Inspection on 02/05/07 for Crows Nest

This inspection was carried out on 2nd May 2007.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Crows Nest 22/04/09

Crows Nest 20/05/08

Crows Nest 11/05/06

Crows Nest 05/10/05

Crows Nest 08/06/05

Crows Nest 11/03/05

Crows Nest 11/06/04

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 Crows Nest Prospect Place Newbiggin By The Sea Northumberland NE64 6DN Lead Inspector Elaine Charlton Key Unannounced Inspection 2nd May 2007 10:30 Crows Nest DS0000000632.V336763.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 Crows Nest DS0000000632.V336763.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. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crows Nest Address Prospect Place Newbiggin By The Sea Northumberland NE64 6DN 01670-817696 01670 817696 jyball@btinternet.com 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) Mr John Ball Miss J Ball Miss J Ball Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2006 Brief Description of the Service: The Crows Nest is a stone built, end terrace house, set in a residential area of Newbiggin by the Sea. It overlooks the golf course and sea front. The owners work as part of the staff team. There is a mix of single and double bedrooms at ground and first floor levels. People who live in the home can make use of the shared space that includes a sitting room, dining- room and kitchen on the ground floor. At the front of the house there is a conservatory that looks over the large, walled garden. The home is not adapted for people with mobility problems. The service is suited to people who do not have high care needs or mobility problems and can cope with living in a large group. Most people who live in the home go to day services in nearby towns and use local leisure and social amenities in the evenings and at weekends. There is a bus service that runs from the end of the road. The fee is £370.00 a week. Information about the home can be found in the home’s statement of purpose and service user guide. Copies of the Commission for Social Care Inspection (CSCI) inspection reports are available in the home. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made on date the 2 May 2007, and lasted for 3 ½ hours. The manager was present for most of the inspection. Before the visit we looked at: Information we have received since the last visit on 27 July 2006; How the service dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of people who use the service, their relatives, staff and other professionals who visit the service. During the visit we: Talked with four people who use the service, two staff, and the manager. Looked at information about the people who use the service and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Looked around the building/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since the last visit; We told the manager what we found. What the service does well: They get full assessments to make sure that they can meet the needs of people who wish to live in the home. People who live in the home are encouraged to go out and about on their own and to be independent in daily activities such as laundry and shopping. Everyone who lives in the home is given the chance to look after their own medication and finances if they wish. Staff promote privacy and make sure that they ask permission to enter someone’s bedroom. Provides a homely environment where people can be independent and comfortable. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Crows Nest DS0000000632.V336763.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 Crows Nest DS0000000632.V336763.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given good information to help them decide about moving into the home. Their needs and wishes are assessed before they are given the chance to move in. EVIDENCE: People who wish to move into the home are fully assessed to make sure that their needs can be met. A detailed assessment seen by the inspector identified signs that staff needed to look for that could indicated a deterioration in the persons health. The manager and staff get advice, information and support from a range of professionals during the assessment process. Crows Nest DS0000000632.V336763.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are involved in planning their care, making choices and decisions about what they want to do, and are helped to be independent in their personal care and daily life. EVIDENCE: The files for three people who live in the home were seen. These are all kept in a standard way. They recorded people’s date of birth, family contacts, date of coming to the home, as well as the healthcare professionals they see. Everyone who lives in the home has a contract and also agrees to the house “rules”. The house “rules” cover consideration for other people’s feelings, language, behaviour and not smoking in the home. All the documents seen were signed and dated by the key worker and the resident to show that they had been involved in the care planning process. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 10 A copy of the home’s complaints procedure is also kept in everyone’s file. Work to improve the quality of care plans is continuing. How and why people who live in the home make decisions/choices, and any limitations should be clearly recorded. Four people who were at home during the inspection talked to the inspector. Two of them went out to on their own a local lunch club. Everyone said they were able to do what they wanted, when they wanted. People can choose where and how to spend their time, whether to lock their bedroom, to manage their own finances and medication. Care plans show whether a person wants staff to go into their bedroom when they are out, and when or if they want assistance to keep their bedroom clean and tidy. A member of staff was heard asking permission to return laundry to a persons’ bedroom whilst they were out. This is very good practice. Crows Nest DS0000000632.V336763.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access educational and social opportunities within the home and the wider community. Choice and rights are promoted as well as healthy living. EVIDENCE: Two people who spoke to the inspector said they had been to the theatre to see Tap Dogs. One gentleman spoke about concerts he had enjoyed in the local community and at Sunderland Empire. Everyone who lives and works in the home has strong links with the local community and enjoy getting out and about. Daily routines were seen to be flexible and only limited by a persons need to attend college, work or an appointment. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 12 One person spoke about wanting to go to college in September to learn new skills so that they could live on their own, and about being a member of the Wansbeck Volunteer Group. People use the public library, go to local pubs, Women’s Institute, Church and Lifeboat events. They take part in the Newbiggin in Bloom group and use the sport and leisure facilities at the Heritage Centre. The manager spoke about a person who lives in the home becoming engaged. They are also planning to move to more independent living. People are helped to keep in touch with their family. Relationships with staff were seen to be warm and friendly. One person who lives in the home told to the inspector how the menus were planned. Everyone sits down at the weekend to choose the meals for the week ahead. On Saturdays people enjoy a cooked “brunch”. Store cupboards and freezers were well stocked. People who live in the home are able to help with food preparation if they wish. One person was seen helping to make a sandwich. Crows Nest DS0000000632.V336763.