Inspection on 26/07/05 for Melrose House

This inspection was carried out on 26th July 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 22/11/05

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 NE30 4NT Lead Inspector Bill Middlemist Unannounced 26 July 2005 3.00 pm th 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. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Melrose House Address 25 Beverley Terrace Cullercoats Whitley Bay Tyne & Wear NE30 4NT 0191 251 3259 N/A shunter001@btinternet.com Mr Stephen Hunter 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) Mrs Linda Hunter CRH 9 Category(ies) of LD - Learning Disability (7) registration, with number LD(E) - Learning Disability over 65 (2) of places Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24/11/04 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. Extensive repair and refurbishment work has been carried out both inside and outside. Melrose House is part of the Soveriegn Care organisation. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and is one of two that Melrose House will receive this year. The views of 6 residents were taken into consideration throughout this inspection and 2 members of staff were consulted. Documents relating to the Health and Safety of residents and staff were inspected. The kitchen and bathrooms were inspected. What the service does well: What has improved since the last inspection? No requirements or recommendations were made at the last inspection. All residents continue to have increased opportunities to do the things that they like and find interesting. There continues to be a noticeable development in residents’ communication skills. The basement part of Melrose House was flooded during recent heavy rains and there are good plans to fully refurbish these two rooms. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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 Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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 Each person’s individual needs and ambitions needs have been assessed. EVIDENCE: The assessments of 2 people were inspected and included all the necessary information in order for the home to carry out planning for care and support. Assessment information has been gathered from a range of suitable sources. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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, 7, 9 Care plans reflect assessed needs and reviews provide evidence that changing needs are recorded and appropriately addressed. People living at Melrose House make their own decisions and get help from staff to make them if they need it. Risk assessment and risk management plans are balanced to promote rights, independence and responsibility. EVIDENCE: 3 care plans were inspected and the needs of these people were discussed with the staff on duty. The care plans were nicely detailed and had been written with the resident concerned to reflect each person’s individuality, ambitions, likes and dislikes. Staff were enthusiastic about the outcomes that are being achieved with residents. Care plans are regularly evaluated and provide some evidence of how people are supported to make decisions; further evidence was provided during this inspection by observing staff supporting residents to make choices and decisions. The home’s risk assessment and risk management plans show how residents are assisted to live their lives in a way that balances safety with opportunities for personal development. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 17 People living at Melrose House have a good range of opportunities for personal development and to take part in activities that suit them. Each person has opportunities to be part of the local community. Menus are nicely balanced, they include people’s choices and mealtimes are enjoyable. EVIDENCE: Two residents were very proud to show evidence of new skills such as writing and using a computer, that have been learned recently; these are excellent outcomes and are interlinked with the continuing development of other communication skills. Each person has opportunities to take part in activities that suit them; good use is made of community facilities and people were eager to tell the inspector where they had been and what they had been doing. On the day of this inspection, 3 people had been to college, 2 people were on a social outing, and 1 person was taking a day off from work. All people said that they enjoyed their mealtimes, and staff provided evidence that meals are prepared with enthusiasm and knowledge of food hygiene procedures. During this inspection, the evening meal was pasta with Bolognese sauce followed by homemade banoffee pudding; 1 person did not want what Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 11 was offered and requested and an alternative meal which was quickly provided. This atmosphere during this meal was especially relaxed. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 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 standard(s) 19, Melrose House has suitable arrangements in place to meet people’s physical and emotional health needs. EVIDENCE: Staff demonstrated a good understanding of each person’s emotional and healthcare needs and what should be done to meet them. Each person has access to a range of healthcare services and individual needs are well documented. Staff offer support and assistance to people to manage their own health conditions. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 13 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) These standards will be assessed at the next inspection. EVIDENCE: Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 14 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, 30 Melrose House is a comfortable and homely place to live; it is domestic in scale and provides a safe environment for people to live. All areas seen during this inspection were clean. EVIDENCE: The home is not recognisable as a care home; it blends in nicely with the local environment. All furniture and fittings are domestic. The kitchen and bathrooms were inspected; these were clean and hygienic. The basement was recently flooded during heavy rains, and there are suitable plans in place to replace damaged furniture and equipment. 1 person has said that of all the homes they have lived in, this one was the best. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 15 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) 33, 35 Staff are well motivated to do their jobs. They demonstrate competency, knowledge and very good values; there is a strong sense of respect for residents. EVIDENCE: During this inspection staff demonstrated real enthusiasm and motivation in discussing people’s needs, of how they worked to meet those needs and provide people with a good quality of life. There was a good knowledge of each person’s preferences and what was important for each person. The relationships between staff and residents were observed throughout this inspection, staff displayed patience and respect to each person. Residents thought that there was sufficient staff on duty. A new member of staff confirmed that they were receiving Induction training and commented that this was very useful. Statutory training is provided on an ongoing basis, and there is a good programme of in house training. As at the previous inspection, there is a clear link between the training programme and the good outcomes achieved with residents. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 16 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) 38, 42 The management team have ensured that people benefit from living in a home that promotes good practice and one that demonstrates good values. The Health and Safety of residents is properly considered. EVIDENCE: The Team Leader runs Melrose House under the guidance of the Directors of Sovereign Care; good practice has been promoted and this clearly benefits the people who live there. All residents appear to be more independent with each inspection. The Team Leader is currently studying towards the necessary qualifications with a view to becoming the Registered Manager in the future. Residents confirmed that the Team Leader and Directors are easily approachable and listen to any concerns or problems. Resident questionnaires provided evidence that people’s views are considered in a more formal way. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 17 All paperwork related to promoting the Health and Safety of residents and staff that were inspected were well kept and up to date, and included Fire Log, maintenance records for utility services such as gas, electric and water, fridge and water temperatures, and Risk Assessments. Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 18 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 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 4 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Melrose House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 19 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 Regulation Requirement There are no requirements arising from this inspection 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. 1. Refer to Standard Good Practice Recommendations There are no recommendations arising from this inspection Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 Melrose House B53-B03 S380 MelroseHouse V234837 260705 Stage 4.doc Version 1.30 Page 21 - 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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