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Inspection on 14/12/05 for Derby Crescent (16)

Also see our care home review for Derby Crescent (16) for more information

This inspection was carried out on 14th December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

16 Derby Crescent continues to give residents a real sense of living in the community, being part of that community, and of leading a normal life. Residents take responsibility for what they do, and have a big say in how things are done at the home. A resident said, "The staff are there to help you if you need it. You like your own independence, doing things for yourself. We keep ourselves to ourselves. We share the jobs. We`ve got a rota for the kitchen and that. You can stay in touch with your family but you can live your own life. That`s what it`s all about."

What has improved since the last inspection?

A previous requirement from August 2005 to ensure that new members of care staff have a new CRB and POVA check has been met. A previous recommendation from August 2005 to provide plain language versions of residents` assessments and care plans was followed. Importantly Residents were consulted. They thought plain language was a good idea, and had a say in the design and use of the revised documents, but, as one resident put it, "We`re not bairns. We don`t need pictures."Some work has been done in the house. Residents said the cavity wall insulation has made the home warmer. The bathroom has been redecorated. The 3 residents said they had decided on the colour themselves. One resident said, "We had a vote, and I was outvoted!"

What the care home could do better:

There are plans to make a number of improvements starting in 2006. The home has improved its management and care practices over the last year or so, and the further improvements proposed are more to with the building itself. The plan to provide an additional room is an important one. The house is an ordinary sized family home, shared by 3 adults and care staff when they are on duty. Although existing rooms can be used, and people do respect each other`s privacy, another room for confidential meetings, discussions, or individual activity would be a better arrangement. 16 Derby Crescent is comfortable, clean and homely, but the proposal to replace lounge carpets would make the lounge a little brighter. The home has a pleasant back garden and the intended improvements and repairs to the fencing will give a better finishing touch to the garden.

