available. The directions detailed on one resident’s MAR with regards to the administration of an ‘as and when required’ medication were too vague. A record is not currently maintained of the ambient air temperature of the room within which medications are stored. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): 23. Key Standard 22 was assessed as part of the 2005 Unannounced Inspection. A satisfactory Adult Protection Policy was in place ensuring an appropriate response to any suspicion or allegation of abuse received by the Home. EVIDENCE: The Home’s Adult Protection Policy complied with the relevant guidance and legislation. An adult protection concern raised with the Commission since the last inspection had been appropriately handled by the Home. However, not all staff have yet received training in the protection of vulnerable adults. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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): Key Standards 24 and 30 were assessed during the 2005 Unannounced Inspection. EVIDENCE: Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 17 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 and 34. Key Standard 35 was assessed during the 2005 Unannounced Inspection. Staff generally have the skills, competencies and qualities to meet residents’ needs. Residents are supported and protected by the Provider’s recruitment policy and practices, although some of the required information was not available in the Home’s staff files. EVIDENCE: Most staff have obtained, or are in the process of obtaining, relevant vocational qualifications. Over 50 of the care team have obtained a relevant care based qualification. Arrangements are in place to ensure that staff receive refresher training in key statutory areas. Staff interviewed felt that they had the skills and competencies required to meet the needs of residents in their care. A newly appointed member of staff confirmed that he had recently completed the required induction training and had found it to be very comprehensive. This person also said that staff were made aware of training opportunities as soon as they became available. There were no trainees in the Home at the time of the inspection. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 18 Staff files held at the Home did not contain all of the required information such as copies of employment contracts and i.d. photographs. Volunteers are not used within the Home. Staff employed by St Cuthbert’s are subject to a minimum three month probationary period. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 19 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. Key Standards 39 and 42 were assessed during the 2005 Unannounced Inspection. Residents live in a home which is run and managed by a person who is fit to be in charge, is of good character and able to discharge her responsibilities fully. The Manager provides consistent leadership, guidance and direction to staff and ensures that residents receive good quality care. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 20 EVIDENCE: A Registered Manager was in post. Ms Johnson is a qualified social worker and has obtained a relevant management qualification. She has worked with adults who have learning disabilities for over 16 years and has been a Registered Manager at the Home for 5 years. Staff interviewed said that the Manager had made it clear to them the standards of care that they were expected to work to. One carer was able to clearly describe the purpose, aims and objectives of the Home. Staff felt that they knew what was going on within the Home and felt able to raise any matters of concern with their Manager. Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 Page 21 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 X X X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coanwood Drive Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000000605.V249317.R01.S.doc Version 5.0 Page 22 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 Standard YA20 Regulation 13(2) Requirement Ensure that: • Residents’ consent to staff administering their medication, or that of their representative, is recorded on each person’s Medication Administration Record (MAR); Staff immediately sign each MAR after administering a resident’s medication; Residents’ MARs contain an identification photo; Hand wash facilities are provided in the room within which medications are stored and administered; Clear dosage instructions for administering ‘as and when required’ medications, such as Paracetamol, are detailed on MARs; A written record is maintained of checks made of the air ambient temperature of the room Version 5.0 Page 23 Timescale for action 01/03/06 • • • • • Coanwood Drive DS0000000605.V249317.R01.S.doc 2. 3. YA23 YA34 13(6) Schedule 2 within which medications are stored; • All staff are provided with accredited medication training; • A record is maintained of in-house medication training provided to new staff employed at the Home. Ensure that all staff receive adult 01/05/06 protection training. Ensure that staff files held at the 01/04/06 Home contain the following information: • A copy of each staff member’s employment contract and job description; The staff member’s date of appointment. • 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 Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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 Coanwood Drive DS0000000605.V249317.R01.S.doc Version 5.0 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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