Inspection on 03/01/07 for Jane Percy House

This inspection was carried out on 3rd January 2007.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jane Percy House 08/08/07

Jane Percy House 06/01/06

Jane Percy House 11/07/05

Jane Percy House 06/12/04

Jane Percy House 07/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jane Percy House Brockwell Centre Northumbria Road Cramlington Northumberland NE23 1XX Lead Inspector Anne Brown Key Unannounced Inspection 3 and 4th January 2007 11:00 rd Jane Percy House DS0000000667.V314077.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 Jane Percy House DS0000000667.V314077.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. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jane Percy House Address Brockwell Centre Northumbria Road Cramlington Northumberland NE23 1XX 01670 - 590333 01670 590789 jph@disabilities-trust.org.uk 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) The Disabilities Trust Mrs Victoria Pace Care Home 26 Category(ies) of Physical disability (26) registration, with number of places Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 of the 26 residents may also be over the age of 65 Date of last inspection 6th January 2006 Brief Description of the Service: Jane Percy House is a single storey building providing residential care for up to 26 young adults. The home provides care in partnership with Northumberland County Council and primarily admits referrals from within Northumberland. However, if there is a suitable vacancy it may be possible to take someone from outside of the Northumberland catchment area. The home is situated next to the Brockwell Centre, Cramlington, close to local shops, a health centre and a pub. Public transport runs close by. Accommodation is predominantly provided in single rooms, all of which have en suite facilities and adaptations for people with physical disabilities. There are a number of communal areas, including a bar, dining room, lounges, activity areas and residents’ kitchens. There is also a conservatory. There are spacious, accessible gardens with raised flowerbeds and seating areas. The fees range from £650.00 to £828.00 per week. Information about the home and inspection reports are readily available. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over eight hours. A tour of the premises took place and a sample of care records were inspected along with the fire log book, accident book, incident book, complaints and compliments, staff files and minutes of meetings held in the home. The majority of service users were seen and six members of the care staff were spoken to. An interview was held with the manager and lunch was taken with the service users. Six questionnaires were returned by service users and four were returned by relatives. What the service does well: The service users said the staff were helpful and caring and they enjoyed very good relationships with them. The service users are encouraged and supported to pursue a wide range of activities and are assisted to visit venues of their choice. Some service users were enthusiastic when talking about the activities they enjoy. They said regular meetings take place to consult them in the day-to-day running of the home. This included décor, menus and activities. The staff offer the service users choice in all aspects of their lives and encourage and support them to keep in touch with family and friends. The staff team attend a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the service users’ needs. The staff confirmed that their training needs are regularly discussed and training provided where there is a need. Comprehensive policies and procedures are in place and are readily accessible to the staff. The premises are well maintained, pleasantly decorated and furnished. All bedrooms have en suite facilities and a choice of communal areas are available. The questionnaires received from service users and relatives were all positive. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 6 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. Jane Percy House DS0000000667.V314077.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 Jane Percy House DS0000000667.V314077.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for prospective service users to help them decide where to live. Needs are assessed prior to service users moving into the home, so that staff can be sure their needs can be met. Prospective service users are invited to visit and spend time in the home, which helps them to decide if it is suitable for them. EVIDENCE: A statement of purpose and service user guide have been produced which is available in large print. Each service user has been given a copy of the guide. Some areas are unclear and difficult to understand. Two service users stated they felt the information was complicated. However a video tape has been produced to meet the needs of some service users. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 9 An experienced member of staff carries out an assessment of needs prior to the service user coming to live in the home. Copies of care managers’ assessments are also requested. These are available on the case files. There is a carefully phased introduction to the resource, which includes staying for meals, and initial overnight stays. Initial care/support plans are devised as a result of an assessment of needs. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. There are care plans in place to ensure that individual needs are monitored but this information is sometimes limited. Therefore staff may not always have comprehensive information about the needs of the service users. Service users are encouraged to make decisions. The care staff support the service users to take risks as part of their lifestyle. EVIDENCE: Four service users gave their permission to look at their care plans kept in their bedrooms. The care plans contained a section on most aspects of the service users’ needs. The information is limited and there were gaps in the information. Some recordings are inappropriate and/or repetitive. Three Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 11 service users felt it could be in a better format to suit their needs. The manager is currently auditing the care plans and looking at different formats that may encourage service users to become more involved. Risk assessments are held separately to the care plans. The staff confirmed that these are held in the office and are readily accessible. The manager is in the process of reviewing all risk assessments to ensure they reflect the risks involved in all aspects of the service users needs. The staff on duty were well aware of the needs of the service users and were observed consulting and communicating with them. Regular meetings are held in the home when service users are asked their opinion on the service offered in the home. The service users are encouraged to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using evidence available including a visit to the service. Links with the local community are encouraged. The service users are encouraged to mix with people in the local community and participate in activities of their choice. Visitors are made welcome in the home and the staff support service users to keep in touch with family and friends. Staff respect the service users’ rights. Well-balanced menus are in place and alternatives are offered. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 13 EVIDENCE: Each service user chooses how they wish to spend their time and what activities they wish to participate in. Some service users said they were able to go out alone and others said they asked the staff to escort them to places of their choice. Activities outside the home include theatre trips, concerts, meals out, visiting the pub, shopping and attending church. Activities in the home include crafts, cookery, exercise, entertainers, parties and fund raising events. There is a bar in the home, which is open at weekends and for special events. Friends and family are encouraged to participate in all events taking place in the home. Some service users confirmed that they often invite friends to the home to have a meal. Vehicles are provided to escort service users to venues of their choice. One service user said they enjoyed going to Amble and Seahouses. They said they were asked for their choices on a regular basis. Service users are supported to take holidays, including holidays abroad. One service user said they had recently enjoyed a holiday in Bridlington. The service users said they could receive their visitors in private and their privacy and dignity was always respected by the staff. Two married couples live in the home and they confirmed their privacy is respected. Samples of menus were available for inspection. The service users said they are regularly consulted with regard to the menus and choice is always available. The menus do not reflect the full extent of the choice and alternatives that are available. Lunch was taken with the service users. The meal was nutritious and well presented. The service users said they enjoyed their food and individual tastes are catered for. The staff were offering choice to the service users and dealing with their individual needs in a sensitive manner. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 service users confirmed that their health care needs are met. In the main these are recorded in the care plans but there are gaps in the information. There are appropriate aids and adaptations, and moving and handling training is provided for the staff team, which ensures the safety and well being of the service users. The staff give the service users the personal support they require and according to their preferences. An appropriate system is in place for dealing with medications, which protects the health of service users. EVIDENCE: The staff on duty were aware of the individual needs of the service users and confirmed they had been given appropriate and specialised training. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 15 Appropriate equipment is provided throughout the home to meet the needs of the service users. A new kitchen that is suitable for people with disabilities has recently been installed. This helps to encourage independence. Quotes are being sought to convert a second kitchen in a similar way. The service users confirmed that they were treated well by the staff and their needs were met in a caring and sensitive manner. Health care issues are recorded in the care plans but there are gaps in the information, which could lead to some needs not being met. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. The system is audited weekly by a senior care assistant and monthly by the manager. Some service users retain their own medications and lockable facilities are provided. The manager has introduced a form to be signed by the service user to declare whether they wish to take responsibility for their own medications. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system. Training in adult protection has been provided for the staff, which helps to protect the service users from abuse. EVIDENCE: A suitable complaints procedure is in place. A complaints log is maintained to record any complaints received and the outcome of the investigation. No complaints have been received by the home but a number have been received via care managers since the last inspection. These are currently being investigated. The service users and two relatives confirmed that they knew how to make a complaint and felt that their concerns would be listened to and acted upon. Three service users said the manager and staff were very approachable so they would not hesitate to complain if they felt it was necessary. The manager stated that the majority of staff had undergone training on the protection of vulnerable adults. The staff on duty confirmed the training they had received and were well aware of the procedure to follow if they suspected abuse. They were also aware of the whistle blowing policy and how to report any concerns about poor practice in the home. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 17 Appropriate records, receipts and signatures are retained when dealing with money held on behalf of the service users. