Inspection on 19/02/09 for Haig Road, 22

This inspection was carried out on 19th February 2009.

CSCI found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haig Road, 22 07/08/09

Haig Road, 22 09/06/09

Haig Road, 22 23/09/08

Haig Road, 22 24/09/07

Haig Road, 22 28/09/06

Haig Road, 22 07/12/05

Haig Road, 22 29/09/05

Haig Road, 22 02/12/04

Haig Road, 22 13/07/04

Haig Road, 22 17/03/04

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Haig Road, 22 22 Haig Road Bedlington Northumberland NE22 5AW     The quality rating for this care home is:   zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karena Reed     Date: 1 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Haig Road, 22 22 Haig Road Bedlington Northumberland NE22 5AW 01670-531434 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : NTAWT.Haig@nhs.net Northumberland, Tyne & Wear NHS Trust care home 3 Number of places (if applicable): Under 65 Over 65 2 learning disability Additional conditions: 2 residents are over the age of 65 years Date of last inspection Brief description of the care home 1 22 Haig Road is a semi detached, three-bedroom house located in a residential estate in the town of Bedlington. The home does not provide nursing care but is registered to provide personal care and support to three people with learning disabilities, two of the people are over sixty- five years of age. There is a small garden to the front and a larger garden/patio area to the rear. The home is within walking distance of shops, public houses, restaurants .The home also has its own transport. Each person has their own bedroom and they share the communal areas, which includes a kitchen/dining room and a lounge. One of the ground floor rooms is an office and bedroom for staff on sleepover duty. The premises have not been adapted to be suitable for people who are physically dependent. 22 Haig Road is part of the residential services provided by Northgate and Prudhoe NHS Trust. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in February 2009 are £1169.65 weekly. Additional charges are payable for hairdressing, toiletries, Sky television, eating out and taxis. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means that the people who use the service experience poor quality outcomes. We have reviewed our practice when making requirements,to improve national consistency.Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations,but only when it is considered that people who use services are not being put at significant risk of harm.In future,if a requirement is repeated,it is likely that enforcement action will be taken. How the inspection was carried out: Before the visit we looked at information we have received since the last visit in Care Homes for Adults (18-65 years) Page 6 of 30 September 2008,how the service dealt with any complaints and concerns since the last visit,any changes to how the home is run,the providers view of how well they care for people and the views of people who use the service and their relatives, staff and other professionals. The Visit:an unannounced visit was made on 16/02/09. During the visit we talked with people who use the service and staff,looked at information about the people who use the service and how well their needs are met,looked at other records which must be kept,checked that staff had the knowledge, skills and training to meet the needs of the people they care for,looked around parts of the building to make sure it was clean, safe and comfortable and checked what improvements had been made since the last visit. We told the person in charge what we found. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure that the home can meet the needs of residents,however information about the home is not easy for residents to understand,to help them make an informed choice about whether to live at the home. Evidence: A Statement of Purpose and service user guide were available detailing services provided by the home and the Trust, the service user guide contained out of date information about how to make a complaint.The service user guide was not in an easy read format to help people with learning disabilities to understand the information. The records contained a range of information. Records for two residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender,culture,religion,spirituality,education and social history,preferred daily routine Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: and preferences. It also looks at mood,speech,behavior,mental health,risks,sexuality and living skills.This information and the care managers assessment of the residents care needs were used to ensure all the needs of the resident could be met by staff. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Residents living at the home have lived there for some years and they are involved in deciding who may come to live with them when a vacancy occurs. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure that residents care and support needs are recorded and to ensure that residents are involved in all decision making in their lives. Evidence: There are detailed assessments in residents care plans. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans show the amount of care and support that staff are providing to residents, and they are updated as necessary. Residents care plans are up dated monthly by the resident and their key worker. A six monthly meeting also takes place with relevant people to discuss the residents care needs with them and to discuss any plans and things they may wish to do in the following six months e.g. holidays and hobbies. The staff on duty said that they are always given up to date information about the residents and their needs. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Residents are asked individually and consulted about decisions involving themselves and the running of the home. Meetings are held quite regularly with residents about the running of the home. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and up to date risk assessments were present in residents care records. Residents care records all contained statements of confidentiality to remind staff what information could or could not be disclosed about residents. The service user and surveys returned said that they make decisions about what they do each day, and that they can do what they want to do during the day, evenings and at weekends. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have access to a variety of activities which helps them to enjoy a good quality of life. Residents are also supported to keep in touch with their families. Evidence: Residents records and meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Conversation with a resident and staff show that residents are provided with the necessary levels of support to help the resident maintain some level of independence and retain some skills to be more self sufficient in aspects of everyday living. Residents attend some day services if they wish to on a part time basis if they havent retired. Some residents attend a club in the evening, two evenings of the week. Residents are encouraged to pursue their own interests and hobbies and are supported to do so.These include gardening,listening to music,shopping,art,cookery,reading.Residents also enjoy meals Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: out at local pubs, shopping,watching television,theatre trips,car displays and whatever is of interest to the resident. Residents are supported to holiday in this country or abroad and they have all enjoyed holidays to Majorca and Benidorm. Within the home residents bedrooms are equipped with their own televisions,radios, books,pictures and whatever is of interest to the resident. Residents care plans and case records detail any family involvement. Conversation with a resident and staff also provided evidence that residents are encouraged to maintain contact with family and friends, if they wish to do so, with staff providing any support that may be required. Residents are asked individually what they wish to eat each day. A light snack is available at lunch times and a larger cooked meal is served in the evening. Residents have access to the kitchen and are able to prepare snacks and drinks for themselves if they wish . Residents often enjoy meals out at lunch time whilst out shopping. