Inspection on 17/08/05 for Grange Park Avenue, 18

This inspection was carried out on 17th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grange Park Avenue, 18 12/04/07

Grange Park Avenue, 18 09/12/05

Grange Park Avenue, 18 31/01/05

Grange Park Avenue, 18 27/07/04

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 Grange Park Avenue 18 Grange Park Avenue Bedlington Northumberland NE22 7EF Lead Inspector Anne Brown Announced 17 August 2005 11.00 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. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Grange Park Avenue Address 18 Grange Park Avenue Bedlington Northumberland NE22 7EF 01670 530544 N/A communityhome@grangeparkave.fsworld.co.uk Northgate & Prudhoe NHS Trust 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) Vacant CRH 3 Category(ies) of LD - Learning Disability (3) registration, with number of places Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 2 residents are over the age of 65 years. Date of last inspection 31/1/05 Brief Description of the Service: 18 Grange Park Avenue is a semi-detached house situated in a residential estate on the outskirts of Bedlington. The home is registered to provide accommodation for three service users with learning disabilities, two of whom are over 65 years of age. The service is provided by Northgate and Prudhoe NHS Trust and the property is rented from Wansbeck District Council. The ground floor accommodation consists of a lounge, kitchen/dining room and one bedroom with an en-suite facility. On the first floor there are two bedrooms, a bathroom and a staff sleep-in room/office. There is a small garden to the front and a large garden to the rear of the house. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over three and a half hours. A tour of the premises took place and the care records were inspected along with the fire log book, accident book, maintenance contracts, complaints records and minutes of meetings held in the home. Discussions were held with the acting manager, two members of staff and two residents. Three questionnaires were returned by the residents and two were returned by their relatives. What the service does well: What has improved since the last inspection? What they could do better: Since the last inspection a new manager was appointed to the home. She has now been transferred to another home owned by the Trust but is overseeing the home on a part-time basis. Another manager has now been appointed. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 6 This means the management of the home will have changed twice in six months and this does not provide continuity. The care plans and terms and conditions of residency should be signed by the residents to indicate they have been involved and understand the content. The test certificate for the electrical installation was out of date. This test should be carried out and the certificate forwarded to the CSCI. 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. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 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 Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 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, 2, 3 and 5. Potential residents are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. Comprehensive information is made available when a referral is made and the home carries out detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. EVIDENCE: A statement of purpose and service user guide have been produced and issued to each resident. Statements of terms and conditions were available on the case files and the acting manager is in the process of discussing these with the residents and obtaining their signatures. Comprehensive assessments were available and reviews are carried out on a regular basis. Prospective residents have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve lunch and teatime visits, day and overnight stays and can be adjusted to the pace of the resident. A training programme is in place to ensure the staff team are equipped to meet the individual needs of the residents. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 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) 6, 8, 9 and 10. There are excellent arrangements in place to ensure that residents’ health and social care needs are met. Detailed care plans ensure the staff team are fully informed. Residents are encouraged to lead fulfilling lifestyles and staff support them to take risks. Residents are encouraged to be involved in the day-to-day running of the home and to make their views known. Confidentiality is respected. EVIDENCE: Health and social care needs are clearly addressed and the staff team are fully informed. All appointments with health care professionals are recorded in the care plan and an ‘OK’ health check is carried out annually. Residents are well supported by staff and the necessary levels of support are recorded in the detailed care plans that show the level of care and support the staff need to provide. The care plans have recently been updated but have not been signed by the residents. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 10 Comprehensive risk assessments are available on the case files. These assist the residents to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. Meetings are held on a monthly basis and the residents are consulted about day-to-day issues in the home and are encouraged to make their views known. The minutes of the meetings were inspected. The agenda does not include matters arising from the last meeting to ensure issues are followed up. Questionnaires are issued to the residents on an annual basis to ascertain their views on the services provided. A confidentiality policy is in place and forms part of the staff induction programme. The acting manager has recently had locks fitted to the cupboards in the office to ensure all records are securely stored. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 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, 15, 16 and 17 Residents take part in community facilities and enjoy fulfilling lifestyles. Social activities and meals are both managed creatively and provide daily variation and interest for people living in the home. Visitors are made welcome and residents are supported to maintain contact with family and friends as they wish. Menus are varied and nutritious. EVIDENCE: Discussions with two service users, two staff members and examination of records showed that residents attended day centres and enjoyed various activities in the community. These included shopping, meals out and visits to local places of interest. One resident attends a church on a weekly basis. Each resident has an individual activity timetable. Two residents are going on holiday in the near future to Berwick and York. The third resident stated that they had opted to have days out instead of Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 12 staying away from home. A vehicle is provided to escort residents to their preferred venues. The care plans indicated that the residents are encouraged to maintain contacts with family and friends. Two questionnaires returned by relatives stated they were made welcome in the home and could visit their relatives in private. A nutritious menu plan is in place and the staff confirmed that alternatives are always available. Any changes to the menu are recorded. Two residents stated they enjoyed the food served to them and one stated he also enjoyed going out for meals. