Inspection on 11/01/06 for Hardriding House

This inspection was carried out on 11th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hardriding House 15/11/06

Hardriding House 21/09/05

Hardriding House 04/03/05

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Hardriding House Bardon Mill Hexham Northumberland NE47 7ET Lead Inspector Mary Blake Unannounced Inspection 11th January 2006 09.00 Hardriding House DS0000061948.V259145.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 Hardriding House DS0000061948.V259145.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. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hardriding House Address Bardon Mill Hexham Northumberland NE47 7ET 01434 344330 01434 344330 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) Hardriding House Limited Mrs Angela Rose Hanking Care Home 19 Category(ies) of Learning disability (17), Learning disability over registration, with number 65 years of age (2) of places Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: Hardriding House provides care to nineteen adults with learning disabilities; two of the adults are over pensionable age. Care is provided from a large, traditional building, which has been modernised but at the same time retains many original features, which adds to the character. Annexes comprising a bungalow, a house and three flatlets adjoin the property, which provides accommodation as well as the main house. The home is situated in a rural area and is located within a farm; it also enjoys magnificent views of the surrounding countryside. Local facilities are accessible by public transport and cars; a small village is within walking distance. There were currently 18 residents at the time of this inspection. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, the second of the year and took place over one day. Residents care records, medication systems and additional statutory records were examined. During the visit the inspector spoke with the manager, proprietor, three staff, and seven residents. What the service does well: What has improved since the last inspection? Manager and staff have continued to attend training to enable them to meet the specific needs of people with learning disabilities. The redecoration and refurbishment plan for the home provides more comfortable and pleasant surroundings for residents. Hardriding House DS0000061948.V259145.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. Hardriding House DS0000061948.V259145.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 Hardriding House DS0000061948.V259145.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): Standards 1,2,3 & 4 were assessed at the previous inspection and were met. EVIDENCE: Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 & 9 were assessed at the previous inspection and were met. EVIDENCE: Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 10 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): Standards 12,13,14,15,16 & 17 were assessed at the previous inspection and EVIDENCE: Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 11 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): 18,19,20 & 21 Residents receive personal support the way they prefer and require. Residents physical and emotional health needs are met. No residents currently administer their own medication and residents are protected by the homes policies and procedures in dealing with medicines. Ageing, illness and death of residents are handled with respect. EVIDENCE: It was evident from examination of care plans, discussions with manager, staff and residents that residents, who require personal support, are given this in a way that protects their dignity and maximises their independence. From examination of care plans and discussions with residents and staff, it was evident that residents’ individual health needs are identified and residents are supported to access community health services such as gp, district nurse, dentist, and optician. All residents have an annual health check. Physiotherapist, psychiatric, psychologist and learning support team provide specialist health support. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 12 Preventative health care is also supported with some attendance at well woman and well man clinics as required. Staff training has been undertaken to provide awareness and additional support for health related needs. No residents currently self medicates. The examination of the ordering, storage, administration and disposal of medication was satisfactory. The administration of controlled drugs was satisfactory. Staff had undertaken training in the safe administration of medication. The changing needs of residents and the death of a resident has been well managed over the past year; staff have provided additional support and accessed appropriate aids/adaptations as necessary. There are currently no residents who have any moving and transferring needs. Staff have dealt sensitively with the recent bereavement and have provided support to all residents and families. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents feel their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm EVIDENCE: There have been no recorded complaints. A complaint procedure is in place. Residents and families spoken to over the inspection year stated that they felt confident that their views would be listened to and acted upon if necessary. All staff have undertaken the one day training on the Protection of Vulnerable Adults. The manager/deputy have undertaken the two day course in the Management of suspected abuse. There have been no allegations or cause for concern within the home. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28 & 30 were assessed at the previous inspection and met. EVIDENCE: Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 15 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): 31,32,34, 35 & 36 were previously assessed and met EVIDENCE: Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38 & 42 were assessed at the previous inspection and were met. 39 Residents’ views underpin all self-monitoring, review and development by the home. EVIDENCE: The home has an annual development plan. Whilst a formal Quality Assurance system is not in place the manager uses a number of methods to assess the quality of the care provided. A three monthly audit of the premises are undertaken and recorded by the manager and/or deputy. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 17 Residents have three monthly meetings to discuss areas such a menus, changes to staff, house issues. A record is kept of this meeting and actions taken. Staff meet to review care plans, involving residents and agreeing any changes. Families are informed in writing of any changes to the service provided. Residents, families and supporters are active within the inspection process. Any previous requirements have been addressed. Residents /interested parties surveys are not undertaken, other than for CSCI inspection where advocates support residents to complete our surveys. This was discussed with the manager who will consider the home developing their own survey system for the future. Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 18 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 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hardriding House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000061948.V259145.R01.S.doc Version 5.0 Page 19 Yes 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. Refer to Standard Good Practice Recommendations Hardriding House DS0000061948.V259145.R01.S.doc Version 5.0 Page 20 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. 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