Inspection on 14/06/05 for Finchley House

This inspection was carried out on 14th June 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

Finchley House 15/09/06

Finchley House 15/11/05

Finchley House 26/01/05

Finchley House 03/06/04

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 Finchley House 57 Brandling Street Roker Sunderland SR6 0LP Lead Inspector Elsie Allnutt Unannounced Tuesday, 14 June 2005 : 10:00 th 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. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Finchley House Address 57 Brandling Street, Roker, Sunderland SR6 0LP 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) 0191 510 8448 0191 510 8448 Community Integrated Care Ms Jaqueline Gannon PC Care home only 6 Category(ies) of 6 x LD; 3 x PD registration, with number of places Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That the Registered Managers Award is successfully completed Date of last inspection 26th January 2005 Brief Description of the Service: Finchley House was purpose-built as a Residential Care Home in 1993. The property is owned and maintained by Three Rivers Housing and Community Integrated Care delivers the service. The home is built in a residential area in the Roker area of Sunderland and is amongst other housing which pre-dates the home. It is within walking distance of the sea front, shops and local amenities, such as a post office, hairdresser and pubs.The home is currently registered to provide care for 6 adults under 65 years who have learning disabilities and additional physical disabilities. The age range is 25 to 58years. Four of the service users rely on the use of wheelchairs for mobility and are encouraged to be independently mobile around the house. A team of staff support the service users to live a full and active lifestyle and a mini bus owned by the home is available to access the local community.Recently the security of the building has been enhanced through the installing of security lighting. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 6.5 hours over one day in June 2005. The views of five service users and six members of staff were sought. As all service users have communication needs their satisfaction of the service was interpreted not only through speech but the observations of body language, interaction with staff, discussions with staff and the examination of records. This process demonstrated that all were satisfied with the service and the care and support given by staff. Service users were able to give an explicit account of their life in the home and a relative who was visiting the home at the time of the inspection also gave their views of the home. As part of the inspection process the service users’ care files and a sample of the homes records were examined. What the service does well: This service provides accommodation of a good standard. It is well maintained and as a result of effective cleaning routines offers a clean and hygienic environment. As found on the day of the inspection the friendly interaction of service users and staff create a warm and welcoming atmosphere in the home. By observing life in the home it was evident that service users are supported to live a full and active lifestyle. Staff were observed to work with respect and skill and involved service users in making their own choices about what they preferred to do. Care was taken to explain how service users were to be assisted with personal tasks making sure that that was the individual’s preferred way. Care plans, which are well documented, up to date and relevant, are recorded in a way that is understood by service users and their families. Recent meetings have been carried out by the home where service users, their families and other people involved in their care were invited to discuss the service users needs and progress. The way the record was presented, proved that the meeting was lead by the service user, simple language and photographs assisted the service user to demonstrate their opinion about life at Finchley House. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 6 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. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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 Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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) 1,4,5 Service users are provided with relavant information needed to make an informed choice about where to live and given an opportunity to experience life in the home prior to moving in. EVIDENCE: Clear information is available to prospective service users about the services and facilities on offer at Finchley House. Both the Statement of Purpose and Service User Guide have been developed to be accessible to the needs of the service users. Minor adjustments have recently been made to these documents to bring them up to date with recent changes. Individual contracts include the full cost of the service provided identifying who is responsible for payment. A relative visiting the home confirmed that they had supported their family member in their choice of home and that they were “more than satisfied” with their decision and felt that their relative’s needs were fully met. The service user and records in the care plan confirmed this. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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) 7,9 Service users are supported to make decisions about their lives, and so that they reach their full potential they are also supported to take risks as part of developing an independent lifestyle. EVIDENCE: Care practices promote service users rights and to enable them to make decisions. It was evident when reading care plans that the likes and dislikes of individual service users are clearly recorded and staff, with their knowledge of these, support individual service users to make choices. Where assessments prove necessary risk management plans are put in place. One service user supported by a carer, described how they were helped to make choices about which college courses to attend, and how the member of staff had negotiated these with college officials. Another service user, who mainly relies on the assistance of a wheelchair for mobility around the house demonstrated with determination how their independence was supported, developed and maintained, by walking from their bedroom to the dining room for breakfast with the aid of a zimmer frame. Staff explained that this was a relatively new activity with risks that had been appropriately addressed. It was confirmed in the service user’s care plan that Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 10 guidance from a physiotherapist was followed and the risks involved had been addressed. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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) 12,13,14 Service users are supported to take part in a variety of leisure and community based activities, and as a result live a valued lifestyle. The home continues to successfully support service users in maintaining family links. EVIDENCE: At the time of the inspection a family member was visiting the home and confirmed that, they enjoyed a positive relationship with the staff and service users. They were also made welcome when visiting, and were included in the welfare of their relative. Service users discussed a variety of activities they enjoyed including, visiting the theatre, going to pubs, aromatherapy massage and making music sessions. Staff confirmed that the aromatherapy and music sessions which are organised in the home by visiting professionals were a great success. Service users and staff confirmed that different venues are offered for holidays away, taking into consideration individual preferences and choices. Two service users explained that they had chosen to go to Spain and were looking forward to flying and enjoying the sun. Staff confirmed that they were enthusiastic to Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 12 find appropriate venues with good quality accommodation and the right facilities. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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) 18,19,20 Service users personal and healthcare needs are met in a flexible but consistent manner, with the aim of allowing service users to take the lead whenever possible. However service users’ have potentially been put at risk as a result of mistakes made in the administration of medication. EVIDENCE: Although the home has satisfactory policies and procedures in relation to the administration of medication two errors have recently been made where medication has been given to the wrong person. A discussion in relation to this took place with the manager and she confirmed that this issue has now been satisfactorily addressed. Staff were observed to approach personal care tasks in a discreet and caring manner. When it was suggested to one service user after lunch, that an article of clothing needed to be changed before going for a trip out, this was explained in a quiet but clear way giving the service user time to respond and agree. The form of communication used by the member of staff related to the needs recorded in the care plan. Records confirmed that staff had supported one service user to have their medication reviewed after observing their lethargic appearance, and as a result of the GP reducing their medication they are now enjoying life more by being Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 14 more alert and sociable. This was observed and confirmed during the inspection. One visitor discussed their relatives improved well-being and said, “ I can’t fault this place, my relative is really doing well here.” Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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 standard(s) 22,23 Arrangements are in place to help protect service users from abuse and to seriously address complaints and concerns about the service. EVIDENCE: Staff confirmed that they have received awareness training regarding abuse and adult protection, as well as training in relation to handling verbal and aggressive behaviour. In discussion staff were able to appropriately describe what action to take in a situation where they witnessed abuse. The complaints Book confirmed that complaints and concerns are taken seriously recorded and satisfactorily addressed. The local authority’s adult protection procedure is available within the home, to guide staff on what to do and the people to contact in the event of witnessing abuse or having an alleged abusive situation reported to them. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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 standard(s) 24,30 As a result of a planned refurbishment programme the standard of the environment is good, providing service users with an attractive and homely place to live. However to ensure that service users are not at risk the call cords in the bathroom and shower room must be replaced. EVIDENCE: Several areas of the home have been redecorated and refurbished since the last inspection as part of a refurbishment programme. New furniture, carpets and small furnishings throughout the home now provide comfortable and homely facilities for service users. The redecoration and new furniture in two of the service users rooms provides attractive, comfortable personal space. The refurbishment needed in the bathroom and shower room, and identified at the last inspection, has now been addressed, however the call cords had been cut off during the refurbishment process and not replaced. As a matter of urgency these must be replaced. The curtain rail around the shower does not provide enough secluded space for a service user supported by a carer to discreetly shower, therefore service users’ privacy, dignity and safety is compromised. This was discussed with the manager who addressed both issues with relevant people prior to the inspection ending. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 17 The overall cleanliness and good hygiene standards of the home proved the effective use of cleaning products and procedures. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34 The home employs a competent and qualified staff complement via robust recruitment and selection processes, which means that service users are effectively supported and protected by staff. EVIDENCE: The examination of staff rotas confirmed that an adequate number of staff are on duty each day to address the needs of the service users. This includes three members of staff on duty during the day and one on sleep in duty at night. The examination of staff files provides evidence that good recruitment procedures are in place including the request of two references and clear CRB checks. Staff discussed the needs of the service users with respect and understanding. When observing staffs’ social interaction with service users, their response, and the way they addressed service users’ needs, it was evident that positive relationships have developed between them. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 19 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) 37,42 The manager, who is well supported by the staff team, provides a service that is well managed, however at times, the health and safety of the service users has been compromised. EVIDENCE: There is a clear administrative system that supports a well run home. Records are accessible, clear and stored securely. The manager has now complete the Regulation Managers Award and is currently working towards NVQ 4 in Care as well as attending training courses relevant to her role. Observations and discussions with service users and staff confirmed that effective relationships have developed between service users, staff and the manager. Service users and staff were observed approaching the manager with confidence and respect. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 20 Although staff were observed to work appropriately regarding health and safety procedures, there were three health and safety issues brought to the manager’s attention. Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 21 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 3 x x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Finchley House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 22 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. 1. Standard 20 Regulation 13(2) Requirement Timescale for action Immediate 2. 24 & 27 3. 42 The homes policies and procedures in relation to the administration of medication must be complied with at all times. 13(4) To ensure the safety of service 31 /07/05 users and staff the call cords in the bathroom and shower room must be replaced and the shower rail must be extended. 23(4)(d,e) The frequencies of fire drills, as Immediate recommended in the Fire Brigades Fire Precautions Log Book, must be adhered to. 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 24 24 Good Practice Recommendations The plans in relation to extending the carport at the front of the building to secure an enclosed area for the home’s vehicle should go ahead. So that the area meets the standard of the rest of the building, plans should be put in place to reorganise and decorate the laundry room. B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 23 Finchley House Commission for Social Care Inspection Baltic House Port of Tyne South Shields NE34 9PT 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 Finchley House B52-B02 S15744 Finchley House V220800 070605 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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