Inspection on 19/12/05 for Derwent Care

This inspection was carried out on 19th 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.

Other inspections for this house

Derwent Care 15/05/07

Derwent Care 13/01/05

Derwent Care 20/07/04

Derwent Care 12/03/04

Derwent Care 12/11/03

Derwent Care 28/11/02

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

CARE HOME ADULTS 18-65 Derwent Care Derwent Care 2 Benton Terrace Stanley Durham DH9 0NT Lead Inspector Belinda Parker Unannounced Inspection 19th December 2005 09:30 Derwent Care DS0000007544.V274394.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 Derwent Care DS0000007544.V274394.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. Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Derwent Care Address Derwent Care 2 Benton Terrace Stanley Durham DH9 0NT 01107 281788 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 William Heslop Mrs Janette Heslop Mrs Andrea Heslin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: Benton Terrace is a registered care home providing personal care and accommodation for up to seven adults with a learning disability. The home is not registered to accommodate persons who require nursing care.The home was opened in 1991; it operates within the private sector and is owned by Mr W Heslop and Mrs J Heslop. The home is a two-storey end terrace house located in the same terrace as its sister home Fourways and situated in Stanley, County Durham. The two homes share the same registered manager and run to all intents and purposes as a single establishment although they are registered as separate facilities. The property is domestic in design and suitable for current service users. It would not be suitable for people with poor mobility. A well-kept garden is to the front of the property and a paved yard to the rear. Local amenities are close at hand. Fourways have a mini bus and a car is shared by 2 Benton Terrace which aids community involvement further a field. Derwent Care DS0000007544.V274394.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 19/12/05 over a period of 3:5 hours. During the inspection we spoke to service users, staff and a relative. A number of records were examined and the we toured the building. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Derwent Care DS0000007544.V274394.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 Derwent Care DS0000007544.V274394.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): Standards 3, 4 and 5 The admission process to the home is clear. Prospective service users are given time to enable to decide as to whether they wish to move in. EVIDENCE: The manager said the home does not admit service users if they do not have the capacity to meet their individual needs. There have been no recent admissions to the home. The manager said all admissions take place gradually over a period of time. The prospective service user and their relatives are invited to visit and spend time in the home with other service users and staff. This process enables prospective service users to make an informed decision as to whether they wish to move in. On admission the service user is given a copy of the terms and conditions of residency. Evidence was available to show that due to service users lacking capacity. This document had been signed on behalf of the service user by their relative or representative. Derwent Care DS0000007544.V274394.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): Standards 6 and 10 The care planning process in place is clear providing staff with the information required to adequately meet the needs of the people living in the home. A policy on confidentiality is in place for the protection of service users. EVIDENCE: A care plan examined showed that it had been compiled from a pre-admission assessment, and covered all aspects of personal, social support and healthcare needs. The manager said the service user, their family and other healthcare professionals supporting the service user are involved in this process. The care plan examined was up to date. Which provides staff with the required information to meet the needs of the individual service user. The manager said during induction, the manager explains the policy on confidentiality of service user personal information to all new staff. This process is also reviewed as to the staff member’s understanding during formal supervision. Derwent Care DS0000007544.V274394.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): Standard 17 The home promotes the health and well being of service users. By providing nutritious and varied meals. EVIDENCE: Evidence available showed that service users enjoy a varied and healthy diet. The manager said menus are currently being reviewed to include more seasonal choices. Service users are actively supported by the staff to assist with meal preparation, setting and clearing tables and also assisting with the washing up. The needs of service users who require special diets are met. Derwent Care DS0000007544.V274394.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): Standard 18 and 19 Staff provide flexible personal support to maximise service users’ privacy, dignity and independence and control over their lives. EVIDENCE: Due to service users lacking capacity, staff ensure the dignity of service users is maintained when assisting with personal care. It was observed when assisting a service user to the toilet, the staff member acted in an appropriate manner. Ensuring privacy and maintaining the dignity of the individual. A relative spoken to said, “ The staff are excellent, and I am very happy with the care my son receives”. Disability equipment is available to assist service users to go out into the community supported by staff. A service user spoken to said she was going shopping with a member of staff to purchase a new handbag and jewellery for a Christmas party being held later this week. As she liked to look nice Derwent Care DS0000007544.V274394.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 Due to high dependency levels. The manager spends time with service users explaining the process to enable them to make their views known if they are dissatisfied with the service. Training provides staff with knowledge and awareness of the importance of protecting service users from abuse. EVIDENCE: A complaints policy and procedure is in place. This document is available in the service users guide. Due to lacking capacity the manager provided evidence to show that on a regular basis she sits down with the individual service user and explains the information included in this document, to aid understanding. There were no recorded complaints since the last inspection. Evidence available showed that staff have completed “ No Secrets “ training. The manager said she is proposing in the New Year to arrange POVA Training for all staff. To update their skills and knowledge, ensuring service users are protected from harm or neglect. Derwent Care DS0000007544.V274394.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 and 30 The standard of the environment within this home is good providing service users with an attractive, safe and homely place to live. EVIDENCE: The home is comfortable and well maintained. Providing service users with a good standard of comfortable, safe and accessible accommodation. Service users spoken to were pleased with the festive decorations in the communal areas. A policy and procedure is in place for the control and prevention of the spread of infection. All staff have completed food hygiene training. All food is stored and prepared appropriately to promote the good health of the people who live in the home. Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 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): Standards 31, 32, 33, 34 and 35 The home employs staff in adequate numbers with the appropriate skills and abilities to appropriately meet the needs of the service users. EVIDENCE: The home has an effective staff team employed in adequate numbers to meet the individual and collective needs of the service users. A comprehensive training matrix is in place for 05/06. This plan included mandatory and specialist training courses. The manager is currently working towards NVQ4 in Care. Regular training ensures staff have the required skills and abilities to meet the needs of the people living in the home. Staff personnel files examined contained the required information to ensure that service users are protected from harm or neglect. Before commencement of employment a Criminal Records Bureau check is obtained for all new employees. Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 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): Standards 39 and 42 The home regularly reviews all aspects of its performance through a programme of self-review and consultation with the people who live in, work and visit the home. EVIDENCE: The home has in place an effective quality assurance and quality monitoring system. To ensure the home is ran in an efficient and effective manner for the benefit of the people who live there. A system is in place to enable service users, staff and relatives to make their views known on the service provided. Health and safety records examined during the inspection showed that major systems and equipment are maintained for the protection of service users, staff and visitors to the home. Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 16 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 3 4 3 5 4 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 3 30 x 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 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x x x 3 x x 3 x Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NA 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. Refer to Standard Good Practice Recommendations Derwent Care DS0000007544.V274394.R01.S.doc Version 5.1 Page 18 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. 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