Inspection on 20/01/06 for Highbarn Road (30)

This inspection was carried out on 20th 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 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

Highbarn Road (30) 16/02/07

Highbarn Road (30) 15/07/05

Highbarn Road (30) 18/02/05

Highbarn Road (30) 30/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highbarn Road (30) 30 Highbarn Road School Aycliffe Newton Aycliffe Durham DL5 6QN Lead Inspector Mr Paul Emmerson Unannounced Inspection 20 January 2006 10:00 X10015.doc Version 1.40 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 Highbarn Road (30) DS0000007559.V271886.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 Older People. 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. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highbarn Road (30) Address 30 Highbarn Road School Aycliffe Newton Aycliffe Durham DL5 6QN 01325 321180 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) Mrs Frances Ellen Bainbridge Care Home 2 Category(ies) of Learning disability over 65 years of age (2) registration, with number of places Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 July 2005 Brief Description of the Service: 30 High Barn Road is a care home for two older people with learning disabilities. The home is located in School Aycliffe, a residential area on the outskirts of Newton Aycliffe, County Durham. Although the two service users accommodated have their own, semiindependent, living accommodation, the premises are also the home of the registered provider - Mrs. Frances Bainbridge - and her family. Prior to the Care Standards Act 2000 the home was Registered as a Small Home where a lighter touch to regulation, and the standards required of such a home, was applicable. Further, although the home was registered it was not inspected. As such, over a period of twelve years, the service has developed its own, common sense, family-lifestyle approach to care. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. By law we have to inspect all care homes at least twice a year. This unannounced inspection was carried out in accordance with this obligation, over 1½ hours, on the morning of Friday 20 January 2006. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion were assessed during the last inspection of the home. The inspector looked around the service users’ living accommodation. The proprietor was spoken to as were - within the limits of their communication and understanding - the two service users accommodated. What the service does well: What has improved since the last inspection? What they could do better: To ensure that the proprietor can continue to meet the service users’ needs, as highlighted in previous inspection reports, some formal training is recommended – see pages 18 & 19 of this report. Also, the home’s adult protection policies should be reviewed and amended to reflect: recent developments; the local adult protection policy - including the Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 6 local contacts; and local protocols about the initial action to be taken (things to do and things not to do) if an allegation of abuse arises. 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. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes/standards were assessed on this occasion. They were examined during the last inspection of the home. EVIDENCE: Not applicable. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Health and personal care needs are appropriately met. EVIDENCE: 30 High Barn Road is registered to accommodate two older people with learning disabilities. The two service users accommodated (now aged 75 & 80) came to live at the home in 1990. The provider has stated that it is her intention not to admit any more people into her home. Although the inspector was unable to communicate accommodated to any significant degree, the inspector company. The people accommodated were seen to be comfortable in their home. Within the limits of their understanding they expressed their satisfaction with the settled and content. with the 2 people spent time in their well cared for and communication and home and appeared The proprietor of the home ensures that their health care needs are met. Where specialist medical intervention is required it is sought. Contact with GPs and other health professionals is maintained. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 10 The home has copies of detailed care plan documents prepared by the social services department, which set out the service users’ needs and form the basis for the care being provided. Care reviews are regularly held, the most recent of which were held in November 2005. These continue to confirm the suitability of the placements and other support arrangements in place to meet any assessed needs. As stated in previous inspection reports, it is repeated here that the manner in which the care and support is provided does not readily translate into full compliance with any Regulations and National Minimum Standards under the Care Standards Act 2000. Nevertheless, it is clear that the home has been instrumental in bringing about significant improvements in the quality of care and quality of life experienced by the service users accommodated. The stigma of long-term institutional settings and the negative behaviours associated with those settings have been replaced by a far more prestigious and enjoyable lifestyle within a homely, family setting. The home’s systems relating to medication were checked. The home uses a monitored dosage system. There are appropriate policies, procedures and systems in place relating to the receipt, recording, storage, handling, administration and disposal of medicines. However, as highlighted in previous inspection reports, it is recommended that the proprietor should undergo formal training in the safe handling of medicines. Attention is drawn to the Royal Pharmaceutical Society of Great Britains guidance The Administration and Control of Medicines in Care Homes and Childrens Services. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes/standards were assessed on this occasion. They were examined during the last inspection of the home. EVIDENCE: Not applicable. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Systems are in place to respond to any complaints. Service users are safeguarded from abuse. EVIDENCE: Observations made, together with discussions with the home’s proprietor indicate that - within the limits of their communication and understanding service users’ views and concerns are listened to. The home has an appropriate complaints policy/procedure. Information about complaints, how and who to make them to, is also provided in the home’s ‘Service Users Guide’. The home has its own policy and procedure document covering abuse. However, this should be reviewed and amended to reflect: recent developments; the local adult protection policy - including the local contacts; and local protocols about the initial action to be taken (things to do and things not to do) if an allegation of abuse arises. Further, as highlighted in previous inspection reports, in the absence of family involvement and alternative safeguards, service users financial matters should be considered in any care management reviews. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes/standards were assessed on this occasion. They were examined during the last inspection of the home. EVIDENCE: Not applicable. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Although no staff are currently employed, the provider is meeting the needs of the people accommodated. EVIDENCE: Although no staff are currently employed, the provider is meeting the needs of the people accommodated with assistance from other members of her family if necessary. This staffing arrangement has been in place for some time and is considered adequate to meet the needs of the 2 service users currently accommodated. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 35 & 38. The home is well run. EVIDENCE: 30 High Barn Road is owned and run by the proprietor - Mrs. Bainbridge - who is fully involved in the day-to-day running of the home. Other than a part-time domestic assistant no staff are employed. Mrs. Bainbridge is meeting the needs of the persons accommodated, with assistance from other members of her family if necessary. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 16 Because Mrs. Bainbridge is in full time day-to-day control of the home no separate manager is required. However, whilst it is recognised that Mrs. Bainbridge possesses a wealth of common sense experience in relation to the care of the two people accommodated, it is incumbent upon her to ensure that she should undertake, from time to time, such training as is appropriate to ensure that she has the experience and skills necessary for carrying on the care home (Reg. 10(2)). As highlighted in previous inspection reports, the proprietor should ensure that from time to time she undertakes such training as is appropriate to ensure that she has the experience and skills necessary for carrying on the care home. Because the proprietor is actively involved in the running of the home she ensures that 30 High Barn Road is run within the ethos of the above standards in as much as they relate to the scale and domestic nature of the home. Documents examined and discussion with the home’s proprietor during the course of the inspection confirmed that appropriate systems are in place to ensure service users’ heath, safety and welfare. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 18 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. 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 OP9 Good Practice Recommendations As highlighted in previous inspection reports, it is recommended that the proprietor should undergo formal training in the safe handling of medicines. Attention is drawn to the Royal Pharmaceutical Society of Great Britains guidance The Administration and Control of Medicines in Care Homes and Childrens Services. The home’s adult protection policies should be reviewed and amended to reflect: recent developments; the local adult protection policy - including the local contacts; and local protocols about the initial action to be taken (things to do and things not to do) if an allegation of abuse arises. As highlighted in previous inspection reports, in the absence of family involvement and alternative safeguards, service users financial matters should be considered in any care management reviews. 2. OP18 3. OP17 Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 19 4. OP31 As highlighted in previous inspection reports, the proprietor should ensure that from time to time she undertakes such training as is appropriate to ensure that she has the experience and skills necessary for carrying on the care home. Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Highbarn Road (30) DS0000007559.V271886.R01.S.doc Version 5.0 Page 21 - 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. 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