Inspection on 24/11/05 for Hemlington Hall

This inspection was carried out on 24th November 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 15/06/05

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 Inspection 24th November 2005 10:00 Hemlington Hall DS0000062747.V269140.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 Hemlington Hall DS0000062747.V269140.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. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hemlington Hall Address Nuneaton Drive Hemlington Middlesbrough TS8 9DA 01642 594751 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) londonroad@tiscali.co.uk Milbury Care Services Limited Mrs Tracy Foster Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2005 Brief Description of the Service: Hemlington Hall is a Georgian 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 DS0000062747.V269140.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted on 24th November 2005 as one of two statutory inspections required by the Care Standards Act 2000. A tour of the building was carried out, care plans, staff files and daily records were examined. The manager, two members of staff, a relative and two residents were spoken to. What the service does well: What has improved since the last inspection? This is the second inspection since the home opened in December 2004. In the report of the first inspection that took place in June this year it was stated: “It was apparent that the manager and staff had worked hard to establish a homely and relaxed atmosphere. There were many examples of good practice and it was apparent that residents were involved in the day to day running of the home.” This inspection confirmed that the staff team continues to build on the achievements of the first six months and is working alongside residents and their families to help deliver a service that will reflect the needs and wishes of the people who live at Hemlington Hall. Hemlington Hall DS0000062747.V269140.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. Hemlington Hall DS0000062747.V269140.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 Hemlington Hall DS0000062747.V269140.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): These standards were assessed during the inspection conducted on 15th June 2005. EVIDENCE: Hemlington Hall DS0000062747.V269140.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): These standards were assessed during the inspection conducted on 15th June 2005. EVIDENCE: Hemlington Hall DS0000062747.V269140.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): These standards were assessed during the inspection conducted on 15th June 2005. EVIDENCE: Hemlington Hall DS0000062747.V269140.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): 21 The home had a policy to deal with the ageing, illness and death of a resident. EVIDENCE: The home had a suitable policy to deal with the ageing, illness and death of a resident. The philosophy of the home was to provide a “home for life” and subject to being able to meet changing needs, including medical needs, residents would be able to remain there throughout old age and during terminal illness. The manager explained that resident’s wishes concerning growing older, terminal illness and death were discussed where appropriate, with the resident and his/her family as part of Person Centred Planning. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 12 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): These standards were assessed during the inspection conducted on 15th June 2005. EVIDENCE: Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 13 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): Hemlington Hall provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: These standards were not assessed on this occasion, however a walk round the building and conversation with residents and staff confirmed the suitability of the home to meet the needs of the people living there. The communal areas were extremely comfortable and pleasant and bedrooms reflected the personality and interests of the occupant. It is, perhaps, inevitable that any new building project (particularly those involving the conversion of an old property) should suffer from “snagging” problems and in spite of a good maintenance programme Hemlington Hall is no exception. On the day of the inspection the following building issues were apparent: Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 14 * Damp patches in the kitchen, laundry and snoozelam room. * Staff-room shower cannot be used as it causes flooding on the ground floor. * The floor covering near the door of the en-suite facility in bedroom 1 was lifting at a side weld. In addition it is recommended that a magnetic hold open device be fitted to the bedroom door, as the occupant frequently wedges open the door at night. * It is recommended that different taps be fitted to the wash hand basin in the kitchen to prevent water running back into the base unit. * One of the single person bungalows had an extremely ill-fitting front door which should be replaced. Hemlington Hall DS0000062747.V269140.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): 32,34,35,36 Residents were protected and supported by a competent staff and by the homes policies and procedures on recruitment, training and supervision. EVIDENCE: The home followed Milbury Care Services corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of four personnel files revealed that information required by Schedules 2 and 4 of the Care Homes Regulations 2001 was in place. A new member of staff confirmed she had not been allowed to commence her employment until the home had received two appropriate references and a POVA and enhanced CRB check. Training records and conversation with the manager and members of staff indicated the staff team had the skills and experience necessary to meet service user need. All new members of staff received a thorough induction and there was a corporate training programme. Training had recently been undertaken in the following areas: Challenging Behaviour; Vulnerable Adults; Infection Control; Administration of Medicines. In addition nine members of staff were qualified to at least NVQ level 2 in Care. A further two had recently enrolled for NVQ training. Supervision records showed each member of staff received formal supervision on at least six occasions per year. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 16 In conversation staff spoke about residents and demonstrated an understanding and knowledge of their individual and wishes and how they could be met. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 17 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): 37,38,39,42,43 This is a well managed home with a motivated and competent staff team. The health, safety and welfare of residents are protected by the homes record keeping and policies & procedures. EVIDENCE: The home had appropriate policies and procedures that complied with current legislation and recognised professional standards. Records were kept to safeguard resident’s rights and best interests and to ensure the safe and effective running of the home. These were well maintained, up to date and stored appropriately. Staff at the home actively sought feedback from residents that would indicate whether or not they considered their needs were being met and if they were satisfied with the service they were receiving. Informal discussion with residents and their relatives was an invaluable part of the process as were the Circles of Support, Person Centred Planning meetings and Review Meetings. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 18 The mother of one of the residents spoke positively about all aspects of the home. She told the inspector that members of staff were very friendly and that she knew who her sons key worker was. She confirmed she was involved in her sons planning meetings and felt that his needs were being met. “Since he has moved here he has changed completely, he is more outgoing, talks more, mixes with other people and takes part in more activities.” She felt that staff took notice of what her son said and “took into account his likes and dislikes.” Staff considered the home to be well run and felt they received good management support and supervision. They said the manager was approachable and they were encouraged to undertake training that would aid their professional development and help them to meet resident’s need. The manager had suitable management experience and appropriate qualifications in care and management. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 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 x x x x x Standard No 22 23 Score X X 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 2 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 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hemlington Hall Score x x x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 3 3 DS0000062747.V269140.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? NO 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 2 Standard 24 24 Regulation 23(2)(b) 23(2)(b) Requirement Damp patches in kitchen, laundry and snoozelam room must be addressed. Remedial work must be carried out to prevent water leaking from the staff shower into the room below. The ill-fitting front door in one of the bungalows must be replaced. Timescale for action 01/02/06 01/02/06 3 24 23(2)(b) 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard 24 24 24 Good Practice Recommendations The provider should consider fitting a magnetic “hold open” device to the door of bedroom 1. Remedial action should be taken to ensure the floor covering in the en-suite of bedroom 1is securely fixed at all joints. The provider should consider fitting taps of a different design to the wash hand basin in the kitchen. Hemlington Hall DS0000062747.V269140.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Tees Valley Area Office 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 DS0000062747.V269140.R01.S.doc Version 5.0 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. 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!