Inspection on 07/12/05 for Haig Road, 22

This inspection was carried out on 7th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haig Road, 22 07/08/09

Haig Road, 22 09/06/09

Haig Road, 22 19/02/09

Haig Road, 22 23/09/08

Haig Road, 22 24/09/07

Haig Road, 22 28/09/06

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 08/07/2008.

CARE HOME ADULTS 18-65 Haig Road, 22 22 Haig Road Bedlington Northumberland NE22 5AW Lead Inspector Jim Lamb Unannounced Inspection 7th December 2005 17:00 DS0000000570.V268359.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 DS0000000570.V268359.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. DS0000000570.V268359.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 DS0000000570.V268359.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 29th September 2005 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. DS0000000570.V268359.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. The inspection took place over 2.30 hours during the evening. Time was spent looking around the home, examining the homes policies and procedures, service users care records and talking to two of the homes support workers. The inspector was unable to talk to any of the three service users as they were attending one of their regular social evenings in Blyth. What the service does well: What has improved since the last inspection? The home continues to provide very good standards of care; there was clear evidence that the staff have the skills, experience and knowledge needed to meet the holistic needs of the service users. There are plans to decorate one of the service users bedrooms. DS0000000570.V268359.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. DS0000000570.V268359.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 DS0000000570.V268359.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): 345 Each service user is provided with a copy of the Trusts contract/statement of terms and conditions. Any potential new service users would be provided with enough information to enable them to make an informed choice about moving into the home. EVIDENCE: Details of the extra charges and what these are for are in the contract given to service users and are agreed and signed. The contract contained appropriate information required by regulation. Three service users’ files were checked and on each were a copy of a full needs assessment. DS0000000570.V268359.R01.S.doc Version 5.0 Page 9 Admissions to the home are rare, the last admission was over 10 years ago however, the home does have a copy of the Trusts admission procedures and the staff are familiar with these. The service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. DS0000000570.V268359.R01.S.doc Version 5.0 Page 10 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 8 10 The service users assessed changing needs and personal goals are reflected in their individual plans. Each service users is supported to make decisions about their lives and are consulted about all aspects of life in the home. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users, these are reviewed and up-dated on a regular basis. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. DS0000000570.V268359.R01.S.doc Version 5.0 Page 11 All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. There was evidence that all service users participate in the daily management of the home and regular house meetings also take place. The staff team have received data protection training, the records inspected were found to be accurate and secure. There was evidence within the care records and house meetings minutes that service users are able to make decisions for themselves and that selfadvocacy, choice and freedom of movement is promoted. DS0000000570.V268359.R01.S.doc Version 5.0 Page 12 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 12 16 17 Social activities and meals are both well managed, creative and provide variation and interest for the people living in the home. Service users rights are respected at all times. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. Validated intervention treatment programmes are accessed if a need does arise. The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. DS0000000570.V268359.R01.S.doc Version 5.0 Page 13 The home has its own transport. The staff team liaise closely with external agencies in order to monitor each service user progress. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Service users are involved in housekeeping tasks. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. DS0000000570.V268359.R01.S.doc Version 5.0 Page 14 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): 20 21 The health care needs of the service users are identified and met. The staff team will require; ageing, illness/Palliative care training. EVIDENCE: No service users currently have any moving and handling needs. Service users require minimum help with her personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. DS0000000570.V268359.R01.S.doc Version 5.0 Page 15 There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well managed. Two of the service users are aged over 65 years, it is recommended that the staff team receive; ageing illness/palliative care training. DS0000000570.V268359.R01.S.doc Version 5.0 Page 16 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 There are appropriate procedures in place to ensure a proper response to any allegations of abuse. EVIDENCE: The home does have a complaints procedure, which the inspector saw, and is written in a way to ensure that service users fully understand its contents. The home does keep a record of complaints; during the last twelve months no complaints have been received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. There was evidence of personal spending and receipts are kept. DS0000000570.V268359.R01.S.doc Version 5.0 Page 17 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 27 28 30 The home provides a pleasant, comfortable and safe place for those living there. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. The home does have an appropriate amount of sitting, recreational and dining space. Service users can see visitors in private in their own rooms. The dining area is large enough to cater for all service users. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The bathroom/WC is small but is adequate to meet the needs of the three service users. DS0000000570.V268359.R01.S.doc Version 5.0 Page 18 Doors had privacy locks. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Water is stored at over 60°C. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was extremely comfortable, clean and free from offensive odours. DS0000000570.V268359.R01.S.doc Version 5.0 Page 19 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): 31 33 34 The staff appeared enthusiastic, skilled and experienced and they appear to work positively with the service users to improve their whole quality of life. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty. Staff spoken to said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions. Each member of staff also has a personal development plan that identifies their individual training needs and development. DS0000000570.V268359.R01.S.doc Version 5.0 Page 20 The home has a group of staff that have worked at the home for a long time, all are aware of their individual responsibilities and roles. Staff interviewed confirmed they receive three days paid training. The staff has recently transferred to the Health Authorities Whitley Council Scale, all have a copy of the new terms and conditions, job descriptions and code of conduct. DS0000000570.V268359.R01.S.doc Version 5.0 Page 21 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): 39 40 41 The systems for service users consultation are good, there was evidence that indicates that the service users views are sought and acted upon. The homes policies and procedures promote and protect the welfare of the service users. The home requires a current Public Liability Insurance Certificate. EVIDENCE: Staff interviewed were clear about the their responsibilities and the homes policies and procedures. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see The records inspected were found to be appropriately completed, these included; fire log book, accident book, personal allowance records, Health and DS0000000570.V268359.R01.S.doc Version 5.0 Page 22 Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. The Trust operates a quality assurance system that reflects service users views, and development of the home through self monitoring. DS0000000570.V268359.R01.S.doc Version 5.0 Page 23 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 X X 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 2 Standard No 37 38 39 40 41 42 43 Score X X 3 3 3 X X DS0000000570.V268359.R01.S.doc Version 5.0 Page 24 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. 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 YA 21 YA 42 Good Practice Recommendations The staff require ageing, illness/palliative care training. The home requires a current Public Liability Insurance Certificate. DS0000000570.V268359.R01.S.doc Version 5.0 Page 25 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 DS0000000570.V268359.R01.S.doc Version 5.0 Page 26 - 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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