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are adequate arrangements in place to ensure that residents health and social care needs are met. Evidence: Two care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of service users as they become older. The home respects the wishes of an individual when dealing with their increased dependency. Service users need minimal help with personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. Records showed when residents had seen health professionals e.g doctors,community nurses,psychiatrists,psychologists. Residents are referred for specialist health care if appropriate. A staff comment said;the service works well with other disciplines and professionals. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Records also showed when residents had seen opticians and dentists. Staff who have completed training administer medication, medication training has been up dated internally but accredited medication training has not been provided yet. A sample of medication records was examined and they were found to be in order. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. No resident administers their own medication currently. A system could be put in place to oversee the medication of residents if they were able to retain and administer their own medication. The environment is not equipped for the ageing of residents and has not been adapted, there is no through floor passenger lift and a bedroom is not available on the ground floor for a resident if required. Staff have received training to give them more understanding about the ageing process and the needs of residents as they may become incapacitated due to illness and older age. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does not have a clear,user friendly complaints and protection system to ensure residents views are listened to and acted upon and to protect them from abuse. Evidence: There is a complaints procedure that includes what complainants should do if they are not happy with the homes investigation and response but it does not include how to complain as required by the Care Home Regulations 2001. A localized procedure is not available or written in a way that ensures residents understand its contents. Staff have received training about complaints awareness. The home keeps a record of complaints. No complaints have been received since the last inspection. The home has a Whistle Blowing policy and the Trusts Vulnerable Adults procedures. Staff training about Protection of Vulnerable Adults and Prevention of Abuse is out of date and requires updating. Residents can deposit money for safe keeping in the homes safe and records are kept of accounts. Care Homes for Adults (18-65 years) Page 19 of 30 Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and safe environment for those living there and all areas are well maintained ,clean,tidy and free from offensive odours. Evidence: There is a programme of redecoration and improvement around the home. The home was clean, well decorated and well maintained. The home has a lounge and kitchen,diner combined. Residents can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in good condition. Lighting was bright and domestic in design. Residents bedrooms were personalized according to individual taste. There was emergency lighting throughout the home. The home was clean and free from offensive odours. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff for the current needs of the residents living in the home, the staff have been properly recruited. Evidence: Examination of staff rosters and discussion with the person in charge showed that the numbers of staff are as follows: 9: 00am- 6:00pm 2 -3 staff members 6:00pm- 10:00pm 1- 2 staff members 10:00pm- 9:00am 1 sleep in staff member. On the day of inspection however there was one staff member on duty from lunch time until the following day.Staff numbers include the manager.Staff members carry out cooking and cleaning duties.Comments include: Staff may be seconded to other homes at short notice prohibiting activities to clients. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: The service provides support and advice for service users to the best of their ability in the current climate. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. There is a good level of staff training. Staff members have achieved National Vocational Qualifications at levels 2. Some staff members are planning to study for level 3. Staff and their records showed that they also receive training or advice in other areas such as equality and diversity,infection control,food hygiene, complaints awareness, Makaton,person centred planning and oral health.Training is planned imminently for staff to receive developmental training to ensure they can meet all the needs of the residents as they become older. Staff receive regular supervision. Staff files were not available on the premises to check the recruitment and vetting procedures for the Organization but an inspection at head office for another service showed that they do adhere to the standard required. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust management systems are not in place to ensure the smooth running of the home and to ensure the safety and protection of the residents. Evidence: Few of the previous requirements have been addressed from the last inspection apart from the manager has now become registered for the day to day running of the home.She has several years experience of working with adults with learning disabilities. There are issues being followed up with the manager outside of this report regarding the management of the home and her understanding of her regulatory responsibilities. These include ensuring requirements are carried out in a timely manner. Documents detailing fire safety, risk assessments in the environment,water temperatures and maintenance contracts for equipment were up to date. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: Staff training relating to health and safety was up to date. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 20 18(1)(i) Medication training must be updated for staff. Medication training must be updated for staff. Health and safety 30/12/2007 2 20 18 16/11/2008 3 22 22 The complaints procedure must be updated. Protection 16/11/2008 4 22 22(7)(6)(a) The complaints procedure must be updated. 01/12/2007 5 23 13 Safeguarding training must be updated for all staff. Protection. 16/12/2008 6 35 18 Staff must receive training 17/12/2008 appropriate to the work they are to perform and to ensure the health and safety of service users. Staff training to meet residents needs. Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 18 Staff must receive 30/05/2009 accredited medication training to ensure the health and safety of residents. This will ensure the health and safety of residents. 2 22 22 The complaints procedure must be updated. This well ensure that residents know how to complain. 30/03/2009 3 23 13 Staff training about safe guarding adults must be up dated. This will ensure the protection of vulnerable adults. 30/05/2009 4 37 43 The manger must comply and carry out any requirements in a timely way to ensure the health and safety of residents. This is to ensure compliance with the regulations. 30/03/2009 Care Homes for Adults (18-65 years) Page 28 of 30 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The Statement of Purpose and service user guide must be updated and made accessible so they are more easily understood. Staffing levels should be kept under review to ensure the needs of residents can be met at all times and as they become more dependent. 2 33 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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