Inspection on 16/08/05 for Coanwood Drive

This inspection was carried out on 16th August 2005.

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 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

Coanwood Drive 18/04/07

Coanwood Drive 01/08/06

Coanwood Drive 10/11/05

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 Anne Urwin Brown Unannounced 16 August 2005 13:00 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. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 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 St Cuthberts Care 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) Marie S S Johnson CRH 7 Category(ies) of LD - Learning Disability (7) registration, with number of places Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 14.01.05 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 to live independently or semi independently. 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 is provided for this service. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted four hours and involved discussion with the Manager, two residents and three staff, inspection of records and other documents and a tour of the premises. What the service does well: 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 B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 6 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 Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 7 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) 2 Prospective residents needs and aspirations are assessed. EVIDENCE: Records show that a full assessment is carried out before and in the weeks after admission. Residents confirmed that they are consulted and involved in the assessment process. They said that they were satisfied that staff knew about their needs before their admission. Copies of the care management assessments were also available. The Manager described how the needs of each person are assessed to ensure that appropriate support is provided at the time of their admission. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 8 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, 10 Residents know their assessed and changing needs and personal goals are reflected in their individual plan. Residents know that information about them is handled appropriately and that their confidences are kept. EVIDENCE: Records showed that residents’ needs are assessed and any changes are reflected in their individual plan. Personal goals are identified and evidence was available that work is going on to meet these. Residents said that they were aware that they had an individual plan and that they could discuss what was in the plan with staff and be involved in reviewing the plan. They said that they sign the records to show that they agree with the content and this was evident from inspection of individual records. Inspection of records showed that a good standard of recording is maintained. Residents said that they were confident that information about them is kept confidential. Written guidance is in place relating to confidentiality. Staff demonstrated a good understanding of the guidance and of the issues relating to confidentiality. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 9 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) 12, 17 Residents are able to take part in age, peer and culturally appropriate activities. A healthy diet is provided for residents. Residents are happy with the food provided. EVIDENCE: Records and discussion with residents and staff confirmed that support is provided to take up work opportunities, further education and voluntary work. Residents gave examples of support provided to them to find and keep work and education/training placements. Plans are in place for each person that detail the activities, work or training available for them. Records showed that residents are supported to identify benefits/advice about financial planning to help them be more independent. Records show that the residents’ dietary needs are assessed. Their likes and dislikes are recorded and copies of menus were available. Arrangements are in place for residents to choose the weekly menu. Residents said that they were satisfied with the choice, quantity and quality of the food. They said that they are encouraged to help to prepare and cook meals as part of their individual programmes. For some residents individual menus are drawn up and assistance with shopping is provided to promote independent living skills. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 10 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 Personal support is provided to suit residents’ individual needs and preferences. Residents’ physical and emotional health needs are assessed and met. EVIDENCE: Residents are assisted to develop their independence while living at Coanwood Drive. Their support needs are identified within their individual plan and each person’s routines are arranged to suit their lifestyle. Residents confirmed that staff provide appropriate support to them, although none of the residents currently require assistance with personal care. A key worker system is in place and each person has regular meetings at which goals are identified and reviewed. Records are available to confirm this. Records are maintained in residents’ files of their assessed health care needs. Evidence was available that support is provided to individuals to take control of and manage their own healthcare. Residents said that the staff support them to make and attend appointments with doctors or other health workers as necessary. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 11 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 Residents feel that their views are listened to and acted on. EVIDENCE: Written guidance is in place for dealing with complaints. Residents confirmed that they knew there was a complaints procedure and that they felt able to discuss any complaint or concern they had with staff or the Manager. Staff were able to appropriately describe how they would assist a resident to make a complaint. There have been two complaints made since the last inspection and records showed that these had been satisfactorily resolved. It was noted that there is a need to record individual complaints on separate pages of the complaint book to protect confidentiality. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 12 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, 30 Residents live in a homely, comfortable and safe environment. Residents’ bedrooms suit their needs and lifestyles. Toilets and bathrooms provide appropriate privacy and meet individual needs. The home is clean and hygienic. EVIDENCE: Coanwood Drive is comfortably furnished and there is a homely atmosphere. The home is situated in a residential area and has been converted from two semi-detached houses to suit its present use. Bus routes pass near the home and the town centre is within walking distance. The Manager confirmed that there is a planned maintenance and renewal programme in place. Residents said they were very satisfied with the furnishings and décor of the home. They said that they are encouraged to discuss and put forward their views about any changes planned. Residents are provided with a single room and the Manager reported that appropriate furnishings are provided or residents can choose to have their own furniture in preparation for moving to a more independent setting. Residents said that they could choose items for their rooms and plan to take these with them when they move from the home. They said they were happy with their rooms and that they had been able to choose the décor. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 13 Toilets and bathrooms are appropriately fitted and appointed. All bathrooms and toilets have lockable doors. At the time of the inspection the home was clean and hygienic. Written guidance is in place for infection control. The Manager confirmed that staff have training in infection control and records were in place. Arrangements for washing clothes and bedding are satisfactory. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 14 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) 31, 33, 35 Residents benefit from clarity about staff roles and responsibilities. An effective staff team is in place to support residents. Appropriately trained staff meet residents’ individual and joint needs. EVIDENCE: Staff were able to describe the aims and values of the home. Written job descriptions are in place. Staff are aware of the General Social Care Council Code of Practice and a copy was available in the home. It was possible to confirm that staff are aware that at times they will need to seek advice from other professionals involved in the care of the residents. Inspection of the rota confirmed that enough staff are available to support the residents. There is one person sleeping in at night. The Manager reported that there is a settled staff team at Coanwood Drive. The Manager or other staff working extra hours cover sickness and annual leave. Since the last inspection two staff have left. Staff confirmed that staffing levels are adequate to meet the needs of the residents. An outreach service is also provided from Coanwood Drive, and there are additional staff hours for this service. A training plan is in place and the Manager confirmed there is an adequate budget to provide appropriate training opportunities. A training needs assessment has been carried out for the staff group. Staff confirmed that appropriate induction and foundation training is provided for new staff. They Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 15 also said that they were satisfied with the training opportunities provided and that the training provided is linked to residents’ needs. Six staff completed training in providing care to people with learning disabilities. Two staff are currently undertaking induction and foundation training and one person is starting an apprenticeship. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 16 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, 42 Quality systems are in place for records and systems in place. There are no formal systems in use to seek residents’ views about the operation of the service. An annual development plan is not in place. The health, safety and welfare of residents is promoted and protected. EVIDENCE: Evidence was available from records and discussion with staff to confirm that there are arrangements in place to monitor the records and systems in the home. Questionnaires for seeking residents and their relatives’ views about the service have been drawn up, but are not yet in use. The Manager said there is not an annual development plan in place, although when information is available from the questionnaires a plan will be drawn up. Residents’ individual plans show evidence of their development. Arrangements are in place for formal feedback from residents at reviews and meetings. Evidence was available to confirm this information is used by staff when any changes to the service are planned. Residents said that they are encouraged to make their views known and that they feel able to speak freely to staff or the Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 17 Manager. Evidence is available that policies and procedures are regularly reviewed. Records show that regular fire training is provided for staff. The fire alarm and fire equipment tests and servicing are recorded in an appropriate form. Written guidance is in place for Health and Safety and Control of Hazardous Substances. Staff were aware of these documents. Records showed that appropriate staff training is provided. Risk assessments for the home and for fire are in place. Induction and foundation training is provided for all new staff. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 18 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 4 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x 4 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coanwood Drive Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 19 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 39 Regulation 24 Requirement A system must be established to review the quality of care taking account of residents views and this information should inform an annual development plan. Timescale for action 30.11.05 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. Refer to Standard 22 Good Practice Recommendations Each complaint should be recorded on a separate sheet to maintain confidentiality. Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 20 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 Coanwood Drive B53-B03 S605 Coanwood Drive V239274 160805 Stage 4.doc Version 1.40 Page 21 - 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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