Inspection on 31/10/06 for Hallgate, 28

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hallgate, 28 29/09/08

Hallgate, 28 31/01/06

Hallgate, 28 06/10/05

Hallgate, 28 10/03/05

Hallgate, 28 29/06/04

Hallgate, 28 04/02/04

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 Hallgate, 28 28 Hallgate Hexham Northumberland NE46 1XD Lead Inspector Karena M Reed Key Unannounced Inspection 31st October 2006 2:00 DS0000000672.V302789.R01.S.doc Version 5.2 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 DS0000000672.V302789.R01.S.doc Version 5.2 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. DS0000000672.V302789.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hallgate, 28 Address 28 Hallgate Hexham Northumberland NE46 1XD 01434-600465 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) hallgate@hexham28.fsnet.co.uk At Home in the Community Mr Ian Thomas James Duthie Care Home 5 Category(ies) of Learning disability (5) registration, with number of places DS0000000672.V302789.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Hallgate is a small home, registered to provide personal care and support to five adults with learning disabilities under the age of sixty five years. Nursing care is not provided. It is situated in the Northumbrian market town of Hexham and is conveniently placed for local amenities, such as shopping, restaurants and leisure centres as well as transport links to other parts of the North East such as Newcastle and the Coast. The home is not recognisable as a care home from the outside. The premises are a grade 2 listed building with access gained from the front street, and an enclosed terrace type garden to the rear of the building. There is a large dining room and lounge. Each person has their own bedroom and there are sufficient lavatories and bathrooms. Fees payable for living at the home at the time of inspection in October 2006 are £710 44p weekly. Additional charges are payable for hairdressing, transport, toiletries, and eating out. Residents who are interested in coming to live at the home are provided with a Statement of Purpose and service user guide which describes the services and facilities provided by the home and how staff are trained to meet residents care and support needs. CSCI Inspection reports are also available detailing the quality of care provided by the home. DS0000000672.V302789.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and took place over two hours . A partial tour of the premises took place and a sample of records were inspected which included: The Statement of Purpose and service user guide, 4 care plans, the fire log, accident book, admission/discharge book, complaints record, 2 personal allowance records, 2 staff files, staff communication book, staff and resident meeting minutes. The manager, two support workers and 2 residents were spoken to at the time of inspection. A questionnaire was also completed by the home before the inspection to provide information. Comment cards were also sent to residents and other people involved with the home who may be able to comment about the running of the home. Only one comment card was returned. Case tracking was carried out where certain residents were spoken to and their records were examined. What the service does well: What has improved since the last inspection? Information is being made more accessible to residents so information is provided in other than the written word: contracts, menus, staffing rosters, care plans, Statement of Purpose and Residents’ Guide that provides information about living at the home. DS0000000672.V302789.R01.S.doc Version 5.2 Page 6 A regular supervision system has been established for managers’ so senior managers’ provide support to them in carrying out their job. A formal quality assurance system is being established so the home can monitor that it is providing quality care to residents. There is an ongoing programme of decoration around the home. Residents are involved in the selection of colour schemes. A shower room has been created. 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. The summary of this inspection report can be made available in other formats on request. DS0000000672.V302789.R01.S.doc Version 5.2 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 DS0000000672.V302789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has up to date information to provide to prospective residents about the home and its facilities to enable them to make an informed choice about where to live. The home collects enough information about the needs of residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. Individual contracts are available for each resident. EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. DS0000000672.V302789.R01.S.doc Version 5.2 Page 9 Records for four of the 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 the person were involved in the initial assessment. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. The pre inspection questionnaire showed staff receive training so that they know how to meet the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, Safe Handling of Medication, First Aid, Personal safety, Protection of Vulnerable Adults and National Vocational Qualifications. Developmental training to give staff more insight into the needs of residents includes: befriending, personal centred planning , Learning Disability Awareness as part of new staff induction and working with behaviour that may be challenging. Contracts were available on each residents’ file they were detailed and used pictures together with words to illustrate the contents. DS0000000672.V302789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. There are excellent arrangements in place to ensure that residents’ health and social care needs are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans reflect the amount of care and support that staff are providing to residents. Residents are encouraged to be involved in decision- making and to communicate and make their views known. Staff support residents to take risks as part of independent living. Residents are aware information about them is handled appropriately. DS0000000672.V302789.R01.S.doc Version 5.2 Page 11 EVIDENCE: There are detailed assessments in the residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, communicating and carrying out any assessed tasks to help promote the independence of the person. Care plans are currently being made more accessible for residents so they may be more involved and have a visual reminder in their bedroom of things of importance to them. