Inspection on 19/01/06 for Cornerstone

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerstone 06/09/07

Cornerstone 09/08/06

Cornerstone 18/08/05

Cornerstone 07/02/05

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Cornerstone 51 Pease Street Darlington Durham DL1 4EX Lead Inspector Mrs Belinda Parker Unannounced Inspection 19 January 2006 12:30p th Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 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 Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 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. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cornerstone Address 51 Pease Street Darlington Durham DL1 4EX 01325 261658 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) rich@wecare.org.uk Cornerstone Care (Durham) Ltd Richard McManners Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Cornerstone is a residential care home and providing residential care services for up to 12 adults in the category of learning disability. The home is located in a residential part of Darlington within walking distance of the town centre and all of its amenities. Cornerstone is a large end terrace house that has been extended to provide suitable living accommodation for the client group. The accommodation comprises 10 single and one double bedroom a range of communal spaces, garden areas and a separate educational building. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 19/01/06 over a period of three hours. During the inspection time was spent talking to the manager and staff. The four service users in the home on the day of the inspection had high dependency needs and limited speech. We sat in the lounge and watched staff chatting and responding to the needs of individual service users. What the service does well: What has improved since the last inspection? The manager accompanied me on a tour of the home. Many bedrooms have been redecorated. The manager said service users were involved in choosing the décor for their own bedroom. The manager is continuing to work towards completion of the Registered Managers Award. Which will develop the manager’s professional role in ensuring the home continues to offer a good service to the service users and visitors to the home. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 6 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. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 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 Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 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): This standard section was not assessed at this inspection. EVIDENCE: Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 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): Standard 8 Although service users living in the home have high dependency needs. It was evident from speaking with staff that service users are listened to and their wishes acted upon. EVIDENCE: A staff member spoken to during the inspection said, where service users have limited verbal communication all the staff through knowing the service users’ well can tell from facial expression and gestures the individual’s needs and choices. During the inspection staff where observed in the lounge responding appropriately to service users wants and needs. A staff member said regular staff and key worker meetings are held. Families visiting often have a chat to the manager or staff about the care of their relative. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 10 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): This standard section was not assessed at this inspection. EVIDENCE: Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 11 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): This standard section was not assessed at this inspection. EVIDENCE: Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 12 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): Standards 22 and 23 The home has a system in place to enable service users to make their views known. Robust procedures are in place to protect service users from abuse or neglect. EVIDENCE: The home has a complaints procedure in place. But it requires updating to make reference to CSCI. A staff member spoken to said where a service user has difficulty with verbal communication, by knowing the service users’ well she can recognise by a service user’s expression or gestures if they are unhappy. And the staff will take time to sit with the service user to find out what the problem is. There have been no complaints recorded in the home since the last inspection. The registered manager said he ensures that service users living in the home are protected from harm or neglect. A staff member spoken to said she had attended POVA Training (Protection of Vulnerable Adults). She was able to demonstrate an awareness of her responsibility for keeping service users safe from abuse. Criminal Records Bureau checks are in place for all staff working in the home. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 13 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): Standards 24, 25, 26, 27, 28, 29 and 30 The home is comfortable, accessible and safe. The dining area requires some remedial repairs and redecoration to provide service users with a pleasant environment to enjoy their meals. EVIDENCE: On touring the home it was observed to be suitable for its stated purpose. safe, accessible and comfortable. The décor and furnishings are traditional in style. Many of the bedrooms have been redecorated but the dining area had evidence of water damage to wallpaper and some plaster damage. The manager said total redecoration of the dining room is planned for Feburary/March. Service users bedrooms viewed where seen to be personalised in the chosen style of the service user. And where decorated individually both in colour and choice of floor covering. There was adequate toilet, washing and bathing facilities in the home to meet the collective needs of service users. These facilities where accessible for service users and sited near to communal living and bedroom areas. Additional bathing aids where available to assist service users with specialist needs. The lounge is spacious with a range of comfortable seating. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 14 The home was clean and free from any offensive odours. providing sufficient and suitable light, heat, ventilation and a comfortable environment for the people who live in the home. A policy is in place for the control of infection. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 15 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): Standards 31, 32, 33, 34, 35 and 36 Staff is employed in sufficient numbers for the protection of service users with the appropriate skills and competencies to deliver a good standard of service to the people who live in the home. EVIDENCE: Staff personnel files included a copy of the individual staff’s job description. A staff member spoken to was able to demonstrate their role of responsibility and that of others within the home. Staff is equipped with the competencies and qualities required to meet service users needs. A staff member spoken to said she attends regular training to develop her skills and abilities and had achieved NVQ3 in Care. Enabling her to provide a good service to the people who live in and visit the home. Records showed that the home employs care staff in adequate numbers and complimentary skills to meet the needs of the service users. The manager said staffing levels are reviewed and adjusted to meet the changing needs of service users. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 16 Staff personnel files examined showed that the home operates a thorough recruitment procedure for the protection of service users. Criminal Records Bureau checks have been carried out for all staff employed in the home. The manager provided evidence to show that an annual training programme for staff is in place. The manager said training for staff is either carried out in house or from external providers. To ensure staff are appropriately equipped with the knowledge and skills required to ensure the service users live there and visitors to the home receive a good standard of service. Staff confirmed during discussion that they attend regular training to update their skills and knowledge. The manager has in place a programme of formal supervision recorded on the duty rota for all staff supervision sessions. A staff member spoken to said the manager discusses during supervision their care role and identifies training needs. The staff member thought this process is beneficial in supporting them to deliver a good level of care service within the home. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 17 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): Standard 37 and 42 A manager who is competent in his role and positive towards continued selfdevelopment effectively manages the home. Enabling him to deliver a good standard of service to the people who live, work and visit the home. The manager ensures so far as is reasonably practicable, the health safety and welfare of the service users, staff and visitors to the home. EVIDENCE: The manager said he is continuing to work towards completion of the Registered Manager Award. The manager said he is finding this course interesting and the knowledge gained is improving his management skills for the efficient and effective day to day running of the home. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 18 Health and safety records examined included regular maintenance checks of major systems and equipment. Appropriate health and safety training is delivered to staff. Ensuring that service users are protected from harm. The manager is able to demonstrate his role of responsibility towards providing a safe environment for the people who live, work in and visit the home. All records viewed for the protection of service users were accurate and up to date. Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 19 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 x 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 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 2 x x x x 3 x Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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 YA24 Regulation 23 (b) Requirement The registered manager must carry out remedial repairs to water and plaster damage in the dining room and redecorate. To provide service users with a pleasant eating area. The registered manager shall review the Complaints Procedure to include reference to the Commission for Social Care Inspection. Timescale for action 31/03/06 2 YA22 22 (2)(7) 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA37 Good Practice Recommendations The manager should achieve the Registered Managers Award by May 2006 Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Cornerstone DS0000061043.V275549.R01.S.doc Version 5.1 Page 22 - 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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