Inspection on 17/08/05 for Lavender Road (9)

This inspection was carried out on 17th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Lavender Road (9) 28/09/07

Lavender Road (9) 01/09/06

Lavender Road (9) 12/01/06

Lavender Road (9) 02/03/05

Lavender Road (9) 29/09/04

Lavender Road (9) 02/03/04

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 Lavendar Road 9 Lavendar Road Whickham Newcastle upon Tyne NE16 4LR Lead Inspector Eileen Hulse Announced Tuesday 17 August 2005 at 9.15 am 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 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 Stationary 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. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lavendar Road (9) Address 9 Lavendar Road Whickham Newcastle upon Tyne NE16 4LR 0191 4960436 0191 4960436 none United Response Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Prospective Managers Miss Claudia Beutelspacher & Mrs Janet Rutherford Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number PD Physical Disability (6) of places Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2 March 2005 Brief Description of the Service: The home can provide personal care for 6 people who have learning and physical disabilities. The home cannot provide nursing care.The home is situated in Whickham and is a large detached bungalow divided into two units all with single bedrooms. It is set within its own extensive grounds with car parking facilities to the front of the house. It is on a bus route which makes it easy for relatives and friends to visit and the home has its own transport. There is a variety of community facilities reasonably close by including churches, doctors surgeries and a large shopping area in the centre of Whickham.The bungalow is purpose built with all of the necessary facilities, The layout and design of the building provides easy access throughout and bathrooms and toilets are suitably adapted for physically disabled people. All bedrooms have an emergency call system. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 17 August 2005 by one inspector (Eileen Hulse), the date and time of the inspection was announced to people who use the service including the two Managers and staff and was carried out as part of the annual inspection programme. Prior to the inspection, questionnaires were sent out to all of the service users and their families. 6 were returned from service users that had been completed with the help and support of staff, some service users have complex needs and are not able to verbally express how they feel about the service. 5 completed questionnaires were received from relatives. There were no relatives visiting at the time of the inspection but completed questionnaires from families appeared they are satisfied with the service provided to their relatives in general. However, two relative’s made comments where they felt the service could be improved upon. Relatives comments included: • • • • • • ‘I feel a separate lounge for privacy would be nice’ ‘I have not been updated lately about my relatives care’ ‘Often relief staff therefore no consistency’ ‘I am satisfied with the care although I was concerned about the mass exit of regular staff’ ‘My relative is happy living at Lavender Rd’ ‘Two senior workers are very committed and have really good plans to keep improving life for those who live here’ The inspection took 5hrs to complete that included 1hr to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by service users who live in the home. Time was spent chatting with service users, observing the practice of staff throughout the inspection and talking with the Manager and staff who were on duty. Some records were inspected including service user assessments, care plans, POVA records and staff training records. A tour was made of the communal areas of the premises accompanied by a staff member. What the service does well: Service users were seen to be relaxed and comfortable with members of the staff team and observation throughout the day evidenced that the needs and choices of the service users were carried out at all times. The staff know the service users well and this helps when service users are making decisions and choices on a day to day basis. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 standard(s) 2 Good detailed assessments are in place for all service users that form the basis of their care plan to ensure that all care needs are met on a day to day basis. EVIDENCE: Records evidenced that all service users that currently live in the home have well maintained and up to date assessments that have been completed by Care Managers. Six monthly reviews are held to discuss in detail if any changes to the package of care are required, the issues are then recorded and implemented within the plan of care. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 standard(s) 6 and 7 The care plans contain adequate information to guide the practice of staff that helps to ensure that all service users needs are identified and met at all times. Good communication methods are used between the service users and staff that help service users to make decisions that affect their lives. EVIDENCE: Each service user has an individual plan of care. It includes elements of care that service users can expect to receive and necessary graphics are used to help the service user understand what is being written. Behaviour management plans are in place and these have been devised in conjunction with the staff team and professional input from the clinical psychologist. Service users in Lavender Road have very complex needs, however, the skills and experience of the staff team enable them to communicate well with service users and this is evident within the individual plans of care and through observation during the inspection. Service users each have a key worker and progress reviews take place every six months to discuss any changes taking place or if a change in goals to be achieved is highlighted. The records show that the service user, care manager, key worker, relatives or friends and professionals are involved in this process. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 10 Picture cards, books and tapes are used to communicate effectively with service users and the families and staff from the day centres that service users attend work closely with the staff of the home and this also helps the communication with service users. