Inspection on 21/07/05 for Fourways

This inspection was carried out on 21st July 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

Fourways 17/05/07

Fourways 19/12/05

Fourways 13/01/05

Fourways 20/07/04

Fourways 12/03/04

Fourways 12/11/03

Fourways 28/11/02

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

CARE HOME ADULTS 18-65 Fourways Benton Terrace Stanley Durham DH9 0NT Lead Inspector Belinda Parker Unannounced 9:00am 21 July 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. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fourways Address Benton Terrace Stanley Durham DH9 0NT 01207 281788 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) Mr William Heslop Mrs Andrea Heslin Care Home 7 Category(ies) of Learning Disabilities - 7 registration, with number of places Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2005 Brief Description of the Service: Fourways 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 2 Benton Terrace 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. The home was operating at full occupancy at the time of the inspection Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 25/7/05 over a period of three hours. During the inspection discussion took place with service users, staff and a number of records were examined. A requirement made at the last inspection has been met. What the service does well: What has improved since the last inspection? The procedure for the recording of handwritten entries on the medication recording sheets has been addressed and now meets the required standard. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 6 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. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 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 Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 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 and 2 There is a clear admission process in place, which enables prospective service users to make an informed decision as to whether they wish to move into the home. EVIDENCE: The home has an up to date Statement of Purpose and Service User Guide in place. These documents set out the aims, objectives, services, facilities and terms and conditions. Each service user is given a copy. Evidence was available to show that the manager spends time with each individual service user on a regular basis explaining the information contained in these documents. There have been no admissions to the home for several years. The manager said a full pre-admission assessment would be carried out before a prospective service user moves into the home. The manager said the service user and their family or advocate would be involved in this process. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 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, 8 and 9 The system for service user consultation in this home is good. Service users are supported well by staff to take risks as part of an independent lifestyle. EVIDENCE: The manager said all service users in the home have the right to make choices about their daily lifestyle. Service users’ family or advocates are included. The manager said service users are offered opportunities to participate in the day to day running of the home, but it is their choice if they wish to do so. During the inspection one service user asked if I would like a cup of tea or coffee and assisted a staff member to make it. The service user then proceeded to answer the telephone in an appropriate manner and relayed the message to the manager. Service users have the opportunity to participate in monthly house meetings to put forward their views and suggestions supported by staff. The manager said a service user representative sits on the interview panel for new employees. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 10 Staff enable service users to take responsible risks. Information for staff to base decisions on is contained within the individual service user’s care plan and the homes risk assessment and risk management strategies. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 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) 11,12, 13, 14 and 16 Links with the community are good and support and enrich service users’ social and educational opportunities. EVIDENCE: Two service users living in the home attend a skills centre where they participate in a range of activities. Other service users are encouraged to participate in a variety of inhouse activities and activities out in the community supported by staff. It was observed during the morning of the inspection staff asked service users if they wished to attend an activity that was being arranged that morning in the local community. The home has transport available to enable service users to travel to other activities available in the wider community. On the day of the inspection a group of service users where going out with staff in the mini bus to attend a leisure activity in the community. One service user spoke about her recent holiday in Blackpool with some other service users who live in the home. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 12 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) 20 The medication at this home is well managed and ensures the protection of service users. EVIDENCE: Since the last inspection the procedure for the recording of hand written entries for medication received into the home has been reviewed. The standard is met. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 13 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) EVIDENCE: This standard section was not assessed at this inspection. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 14 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) EVIDENCE: This standard section was not assessed at this inspection. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 15 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) 36 The system for supervision of staff is good. Staff are encouraged to develop their skills and abilities to enable them to provide a good standard of service to the people living in the home and other visitors. EVIDENCE: Evidence was available to show that staff receive supervision from their line manager on a regular basis. The supervision process gives staff the opportunity to discuss all aspects of their role and service delivery including career development. This process ensures that staff are equipped with the necessary skills and abilities to deliver a good standard of care to the service users who live in the home. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 16 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) 38 and 40 The manager has a clear vision for the home which she effectively communicates to the service users, staff and relatives. EVIDENCE: During discussion the manager was able to demonstrate a strong sense of leadership and is positive towards including service users, staff and service users families in the decision making process within the home. Policies and procedures for the protection of service users examined during the inspection were up to date and had been reviewed within the last twelve months. Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 17 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 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fourways Score x x x x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x x x B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 18 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 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 Good Practice Recommendations Fourways B54 S7471 Fourways V232413 210705 stage 4.doc Version 1.40 Page 19 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. 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