Inspection on 04/05/05 for East Dene Court

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 22/11/05

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 Melbury Street Seaham Co Durham SR7 7NF Lead Inspector Kathy Bell Unannounced 4th May 2005 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 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 Stationary 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 B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service East Dene Court Address Melbury Street Seaham Co Durham SR7 7NF 0191 519 2600 Telephone number Fax number Email 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 Ltd Clare Wheatley Care Home 9 Category(ies) of LD - Learning Disability (9) registration, with number of places East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17th September 2004 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 B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one day in May 2005. The inspector, Kathy Bell, looked at communal areas, some care plans and other records and talked to some service users and staff. Not all service users were able to take part in the inspection fully because of their learning disabilities. However, some service users said they liked the size of the building and the staff. They all seemed to get on well with the staff. What the service does well: What has improved since the last inspection? Safety checks of the fire warning system and hot water have been carried out regularly until the last fortnight. This make sure staff find out if any of the fire equipment or the thermostats which control the temperature of the hot water are not working properly. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 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 standard(s) EVIDENCE: East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 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 standard(s) 6 , 7 & 8 Service users each have a plan which describes how staff should care for them. This is kept up-to-date and staff knew what each person needed. Service users can make decisions about their daily lives, supported by staff. They are asked what they want, to help them make the home the way they want it. EVIDENCE: Service users each have a plan which describes the care they need . These were very detailed and included all the information staff need to make sure they respond to residents needs in a way suitable for each resident. The plans include guidelines on how to respond to challenging behaviour. The records showed that these had been discussed with relevant people such as the care managers and relatives to make sure that everyone agreed the home was acting in the best interests of the residents. The service user plans also showed when staff had involved specialist workers such as a psychologist or speech therapist to help service users. The staff knew what they had to do for each service user. Every six months a meeting is held to discuss the care of each service user, to decide if the home was meeting all their needs and to consider anything else which needed to be done. Service users could go to these meetings. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 10 One service user writes the minutes of regular meetings in which the service users talk about, for example, what activities they would like. These meetings help service users tell staff what they would like. Staff also make a note of what service users think of any possible new staff who visit the home and one resident described interviewing a new member of staff. This helps the manager make sure she chooses new staff who will get on with residents. Residents can choose activities, decide where they want to eat their meals, spend time together or alone and choose or refuse medical treatment. Although the home still has the duty to make sure they are safe, this still gives them as much control of their daily lives as possible. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 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 standard(s) 12, 13, & 17 Service users can take part in a range of vocational and leisure activities of their choice which promote their life skills and provide enjoyment. They use local community facilities which makes their lives as much like anyone else s as possible. The arrangements for providing meals make sure that a healthy diet is provided, suitable for each person and that people have choice in what they eat. EVIDENCE: Service users go to different activities, according to their interests and wishes. They can go to a day centre run by European Services for Autistic People , the organisation which owns East Dene Court. This was set up specially for service users in ESPAs homes and provides a range of activities, including woodwork, pottery, computers, and art. There is also a relaxation room and cafe. One service user has a work placement within a college run by ESPA . Service users use local facilities, such as shops, pubs, and recreation ground. They are members of a local club and have links with the local cricket club. This all helps them be part of the local community. The home has a cook who also runs cooking sessions with the service users. Some service users need special diets and their food is stored and labelled to East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 12 help them to manage this themselves. Most service users are involved in shopping for food which helps them suggest what they want. Service users can have alternatives if they do not like the main meal on offer and are encouraged to try new things. Staff have seen that one service user was becoming anxious at mealtimes, responded to his wish to eat somewhere quieter than the main dining room and are investigating all possible causes of the problem. Service users weights are checked and staff have worked with dieticians to control any weight problems or particular health needs. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 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 standard(s) 18 & 19 Staff provide personal care in a way which meets each service users needs and wishes. They identify health needs, arrange treatment and help residents have control over their medical treatment. This makes sure service users receive the medical treatment they need and want. EVIDENCE: Service users plans tell staff what each person needs, and how they like the care to be given. Staff knew about each service users individual needs. Records showed that staff were observant and noticed any health needs. They made sure that service users saw doctors when they needed to. They helped one service user cope with a visit to hospital but respected her decision not to go ahead with the treatment that day. Staff also helped a resident ask questions about her treatment. Staff kept good records to make sure that they could arrange any follow-up treatment or regular appointments at the right time. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 14 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 standard(s) We did not look at outcomes for these standards. EVIDENCE: East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 15 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 standard(s) 24 & 30 The building is comfortable , pleasant and well maintained. It seems to meet service users current needs and is kept clean and hygienic. EVIDENCE: East Dene Court has three big living rooms and a garden which gives service users plenty of space for activities, freedom of movement and the choice of who they will spend time with. The building is decorated and furnished to a good standard. Some redecoration has taken place recently to make sure the building is kept up to this standard. The home seemed clean on the day of inspection and there is a system to make sure important areas like the kitchen are cleaned on a regular basis. East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) We did not look at outcomes for these standards. EVIDENCE: East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Generally,regular maintenance and checks of the building make sure it is safe for residents although some small improvements are necessary. EVIDENCE: The home had contracts for regular maintenance of the building and equipment to make sure they were safe. An assessment of what the home must do to reduce any risks of fire had been carried out and this included looking at the help each service user would need in case of fire. Regular fire drills take place, to make sure that staff and service users become familiar with what to do if there was a real fire. Staff make regular checks of the fire warning system to make sure it is working correctly. They also check the temperature of hot water to make sure it will not scald residents. However, these checks had not been done for at least two weeks, possibly because the person who usually did them was not there. The home must make sure there are arrangements for someone else to carry out these tasks when the usual person is not there. Although staff had been given training in fire safety, they had not attended refresher training as often as is East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 18 recommended to make sure they were always familiar with what to do and how to prevent fires. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No East Dene Court Standard No 31 32 Score x x Version 1.20 Page 19 B54_S40015 East Dene V221117 040505_stage 4.doc 11 12 13 14 15 16 17 x 4 3 x x x 4 33 34 35 36 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x East Dene Court B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 20 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. 1. Standard 13 Regulation 42 Requirement Staff must receive regular fire safety training as recommended by the Fire Safety Officer. A system must be set up to make sure safety checks are always carried out. Timescale for action 31.5.05 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 37 32 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 B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 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 B54_S40015 East Dene V221117 040505_stage 4.doc Version 1.20 Page 22 - 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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