Inspection on 12/01/09 for Mews, The

This inspection was carried out on 12th January 2009.

CSCI found this care home to be providing an Good service.

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

Mews, The 16/12/09

Mews, The 30/01/07

Mews, The 05/12/05

Mews, The 01/07/05

Mews, The 14/10/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Mews, The 336 Cowpen Road Blyth Northumberland NE24 5ND The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karena Reed Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 28 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Mews, The 336 Cowpen Road Blyth Northumberland NE24 5ND 01670353103 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Milbury Care Services Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 4 0 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 28 A bit about the care home The Mews is a purpose built home . This means that it is accessible to wheelchair users. All rooms are on the ground floor. Four people live at the home at the moment. There is a bus stop near the home.The home also has its own transport.This means that people who live at the home can get around easily. There are some shops and pubs close by the home.This means that people who live at the home can go shopping or for a drink. Everybody who lives at the home has their own bedroom. Nobody has to share a room. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home This is what we did when we were at the home. We talked to two of the people who live at the home. We also talked to some of the staff who live at the home. We looked at some of the records in the office. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. What the care home does well There are very good arrangements for residents to maintain contact with their family and friends. There is a very good level of staff training. This means that staff can give the right support and care to residents. There is a very good standard of record keeping. Residents enjoy going out. Residents help review policies and procedures. Care Homes for Adults (18-65 years) Page 7 of 28 Residents enjoy a healthy and varied diet. What has got better from the last inspection What the care home could do better The hallway needs decorating. To continue to make information available for residents. Staff who carry out staff supervision should receive training about this subject. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Karena Reed 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are good arrangements in place to ensure that the home can meet the needs of residents. Evidence: The Statement of Purpose and service user guide for the home were examined. They were interesting and informative and contained the necessary information as required by the Care Homes Regulations 2001. The Statement of Purpose and service user guide are available in pictorial format for people who may not read. Records for three residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and the relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender,culture,religion,spirituality,educational and social histories,preferred daily routine and preferences. It also looks at mood ,speech, behaviour, mental health, risks, sexuality and living skills. This information and the care managers assessment of the residents care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Comments include: My Mam and Dad were also involved in helping me to decide to move into the Mews. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are very good arrangements in place to ensure that residents care and support needs are recorded and to ensure that residents are involved in all decision making in their lives. Evidence: There are detailed assessments in residents care plans. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and care plans show the amount of care and support that staff are providing to residents, and they are updated as necessary. The staff on duty said that they are always given up to date information about the residents and their needs. Residents are asked individually and consulted about decisions involving themselves and the running of the home. Meetings are held quite regularly with residents about the running of the home. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and upto date risk assessments were present in residents care records. A care planning system is in place with the residents key worker meeting formally monthly with the resident to update their care plan. Residents care records all contained statements of confidentiality to remind staff what information could or could not be disclosed about residents. The service users said that they make decisions about what they do each day, and that they can do what they want to do during the day, evenings and at weekends. There are very good arrangements in place to ensure that residents care and support needs are recorded and to ensure that residents are involved in all decision making in their lives. Choices are placed in front of residents by visual aids to enable a degree of decision making. Comments include: I make decisions with the help of carers. Carers help me to make choices. Staff appear informed and up to date with service user issues. They request my input as appropriate and support clients as they are able in physical management. The service involves the service user in all choices to be made. The service promotes choice and encourages individuality. There is good rapport with professional services. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents have access to a variety of activities which helps them to enjoy a good quality of life. Residents are also supported to keep in touch with their families and friends. Evidence: Residents records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Comments include:the service is good at promoting choice and encouraging individuality. The service involves the service users in all choices to be made. Each service user has a social skills assessment carried out. All service users and their representatives participate in this process. The completion of the skills assessment assists staff to implement more detailed social care plans.Residents all pursue their own individual hobbies and interests. Some may attend College or other day services. There are daily activities available, and service users go into the community daily. The Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: activities programme is based on service users interests and choice. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. A staff member commented the service is good at helping service users to maintain links with service users family and friends. The homes menus are based on the known likes and dislikes of the service users. The menus are varied and well balanced. day. A light snack is available at lunch times and a larger cooked meal is served in the evening. On the day of inspection the evening meal was mince and dumplings or pizza, yoghurt and fruit. The staff had good knowledge of the service users dietary needs. Special diets are catered for. