Inspection on 06/09/06 for Derby Crescent (16)

This inspection was carried out on 6th September 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 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

Derby Crescent (16) 14/12/05

Derby Crescent (16) 16/08/05

Derby Crescent (16) 14/12/04

Derby Crescent (16) 01/11/04

Derby Crescent (16) 08/03/04

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 Derby Crescent (16) 16 Derby Crescent Moorside Consett Durham DH8 8DZ Lead Inspector Gavin Purdon Unannounced Inspection 6th September 2006 2:30 Derby Crescent (16) DS0000007540.V310147.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 Derby Crescent (16) DS0000007540.V310147.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. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 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.V310147.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2005 Brief Description of the Service: 16 Derby Crescent is a registered home for people with learning disabilities owned by Mr Nigel Cardale. The home is located on a housing estate at Moorside in the northwest area of County Durham. Ms Susan Stewart manages 16 Derby Crescent. It provides accommodation for up to 3 adults with learning disabilities, but does not provide a service or facilities for people with additional physical disabilities or for those in need of nursing care. The home is an ordinary semi detached family house with upstairs and downstairs accommodation. The 3 residents share the bathing and toilet facilities provided. Personal accommodation consists of 3 single bedrooms. There are gardens to the front and rear of the property. 16 Derby Crescent’s weekly charge for the care of each resident is in line with Durham County Council’s standard fee of £378. There are no fixed additional charges made by the home to residents for goods and services not covered by the weekly fee. Residents are responsible for whatever additional purchases they wish to make. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 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 inspection lasted 2 hours. It began with a brief review of last year’s inspection reports. There have only been minor changes since the last inspection, with no new staff or residents coming to the home since then. Resident and staff records were looked at, as were maintenance and medication records. The home’s manager, the senior carer on duty, and all 3 residents helped with the inspection. Arrangements for the storage of medication were seen, and all 3 residents said their bedrooms could be looked at as part of the inspection. What the service does well: What has improved since the last inspection? A plan to replace lounge carpets was mentioned at the last inspection. This has been followed up. Carpets have been replaced throughout the home, including residents’ bedrooms, as well as in the lounge. There has also been some bedroom redecoration. Residents said they were involved in the choice of carpet and paint colours. Residents have now registered with the local surgery Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 6 and find this more convenient than travelling into Consett. Resident’s are making very good use of their new free bus passes which has saved them money and made it easier for them to do more travelling to places like Hexham and the Metro Centre. 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.V310147.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 Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. Residents coming to live at 16 Derby Crescent benefit from the way the home gathers a wide range of information about residents’ needs, to develop detailed care plan, that fully involves residents. EVIDENCE: The inspector looked at 3 residents’ care files with the home’s registered manager. These contained useful assessment information, and detailed, practical, and positive care plans, based on that information. Residents had clearly been involved in the planning process. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9. Quality in this outcome area is good. This judgement was made from evidence gathered during and before the visit to this service. Residents know they have care plans and are closely involved in agreeing these plans and keeping them up to date. Residents know that they can talk things over with staff and get their help to sort things out if needed. Residents know that staff will help them try to do things for themselves, but will make sure residents feel safe and comfortable about that. EVIDENCE: 3 care plans were looked at with the home’s registered manager. All 3 care plans and risk assessments had been revised and updated within the last 4 months. All 3 residents had signed and agreed their care plans. These plans were discussed by residents with their key workers. Residents and staff agree the Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 10 wording and amendment of care plans, and see them as useful and important points of reference and discussion. From the care plans and records seen, and from the discussions with the home’s 3 residents, the registered manager, and the senior carer on duty, there was good evidence to show that residents are encouraged to be as independent as they can, in the home, and in the community. Records and discussions showed that each resident has their own particular range of strengths, interests, and areas of need, and that the home works flexibly with each individual, in a way that recognises these important differences. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to the service. Residents at 16 Derby Crescent are treated as adults, and supported and encouraged to enjoy the normal everyday kinds of activities for people of their age living in the Moorside area. The residents of 16 Derby Crescent are a well-known and accepted part of the local community. Residents who want to maintain family links and personal friendships are helped to do that by the staff of 16 Derby Crescent. Staff at Derby Crescent respect residents’ rights and expect residents to do the same. Residents enjoy their meals in homely surroundings and in a relaxed and sociable atmosphere. EVIDENCE: Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 12 On the day of the inspection, 2 of the residents had gone shopping themselves to the Metro Centre, to look for a new piece of computer equipment and 1 resident had gone as a representative to a service user consultation meeting. The manager, residents, and the senior carer on duty mentioned a range of activities that residents are involved in on a daily and weekly basis, luncheon clubs, bingo, cinema, football, the darts club, and bus trips to places like Hexham, making good use of the new free bus passes. 