Inspection on 06/10/08 for Hudson Street

This inspection was carried out on 6th October 2008.

CSCI found this care home to be providing an Excellent service.

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

Hudson Street 24/10/06

Hudson Street 08/03/06

Hudson Street 29/06/05

Hudson Street 12/01/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hudson Street 24 Hudson Street Whitby North Yorkshire YO21 3EP     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karen Ritson     Date: 0 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Hudson Street 24 Hudson Street Whitby North Yorkshire YO21 3EP 01947603367 01947600199 alison.graham@milewood.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Milewood Healthcare Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 12 The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability, Code LD, maximum number of places 12 Date of last inspection Brief description of the care home 24 Hudson Street, home to 6 Adults under 65 years of age who have a learning disability is located in a terraced property in a residential area of Whitby close to all of the main community facilities including the public transport network. There are 6 single bedrooms some of which have en-suite facilities. The private rooms are situated over 3 floors with communal space such as a sitting room, dining room and a kitchen being on the ground floor. There is no passenger lift. Current fees are around £1500 per week. This varies according to assessed needs. Additional charges are made for hairdressing, chiropody, toiletries, papers and magazines. Information about the services provided are made available in the homes Statement of Purpose, Service Users Guide and through published inspection reports available from the home. The home does not Care Homes for Adults (18-65 years) Page 4 of 24 Brief description of the care home provide nursing care. Should such care be required on a short-term basis, it will be provided by the community healthcare services. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The inspection for this service took twelve hours. This includes time spent gathering information and examining documentation before and after a site visit and in writing the report. The site visit took place on 6th October 2008 between 9.30 and 14.30. Information for this inspection was gathered from the following. A tour of the premises, observations of care throughout the day of the site visit, speaking with people, speaking with staff, case tracking people on the day of the site visit, notifications sent to the commission from the home since the last inspection, examining policies, procedures and records kept at the home, examining information regarding the home on the file kept by CSCI, considering comments made by relatives, health care and social services staff. We have reviewed our practice when making requirements, to improve national Care Homes for Adults (18-65 years) Page 6 of 24 consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations -but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. All key standards were looked at during this inspection. The manager was available throughout the day of the site visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People may be assured their care needs may be met. Evidence: The home is very good at assessing what people need to live a full and interesting life whilst remaining as safe as possible. The person who carries out the assessment makes sure that the person, any advocate and any health care professionals involved in the care of each individual are consulted and that all areas of each persons life are covered. People are given information about the home before making a decision about moving in. Each person is encouraged to visit the home. They are also encouraged to have overnight stays to make sure they feel the home is right for them and for the home to make sure the staff can meet their needs, bearing in mind the other people who live at the home. The admission process takes place over an extended period of time to ensure that the placement is successful. There have been no new admissions since the home opened, but there are plans to extend the home in the near future. Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in deciding about their lives and play an active role in planning the care and support they receive. Evidence: The assessment is used as the basis for a care plan. Each care plan is developed with the involvement of the person receiving care. The plan sets out how personal care, social, spiritual and all other needs will be met to ensure the individual is placed in the centre of planning. The plan helps staff to assist people to live fulfilling lives and is reviewed regularly. Each person is provided with confidential one to one meetings so that they can discuss their aspirations and concerns. People said they were involved in planning the care needed, that plans were provided in a format they understood and that any restrictions to freedom were explained to them so that they understood why. One person wrote. Sometimes when I am agitated or have P.R.N. I cannot do what I want. One health care professional wrote. Some of the individuals have restrictions because of serious behavioural issues. Within these parameters they work hard to Care Homes for Adults (18-65 years) Page 11 of 24 Evidence: deliver individual choice. People agreed they are enabled to make decisions about the way they live their lives. Care plans contain detailed information about how to support people to make such decisions. Information about individual choices is recorded in daily notes. Risk assessments are detailed, relevant and address specific areas with practical procedures for ensuring safety is maintained. Health care professionals commented that the home is good at balancing risk with personal freedom and development. A consultant psychiatrist wrote that the home is particularly good at managing individuals who were at high risk. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to have a lifestyle they choose. Evidence: The manager wrote in the information sent to CSCI before the inspection, that the staff work through person centred planning with each person and work out an individual acitivities programme based on interests. Some people attend college courses, some are involved in work in town. Keyworkers accompany people where necessary so that such activities as swimming , car rides, pub nights and pool competitions can be enjoyed by all who wish to attend. People also choose to go on holidays and are consulted about preferences for destinations. On the day of inspection one person was in the process of choosing to go on a coach trip to London. Information was printed off the computer for hims to look at and help him come to a decision. People are enabled to go on short breaks or longer holidays according to Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: preference. They can choose to go with other people living at the home or one to one with staff. People are supported to develop and maintain relationships including intimate personal relationships. Specialist guidance is available to assist people to make appropriate decisions. Menus are agreed with full participation of the people living at the home and also provide a balanced and varied diet. People eat their meals together if they choose and they said this made for a homely atmosphere. Menus have been devised for one person who has particular dietary needs. Suggested meals are displayed on the wall in pictorial form to assist the person to choose meals that are healthy. People assist with meal preparation. On the day of the inspection one person was making pizzas for everyone and clearly enjoyed the positive feedback. People also go out for meals, help with shopping and have treats such as takeaways. Care Homes for Adults (18-65 years) Page 14 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health and personal care are based on peoples individual needs. They are treated with respect. Evidence: Care plans show that support is offered after taking peoples wishes into consideration. People have flexible routines according to their preferences. There was evidence on files of people choosing their own clothing and people said they went shopping, had their hair cut and bought toiletries where they chose. People said they were enabled to understand their health care needs and to make decisions about their health. Staff are available to accompany people to outpatient appointments when needed. Medication is kept according to policy and procedure. It is well handled and recorded. This ensures the wellbeing of people in the care of the home. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have their concerns dealt with. They are protected from abuse and have their rights protected. Evidence: The home has a clear complaints procedure. People said their complaints were always listened to and the staff would do anything they could to help put things right if there was a problem. Health care professionals indicated that the staff were very good at offering care from a client centred perspective which included taking all concerns seriously. The home have recently introduced a complaints book which is on prominent display, and people have been encouraged to write in this if they prefer not to speak to someone directly. The home has comprehensive policies and procedures on keeping people safe from abuse, on challenging behaviour and dealing with aggression. Staff have had in depth training in how to deal with challenging behaviour, non physical interventions and abuse awareness to ensure they can ensure people remain safe. Risk assessments are in place for each person where required. These are discussed with people and agreed so that both staff and people living at the home understand what action will be taken in the event of a potentially dangerous situation. People are protected with regard to their finances. Personal allowances are kept safely and each person has a separate record of their spending to make sure they are protected from financial abuse. Care Homes for Adults (18-65 years) Page 16 of 24 Care Homes for Adults (18-65 years) Page 17 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe well maintained environment, which encourages independence. Evidence: The home is safe, comfortable and clean. The providers are in the process of converting the house next door to become part of the home, which will increase the number of people it can accommodate. Staff have received infection control training to ensure people are protected. Laundry facilities are suitable for the size of the home and the needs of the people living there. Care Homes for Adults (18-65 years) Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are suitably trained, recruited and in sufficient numbers to enable people to live their lives the way they choose. Evidence: Staff have received suitable training in all areas of care required. Over 50 of staff hold NVQ level 2 or above, and all have had specific training relevant to the care of the people at the home. Staff are available in sufficient numbers to offer support in a flexible way. People said that staff would accompany them one to one when they preferred and there are more staff on duty at peak times. Suitable checks are in place to ensure only those who are safe to work with vulnerable adults are recruited. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is based on openness and respect. The home is well managed and peoples health and safety are protected. Evidence: The registered manager is well experienced and qualified to manage the home. Staff said she gave a clear lead, she was approachable and a good communicator. People living at the home said the manager was very fair. One person said. She is really great. I dont have anything bad to say about her because you can just say things to her and she explains things. The atmosphere in the home is relaxed, cheerful and positive. Staff say they feel supported by one another and by the manager. The home has a good quality assurance system, where stakeholders are consulted and an annual report is compiled from findings. An action plan results from the feedback received. This ensures that people benefit from a service that is responsive to comments made about it. The home has comprehensive health and safety procedures. All records seen were up to date and regularly reviewed. This ensures that people live in a safe environment. Care Homes for Adults (18-65 years) Page 20 of 24 Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 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. 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!