Inspection on 21/09/05 for Hardriding House

This inspection was carried out on 21st 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hardriding House 15/11/06

Hardriding House 11/01/06

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 Announced 21 September 2005 09:00 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 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 Stationary 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 B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hardriding House Address Bardon Mill Hexham Northumberland NE47 7ET 01434 344330 01434 344330 N/A Hardriding House Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Angela Rose Hanking CRH 19 Category(ies) of LD - Learning Disability (17) registration, with number LD(E) - Learning Disability over 65 (2) of places Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 4th March 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 17 residents at the time of this inspection. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced, the first of the year and took place over one day. Residents care records and additional statutory records were examined. During the visit the inspector spoke with the manager, three staff, and four residents. The inspector received 8 resident and 9 relative questionnaires. The majority of these were very positive on all aspects of the service. What the service does well: The service gives good support to enable individuals to make decisions and participate in the running of the home. The service gives good support to enable individuals to maintain and develop personal and family relationships. The service gives good support to enable individuals to have opportunities to take part in appropriate educational/training and leisure activities and be part of the local community. It was observed that staff were kind, considerate and supportive to residents. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of the residents spoken to were pleased with the quality and choice available. Residents are fully involved with their care plans where able. The majority of staff are trained to NVQ level 2 and above. Residents live in a home, which is well run and managed. The Registered Manager’s leadership has been consistent and has ensured that residents receive consistent quality care. Residents have benefited from the leadership and management of the home. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 6 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. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 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 standard(s) 1,2,3 & 4 Prospective and current residents are provided with information to enable them to make an informed choice about where they live. Prospective and current residents needs are adequately assessed and they have the opportunity to visit the home. EVIDENCE: The statement of purpose, service user guide reflects the current registration categories and is currently being updated. The Registered Manager described a comprehensive assessment process involving the resident. There have been no new admissions and the home does not take unplanned admissions. Discussion with staff and the Registered Manager confirmed that residents care needs had been assessed prior to admission. The staff spoke knowledgeably about the skills and experience needed to deliver the services and care the home offers. Staff were observed communicating effectively with residents. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 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 standard(s) 6,7 & 9 Residents are aware of their assessed and changing needs and personal goals are reflected in their personal plan. Residents make decisions and are consulted and participate in all aspects of life within the home. Residents are supported to taken risks as part of their independence. EVIDENCE: On examination of a sample of service users plans these were found to be comprehensive care plan that assists them to become as independent as possible. There was evidence that the service users plans were supported by information within additional files and together they provided comprehensive documentation. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 10 The Registered Manager had ensured that all recorded information is reviewed and summarised on a monthly basis. The residents have had the opportunity to participate in staff meetings and selection of staff. Regular residents meetings are held. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 11 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 standard(s) 12, 13,14,15,16,17 Residents are able to take part in appropriate educational/training, social and leisure activities. Residents are part of the local community, engage in extensive leisure activities and are supported to have appropriate relationships Resident’s rights are respected and responsibilities recognised in their daily lives. Residents are offered healthy diet and a relaxed and social mealtime. EVIDENCE: The philosophy of the home is for residents to learn skills and be given support to become as independent as possible. Residents have the opportunity to increase their social network and staff support residents to maintain existing friendships and social relationships. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 12 During earlier discussions with residents and staff there were clear indications that residents have opportunities to participate and learn in a range of settings. The Registered Manager and staff provided evidence that residents have opportunities for personal development both in the home and through involvement in a range of community based activities. On examination of records, discussions with residents, staff and observation of residents it was evident that residents are supported to work and participate in education/training. Residents have opportunities to attend Ridley Hall, Outreach at Haydon Bridge and Hexham training centre. Resident’s plans indicated that most residents access community facilities during the day either full or part time. Some attend college courses, adult training centre placements, in order to gain work experience or a therapeutic or educational benefit. Residents have the opportunity to use community facilities for leisure activities e.g. cinema, pub, meals, shopping etc. Residents have a plan of care, which includes their social needs. They are offered the opportunity to experience new activities and leisure pursuits as well as supported where necessary to continue with hobbies and interests. It was evident that residents are encouraged and supported to pursue and participate in a range of leisure activities. For example drama, music and sports were undertaken. The residents have regular outings, holidays at local and national venues. Staff assists and encourage residents to maintain family links and previous friendships, respecting the individual resident’s wishes. Many residents spend weekends at the family home. In discussion with the Registered Manager and staff they confirmed their involvement and choice in relation to visitors. Opportunities to meet people who do not have a disability were available and reviewed within the individual plan was social and relationship opportunities Residents have the opportunity to increase their social network and staff support residents to maintain existing friendships and social relationships. It was observed staff seeking permission prior to entering individual rooms and interacting well with residents. Residents were observed to move freely around the home and were able to spend time alone. No pets are currently kept within the house. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 13 Residents had recently been involved in the review and update of menus and all commented on the quality and choice of food available. Fresh fruit was available throughout the home and residents were observed having home baked cake and coffee in a relaxed and social setting. Residents living in the flats and annexe are able to prepare light meals in their own kitchens. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 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 standard(s) Not assessed at this inspection EVIDENCE: Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 15 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 standard(s) not assessed at this inspection EVIDENCE: Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 16 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 standard(s) 24,25,27,28 & 30 Residents live in a homely, clean, comfortable and safe environment. Resident’s bedrooms and communal areas suit their needs and lifestyles and promote their independence. Residents have access to bathrooms and toilets that provide privacy and meet individual needs. EVIDENCE: The inspection of the building indicated that the premises appeared safe, comfortable, bright and airy, clean and free from odours and generally of a good standard. Individual rooms were personalised, lockable, with appropriate furniture and fittings. There are sufficient bathrooms/showers available to residents. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 17 The home benefits from very spacious communal areas that are comfortable, safe and fully accessible. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35,36 Residents benefit from their understanding of staff roles and responsibilities and are supported by competent and qualified staff. Residents are supported and protected by the effective recruitment practices. Residents individual and joint needs are met by appropriately trained staff. Residents would benefit from staff undertaking supervision at the recommended timescales. EVIDENCE: Discussions with the Manager, staff and examination of the staffing rotas confirmed that the home has remained consistently staffed, both during the day and night. The minimum numbers of care staff are 2 throughout the day and evening and with sleep in staff during the night. Additional management cover is available Tuesday to Friday during the day. Examination of staff recruitment files confirmed that appropriate recruitment and procedures to protect residents had been undertaken. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 19 Examination of individual staff training files confirmed that staff had undertaken refresher in mandatory training, specialised training in working with adults with learning disabilities. The staff team had all undertaken NVQ 2 with two staff also obtaining NVQ level 3. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41 Resident’s benefit from a well run home with a manager who has developed an open and inclusive atmosphere. The homes record keeping procedures safeguards Resident’s rights and interests. EVIDENCE: The Registered Manager is only responsible for Hardriding House is a qualified nurse and has completed the Registered Managers Award. The records examined were secure, up to date and in good order. On observations of staff and residents it was evident that they felt confident with the openness and approachability of the Registered Manager. Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 21 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 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 4 4 4 4 4 4 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hardriding House Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 x x B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 22 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. 1. Standard YA36 Regulation 18 (2) Requirement All staff to undertake supervision at the given timescales of six times per year. Timescale for action 1st December 2005 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 Good Practice Recommendations Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 23 Commission for Social Care Inspection 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 Hardriding House B53-B03 S61948 Hardriding House V238027 210905 Stage4.doc Version 1.40 Page 24 - 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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