Inspection on 12/01/06 for Lawreth

This inspection was carried out on 12th January 2006.

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 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

Lawreth 25/04/07

Lawreth 18/08/05

Lawreth 17/03/05

Lawreth 23/08/04

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 Lawreth 267 Station Road Seaham Durham SR7 0BH Lead Inspector Ms Kathy Bell Unannounced Inspection 12th January 2006 02:30 Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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 Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lawreth Address 267 Station Road Seaham Durham SR7 0BH 0191 5130111 0191 5637711 Lesley.lane@espa.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) European Services for People with Autism Limited Ms Jean Guy Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Lawreth is registered to provide care (but not nursing care) for two people with learning disabilities between the ages of 18 and 65 years. The home provides a specialist service for people with autism spectrum disorder and physical disabilities. The home is a bungalow which has been adapted to meet the needs of the disabled resident. It provides two single bedrooms, a lounge, kitchen/dining room and a garden. It is furnished and decorated in a domestic style to a good standard. The building is near the town centre of the coastal town of Seaham. Lawreth is managed by the organisation now known as European Services for People with Autism Ltd which was established in 1987 and runs a range of services for young adults autism spectrum disorders. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one afternoon in August 2005 and both residents were at home during part of it. Kathy Bell looked at the building and some records, and talked to the manager. Residents were not able to take part in the inspection fully because of their learning and communication difficulties. However, each year the home asks residents parents about their views of the home. Parents responses showed that they were very pleased with the home and care provided. What the service does well: What has improved since the last inspection? What they could do better: The manager has not yet achieved the recommended qualifications for managers of care homes and they do not yet have 50 of the care staff qualified to NVQ 2. They are working towards achieving both these targets. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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 Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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): These standards were not assessed during this inspection. EVIDENCE: Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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): 7 and 9 Residents can make their wishes known about their day-to-day lives and staff respect their choices. The home manages risks properly, without restricting residents rights without good reason. EVIDENCE: Residents can show by their reactions whether they want to do something or not and the manager described how they respect these choices. Staff offer, for example, choices of activities based on what they have seen residents have enjoyed before. They are developing a book of pictures to help residents understand the choices they have and to tell staff what they want. Staff record how they have looked at any risks there might be to residents well-being, and put in place safeguards to protect them while still giving them as much freedom as possible. For example, they make sure that enough staff are provided to allow a resident to take part in activities they enjoy, safely. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 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): 16 The home acknowledges residents rights and tries as far as possible to enable them to exercise these rights. EVIDENCE: Staff respect residents rights to choose their daily routines and activities. ESPA has produced more accessible versions of important procedures like the complaints procedure and staff do record their efforts to explain this to residents. Risk assessments record when staff do restrict residents freedoms for their own safety. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 11 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): These standards were not assessed during this inspection. EVIDENCE: Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 12 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 A satisfactory complaints procedure means that staff know how to respond to complaints and any relative or resident who wants to complain knows how to do this and how ESPA should respond. Staff respond when residents are unhappy about something, even though they are unable to complain formally. The home takes all reasonable steps to protect residents from abuse, by providing training, procedures and oversight by senior staff. EVIDENCE: The home has a satisfactory complaints procedure and this has been produced in a form which could be easier for some residents in Espas services to understand. Staff have recorded when they have tried to explain this to residents. A full text version is also given to parents Staff receive regular refresher training on preventing abuse and the organisation has satisfactory policies and procedures to protect residents. ESPAs procedures require staff to include detailed guidelines in care plans on how staff can respond to any challenging behaviour, including the use of restraint. Senior staff check the records of any incidents involving restraint to make sure that residents are kept safe from harm. Full records are kept of money handled for residents and these are checked by ESPAs finance department. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed during this inspection. EVIDENCE: Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 14 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 and 35 Staff seemed to have the personal qualities, skills and training needed for this home. Comprehensive training is provided, including good support for new staff. This make sure that staff have the knowledge and skills to provide the specialised care needed in this home. Proper checks are carried out on new staff to make sure that only suitable people begin work in the home. EVIDENCE: ESPA has an established system for recruitment, which includes all required checks. No new staff have been employed recently but records previously seen have shown that Criminal Records Bureau/POVA checks had been carried out and three references obtained. There is a comprehensive training system for new staff and existing staff. This includes key areas such as food hygiene and also subjects specific to the type of home, such as restraint and autism. The home is working towards meeting the target of 50 of care staff qualified to NVQ 2 and is making good progress towards this. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 15 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, 19 and 42 The manager has the skills and personal qualities she needs to run the home well. Arrangements for making sure that the home provides a safe place to work and live are satisfactory. ESPA has good systems to check how successful the home is in meeting the needs of residents. EVIDENCE: The manager showed her detailed knowledge of the needs of both residents . The arrangements for health and safety, continued in-house training and supervision of staff show a well-run home. She is working towards the recommended qualifications for managers. Good attention is paid to making sure that the health and safety of residents and staff are protected. Regular safety checks, fire drills and maintenance are carried out. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 16 ESPA has a number of systems to make sure that the home provides a good service. There is an annual development plan which is linked to individual goals for each resident. Each year residents and their relatives complete a survey so that Espa knows what they think of the service. A senior member of the staff of Espa visits the home once a month to check how it is running. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 17 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 X 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 4 3 3 3 X 2 X 4 3 3 3 x Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 18 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 YA6 Regulation 15 Requirement Care plans must include written assessments and guidelines about moving and handling. Timescale for action 01/10/05 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. 2. Refer to Standard YA37 YA33 Good Practice Recommendations The manager should achieve NVQ 4 in management by 2005. 50 of the staff should achieve NVQ 2 in care by 2005. Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lawreth DS0000007599.V266234.R01.S.doc Version 5.1 Page 20 - 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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