CARE HOME ADULTS 18-65 Derby Crescent (16) 16 Derby Crescent Moorside Consett Durham DH8 8DZ Lead Inspector Gavin Purdon Unannounced Inspection 14th December 2005 3:30 Derby Crescent (16) DS0000007540.V266344.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 Derby Crescent (16) DS0000007540.V266344.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. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Derby Crescent (16) Address 16 Derby Crescent Moorside Consett Durham DH8 8DZ 01207 502817 01207 500272 suestewart@tinyworld.co.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) Mr Nigel Cardale Susan Ishbel Stewart Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: 16 Derby Crescent is a registered home for 3 people with learning disabilities owned by Mr Nigel Cardale. The home is located on a large housing estate at Moorside in northwest County Durham. 16 Derby Crescent is managed by Ms Susan Stewart, who, along with the home’s 3 residents, and the member of staff on duty, helped with this inspection. Derby Crescent is not registered for people with physical disabilities or in need of nursing care. The house is much the same as others in the neighbourhood. It has a back and a front garden. It has an upstairs and a downstairs, with lounge, kitchen, toilet and bathroom facilities shared by its 3 residents. Each resident has his or her own bedroom. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place at short notice, and is classed as an unannounced inspection. The home was notified a little in advance of the inspection, as it is quite small and, unlike many homes, residents and staff are not always at home or available to assist with an inspection. All residents have an active life outside of the home. The inspection lasted 1 and half hours. It began with a brief discussion and examination of records with the home’s manager, and ended in a brief discussion with the member of care staff on duty. The main part of the inspection was an around the table group discussion, in private, with the home’s 3 residents. Everyone spoken to on the day, management, staff, and residents, were happy with life at 16 Derby Crescent. What the service does well: What has improved since the last inspection? A previous requirement from August 2005 to ensure that new members of care staff have a new CRB and POVA check has been met. A previous recommendation from August 2005 to provide plain language versions of residents’ assessments and care plans was followed. Importantly Residents were consulted. They thought plain language was a good idea, and had a say in the design and use of the revised documents, but, as one resident put it, “We’re not bairns. We don’t need pictures.” Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 6 Some work has been done in the house. Residents said the cavity wall insulation has made the home warmer. The bathroom has been redecorated. The 3 residents said they had decided on the colour themselves. One resident said, “We had a vote, and I was outvoted!” 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. Derby Crescent (16) DS0000007540.V266344.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 Derby Crescent (16) DS0000007540.V266344.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): Not assessed on this occasion. Standard 2 was met when last inspected in August 2005. EVIDENCE: Derby Crescent (16) DS0000007540.V266344.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): Not assessed on this occasion. Standards 6,7, & 9 were met when last inspected in August 2005. EVIDENCE: Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 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): Not assessed on this occasion. Standards 13, 15, & 17 were met when last inspected in August 2005, and Standards 12 & 16 were above the required standard. EVIDENCE: Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 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): Not assessed on this occasion. Standards 18, 19, & 20 were met when last inspected in August 2005. EVIDENCE: Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 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): Not assessed on this occasion. Standard 22 & 23 were met when last inspected in August 2005. EVIDENCE: Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 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): 24 & 30. 16 Derby Crescent is very homely. Its residents enjoy life in a safe, clean and comfortable setting. EVIDENCE: Residents said that they have added their own homely touches to 16 Derby Crescent. They help decide such things as colour schemes and share responsibility with staff for keeping the home safe clean and comfortable. The manager outlined the home’s maintenance and development plans. Records were seen of servicing and safety checks on electrical appliances, hot water, the gas supply, and fire detection equipment. The manager explained what hygiene practices, training and equipment the home used to ensure a good standard of cleanliness and hygiene. It was clear from this that while the home’s approach may seem informal, it is well organized, and does ensure the health, safety, and comfort of residents through its formal policies procedures and practices. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 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 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): Residents are looked after by capable and well-trained staff that provides them with a good standard of care. The home uses its recruitment policies and practices to make sure residents are protected from unsuitable carers. The home has a small management and care team whose members support one another and work closely together for the good of the residents. EVIDENCE: The manager outlined the wide range of training completed by and planned for staff at 16 Derby Crescent. This included basic training for new staff and refresher and specialist training for established staff. The personnel file of the most recent member of staff was looked at. This showed all necessary checks, including references, confirmation of identity, and suitability to work with vulnerable adults, were made. Recruitment and selection procedures have been improved since the last inspection and the previous requirement from the August 2005 inspection is now met. Staff have supervision once a month, and yearly appraisal. There is ongoing advice and support, as staff require it. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 15 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): Residents live in a home that has well qualified and well organized management to direct their day-to-day care. Residents’ views are listened to and acted on. This gives residents a lot of say in how things are done at 16 Derby Crescent. Keeping residents safe and well cared for are important outcomes at 16 Derby Crescent. The home’s procedures, practices, training, and record keeping, support the safety and well being of residents. EVIDENCE: The home’s manager has the Registered Manager’s Award. There are clear procedures for management and staff to follow. Staff understand who is responsible for what task and how that is conducted and recorded. Talking things over with residents is an important part of life at the home. As well as everyday discussions, the home uses quality assurance questionnaires. These check whether or not residents are happy with their care Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 16 and how the home is run. Residents’ written comments are collected and acted on. The home has well developed practical arrangements to support the health and safety of its residents. Records showed that equipment and systems are checked, serviced, and records kept. Records seen included checks on electrical appliances, water and gas supplies, and fire equipment. The manager outlined staff training, procedures, and arrangements involved in ensuring residents live as independently and as safely as possible. Residents are quite proud of their own contribution to the safety and security of the home, and with the help of the procedures in place have dealt with emergencies successfully. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 17 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 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Derby Crescent (16) Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000007540.V266344.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations For the additional comfort and convenience of residents, it is recommended that the home follows up with its plan for minor refurbishment, extension, and external improvement in 2006/2007. Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 19 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 Derby Crescent (16) DS0000007540.V266344.R01.S.doc Version 5.0 Page 20 - 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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