Inspection on 15/06/05 for Hemlington Hall

This inspection was carried out on 15th June 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

Hemlington Hall 19/01/07

Hemlington Hall 24/11/05

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 09/07/2008.

CARE HOME ADULTS 18-65 Hemlington Hall Nuneaton Drive Hemlington Middlesbrough TS8 9DA Lead Inspector Ray Burton Unannounced 15 June 2005 10:00 am 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. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hemlington Hall Address Nuneaton Drive Hemlington Middlesbrough TS8 9DA 01642 594751 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) Milbury Care Services Limited Mrs Tracy Foster Care Home 8 Category(ies) of LD Learning disability (8) registration, with number of places Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection n/a Brief Description of the Service: Hemlington Hall is a Geogian House set in its own spacious gardens. The house has been adapted to provide accommodation for six persons in single bedrooms, all with an en-suite facility comprising wash hand basin, w.c., bath or shower. Communal facilities available to residents are: lounge, dining room, kitchen, quiet room. In addition to the main house two self-contained single person bungalows have been built in the grounds each comprising lounge with kitchenette, bathroom and private patio area. The home has two people carriers to enable residents to visit places of interest, friends and family etc. Hemlington Hall is registered to provide care for 8 adults with a learning disability. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on 15th June 2005. A total of eight hours was spent at the home and the inspector spoke to three residents and three members of staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The homes Statement of Purpose and Service Users Guide provided residents and prospective residents with details of the services provided. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: The home had a Statement of Purpose clearly setting out the aims, objectives and philosophy of the home. The Service Users Guide was presented in colour in a user-friendly format that made the document attractive and more easily understandable to residents. Each file contained a contract/rent agreement signed by the resident and, where the resident was unable to read, a signed statement that the agreement had been read and explained to the individual concerned. Examination of care plans and conversation with residents, manager and staff revealed that prior to admission there was a transition period during which indepth assessments were carried out to determine the homes ability to meet the needs of the prospective resident, compatibility with other residents and to give time for the service user to decide if they liked Hemlington Hall and wished to live there. One prospective resident told the inspector how she had spent increasing amounts of time at the home and now visited every day. She Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 8 said that she had chosen her room and had moved a lot of her belongings into it. She said that she was looking forward to moving in shortly. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 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) 6,7,8,9,10 The homes care planning process ensured that residents needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle. EVIDENCE: Observation and conversation with the manager, staff and residents showed how residents were encouraged to participate in everyday activities and daily routines within the home e.g. shopping, menu planning, meal preparation and looking after their own room. One resident told how she enjoyed feeding Trixie the homes cat, another helped with mowing the lawn. Three care plans were randomly selected – each was well organised and provided a comprehensive, up to date and detailed picture of the resident and of his/her needs and aspirations. Considerable effort had been made to ensure that plans were user friendly and compiled in such a way as to be understandable to the individual. Much use had been made of photographs and other means to aid understanding. There was evidence that residents had been encouraged and supported by staff to be involved at an appropriate level in the care planning process. There were many examples of how they had been actively involved in making decisions about their own lives: one resident had Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 10 used the office computer to type his own care plan. Circles of support had been developed and where a resident, because of his level of disability, was unable to contribute to his plan or to be involved in the decision making process his family had contributed towards and approved the care plan. Continuous monitoring and re-assessment ensured changing needs were identified and met. Comprehensive risk assessments and appropriate risk management strategies had been developed that reflected the life-style and ability level of the individual. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 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) 11,12,13,14,15,16,17 Residents were treated with respect and presented with opportunities to lead fulfilling lives Staff encouraged residents to take part in appropriate leisure activities in the home and supported them when engaging in community based activities. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: It was observed during the inspection that staff treated residents with respect and that there was a relaxed and friendly atmosphere in the home. Routines were flexible and allowed residents to exercise personal choice and to maintain control over their own lives, subject to their individual plan. Meals were at set times and were generally taken in the dining room however there was flexibility to allow for personal wishes. The record of food served showed a balanced and varied diet was provided. One resident spoke of how she enjoyed helping to cook lunch, especially on Sunday. Each resident had an activity programme tailored to their individual abilities and wishes. Designed to encourage a stimulating and fulfilling lifestyle, each Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 12 plan contained activities that would encourage the resident to make choices and optimise their independence by presenting them with opportunities to develop their social, communication and independent living skills. Examples of activities undertaken by residents in the home included: Ball play; music; TV; outing in car; visit to McDonalds; local walks; college based courses – literacy and numeracy, drama; visit to library; keep fit; horse riding; baking and meal preparation; personal shopping; specialist clubs; pub meals; cinema; bowling. Staff understood the importance of residents maintaining contact with family and friends and assisted with the making and receiving of telephone calls and the sending of cards for special occasions such as Christmas and birthdays. Care plans contained a calendar of events such as birthdays of people pertinent to the individual resident e.g. father, mother. Photographs were used to help the resident identify the individual. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 13 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) 18,19,20 Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Additional support was provided by appropriate professionals. EVIDENCE: Conversation with members of staff and examination of care plans and daily records indicated awareness of the importance of providing personal support in a sensitive and flexible manner, and of consulting with residents and supporting them to maintain as much control over their own healthcare as possible. Constant monitoring of health was undertaken and healthcare needs addressed by residents own doctor and other community based professionals e.g. dentist, community nurse, speech and language therapist. None of the residents had been assessed as being able to control their own medication. All medicines were stored centrally in a secure facility and administered according to the homes policy and procedures by staff who had undergone suitable training. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 14 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) 22,23 The home had a satisfactory complaints system and policies and procedures to protect residents from abuse and safeguard their legal rights. EVIDENCE: The home had an appropriate complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter was handled. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who had received appropriate training and who were able to demonstrate an understanding of what constituted abuse and what to do in the event of such an incident occurring. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 15 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) 24,25,26,27,28,29,30 Hemlington Hall provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: The location and design of the home was suitable for purpose. Hemlington Hall had been carefully converted to provide accommodation that was pleasant and comfortable and suitable for modern living whilst retaining the original features and character of the house. Décor throughout the house was pleasant and furniture was domestic in nature, suitable for purpose and in keeping with the character of the property. All areas of the building including the kitchen and laundry were accessible to residents, subject to individual risk assessments. All bedrooms were comfortably and appropriately furnished and each had an ensuite facility comprising wash hand basin, w.c., bath or shower. The rooms had been individualised by the inclusion of personal effects such as pictures, photographs, TV., CD player etc. and it was apparent from conversations with residents that they took great pride in their rooms and derived enjoyment from being surrounded by their own belongings. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 16 All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the house. The laundry was suitably equipped with machines that had a built-in sluice facility and were able to operate at temperatures in excess of 65 degrees centigrade. The two newly built single person bungalows were an excellent facility providing well-furnished accommodation designed to help residents to optimise their potential and achieve a greater degree of independence. All areas of the home presented as being clean, hygienic and free from offensive odours. It was disturbing that since the home opened there had been several occasions when intruders had broken into the premises at night, of particular concern were the two forced entries that had occurred at one of the bungalows. These units are unmanned at night, relying for their security on an alarm system linked to the main house. It is acknowledged that staff on overnight duty in the house can rapidly respond to the alarm. However the potential for someone, resident or staff member, to be injured is not insignificant. At the very least, incidents such as this would be traumatic for the service users. The provider must as a matter of some urgency review security arrangements at the home, in particular the perimeter walls. Another area of concern related to the entrance gates that, for security reasons are kept locked. Visitors wishing to gain entry have to ring a bell which sounds in the house and alerts staff on duty who walk along the driveway to the gate to admit the visitor. This method of admitting visitors to the home poses dangers in relation to the personal safety of staff. The provider must, as a matter of urgency review the method used for screening and admitting visitors to the home. Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 17 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) These standards were not assessed on this occasion. EVIDENCE: Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 18 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) These standards were not assessed on this occasion. EVIDENCE: Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 19 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 4 3 4 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 4 4 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hemlington Hall Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 20 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 24 Regulation 13(4) Requirement An action plan must be provided stating how security at the home can be improved and the timescale for appropriate action to be taken. Timescale for action 15/8/05 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 Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Hemlington Hall B51-B01 S62747 Hemlington Hall V233478 150605 Stage 4.doc Version 1.30 Page 22 - 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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