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, safe and comfortable. Specialist equipment is provided throughout the home. The home is clean, hygienic and free from offensive odours. EVIDENCE: The home is well maintained with good quality furnishings and décor. The building is large and provides ample space, both internally and externally. An ongoing redecoration programme is in place. Two service users said they were due to have their bedroom redecorated in the next few weeks and had already chosen the colour scheme. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 19 Some service users said they enjoyed sitting in the gardens during the summer. One gentleman grows his own plants in the garden outside his bedroom. The home had won an award from Blyth Valley Council for the best garden in bloom. All bedrooms have en suite facilities and are personalised with the service users’ own possessions. A specially adapted kitchen has been provided for the service users to encourage independence. Specialist equipment is provided throughout the home. All areas were clean, hygienic and no unpleasant odours were present. A senior care assistant has been nominated as a link person with the infection control nurse. They are responsible for cascading up to date information to the staff team. Protective clothing is provided for the staff. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers are appropriate to meet the assessed needs of the service users. Appropriate checks are carried out before staff are employed in the home, to protect the service users. Staff receive appropriate training to help ensure that the needs of the service users are met. The staff team are well supported and receive appropriate supervision. EVIDENCE: The home maintains adequate staffing levels to meet the needs of the service users. The current staffing levels are seven care staff on duty from 7.30 am-3 pm, five carers from 3 pm–10 pm and two waking night staff. A policy and procedure supporting the recruitment and selection of staff is in place. Random samples of staff files were examined and showed that the Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 21 required Criminal Records Bureau checks and written references are received prior to staff being employed by the home. Service users are invited to join the interview panel to recruit new staff and are offered appropriate training to do so. The training files are well organised. They include programmes of training to be completed and also copies of certificates for training which has been completed. 65 per cent of the care staff have completed NVQ Level 2 or above. 13 members of staff have achieved level 3 and the senior staff have completed level 4. 8 staff members are undergoing NVQ Level 2. Training is also provided to deal with the specialist needs of the individual service users. This was recorded on the training file and confirmed by the staff who were spoken to. One service user said ‘the staff were always doing training on this and that and NVQs.’ 12 members of staff have completed a course on equality and diversity and a programme is in place for all staff to attend this. Formal supervision sessions are carried out and each staff member has a file containing the written notes. The staff confirmed that training needs are discussed on a regular basis. The staff who were spoken to said the manager and assistant managers are very supportive. They said they would not hesitate to approach them with any problems they may have. On the day of the inspection the staff were caring for the service users in a caring and sensitive way. The service users said the staff were very good and were always ready to help. Some said they have ‘a lot of fun with the staff and sometimes wound them up as a joke’. A questionnaire from a relative stated ‘everyone was very caring, my relative loves them, a lovely bunch of people’. Another questionnaire stated ‘I am 100 per cent satisfied with the care and support my relative receives, he is very happy at Jane Percy House’. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with a focus on the service users. The service users are fully involved in the day to day running of the home and are confident their views matter. Policies and procedures promote the health, safety and welfare of the service users and the staff. EVIDENCE: The registered manager has experience in working with adults with physical and learning disabilities and holds appropriate qualifications. The staff team Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 23 and service users, who commented, confirmed that she is supportive and approachable. The service users and staff team confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the service users. Minutes of the meetings were available for inspection. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the service users. An Estates Manager is employed and is responsible for carrying out health and safety tests and attending to the maintenance of the premises. The fire logbook indicated that tests are carried out at the correct intervals. Charts are maintained to record water temperatures, fridge and freezer temperatures and food temperatures. The staff confirmed that they receive up to date health and safety training. No unsafe practices were noted during the inspection. Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 X 4 3 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 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 25 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. 1. 2. 3. 4. Standard YA1 YA6 YA17 YA19 Regulation 4 and 5 15 16(2)(i) 12(1)(a) Requirement The statement of purpose and service user guide must be written in plain English. The care plans must be reviewed using a person centred approach and be service user friendly. Menus must reflect the choices and alternatives that are available for service users. Information regarding health needs must be fully recorded. Timescale for action 31/03/07 30/04/07 28/02/07 28/02/07 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 Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Jane Percy House DS0000000667.V314077.R01.S.doc Version 5.2 Page 27 - 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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