Inspection on 22/11/05 for Melrose House

This inspection was carried out on 22nd November 2005.

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 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

Melrose House 22/10/09

Melrose House 24/04/09

Melrose House 28/11/07

Melrose House 20/09/06

Melrose House 26/07/05

Melrose House 24/11/04

Melrose House 01/07/04

Melrose House 10/03/04

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 Melrose House 25 Beverley Terrace Cullercoats Whitley Bay Tyne & Wear NE30 4NT Lead Inspector Bill Middlemist Announced Inspection 22nd November 2005 10:00 Melrose House DS0000000380.V254038.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 Melrose House DS0000000380.V254038.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. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Melrose House Address 25 Beverley Terrace Cullercoats Whitley Bay Tyne & Wear NE30 4NT 0191 2513259 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) Mr Stephen Hunter Mrs Linda Hunter Mrs Linda Hunter Care Home 9 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (2) of places Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/7/05 Brief Description of the Service: Melrose House is a small home for 9 people who have a learning disability. The home is situated on the sea front in Cullercoats, in between Tynemouth and Whitley Bay, and is close to a number of good amenities and transport services. Melrose House is attractive, well furnished and blends in with the local environment – it is not recognisable as a care home from the outside. This home has excellent views of the sea and coastline. Melrose House is part of the Soveriegn Care organisation. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 hours. The care and support of all people who live here was discussed with the team leader, and care records for 3 people were examined in detail. A tour of parts of the building was made to check that Health and Safety good practice was being maintained. What the service does well: 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. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 6 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 Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 7 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): 2 Each person’s needs have been assessed. EVIDENCE: The assessment information for 3 people were inspected: each one had the appropriate range of information about individual needs and goals. Assessment documents for a new resident will start soon, once staff have become more familiar with needs and preferences. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 8 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 Assessed and changing needs and personal goals are included in individual care and support plans. EVIDENCE: The care plans for 3 people were inspected, and as at previous inspections, they were nicely detailed and reflected each person’s individuality. Each person now has a “Hopes and Dreams” file that goes beyond the care and support needs of care plans. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 9 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, 15, 16 Each person takes part in activities that suit them. Rights and responsibilities are recognised and respected. EVIDENCE: Each person continues to have opportunities to take part in activities that suit them: the staff have identified where people might not be enjoying the things that have been arranged for them, and are planning to make alternative arrangements. Again, suitable activities such as work and going to college, have lead to other positive outcomes in people’s lives, such as increased communication skills and reductions in behaviours that could be viewed as challenging. On the day of this inspection, 1 person was at home relaxing, 1 person was going to appointments and out for coffee, 3 people were at college, 1 was at work and 1 was at their regular club. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 10 Staff support people to keep in touch with the others, such as relatives and friends, who are important to them. People have opportunities to mix with people who do not have disabilities, through the use of what the local community has to offer. The daily routines and rules of this home promote independence through people being encouraged to develop and maintain skills: Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 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): 18, 20 People are getting the personal support they need in the way they prefer. The home’s medication procedures are protecting people. EVIDENCE: The staff have provided evidence that they offer sensitive personal support in a way that promotes dignity and independence. People receive extra support from other professionals as a result of changing needs. All personal support is provided in private. There are no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. There was evidence that people are encouraged to choose their own clothes and to take care of their appearance. The Team Leader demonstrated the home’s medication procedures and how medicines are stored: records of medication were inspected and everything was in order. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 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, 23 People’s views and concerns will be listened to and acted on. People are protected from abuse and neglect. EVIDENCE: The home has an effective complaints procedure that details action to be taken in the event of a complaint being made, including timescales, and ensures that people will not be victimised for making a complaint. No complaints have been logged. The home has procedures for the protection of vulnerable adults which includes whistle blowing: staff indicated that they are familiar with these. There are guidelines available for staff to meet the needs of people whose behaviour may challenge the service, and staff confirmed that they view any behavioural challenges as a means of communication. The home has an effective system for recording transactions made on resident’s behalf: a random check was made of monies for 3 people and these were in order. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 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): 24, 30 The people at Melrose House live in a homely and comfortable environment. EVIDENCE: This home continues to be homely and comfortable. There were a small number of things that needed to be done to promote people’s safety, and these would be sorted out quickly. Everywhere that was inspected was clean and hygienic. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 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, People are supported by competent and qualified staff. EVIDENCE: 2 people were asked about the staff that work at Melrose House; one person said that the best thing about the home was the staff, another person said “The staff are very good”. While discussing people’s needs throughout the inspection, it was obvious that the staff on duty were motivated and communicated well with the people they were supporting. Staff also demonstrated a good mix of skills and experience in meeting people’s individual needs. There is a clear agenda to encourage people to be as independent as possible. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 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): 38, 42 People benefit from a well run home. EVIDENCE: The Team Leader demonstrated a good sense of leadership and values during this inspection: it was possible to observe a new member of staff being guided and mentored in a variety of tasks that promote good outcomes for people. The Team Leader had a clear strategy for delivering a good service and said, “I challenge anything that prevents my residents from doing what they want to do”. Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 16 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X 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 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Melrose House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X 3 X X X X X DS0000000380.V254038.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Melrose House DS0000000380.V254038.R01.S.doc Version 5.0 Page 18 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. 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