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 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 and 20 Residents are given the personal support they require and according to their preferences. Professional medical advice is sought, and reassessments are requested when necessary. An appropriate system is in place for dealing with medications. EVIDENCE: Staff were observed to be providing personal support in such a way as to promote and protect residents’ privacy, dignity and independence. One resident stated they had good relationships with the staff members. The recordings in the care plans indicated that the staff team seek advice and support from relevant professionals in respect of the residents’ health and wellbeing. A random sample of medication records and the system for storage and handling medications was looked at and found to be appropriate. New storage cabinets have recently been provided. Lockable facilities are available in the residents’ bedrooms where medications can be safely stored if a resident is able to self-medicate. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 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) 22 and 23 The home has a satisfactory complaints system and staff receive training in adult protection to help protect residents from abuse. EVIDENCE: The home has a complaints procedure. There have been no complaints about the home since the last inspection. One resident spoken to stated that they would raise any issues of concern with the staff team. They also have their own complaints procedure in their bedroom to remind them of the complaints process. A copy of the complaints procedure is displayed in the hallway. A procedure for responding to allegations of abuse is available. The staff have received training on multi-agency POVA procedures. Arrangements are being made for a new member of staff to receive this training as soon as possible. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 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, 25, 26, 27, 28 and 29. The standards of the facilities and décor within the home is good, providing residents with an attractive and homely place to live. Bedrooms are personalised and provide the residents with the necessary facilities. EVIDENCE: An inspection of the premises was carried out and the home was found to be well maintained and comfortable. Each resident has their own bedroom that is personalised and one resident confirmed that he had chosen the wallpaper and carpet for his bedroom. Since the last inspection a new carpet, sofa and armchairs have been provided in the lounge. The residents were seen to be accessing all communal areas and their own bedrooms. They were also enjoying the garden at the rear of the premises. The hot water supplied to the bath was tested and found to be safe. The staff test the water temperature before using it and it is also routinely tested on a weekly basis and recorded. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 16 An annual maintenance and renewal programme is in place and the acting manager keeps a record of any repairs that are reported. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 17 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) 31, 32, 35 and 36 Minimum staffing levels are maintained which means that there are enough staff on duty to meet the needs of residents. The staff team are well trained and supervised to enable them to provide good care to the residents. EVIDENCE: There are two members of staff on duty during the day and one sleep-in staff member from 9 pm to 9.30 am. Job descriptions have been produced and the staff were aware of their roles and responsibilities. Training programmes were inspected and these showed that the staff team receive regular training to enable them to meet the individual needs of the residents. The acting manager has ensured that all staff receive regular supervision and was carrying out a supervision session on the day of the inspection. The staff on duty stated the acting manager is supportive and they were provided with adequate training and supervision. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 18 The staff on duty were observed to be meeting the residents’ needs in a competent and caring manner. Good relationships were observed between the staff team and the residents. The staff team have all completed NVQ Level 2 which was a recommendation from the last inspection. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 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, 38, 39, 41 and 42 The home is well run by a competent acting manager in the best interests of the service users and staff are well supported. However there have been two changes of manager in the last six months which disrupts the residents. Health and safety of the service users is promoted by well trained staff and appropriate risk assessments are in place. EVIDENCE: Since the last inspection a new manager was appointed in the home. However she has now been transferred to another home run by the Trust and is currently overseeing Grange Park on a part-time basis. Another manager has been appointed and is reported to be taking up their post within the next few weeks. Service users are consulted in all aspects of the day to day running of the home and this information is recorded in minutes of meetings. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 20 The staff receive regular training in health and safety issues and all accidents are recorded and monitored on a monthly basis. Risk assessments are carried out on the premises by staff in the home on a regular basis. The fire log book was examined and was up to date. The log recorded that fire instruction is provided to staff at the appropriate intervals but no staff signatures are maintained. A copy of an up to date maintenance certificate was not available for the fire alarm. The acting manager confirmed that the test had been carried out and agreed to obtain a copy of the certificate and forward this to CSCI. The last test of the electrical installation took place in 1998 and the report recommended it be tested the next year. The acting manager has forwarded the report to headquarters for action to be taken. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 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 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x 2 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grange Park Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x 3 2 x B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 22 YES 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 42 Regulation 14(5)a Requirement Test of the electrical installation must to be carried out and copy of certificate to be forwarded to CSCI. A copy of the test certificate for the fire alarm must also be obtained and forwarded to CSCI Timescale for action 31/8/05 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. 3. 4. Refer to Standard 6 8 37 41 Good Practice Recommendations Care plans should be signed by the residents to confirm they have been involved in their development. An action plan should be produced at house meetings and matters arising from last meeting should be added to the agenda. Manager to commence employment in the home as soon as possible. Staff should sign to confirm they have received up to date fire instruction. Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Grange Park Avenue B53-B03 S572 Grange Park Ave V221102 170805 Stage 4.doc Version 1.40 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!