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Inspection on 29/09/05 for Haig Road, 22

Also see our care home review for Haig Road, 22 for more information

This inspection was carried out on 29th September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People are well supported and are able to as independent lives as possible. People are encouraged to have diverse interests and social lives. The home has a nice and happy atmosphere; it is well decorated and comfortable. The staff are friendly and gentle with the people they support. The Manager is good at her job and makes sure that the people who live here come first.

What has improved since the last inspection?

The Manager has been registered with the Commission For Social Care Inspection. Repairs have been carried out. Records of Health and Safety checks have been recorded. Staff have received training in Disability Discrimination.

What the care home could do better:

People`s independence might be even better promoted through more care planning.

CARE HOME ADULTS 18-65 Haig Road, 22 22 Haig Road Bedlington Northumberland NE22 5AW Lead Inspector Bill Middlemist Announced Inspection 29th September 2005 10:00 Haig Road, 22 DS0000000570.V255417.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 Haig Road, 22 DS0000000570.V255417.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. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Haig Road, 22 Address 22 Haig Road Bedlington Northumberland NE22 5AW 01670 - 531434 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) haig@haigroad.wanadoo.co.uk Northgate & Prudhoe NHS Trust Mrs Joy Elizabeth Heslop Care Home 3 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (2) of places Haig Road, 22 DS0000000570.V255417.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 Brief Description of the Service: 22 Haig Road is a semi detached, three-bedroom house located in a residential estate in the town of Bedlington. There is a small garden to the front and a larger garden/patio area to the rear. 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 had not been adapted and were suitable for people who are physically independent. The Home is situated within walking distance of a range of local amenities such as shops, pubs and restaurants. The Home also has its own transport. 22 Haig Road is part of the residential services provided by Northgate and Prudhoe NHS Trust. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and lasted for two hours. Care and support plans for the three people who live here were inspected. A visit was made to see the people who live at Haig Road before this inspection, in order not to disturb their routines. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 6 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 Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 7 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, 2 Each person needs have been assessed. EVIDENCE: This home has a statement of purpose that outlines the type of care and support that people can have if they choose to live here: however, the resident group has been stable for several years and it is unlikely that a place would become available. Each person’s file included assessments that have been carried out by suitably qualified professionals. There are also the home’s own assessments that focus on people’s needs and wishes in greater detail. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 8 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, 9 Each person has a range of individual care and support plans. People are supported to take risks as part of their lifestyle. EVIDENCE: Each file that was inspected included detailed care and support plans to help people with their day-to-day living. The plans could include a greater emphasis on what staff need to do to help people maintain their independence for as long as possible. The care and support plans are supported by good risk assessment and risk management plans: this ensures that people are able to continue their preferred routines and make choices, while balancing rights and responsibilities. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 9 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): 13, 14, 17 Each person is part of the local community. There is a good range of leisure activities. Meals are varied and healthy. EVIDENCE: Each person clearly enjoys what they do in the community; good use is made of ordinary facilities. One person told me that there have been problems with using local transport, and the Manager has made very good efforts to resolve this. A recommendation to contact a local advocacy service is made, to see if education on disability matters could be carried out in the local community. Each person has a good range of leisure activities both in side and outside of the home: these involve combining leisure and learning where possible. The people who live here are supported to prepare their own menus and shop for their own food: people are supported to prepare the meals which are varied and nutritious. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 10 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): 18, 19 People are getting the personal support they need, and their physical health needs are being met. EVIDENCE: Each person has individual plans that instruct staff on how to support people in a way that they prefer. People’s healthcare needs are met through the home’s systems making sure that they get to the right kind of help at the time that they need it. People are able to see their GP or other healthcare professionals on their own if they wish, and steps have been taken to share information on a need to know basis, or in line with the home’s duty of care. The home is good at monitoring people’s conditions and making referrals to specialists before potential complications develop. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 11 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): 23 People’s views are listened to. Good steps have been taken to protect people from abuse and harm. EVIDENCE: The people who live at this home know who to complain to if they are not happy about something. Each person has a copy of the Trust’s complaints procedure, “Tell Us”. This procedure should be amended to mention CSCI as the regulating authority, and reference to the Local Ombudsman should be removed and replaced with the Parliamentary Ombudsman Training has been provided to raise awareness of vulnerable adults and abuse. Staff have demonstrated due diligence regarding problems that have arisen through people having presence in the local community. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 12 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, 27, 30 22 Haig Road is homely, comfortable and safe. The bathroom and toilet meets each person’s current needs, and the home is clean and hygienic. EVIDENCE: Haig road is a domestic sized home that promotes an ordinary life in the community, it is attractively decorated and comfortable and is not recognisable as a care home. There is a pleasant back garden that has been created involving one of the people who live here. The bathroom and toilet is small but suited to the current needs of the people who live here. Everywhere that was inspected was clean and hygienic. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 13 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, 35, 36 People are supported by competent staff. Staff are appropriately trained. EVIDENCE: Each member of staff has a Personal Development Plan that identifies what their training and development needs are: training includes all of the subjects required by law, as well as those subjects relating to the needs of the people living at this home. All of the staff are regularly supervised to the recognised standards. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 14 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): 38, 42 People benefit from the management approach of the home. The health, safety and welfare of people are promoted. EVIDENCE: The Manager is well informed and demonstrates very good values and attitudes. All matters relating to health and safety that were inspected were satisfactory, including the Fire Log, Maintenance Records, fridge and freezer temperatures, water temperatures, and complaints. All records were kept securely. Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 15 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 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haig Road, 22 Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X 3 X X X 3 X DS0000000570.V255417.R01.S.doc Version 5.0 Page 16 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. 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 2 Refer to Standard YA6 YA22 Good Practice Recommendations Try to emphasis people’s independence in care planning and delivery Amend the complaints procedure as advised Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 17 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 Haig Road, 22 DS0000000570.V255417.R01.S.doc Version 5.0 Page 18 - 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. 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