Inspection on 27/02/07 for Hutton Avenue (13)

This inspection was carried out on 27th 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.

Other inspections for this house

Hutton Avenue (13) 17/02/09

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 Hutton Avenue (13) Hartlepool TS26 9PN Lead Inspector Mr Leonard Hird Unannounced Inspection 28th February 2007 10:00 Hutton Avenue (13) DS0000067912.V327218.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 Hutton Avenue (13) DS0000067912.V327218.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. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hutton Avenue (13) Address Hartlepool TS26 9PN 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) 01429 854294 01429 854099 londonroad@tiscali.co.uk Milbury Care Services Limited Lynne Joss Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Hutton Avenue is a Residential Care Home providing nursing and residential care services for up to 8 adults in the Categories of Learning Disability (LD) and Physical Disability (PD). Hutton Avenue is part of a group of homes owned by Milbury Care Services Limited and managed on their behalf by the Registered Manager Mrs Lynne Joss. Hutton Avenue is located in a residential area of Hartlepool and within walking distance of the town centre and its amenities. Hutton Avenue is a large converted detached house providing suitable living accommodation for its residents. The accommodation at Hutton Avenue comprised of 8 single en-suite bedrooms, communal bathrooms, a kitchen, lounges, dining room ,a proposed small hydro-pool , office and staff sleep over facilities. There are enclosed garden areas to the rear of the house and a small number of dedicated car parking spaces to the front of the building. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Hutton Avenue Residential Care Home took place on 28th February 2007 between 1000 and 1430 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Adults (18-65) National Minimum Standards. These Key standards are: Choice of Home (NMS2), Individual Needs and Choices (NMS 6,7 and 9), Lifestyle (NMS 12, 13, 15, 16 and 17) Personal and Healthcare Support (NMS 18, 19 and 20), Concerns Complaints and Protection (NMS 22 and 23), Environment (NMS24 and 30) Staffing (NMS 32, 34, 35) Conduct and Management of the Home (NMS 37, 39 and 42). Comments were received from Residents, the Registered Manager, parents and members of the nursing and care staff team. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this inspection. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 6 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. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 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 Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Registered Manager at Hutton Avenue had ensured that prior to the admission of a resident to the home both the local authorities social care and health team and the home had carried out a full assessment of needs. EVIDENCE: From a review of individual residents care plans and files it was noted that a full assessment of needs had been carried out prior to admission. The local authorities social care and health team as well as the home had carried out these assessments of need separately before admission. Residents and where appropriate their representatives had signed the assessment documentation. From these agreed assessments of needs, the home had in conjunction with the resident been able to develop an individual care plan that took full account of the needs and aspirations of the resident. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The system for care planning in the home was satisfactory and provided staff with the information required to assist them to meet the needs of the residents. Residents were actively encouraged and supported to participate in the decision-making and risk taking process that affected their lives. Residents were well supported by the home in their chosen areas of interest. EVIDENCE: Each resident had a care plan in place that contained information about, their physical, specialist needs, personal and social well-being. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 10 Residents care plans were being reviewed on a monthly basis at the home by the care staff and records were maintained of these reviews. Staff had tried to involve the individual resident as much as was possible in this process The local authorities social care and health team formally reviewed the care plan annually with the resident and their supporters. Records were maintained of the daily life of the individual resident within the home and included information on the activities the resident had taken part in. Residents were being encouraged to voice their opinion as to what they wanted to do with their lives eg. Deciding what they wanted to do with their leisure time and how they spent their money. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS12, 13, 15, 16 and 17. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service The routines of daily living and activities occurring at Hutton Avenue were varied, flexible and meeting the needs of the residents. The independence and personal choices of residents at Hutton Avenue were being actively promoted by the home. The dietary needs of residents were catered for with a balanced selection of home cooked food being provided. EVIDENCE: Residents had individually planned programs of weekly activities that took account of their likes and dislikes. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 12 Activities were arranged for the individual resident or the group as a whole by the home but residents could arrange their own activities, if they wanted to. If residents didnt want to take part any activity they didnt need to and staffing levels enabled this choice to be accommodated. Families were encouraged by the home to spend time with their relatives either at the parental home or by taking them out. Records were being maintained appropriately of this family contact. Hutton Avenue had an open visitors policy in place. There were residents meetings being held enabling residents to influence decisions being made in the home e.g. choice of menus and choice of activity. Records were being maintained of these meetings. A resident spoken with commented that, ‘the food was nice, and what they liked to eat’. The homes displayed menus took account of the likes and dislikes of the residents but kept to a healthy eating programme, wherever possible. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 18, 19 and 20. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health needs of residents were being well met with evidence of good multidisciplinary working regularly taking place. No resident currently self-administers medication. EVIDENCE: A review of residents care plans confirmed that residents were receiving support and advice from the appropriate health professionals when necessary. Individual residents care plans included detailed information about the involvement of doctors, dentists and other healthcare professionals. Staff when necessary supported residents, whilst in hospital, by providing 24hour care. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 14 The home had appropriate policies and procedures on how to safely administer medication to residents for staff to refer to. Those care staff involved in the administration of medication had undergone an appropriate course in the Safe Handling and Administration of Medication. Records of this training and first aid training were been maintained on the individual members of staffs personnel file. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 15 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): NMS 22 and 23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There was an easy to read and suitable complaints procedure in place at Hutton Avenue and residents indicated that they felt confident that they could approach staff at any time with any problem. Hutton Avenue had an appropriate procedure for handling suspected cases of abuse available in the home and staff had received appropriate training in this area. EVIDENCE: Hutton Avenue is part of a large corporate group that provides different types of residential care through out the NE region and there were simple and appropriate corporate policies and procedure in place. As a result of this complaints were handled according to the companies complaints procedure. Copies of this easily read document were available, at the home. No recent complaints had been made. The company’s procedures on how staff were to deal with suspected cases of adult abuse in the home were available for their guidance. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 16 Staff had received training on how to deal with the Protection of Vulnerable Adults and records were being maintained of this training. In discussions with staff they confirmed that they were fully aware of the importance of acting quickly in cases of suspected abuse and that they would follow the homes policy and procedures if necessary. There had been no recent adult protection issues in the home. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 17 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): NMS 24 and 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Hutton Avenue was clean, pleasant and hygienic and provided a safe, homely and comfortable environment for its residents to live in. EVIDENCE: Hutton Avenue was clean, tidy and free from unpleasant odours. This newly registered home was, furnished and decorated to a high standard Individual residents rooms had been decorated, equipped and furnished to a very high standard. Where maintenance work had been undertaken on the homes equipment and facilities it had been recorded appropriately. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 18 There were appropriate systems in place for infection control. The homes infection control policies and procedures were written in accordance with relevant legislation and professional guidance. It was confirmed by staff that they had received appropriate training in infection control and a record of this had been kept on their personnel file. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 19 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): NMS 32,34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Hutton Avenue through its corporate recruitment, employment and training procedures had ensured that only appropriately qualified staff were employed at the home. Staffing levels at the home were sufficient to meet the assessed needs of the residents. EVIDENCE: The Registered Manager had the required qualifications and experience to run the home. From a review of the staff rota provided it was noted that staff were being deployed in sufficient numbers as to ensure the current needs of the residents were being met. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 20 There was a commitment to training for all staff at the home and currently over 50 of the homes care staff were qualified at NVQ level 2 or above with the rest of the staff in the process of completing the qualification. All nursing staff were current members of the Nursing and Midwifery Council and were receiving appropriate training and supervision. The home tried wherever possible for stability to ensure that the same members of staff worked in the home. Staff who had recently been employed had received appropriate induction training. There was a rolling training programme operating in the home that provided training for staff in moving and handling, first aid training and the Protection of Vulnerable Adults. Records of training undertaken and completed by care staff were being maintained on individual members of staffs personnel file. All staff employed at the home had being recruited in accordance with the company’s corporate policies procedures. All of the appropriate employment checks prior to starting to work at the home had been undertaken and recorded accordingly. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Hutton Avenue had in place, a variety of quality assurance systems, including resident meetings to enable residents to express their views on the running the home. Hutton Avenue actively promotes the health, safety, protection and welfare of the residents. EVIDENCE: Records of individual staff and management supervision sessions were being maintained securely and staff confirmed that they had received copies. There were regular staff meetings and group supervisions being held to enable the staff to develop their own individual care roles. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 22 From discussions with staff it was confirmed that they were aware of the management structure within the home. Records were being maintained of the regular health and safety checks when they had been completed. There were monthly monitoring visits being undertaken by a senior manager in the company and records were maintained of these visits. Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 23 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 3 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 36 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 14 15 16 17 3 X 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 24 Hutton Avenue (13) DS0000067912.V327218.R01.S.doc No 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 Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Hutton Avenue (13) DS0000067912.V327218.R01.S.doc Version 5.2 Page 26 - 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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