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show residents are assisted to access chiropody, dental and optical services at least annually or as often as required. Residents are asked individually and consulted about decisions involving themselves and the running of the home. The home promotes the independence of the resident and provides whatever levels of supports are required and to take risks in order to live a more fulfilled lifestyle. Up to date risk assessments were in place 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. DS0000000672.V302789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents enjoy appropriate leisure activities. Residents are encouraged to have appropriate personal, family and sexual relationships. Residents’ rights and responsibilities are recognised in their daily lives. Residents are offered a healthy diet. DS0000000672.V302789.R01.S.doc Version 5.2 Page 13 EVIDENCE: Residents said that they are involved in the running of the home and involved in making decisions about their life. Residents’ records and meeting minutes provided evidence that residents are consulted and asked their opinion on a daily basis. Conversation with a resident and staff showed staff support residents to acquire skills and become more self sufficient in aspects of every day living. A resident spoken to spoke of their employment at a local charity shop and helping serve ice cream at a recently held Goose Fair at Ovingham , a nearby village. Residents may attend day care services or enjoy individual therapeutic activities within the community. Residents all pursue their own individual hobbies and interests, attending football matches, swimming, camping, gardening, karaoke evenings, cinema and theatre trips. Residents have also holidayed in the Lake District, North Yorkshire and Kielder Forest this year. They also enjoy meals out, socializing with residents of other homes, visiting the local pub, shopping and some attend a weekly evening club. Within the home residents bedrooms are equipped with their own televisions, music centres, books and whatever is of interest to the resident. Residents care plans and case records detail any family involvement. Staff also said that residents are encouraged to maintain contact with family and friends, staff providing the necessary levels of support for them to do so. Residents are asked individually, daily what they wish to eat. A light snack is available at lunch times and a cooked meal is served in the evening. The menus are revised with the help of the residents. There were some good pictorial aids to show some residents what different foods looked like and so help them to make more informed choices about what they would like to eat. Residents may often eat out. On the day of inspection an interesting, appetizing buffet party had been prepared to celebrate Halloween. DS0000000672.V302789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do receive support in the way they prefer and require. There are arrangements in place to ensure that service users’ health care needs are met. Systems are in place for residents to retain and administer their own medication where appropriate. EVIDENCE: Four 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 due to becoming older or due to ill health. The care plans accurately recorded the needs and the care and support provided by staff. DS0000000672.V302789.R01.S.doc Version 5.2 Page 15 Records showed when residents had seen health professionals eg doctors, community nurses, etc. Records also showed when residents had seen opticians and dentists. Staff receive training before they administer medication to residents. A system is in place to oversee the medication of residents if they should retain and administer their own medication. DS0000000672.V302789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made from evidence gathered both during and before this visit to this service. The complaints procedure was available to remind people coming into the home of their right to complain. Residents are protected from abuse. EVIDENCE: There is a complaints procedure to inform people visiting the home of how they could complain if necessary. Residents have access to a complaints procedure that assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. The home keeps a record of complaints. DS0000000672.V302789.R01.S.doc Version 5.2 Page 17 As part of staff induction they receive training about the rights of people with learning disabilities. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Staff have received training about working with behaviour that may be challenging. DS0000000672.V302789.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. Residents’ bedrooms suit their needs and lifestyles. There is a good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvement around the home. Since the last inspection two bedrooms have been decorated. Two carpets have been replaced. The kitchen ceiling has been repaired. The home is clean, well furnished, decorated and well maintained. DS0000000672.V302789.R01.S.doc Version 5.2 Page 19 Residents bedrooms are comfortable and well personalized. They contain musical equipment and televisions if residents are interested in them. They also contain sensory equipment to supply visual stimulation, depending upon the needs of the resident. DS0000000672.V302789.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. Residents are protected by the home’s recruitment policy and practices. Staff are trained to meet the care needs of residents. A system of supervision is in place for all staff working at the home. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 7.30am- 7.30pm 3 support staff DS0000000672.V302789.R01.S.doc Version 5.2 Page 21 5.00pm-9.00pm 9.00am-9. 30 am 2 support staff to following day 1 sleep in staff member. These numbers include the manager. Staff members carry out cooking and cleaning with the help of residents where possible. The necessary checks are being carried out prior to the workers being appointed. CRB checks are carried out before a person is appointed. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Residents commented they liked living at the home. Staff receive LDAF Learning Disability Award Framework as part of their induction. Staff said and their records showed that they also receive advice and /or training in other areas. Staff have received Fire Training, Moving & Assisting, working with behaviour that may be challenging, person centred planning, befriending, First Aid, Safe Handling of Medication and National Vocational Qualifications & Protection of Vulnerable Adults training. Staff receive supervision every two months from the manager. A system is in place for managers’ of the Organization to receive regular supervision from a member of the senior management team. DS0000000672.V302789.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a very well run home. Residents and staff benefit from the ethos, leadership and management approach of the home. There is a regular system to review the quality of care provided by the home. There is a high standard of record keeping. The health, safety and welfare of residents are promoted and protected. DS0000000672.V302789.R01.S.doc Version 5.2 Page 23 EVIDENCE: The person in charge has completed the Registered Manager’s award. Discussion and observation maintain that he puts the needs of the residents first and promotes an ethos amongst staff of involving staff and residents in decision making within the home. Residents living at the home have lived there for several years and the staff advocate for residents where necessary as well as using external advocates to speak up for them. Documents detailing fire safety, risk assessments in the environment, water temperatures and statutory records were all up to date and well recorded apart from the system for recording residents financial accounts did not contain two signatures. Staff training relating to health and safety was up to date and training is being planned to renew any that required updating such as first aid and medication training. DS0000000672.V302789.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 x 3 x 3 3 x DS0000000672.V302789.R01.S.doc Version 5.2 Page 25 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 Refer to Standard YA41 Good Practice Recommendations To obtain two signatures whenever possible when dealing with residents’ finances. DS0000000672.V302789.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 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 © 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 DS0000000672.V302789.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!