Inspection on 06/01/06 for Jane Percy House

This inspection was carried out on 6th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 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 03/01/07

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 Unannounced Inspection 12.30 6 January 2006 th Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 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.V257899.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V257899.R01.S.doc Version 5.0 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 Miss Victoria Redpath Care Home 24 Category(ies) of Physical disability (24) registration, with number of places Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 of the 24 residents may also be over the age of 65 Date of last inspection 11th July 2005 Brief Description of the Service: Jane Percy House is a single storey building providing residential care for up to 24 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. There are a number of communal areas, including a bar, dining room, lounges, activity areas and residents’ kitchens. A conservatory is also available. There are spacious, accessible gardens with raised flowerbeds and seating areas. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three and a half hours. A partial tour of the premises took place and a sample of care records was inspected as well as other records. Records included: three care plans, four staff files, the fire log record, the accident book, complaints record, staffing rotas and daily communication records. The manager, three members of staff and ten residents were spoken to during the inspection. What the service does well: What has improved since the last inspection? Since the last inspection money has been made available to alter a kitchen in the home to enable residents to become more involved in daily living skills. A newsletter has been produced although further issues have been postponed until the administrator returns from sickness leave. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 6 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.V257899.R01.S.doc Version 5.0 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.V257899.R01.S.doc Version 5.0 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): Standards 1 – 5 were inspected at the last inspection carried out on 11/7/05. EVIDENCE: Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 10. There are arrangements in place to ensure that the residents’ health and social care needs are fully met. Service users are well supported by the staff team. All aspects of confidentiality are respected. EVIDENCE: Three service users gave their permission to look at their care plans, which they keep in their bedrooms. The care plans contain detailed information about all aspects of the residents’ needs which includes health, personal and social care. The care plans are reviewed every three months by the staff team and the resident to ensure needs are fully met. The care plans show the level of care and support each resident requires and the staff on duty were fully informed. There are policies and procedures in place to ensure confidentiality is respected. All members of staff receive a copy of these documents. Confidential records are held in lockable cabinets. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 10 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): 14 and 15. The staff encourage the residents to take part in leisure activities and to lead fulfilling lives. Visitors are made welcome in the home and the staff support residents to maintain contact with family and friends. EVIDENCE: The care plans showed that residents are supported to enjoy a more independent lifestyle. On the day of the inspection some service users were going out for a drink in the local pub. The staff encourage and assist residents to learn daily living skills. The manager stated that one of the kitchens in the home is due to be refurbished to enable the residents to participate in various skills to encourage independence. Residents pursue individual hobbies and interests which include college courses, bowling, swimming, music concerts, shopping, meals out and visiting Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 11 the local pub. Activities and entertainment are available in the home and one resident said they really enjoyed the craft sessions. Three vehicles are available to escort residents to venues of their choice. Two residents stated they enjoyed the outings that have taken place in the summer to Eden Camp, Lake District, Amble etc. Residents have the opportunity to take holidays supported by staff but they were no longer supported by staff to holiday abroad, therefore it was unlikely they would now be able to visit other countries when they wished to do so. The manager stated that the organisation is currently discussing this issue at a senior level. Three residents confirmed that they could receive visitors in private. One resident had a friend from another residential care home visiting at the time of the inspection. Two married couples reside in the home and they confirmed their privacy is respected. The staff also assist residents to visit their friends and family in the community. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 12 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): 20 and 21. An appropriate system is in place for administration and storage of medications. Ageing, illness and death are handled with respect and according to the residents’ wishes. EVIDENCE: All senior staff responsible for administering medications have undergone accredited training. All medications are stored in appropriate cabinets. A random sample of medications and records were examined and found to be in accordance with the pharmacy guidelines, with the exception that one record did not include a photograph of the resident. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 13 A policy and procedure is in place for dealing with death and care of the dying. Nursing care is not provided, however the manager confirmed that a resident would be cared for in the home for as long as possible with the support of relevant health care professionals. Counselling services are available for residents and staff members. Two care assistants have undergone training on bereavement counselling. Funeral arrangements are discussed with the residents, their relatives or representatives upon admission to the home. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 14 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. The home has a suitable complaints procedure in place. The staff team have undergone training in adult protection that helps to protect residents from abuse. EVIDENCE: The home has a complaints procedure and a copy is issued to all residents. No complaints have been received since the last inspection. Two residents confirmed that they would raise any concerns with the manager or a staff member. The manager confirmed that the staff have undergone training on the protection of vulnerable adults held at Northumberland County Council. Policies and procedures are also available in the home. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 15 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. The standard of the facilities and décor within this home is good, providing residents with an attractive and homely place to live. The home is clean and hygienic. EVIDENCE: The home is well maintained with good quality furnishings and décor. The building is large and provides ample space, both internally and externally. Some residents said they enjoyed sitting in the gardens during the summer. The home had won an award in the summertime from Blyth Valley Council for the best garden in bloom. All bedrooms have en suite facilities and are personalised with the residents’ own possessions. 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 will be responsible for cascading up to date information to the staff team. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 16 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): 34, 35 and 36. Staffing numbers are appropriate to meet the assessed needs of the residents. Appropriate checks are carried out before staff are employed in the home, to promote the well being of the residents. Staff receive appropriate training to meet the needs of the residents and are supervised and well supported. EVIDENCE: The home maintains adequate staffing levels to meet the needs of the residents. 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. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 17 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 required Criminal Records Bureau checks and written references are received prior to staff being employed by the home. Forty five per cent of the care staff have completed NVQ Level 2. Seven staff are undergoing NVQ Level 2, nine are undergoing Level 3 and two are doing Level 4. Specialist training is also provided to deal with the specialist needs of the individual residents. Formal supervision sessions are carried out with the staff team at appropriate intervals. Charts are maintained to ensure supervision is up to date. A member of staff confirmed that the manager was supportive and approachable. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 18 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): 39 and 42. The management approach ensures that residents are fully involved in decision-making and day to day running of the home. Policies and procedures promote the health, safety and welfare of the residents and the staff. EVIDENCE: Monthly meetings are held to consult residents about all aspects of the day-today running of the home and this information is recorded in minutes of meetings. The residents confirmed that they are consulted on issues concerning the running of the home. They are also invited to participate in interviewing new staff if they have completed an Equal Opportunities course. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 19 Risk assessments are carried out on the premises and for each individual service user. There is a system in place to ensure that the staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 2 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jane Percy House Score X X 2 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000000667.V257899.R01.S.doc Version 5.0 Page 21 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 Standard YA20 Regulation 13(2) Requirement Photograph to be attached to medication record for identification purposes. Timescale for action 10/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations Residents to be supported to holiday abroad. Jane Percy House DS0000000667.V257899.R01.S.doc Version 5.0 Page 22 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.V257899.R01.S.doc Version 5.0 Page 23 - 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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