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Inspection on 26/02/07 for Highfield Cottage

Also see our care home review for Highfield Cottage for more information

This inspection was carried out on 26th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Highfield Cottage is well decorated and furnished and appears a comfortable environment for any adult. There is information available about complaints and how vulnerable adults will be kept safe and the information about new staff is up to date. The Registered Manager is experienced and is undertaking appropriate qualifications for her role. Health and safety matters are up to date.

What has improved since the last inspection?

This section is not applicable as this is the first inspection of Highfield Cottage.

What the care home could do better:

There were no areas identified through inspection where the home could do better.

CARE HOME ADULTS 18-65 Highfield Cottage Highfield Cottage 54 Highfield Road Longlands Middlesbrough TS4 2QP Lead Inspector Shaun Common Key Unannounced Inspection 26th February 2007 10:30 Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 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 Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 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. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Cottage Address Highfield Cottage 54 Highfield Road Longlands Middlesbrough TS4 2QP 01642 217414 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) A J Residential Care Ltd Mrs Susan Burniston Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Highfield Cottage is a two-bedroom bungalow that is indistinguishable from other properties in the local area. The home is for one resident and domestic in style and appearance. The home comprises of a good size rear garden and dining room with separate kitchen. There is a lounge and a bathroom with separate bath and shower and a room designated as a quiet area. One bedroom is allocated for a resident and the other as a sleep-in room/office. The home has a member of staff on waking night cover and there is 2:1 staffing provision at all times. The home has easy access to main roads and public transport and is within close distance to local amenities. The owner advised that it costs £3262.69 - £3832.73 per week for an adult to stay at Highfield Cottage. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Highfield Cottage by the lead inspector since its was recently registered with the Commission for Social Care Inspection. At the time of inspection, the home had not yet admitted any residents and therefore the inspection only covered a limited amount of the National Minimum Standards. The inspection took place on a Monday morning starting at 10:30 and lasted two hours. The inspector looked around the home spoke to the Registered Manager and also looked at some of the home records. 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. The summary of this inspection report can be made available in other formats on request. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): There were no residents living at the home at the time of inspection, therefore Choice of Home was not assessed. EVIDENCE: Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): There were no residents living at the home at the time of inspection, therefore Individual Needs and Choices was not assessed. EVIDENCE: Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): There were no residents living at the home at the time of inspection, therefore Lifestyle was not assessed. EVIDENCE: Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): There were no residents living at the home at the time of inspection, therefore Personal Healthcare and Support was not assessed. EVIDENCE: Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Appropriate policies and records are in place in relation to complaints and protection of vulnerable adults. EVIDENCE: There were no residents living at the home at the time of inspection, therefore only sub-standards 22.1, 22.7 and 23.2 were assessed. The home has in place appropriate procedures in relation to adult protection and complaints. The home has in place a record for the purpose of complaints received. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well decorated, furnished and hygienic and conducive to the care of adults. EVIDENCE: There were no residents living at the home at the time of inspection, therefore only sub standards 24.1, 24.6, 24.8, 24.10 and 30.1 were assessed. A tour of the premises was undertaken. The home was noted to be well decorated, furnished and set out as well as clean and hygienic. The home is indistinguishable from other properties in the local community. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment information is appropriate. EVIDENCE: There were no residents living at the home at the time of inspection, therefore only sub-standards 34.1, 34.2, 34.3 and 34.6 were assessed. Standards 32 and 35 were not assessed. The staff team were not present at the home due to the home not yet being operational. The Registered Manager stated that recruitment is underway for staff members to coincide with admission of a resident. Staff from the owner’s other care home will be transferring to Highfield Cottage and two staff files were examined. Recruitment information as required by the Care Homes Regulations 2001 was in place, as well as job descriptions. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is experienced and qualifications are ongoing. Quality assurance processes are under development and health and safety documentation is mostly in place. EVIDENCE: There were no residents living at the home at the time of inspection, therefore only sub-standards 37.1, 37.2, 39.1, 42.1 (ii), 42.3 (ii), (iii), (iv), (vi), (vii), 42.4 (x) and (xiii) were assessed. The Registered Manager has the experience necessary to run the care home. The manager is currently undertaking the Registered Manager’s Award and will be registering for NVQ Level 4 in Care in September 2007. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 15 The Registered Manager advised that a quality assurance structure is in place, however due to the home being vacant this has not yet been initiated. Health and safety matters were examined. The home has in place appropriate documentation and records relating to fire safety and maintenance of equipment and the home in general. The Registered Manager is in the process of developing appropriate risk assessments prior to any admission. Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 16 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 17 NA 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 Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Highfield Cottage DS0000068289.V329996.R01.S.doc Version 5.2 Page 19 - 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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