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Service users are well integrated within the local community and use many of the local and leisure facilities to ensure they are involved in appropriate facilities of their choice. EVIDENCE: Records and discussions with the staff on duty evidenced that service users lead full and active lives. Service users visit the bowling club, library and leisure centre and the staff access up to date information from the library so that service users have a choice of what they choose to do on their days off from the day centres. The home is on mailing lists for the Theatre and cinemas and is situated close to the village community centre where service users take part in bingo sessions and service users are invited to any events taking place there. The home also holds a coffee morning every three months and the neighbours are regular guests of the service users at this event. The home have an open door policy on visiting and relatives and friends are made welcome and encouraged to visit people at home. Friends and families are invited to all social occasions held within the home. People are supported to maintain contact with their family and friends and this is outlined in the home’s Residents’ Charter. Some people regularly go out to see their relatives Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 12 and friends, and it was very encouraging to note that this activity is identified as a Care Plan goal. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 The staff team have been trained in the use of the specialist equipment used within the home, this protects service users by ensuring safe working practice at all times. EVIDENCE: All moving and handling techniques are well detailed in the service users individual plans of care with records well maintained and up to date risk assessments in place. All service users are able to choose what they want to do, as an example, this includes choosing their preferred times of going to bed and how they choose to spend their leisure time. Comments made from service users in the questionnaires included: • • • • ‘I have my own personal space when I want it’ ‘New staff that do not know me is not so good’ ‘The staff are happy and make me happy’ I feel relaxed and comfortable here, the staff are good to me’ Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 standard(s) 23 Appropriate systems are in place to protect vulnerable people against abuse and staff have received training in this area so they are able to identify any signs of abuse and therefore protecting the service users. EVIDENCE: Some of the staff team have received Protection of Vulnerable Adults Training and arrangements are in place for the remaining staff team to access this training. Up to this time no incidents or suspected incidents of abuse have taken place. In discussions with staff they stated they felt confident they could recognise or suspect if an abuse situation was taking place and would know what to do about it. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 standard(s) 24 and 30 The home is clean, nicely furnished and generally well maintained. However, the two lounges are in need of re-decoration to ensure that a high standard is maintained and that services users live in a comfortable environment. All areas of the home were found to be very clean with no odours in the home. EVIDENCE: Plans are in place to have two bedrooms redecorated in the coming weeks and service users have been involved in choosing the colour schemes for their individual bedrooms. Walls in the two lounges were marked and wallpaper is beginning to peel off. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 United Response produce job descriptions for all staff employed by the organisation. Staff appear to understand their roles and responsibilities and this helps to ensure the needs of service users are met at all times. EVIDENCE: Staff are given information to enable them to understand their own and other roles and responsibilities of the staff team. Policies and procedures are discussed within team meetings and codes of practice produced by the General Social Care Council have been distributed to all the staff in the home. During discussions with the staff on duty they made the following comments: • • • • • ‘Pleasure coming to work here, the staff team feel nothing is a trouble to help service users’ ‘It’s a lovely home and I like the hands on working’ ‘Everything done in the home is centred around the service users’ ‘There have been big changes in care practice and this is good’ ‘I have just done POVA training, it was brilliant course’ Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 17 Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The home must have Managers in place that have been registered with the Commission for Social Care Inspection. This requirement has been outstanding for some time and must now be addressed urgently. The home have no formal quality assurance system in place and therefore they cannot measure the quality of the service provided by the home. However, Staff have received mandatory training and a number of short courses to ensure the health, safety and welfare of service users, and everyone coming into the home. EVIDENCE: The home currently has two prospective Managers that are not yet registered with CSCI. However recent applications have been submitted and interviews will take place when all the necessary checks have been carried out. Both Managers have attained NVQ Levels 2/3 and are currently completing the NVQ Level 4 in care and the Registered Managers Award. Both Managers have Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 19 many years experience in the caring profession and during this time have updated their knowledge by attending many courses. Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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 3 x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lavendar Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 1 x 2 x x 3 x B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 21 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 23 24 37 39 Regulation 13 23 8 24 Requirement All staff must receive Adult protection training Both lounges require redecorationj The two prospective Managers must be registered The home must implement a quality assurance system Timescale for action 1 Nov 05 1 Dec 05 1 Nov 05 1 Nov 05 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 Good Practice Recommendations Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 Page 22 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne and Wear NE34 9PT 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 Lavendar Road B52-B02 S29717 Lavendar Road V219694 160805 Stage 0.doc Version 1.40 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. 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