Inspection on 09/12/05 for Grange Park Avenue, 18

This inspection was carried out on 9th December 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Grange Park Avenue, 18 12/04/07

Grange Park Avenue, 18 17/08/05

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 18 Grange Park Avenue Bedlington Northumberland NE22 7EF Lead Inspector Anne Brown Unannounced Inspection 9th December 2005 10:00 Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grange Park Avenue, 18 Address 18 Grange Park Avenue Bedlington Northumberland NE22 7EF 01670 - 530544 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) communityhome@grangeparkave.fsworld.co.uk Northgate & Prudhoe NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 residents are over the age of 65 years Date of last inspection 17th August 2005 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. Northgate and Prudhoe NHS Trust provide the service 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, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three hours. A tour of the premises was carried out 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 two members of staff on duty and all three service users. What the service does well: What has improved since the last inspection? Since the last inspection a new manager has been appointed to the home and has applied to become registered with the Commission. New bedding and curtains have been provided in bedrooms in consultation with the service users. Care plans are signed by the service users to confirm they have been involved in their development. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following standard(s): 1 and 5 Potential service users 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. Each service user has a statement informing them of the terms and conditions with the home. 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. The staff have discussed these with the service users and they have signed the documents. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 and 9 Arrangements in place to ensure that residents’ health and social care needs are met. Detailed care plans ensure the staff team are fully informed. Service users are encouraged and supported to make decisions in all aspects of their lives. Service users are encouraged to lead fulfilling lifestyles and staff support them to take risks. EVIDENCE: Service users 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. Special guidelines are also in place. The care plans are due to be reviewed. The staff confirmed that the manager was about to start this task in the near future. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 10 Service users confirmed that they are consulted about any decisions made about their lives. Evidence was available from records and talking to the staff that service users are encouraged to make individual choices and handle their own money. Service users said they are involved in decisions in the house. The examples they gave included redecoration, refurbishment and outings. 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. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following standard(s): 11 and 14. Staff support service users to undertake education/training and take part in activities suited to their age and interests. Residents are able to choose to take part in a range of appropriate leisure activities. EVIDENCE: Records show that service users attend a range of daytime activities that suit their individual needs and interests. These include regular attendance at the local adult training centre, various college courses and Earth Balance. The staff described how residents are supported to make choices about how they spend their time. Service users enjoy a wide variety of leisure activities such as visits to concerts, cinema, meals out, day trips, visits to local markets and visits to relatives and friends. One resident attends church on a regular basis. Transport is provided if necessary, although public transport is also used where possible. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following standard(s): 19 and 20. The service users physical and emotional health needs are met and monitored by the staff. An appropriate system is in place for dealing with medications. EVIDENCE: 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. OK Health checks are carried out for each service user. A random sample of medication records and the system for storage and handling medications was looked at and found to be appropriate. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following 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. The complaints log is monitored every month by the manager and locality manager. 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. The procedure does not include details of other outside agencies, which can be contacted regarding complaints. A procedure for responding to allegations of abuse is available. The staff have received training on multi-agency POVA procedures. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 the following standard(s): 24, 25 and 30. 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: No 18 Grange Park Avenue is a semi-detached house on a housing estate with gardens to the front and rear. The rear garden is fenced and a patio area is available. The house is comfortably furnished, well equipped and well maintained. Service users confirmed that they are consulted about the décor and furnishings. New bedding and curtains have recently been Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 15 Each resident has her own room that shows evidence of her individual taste and interests. The house was very clean and hygienic and evidence was available that appropriate systems are in place for infection control. The staff test the bath water temperature before using it and it is also routinely tested on a weekly basis and recorded. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33 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 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. The staff on duty confirmed that they receive regular training to enable them to meet the individual needs of the service users. They also confirmed that all members of staff have achieved NVQ Level 3 and two members have enrolled to complete NVQ Level 3. The staff said the recently appointed manager was supportive and approachable should they require advice or guidance. The staff on duty were interacting well with the service users and very good relationships were observed. They were able to describe the individual needs of each service user in a competent manner. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. The service users benefit from a well run home and staff encourage them to express opinions. 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 has been appointed in the home and has applied to become registered with the Commission. She was not on duty on the day of the inspection. Monthly meetings are held to consult service users about all aspects of the day-to-day running of the home and this information is recorded in minutes of meetings. The last meeting was held on 14/11/05. The staff receive regular training in health and safety issues and all accidents are recorded and monitored on a monthly basis. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 18 Risk assessments are carried out on the premises by staff in the home on a regular basis. One member of staff has recently completed a health and safety course with Unison and will take be reviewing the risk assessments in the near future. Due to the lack of parking space the staff members having to park vehicles on the grass verge at the front of the property. The grass is churned up and the area is extremely muddy. This looks unsightly and could cause service users and staff to slip when entering the home. The fire logbook was examined and all necessary tests were up to date. Fire instruction provided to staff is out of date. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 19 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 X 3 Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grange Park Avenue, 18 Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000000572.V273264.R01.S.doc Version 5.0 Page 20 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. 2 3 4 Standard YA6 YA42 YA42 YA42 Regulation 15(2)(b) 23(4)(e) 13(4) 13(4) Timescale for action Care plans must be reviewed and 31/01/06 updated. Staff must receive fire 31/12/05 instruction every three months. Risk assessment must be carried 31/12/05 out on muddy area at front of the premises. Car parking arrangements must 28/02/06 be reviewed and problems addressed. Requirement 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 YA22 Good Practice Recommendations Contact details of outside agencies should be added to the complaints procedure. Grange Park Avenue, 18 DS0000000572.V273264.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office 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, 18 DS0000000572.V273264.R01.S.doc Version 5.0 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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