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are very good arrangements in place to ensure that residents health and social care needs are met. Evidence: Three care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of residents if they were ill. The care plans are also in pictorial format so residents may more easily identify with them. Residents have moving and handling needs and assessments are in place detailing the amount of support required. Residents require support with personal care tasks such as bathing and dressing. Privacy and dignity are respected at all times. Records showed when residents had seen health professionals such as doctors,community nurses,physiotherapist,speech and language therapist. Residents are also referred for other specialist health care if appropriate. Comments include:the service works well with physiotherapist and GP. Staff are willing to learn to carry out physical management procedures on clients where needed. Records also showed when residents had seen opticians and dentists. Staff who have completed medication training administer medication. A sample of medication records Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: was examined and they were found to be in order. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. No resident administers their own medication currently. A system could be put into place to oversee the medication of residents if they should retain and administer their own medication. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a good,clear,user-friendly complaints and protection system to ensure residents views are listened to and acted upon. Evidence: There is a complaints procedure which includes what complainants should do if they are not happy with the homes investigation and response. There is a simple procedure for residents to use to remind them of their right to complain. The home keeps a record of complaints. Comments include:Carers have made a picture format of the procedure to help me. As part of staff induction, staff receive training about the rights of people with learning disabilities. The home has a Whistle Blowing policy and a copy of the Vunerable Adults procedures of the Local Authority. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Residents can deposit money for safe keeping in the homes safe and records are kept of accounts. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a comfortable and safe environment for those living there and all areas are well maintained,clean,tidy and free from offensive odours. Evidence: The home was clean,well maintained and well decorated apart from the hallway walls and doors were damaged and required decorating due to wheel chairs knocking against them. There are plans to decorate this area within the next twelve months. There are also plans to create a relaxation room,snoezellen for residents in the smaller lounge, this can still be used as a quiet room when not in use for snoezellen. Since the last inspection furniture has been replaced in the large lounge and two of the bedrooms. All bedrooms are comfortable and well furnished and personalized according to the interests and wishes of the resident. Some residents spend time in their bedrooms listening to music and relaxing as well as spending time with other residents and staff in the communal areas. Lighting around the home was bright and domestic in design. Residents bedrooms were centrally heated. There was emergency lighting throughout the home. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The home was clean and free from offensive odours. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are enough staff, who have been properly recruited, trained and supported, to meet the needs of people living in the home. Evidence: Examination of staff rosters and discussion with the person in charge showed that the numbers of staff are as follows: 7:30am - 2:30pm 3-4 staff 2:30pm - 9:30pm 3-4 staff 9:30pm- 7:00am 1 waking and 1 sleep in staff member Staff members carry out cooking and cleaning duties. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Equal Opportunities legislation is adhered to when recruiting and selecting staff. The necessary checks are being carried out before a person is appointed. There is a very good level of staff training. All members of staff have completed National Vocational Qualification training at level 2, some have achieved levels 3 and 4. Staff and their records showed that they also receive training or advice in other areas such as communication, diet and nutrition, Equal Opportunities, epilepsy, person centred planning,managing stress, diabetes awareness,conflict management,eye care, Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: foot care, autism,continence,record keeping and the statutory courses. Staff receive supervision from the management team approximately bimonthly however not all staff that carry out supervision have received supervision training. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The manager of the home is not yet registered with the regulatory authority for the day to day running of the home. Residents and staff benefit from the ethos, leadership and management approach of the home which encourages the involvement of residents and staff and ensures that the health, safety and welfare of residents are promoted and protected. Evidence: There has been a new person appointed to manage the home since the last inspection.. The new manager, Joanne Thompson is in the process of becoming registered for the day to day running of the home. She has 14 years experience of working in health and social care. The home is well run and there is an ethos of involving residents and encouraging them to make choices for themselves. Documents detailing fire safety, risk assessments in the environment, water temperatures, financial records and statutory records were all up to date. Staff training relating to health and safety was up to date. Some of the policies and procedures in the home were in a format other than the Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: written word so they could be more easily understood by the residents. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 1 24 23(2)(d) A programme of redecoration 01/04/2007 must be provided. Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 24 36 The hallway should be decorated in the next twelve months in the interests of residents comfort. Staff who carry out supervision of staff should receive training about how to carry out supervision. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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