Inspection on 05/12/05 for Mews, The

This inspection was carried out on 5th December 2005.

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

Mews, The 16/12/09

Mews, The 12/01/09

Mews, The 30/01/07

Mews, The 01/07/05

Mews, The 14/10/04

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 Mews, The 336 Cowpen Road Blyth Northumberland NE24 5ND Lead Inspector Karena M Reed Unannounced Inspection 5th December 2005 14:00p Mews, The DS0000060982.V258317.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 Mews, The DS0000060982.V258317.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. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mews, The Address 336 Cowpen Road Blyth Northumberland NE24 5ND 01670 353103 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) Milbury Care Services Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 2005 Brief Description of the Service: The Mews is a purpose built, spacious bungalow situated near to the centre of Blyth. It is near to the town centre and all its facilities. It is well served by public transport systems. It was built and registered in July 2004. It is registered to provide care to four highly physically dependent and learning disabled young people. Nursing care is not provided. The bungalow is spacious and well equipped with the necessary equipment to meet the physical needs of the people. Service users have their own bedrooms and en suite facilities are shared between two service users. The residents of the service have access to a landscaped garden with raised flower beds. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 1 and a half hours. A partial tour of the premises took place and a sample of records were inspected which included: 4 care plans, the fire log, accident book, maintenance contracts, admission /discharge log, complaints record, 2 personal allowance records, staff communication book, staff meeting minutes, service user meeting minutes. I spoke to the manager, three support workers and two service users who were available at the time of inspection. What the service does well: What has improved since the last inspection? Requirements and recommendations have all been carried out in a timely fashion. A new manager has been appointed. The standard of record keeping continue to improve. Systems continue to be introduced to ensure the well running of the home for the benefit of service users. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 inspected at this inspection. EVIDENCE: Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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): 6,7,8,9,10 There are excellent arrangements in place to ensure that service users’ health and social care needs are met. Health and social care needs are clearly addressed and the staff team are informed. Service users are supported by staff and the necessary levels of support are provided due to the detailed care plans that show the level of care and support that staff need to provide. Risk assessments are in place in order to assist service users to lead as fulfilled lives as possible and to show how they are supported by staff to take calculated risks as necessary. There is a high level of commitment to ensure that service users involved in decision making and they are encouraged to communicate and make their views known. EVIDENCE: Inspection of the records for a recent admission showed that an assessment had been carried out prior to their admission, this was combined with information received from the care manager’s assessment of the resident’s care needs. The resulting care plan recorded detailed information about the Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 10 health, medical and social needs of the service user and the amount of staff intervention required in order to provide support. Service users’ care records inspected showed evidence of up to date reviews of all their care and support needs. Care plans are updated by staff and the service user to ensure the necessary levels of support are provided by staff. There was evidence on service users’ files from the Council’s care management team of their support for external reviews with service users. Records contained risk assessments outlining the agreed risk to ensure service users’ independence was promoted. Meetings are held regularly with service users about the running of the home. One service user’s care plan detailed the necessary support to use an Alpha Talker, a communication board to articulate their views and wishes. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16,17 Staff ensure that service users have the opportunity for personal development. Service users are encouraged and supported to take part in age, peer and culturally appropriate activities. The Home encourages and provides good support to enable service users to access and participate and use community facilities wherever possible e.g. leisure, health, spiritual, social, educational needs. Social activities are managed creatively and provide daily variation and interest for people living in the home. Visitors are made welcome or staff support residents to maintain contact with family and friends as they wish. Service users’ rights are very well respected and responsibilities recognised in their daily lives. EVIDENCE: The service users care plans looked at demonstrated that, service users’, whatever their level of need are assisted to enjoy a more independent lifestyle. Service users attend college full or part time. Staff assist and support service users’ to acquire skills and become more self sufficient in aspects of every day living. Service users all pursue their own individual hobbies and interests e.g. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 12 Snoezellen, Jacuzzi, swimming, reflexology, aromatherapy, attending music concerts, shopping, karaoke, cinema, visiting the pub, the cinema, theatre. They also enjoy an occasional “take away” meal and bottle of wine at home. The service user spoken to confirmed that they are involved in the running of the home and involved in making decisions about their lives. Service users’ records also provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 the following standard(s): 18,19 There are excellent arrangements in place to ensure that residents’ health care needs are met, care plans outline the needs to ensure that the staff team are fully informed and aware of the support they need to provide. The medication system was not examined at this inspection. EVIDENCE: Attention was paid to service users’ dignity and staff were seen to act respectfully at all times. The care plans and case records inspected contained individual plans of care detailing care and support required for some complex needs. Records showed when service users had seen health professionals e.g. doctors, community nurses, psychologists, occupational therapists, and speech therapists. Service users are assisted to access dental and optical services at least annually or as often as required. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 the following standard(s): 22,23 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. The home’s staff team have a good grasp of Protection of Vulnerable procedures. EVIDENCE: The home has a complaints procedure. There was evidence that any complaints are listened to and investigated and a written record kept. There have been no complaints about the home since the last inspection. A procedure for responding to allegations of abuse is available. It was confirmed from records that staff are given training in Adult Protection. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 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 the following standard(s): 24,25,26,27,28,29,30 The building is comfortable and very well maintained with good quality furnishings and décor. Bedrooms are personalized and comfortable and adapted to promote service their independence. Service users share en suite facilities that are equipped so they do not restrict the choice of the individuals. There is sufficient space for service users to enjoy internally and externally. The home is well equipped with specialist equipment as required by service users to meet their physical needs. There is a high standard of hygiene. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. The premises were in the process of being decorated at the time of inspection as the home has now been open for over a year. Service users have their own bedrooms that are decorated and personalized according to the wishes and tastes of the individual. Service users bedrooms’ are equipped to ensure the comfort and safety of the individuals and at the same time specialist equipment is provided to promote the independence of individuals. One bedroom is fitted with a possum device so the service user can open the door for her self and so she can open and Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 16 close her curtains. The issue presented due to two service users sharing moving and handling equipment between their bedrooms to their shared en suite bathroom has now been resolved and extra equipment has been provided thus promoting the choice of rising/retiring to the individuals. There was a high standard of hygiene around the home. It was planned for all carpets to be cleaned after the decorating was finished but before Christmas. Staff receive training about Infection Control. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 17 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): 31,32,33,34,35 There are training arrangements in place, which means staff are given a grounding in the areas they need to know to provide good care and enhance their personal development. The staff team is able, competent and effective and provides quality care to the service users. Service users’ are supported and protected by the homes’ recruitment policy and practices. The staff have a good understanding of the service users support needs. EVIDENCE: Examination of staff rotas and discussion with the person in charge and a member of the staff team provided evidence that the numbers of staff are as follows: 7.30am- 3.00pm 3 2.30 pm- 10.00pm 3 1 sleep-in 1 waking night staff There are currently two staff vacancies, one for a full time support worker to work thirty five hours and one part time post for twenty one hours. The Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 18 necessary checks are being carried out prior to staff being appointed. At weekends four staff members are on duty in order to provide a 1-1 ratio to service users’. The manager’s hours are included in the above. Approximately twenty hours are allocated for office work. This should be kept under review to ensure the manager has sufficient time to carry out her managerial role. Support workers also carry out food preparation, cleaning and laundry. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to service users. A very positive, happy rapport was noticeable between the staff on duty and service users. An effective staff team has developed that have advocated for service users’ and continued to provide good care in the absence of a manager as two managers’ have left the employ of the home suddenly since it opened last July. Staff stated that they receive induction training. Where new inexperienced staff are employed, they work as an extra member of the shift, which is good practice. New workers follow the Learning Disability Award Framework as part of their induction to make them aware of the rights of people with disabilities. Seven members of the staff team are pursuing National Vocational Qualifications at different levels, two staff at level 2, 3 staff have level 3 and two staff at level 4.Staff confirmed that they also receive advice and /or training in other areas, such as challenging behaviour, values and rights of people with learning disabilities. At the time of inspection there was no training matrix to catalogue the training carried out or the training planned for support workers. The new manager discussed her plans regarding staff training and intended to carry out a training needs analysis with staff after collecting the information from staff supervisions. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 19 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): 37,38,39,40,41,42 Service users and staff benefit from a well run home. The manager’s leadership and management approach ensures that service users are fully involved and at the heart of decision making in their own lives and involved in the running of the home. Record keeping showed that service users’ interests are safeguarded. Systems and procedures are in place to ensure the well running of the home and to ensure the safety of service users and staff as far as possible. EVIDENCE: A new manager, Brenda Turnbull, has recently joined the home’s staff team. She appears to have sound ideas and a vision for the running of the home that will benefit service users and staff. Staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene as discussed a system needs to be developed to ensure that these are updated regularly. The fire log book indicated that fire safety checks are carried out routinely. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 20 The home does not have a formal quality assurance programme, which includes seeking the views of residents, relatives and other interested parties, to feedback on the quality of care provided on an annual basis. There is however regular relative involvement within the home visiting service users and supporting social events. Service users meetings and staff meetings take place regularly. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 21 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 x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 3 3 4 4 4 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mews, The Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 3 3 x DS0000060982.V258317.R01.S.doc Version 5.0 Page 22 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. 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. 1. 2 3. Refer to Standard YA30 YA31 YA42 Good Practice Recommendations To establish a database to ensure staff training needs are updated as required. To keep the manager’s supernumary hours under review A system needs to be established to ensure that the staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene. Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Mews, The DS0000060982.V258317.R01.S.doc Version 5.0 Page 24 - 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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