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are mainly independent with personal care routines. They are supported and helped to be independent with medication if they wish and can see health care professionals as their needs dictate. EVIDENCE: Most people are independent with personal care. Where help is needed routines are detailed. People living in the home can see a range of healthcare professionals as and when they need. Records showed that people had been to the dentist, optician, GP and had attended specialist clinics to monitor conditions such as asthma. A member of staff talked to the inspector about the routine for ordering, receiving and recording medication into the home. She was able to easily access all the records necessary. The records and medication for two people who live in the home were checked and found to be in order. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 14 All medication is kept safely. To help the checking process there is a list showing examples of staff signatures and initials. This is good practice. Staff help people living in the home to look after their own medication if they wish. Crows Nest DS0000000632.V336763.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The views of people who live in the home are listened to. They are protected from harm through policies, procedures and staff training. EVIDENCE: The files for three people who live in the home were seen and each contained a copy of the complaints procedure. One detailed a discussion the key worker had had with a resident to explain what to do if they were unhappy or wished to make a complaint. Notes of house meetings showed that people were not afraid to talk about things they were unhappy about, or would like to see changed in the home. No complaints had been received by the home or CSCI. Staff training in adult protection is up to date. The home does not have a policy, procedure or guidance on physical intervention and restraint. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely environment that promotes their independence and the chance to spend time privately. Everywhere is clean and tidy and hygiene routines are good. EVIDENCE: A member of the staff team showed the inspector around the communal areas of the home. One of the people who spoke to the inspector was happy to let her have a look at their bedroom. Since the last inspection the dining room walls and ceiling have been resurfaced and decorated. Some bedrooms have been decorated, had new carpets and furnishings. On the day of the inspection the lounge carpet was being cleaned before some new furniture was brought in. Everyone can have a key so that they are sure their bedroom is safe when they are out. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 17 Four people do their own laundry. Washing machines are easy to programme and provide a hot wash and sluicing facility. The kitchen, bathrooms, showers and laundry areas were all clean and free from any odours. Some paintwork in the laundry was seen to be flaking off. Basic hygiene routines are followed. Bathrooms and shower areas are cleaned each day. The cleaning checklist in the kitchen covers chopping boards and all kitchen appliances. People living in the home have a choice of communal areas that they can use. The dining room, sitting room and conservatory provide lots of space. Most of the bedrooms have lovely views over the moor, golf course and out to sea. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. EVIDENCE: A random inspection was carried out on the 11 May 2006, to look at staffing issues. Staff records were seen to be disorganised but satisfactory. No new staff have been recruited since that time. Staff all have a National Vocational Qualification (NVQ) at level 2 or above. One member of the team is working towards an NVQ 3. The manager and deputy have both completed their NVQ 4 and are going to do the Registered Managers Award (RMA). Refresher training in health and safety, fire safety, first aid, food hygiene and moving and transferring is being planned. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 19 Staff have completed training in adult protection, and one of the people living in the home has done first aid. Other courses in the last year have included person centred planning, employee relations, using budgets, stress management, challenging behaviour, sexuality in learning disability, personal safety, and falls awareness. The manager and another member of staff have done equality and diversity training. The home accesses training through the Northumberland Care Alliance and the manager had just received the new 2007/08 schedule of training opportunities. Three areas of training already identified are risk assessment, infection control and fire warden. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. They are The home is well run which benefits the people who live there. consulted about what goes on in the home. Both people living in the home and staff are protected through health and safety procedures, systems and training. EVIDENCE: The home is managed and run in a way that involves and suits the people who live there. There is a strong “family” environment, but people clearly make choices about what they want to join in, where they want to go and are able to do this independently. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 21 People talked freely about things that they had done, enjoyed doing and always took part in. The home’s registration and fire certificates were displayed. Accident and fire records were up to date with the exception of fire alarm test. These were only been carried out monthly instead of weekly. A recent fire drill included a full evacuation of the home by both staff and the people who live there. Everyone who spoke to the inspector was confident that their views were taken into account and they were listened to. House meeting notes showed that people were confident enough to bring issues to the meeting that were of concern to them. One about how people left bathroom and toilet areas after they had used them was sensitively addressed. Other areas included food choices, likes and dislikes, plans for social events and holidays. Portable appliance testing (PAT) has been updated. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 2 x Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15 Requirement Work must continue to make sure care plans detail the benefits for people who use the service. Care plan evaluations must reflect the outcome for the person. Timescale for action 30/11/07 2. YA6 15 30/11/07 3. YA42 23(4) Fire checks must be carried out 30/06/07 at a frequency that complies with the Fire Regulations. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA23 YA24 YA34 Good Practice Recommendations The home should have a policy and procedure on physical intervention and restraint. Flaking paintwork in the laundry should be dealt with. Staff records should be re-organised. Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Crows Nest DS0000000632.V336763.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!