Inspection on 22/11/05 for East Dene Court

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

East Dene Court 22/05/07

East Dene Court 04/05/05

East Dene Court 17/09/04

East Dene Court 22/04/04

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 East Dene Court East Dene Court Melbury Street Seaham County Durham SR7 7NF Lead Inspector Ms Kathy Bell 22nd November 2005 11:00 East Dene Court DS0000040015.V257739.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 East Dene Court DS0000040015.V257739.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. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service East Dene Court Address East Dene Court Melbury Street Seaham County Durham SR7 7NF 0191 5815008 0191 5815009 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) European Services for People with Autism Limited Clare Wheatley Care Home 9 Category(ies) of Learning disability (9) registration, with number of places East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: East Dene Court is registered to provide care (but not nursing care) for 9 people with learning disabilities between the ages of 18 and 65 years. It is a specialised service for people with autism. The home is a large detached building on the outskirts of Seaham. It provides generous communal space, all the bedrooms are single and have ensuite bathrooms and there is a private garden. Ground floor accommodation is provided for a resident with physical disabilities. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two planned for each year. It was unannounced and took place during one day in November 2005. Most of the service users were at the home that day. The inspector looked at records and spoke to six service users, the manager, and four staff. Comment cards filled in by relatives and service users (some with help from staff) showed they were satisfied with the home. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 6 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 East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 7 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 All service users were fully assessed before they were admitted to the home to make sure that it would be able to meet their needs. EVIDENCE: All the service users had previously lived in a college run by Espa so the organisation was fully aware of their needs. Espas admission procedure requires a comprehensive multidisciplinary assessment including full information gathering from parents and other relevant people. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 8 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): 9 The home supports people to take some risks , as part of being an independent adult. EVIDENCE: Staff record how they have considered whether an activity will be risky, how they can make it safer and whether it is in the service users interests to take the risk. One record showed how they had put in place systems that would help one service user travel home safely, and then the decision was his as to whether he would take that risk. Another showed how they had supported another service user travelling independently, but when circumstances changed, had looked at the situation again. They had consulted with people such as the care manager and were working on ways of making more independence possible again in the future. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 9 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): 15 & 16 Service users can maintain contact with their families and take part in social activities with users of other Espa services. Service users rights are respected but sometimes their choices are restricted to protect them or other people. EVIDENCE: Overall, staff respect service users rights to make choices about their daily lives. Service users who could comment on this and were available on the day of inspection said that staff did not stop them doing anything they wanted to. Records in the home and discussions with the manager showed that sometimes the home did limit peoples freedom when their behaviour affected others. On these occasions, the home worked with service users to agree ways of supporting them so that they could enjoy the activities they wanted without this creating problems. See also Standard 9 and Standard 22. Where possible, service users have continued to visit their families and there are opportunities for social contact with people from other Espa services, at their day centre and during social activities. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 10 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): 20 There are safe systems for handling medication for service users and when possible, they can look after their own medication. EVIDENCE: Arrangements for storing, giving out and recording medication or satisfactory and there is an established procedure to guide to staff. All the staff who give out medication have been on external, assessed training. The home has properly assessed and keeps under review the resident who looks after his own medication. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 11 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 Service users can see that the home responds to their complaints. The home takes all possible steps to protect service users from abuse. EVIDENCE: A record was seen of a complaint by a resident and the homes response to this. The home responded promptly and their actions showed that they respected the residents views . The home has a satisfactory complaints procedure and takes reasonable steps to make sure residents are aware of it. The home has suitable policies and procedures in the area of adult protection and has worked correctly with local Social Services when referrals have been made under adult protection procedures. These referrals did not relate to any concerns about the home. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 12 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): These standards were not assessed during this inspection. EVIDENCE: East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 13 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): 32,33, 34 & 35 Staff have the personal qualities and skills to care for service users. Enough staff are on duty at all times to meet service users needs. The home checks as far as possible that new staff are fit to be employed. Comprehensive training is provided for staff. EVIDENCE: There are usually five or six staff on duty on the morning shift and four or five on the afternoon/evening shift, with never less than four. The staffing levels mean that residents can have an active lifestyle with plenty of opportunities for one-to-one attention. During the night there is one staff awake and one sleeping in and staff said that this was enough-the sleep in was rarely woken . There is always a senior person on duty on each shift and newer staff reported that they do not work alone with service users until they are confident and competent to do so. There seemed to be good relationships between staff and service users. Espa has established systems for recruiting staff which include obtaining references and the CRB/POVA check. A check of the personnel file for a new recruit showed these had been followed. Induction for new staff is recorded and there is a training record for each member of staff. This shows that staff receive training in core areas such as food hygiene and also in the more specialist areas needed for this home, such as restraint. Some have already done a special course on Autism Awareness and the manager hopes they all will be able to do this within a year. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 14 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 The manager has the necessary experience and skills to run the home well. Espa under review how successful the home is in meeting the needs of residents. EVIDENCE: The manager has many years experience in working with people with autism and specifically with all the current residents because she managed the college where they previously lived. She is working towards the recommended qualifications of NVQ 4 in care and management. Espa has a number of systems to make sure that the home provides a good service. There is an annual development plan which is linked to individual goals for each resident. Each year residents and their relatives complete a survey so that Espa knows what they think of the service. A senior member of the staff of Espa visits the home once a month to check how it is running. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 15 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 4 X X X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 4 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 East Dene Court Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 4 X X X X DS0000040015.V257739.R01.S.doc Version 5.0 Page 16 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. 2. Refer to Standard YA37 YA32 Good Practice Recommendations The manager should achieve NVQ 4 in care and management by 2005. 50 of staff should achieve NVQ 2 in care by 2005 using LDAF accredited training. East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 17 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 East Dene Court DS0000040015.V257739.R01.S.doc Version 5.0 Page 18 - 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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