16, Derby Crescent is an ordinary house in an ordinary street with nothing to distinguish it from the other houses. The home blends in very well with its surroundings. The registered manager, and residents spoken with, said the home did help people keep in touch with their families. The residents, the registered manager, and the senior carer on duty described how people try to work together at 16 Derby Crescent to avoid conflict, and how problems are discussed and solved if they arise. Residents are happy with the meals at 16 Derby Crescent. They are all involved in menu planning, food preparation, and mealtime tasks. Residents said they work out between them which tasks they prefer and generally keep to those. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. Residents and staff discuss care needs and preferences and make sure these are known and recorded. This means residents receive personal support in the way they prefer and require. Residents have good access to local healthcare services and use these independently or with support from staff if needed. 1 resident manages medication with support from staff, based on individual risk assessment, and staff manage the medication of 1 other resident. This provides a good balance of independence and safety. EVIDENCE: The 3 care plans seen by the inspector contained details of what levels of support each resident needs for various activities. From the joint discussion with residents, the registered manager and the senior carer on duty, there are obviously good working relationships in the Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 14 home. That has created a good level of trust and understanding that helps make sure physical, emotional, and health needs are well understood and met. The registered manager and residents mentioned that the local surgery is used now and that this arrangement is much more convenient. Arrangements for storing and recording medication were inspected and these are secure and well organised. When residents are partly responsible for their own medication this is well controlled and well documented. Residents may be involved in collecting their own prescriptions and holding a day or weekend supply of medication if they are going to be away from the home. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. Residents think that they are listened to and that their views are important. Residents are protected by the home’s good working relationships, good communication between residents and staff, and clear policies and procedures covering concerns and complaints. EVIDENCE: The residents, manager, and staff, confirmed that decisions and plans were made by people getting together and talking things over. This could be a resident and a key worker, or a house meeting involving other staff and residents. Residents thought that their point of view was important in what was decided and that they were listened to by the staff. The manager and the member of staff on duty said there was good communication between the owner, the manager, the residents, and staff at 16 Derby Crescent. Their view was that there are good working relationships, and frequent contact and discussion between different people at the home, on a daily basis. Residents are used to contacting the owner, the manager, and staff, in person, or by telephone, about matters they need advice on. Good working relationships and communications are backed up by formal policies and procedures covering concerns and complaints. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. 16 Derby Crescent is very homely, and its residents enjoy life in a safe, clean, and comfortable setting. EVIDENCE: The residents, manager, and the member of staff on duty, mentioned recent New carpets around the home and bedroom redecoration. Residents said that they had been consulted on choice of colours, and got the colours that they wanted. The manager outlined the home’s maintenance and development plans. The member of staff on duty produced the records of servicing and safety checks. The manager and staff explained that with the home not being staffed throughout the 24-hour period there is a very careful and prompt approach taken to repairs and maintenance. On the day of the inspection the home looked clean and well cared for throughout. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 17 Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. Residents are looked after by capable and well-trained staff, that provide a good standard of care. The home has recruitment policies and practices that ensure residents are protected from unsuitable carers. The home has a small management and care team whose members support each other and work closely together for the good of the residents. EVIDENCE: There are 3 members of the staff team at 16 Derby Crescent, including the manager, a senior carer and a carer. 2 of the 3 hold a qualification equivalent to NVQ 2 in Care or above. The remaining team member will obtain the NVQ 2 in due course. Staff training this year has included LDAF Induction and Foundation training, Safe Handling of Medicines, A1 Assessor’s Course and Fire Safety training. Infection Control training is planned. No new members of staff have come to 16 Derby Crescent since the last inspection in December 2005. At that time it was seen that recruitment and selection practices did protect the residents of the home. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 19 The manager and senior carer on duty described the supervision and appraisal process for staff and some of the documentation used was looked at. They thought that the system used by the home was practical, and helpful in identifying training needs and areas for staff support and development. The manager and senior carer thought the staff team worked very well together in terms of their range of skills and variety of interests. Derby Crescent (16) DS0000007540.V310147.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42. Quality in this outcome area is good. This judgement has been made from evidence gathered during and before the visit to this service. Residents live in a home that has a well-qualified manager with an organized approach to management, and directing the day-to-day care of residents. Residents’ views are listened to and acted on. Residents have a lot of say in how things are done at 16 Derby Crescent. Keeping residents safe and well cared for are important outcomes that the home is very much aware of. 16 derby Crescent’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 particular tasks and how these are conducted and recorded. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 21 Talking things over with residents is an important part of life at the home. As well as holding these everyday discussions the home uses quality assurance questionnaires. These check whether or not residents are happy with their care 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. Derby Crescent (16) DS0000007540.V310147.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 3 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 23 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 planned extension, and garden improvement. Derby Crescent (16) DS0000007540.V310147.R01.S.doc Version 5.2 Page 24 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.V310147.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. 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