Inspection on 08/04/09 for Moor View Flat

This inspection was carried out on 8th April 2009.

CQC 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

Moor View Flat 09/10/07

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Moor View Flat Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH     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: Elaine Charlton     Date: 1 5 0 4 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Moor View Flat Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH 01912381313 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Percy Hedley Foundation care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical Disability Code PD, maximum number of places: 3 Date of last inspection Brief description of the care home Moor View Flat is on the Percy Hedley Foundation/Northern Counties site at Jesmond. The Foundation is a registered charity caring for people with cerebral palsy and related physical disabilities. All the Foundations services share the same management and administrative team. Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 Brief description of the care home Moor View Flat was registered in April 2007 so that three people who lived at Chipchase House, the Foundations registered home in Forest Hall, could move out whilst their bedrooms and other rooms underwent a major programme of renovation to provide three self-contained, en-suite, bed-sits. The flat is at first floor level, has three large bedrooms, staff sleep-in room, adapted bathroom, separate toilet, lounge and large, fitted, domestic style kitchen. Wheelchair users can access the flat via a lift in the attached college accommodation. The people who have been using this service have now moved back to Chipchase House at Forest Hall. The Foundation is inviting applications from people who live in Chipchase House or are on the waiting list for accommodation to see if they would like to live at Moor View. Nursing care is not provided but staff are trained to carry out some delegated nursing tasks. The home has a Residents Handbook that gives information about the support and care anyone wanting to move into the Foundations accommodation might need to make a decision about whether their needs can be met. Copies of the Commissions reports are available. Care Homes for Adults (18-65 years) Page 5 of 26 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star, this means that the people who use this service experience adequate quality outcomes. This is the highest quality rating that can be awarded whilst the flat remains unoccupied. An unannounced visit was made on the 7 and 8 April 2009, as part of the inspection of the larger home Chipchase House and Ferndene at Forest Hall. We have also reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 6 of 26 Before the visit we looked at Information we have received since the last inspection on the 9 October 2007; the Annual Quality Assurance Assessment (AQAA) that gives the Care Quality Commission (CQC) evidence to support what the service says it does well, and gives them an opportunity to say what they feel they could do better and what their future plans are; how the service has dealt with any complaints and concerns since the last inspection; any changes to how the home is run; and the providers view of how well they care for people. During the visit we Talked to the acting manager and the responsible person for the organisation; looked at information we have received since the last inspection and talked about how people were being enabled to move into the home. What the care home does well: What has improved since the last inspection? What they could do better: 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 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 9 of 26 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. People are given good information to help them decide about moving into the home. Their diverse needs and wishes are assessed before they are given the chance to move in so that everyone is sure they can be met. Evidence: The Foundation has a residents handbook that gives people information about what they can expect from living at Moor View Flat, or other services. It includes frequently asked questions and photographs. Information can be provided in Braille or other languages as people need. Policies and procedures are in place to support staff with the process of assessment and introductory visits. People are only admitted to the home following a thorough assessment of their care and support needs. Strong links are maintained with school services and day services. Moor View Flat is empty at the moment but three new residents are in the process of Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: preparing to move in. They have made visits to the flat, are deciding what they want to bring with them and what they will need to shop for. The new residents have been chosen from the Foundations waiting list and are people who will benefit from a more independent style of living. Everyone will have a service user plan that will include risk assessments and records of any support they receive from healthcare professionals. The home does not provide intermediate, respite or nursing care. Care Homes for Adults (18-65 years) Page 11 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are involved in planning their care, making choices and decisions about what they want to do, and are helped to be independent in their personal care and daily life. Evidence: The acting manager told us that care will be delivered in a person centred way and that staff will be available on duty, at times dictated by individual needs. This cannot be confirmed until people move into the flat. Service user plans are in the process of being set up for the people moving into the home. Evidence from the previous inspection and the people who lived in the flat was that their lifestyle was much more relaxed than in the larger home and that they gained in confidence and independence. Service user plans will include risk assessments, care plans and evaluations, evidence of reviews and the intervention of healthcare professionals as each persons needs dictate. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: People are encouraged to sign their care plans to show that they have been involved in the assessment process and are happy with the arrangements that have been put in place. Cultural and faith recordings are made separately and include arrangements in the event of a persons death. Everyone will be encouraged and helped to manage their personal finances. They have access to lockable draws in their bedrooms where there is also a mini-safe. Care Homes for Adults (18-65 years) Page 13 of 26 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. People living in the home are encouraged to be very independent. They can access educational and social opportunities provided by the Foundation or in the wider community, promoting their choices and rights as well as healthy living. Evidence: People who previously lived in the flat told us that they had been able to get out to local restaurants, bars, cinemas and shops. Life had been very relaxed and they had been able to make choices and decisions about what they did and how the flat was going to be run. Transport is made available so that people can continue to attend day services, college or to go to work. An advocacy worker has been employed and is based in an office at Chipchase House to look at opportunities for people who access the day centre to find employment if they wish. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: The acting manager told us that staff would be on duty so that each person could live the life they choose, go out when they want and receive their care and support in a person centred way. Care Homes for Adults (18-65 years) Page 15 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are asked how they wish their personal care to be provided, and by whom. They are supported and helped to be independent with medication and can see healthcare professionals as they need. Evidence: The acting manager told us that care plans would be person centred and show the level of support and assistance each person is identified as needing. Risk assessments and personal handling plans are part of the assessment and care planning process. The Foundation promotes the involvement of occupational and physio therapists to help with assessing peoples capabilities and whether one or two staff should be involved with providing their personal care. The bathroom at Moor View is fitted with an adapted bath for the comfort of everyone who lives there. Handrails and grab rails are also in place and the flat is accessible for people who need to use a wheelchair. People living in the home are encouraged to have regular appointments with the Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: dentist, optician and chiropodist, these can be at Moor View or more likely in the local community. The staff team has been specially recruited to work at Moor View. Policies and procedures are in place that promote the safe handling of medication. The Foundation encourages people to control their own medication if they wish. Care Homes for Adults (18-65 years) Page 17 of 26 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. People who live in the home are protected from harm through policies, procedures and staff training that they can join in to help them understand what happens when complaints, concerns and allegations are made. Evidence: The Residents Handbook sets out what people can do if they are unhappy or wish to complain. It tells people they will be given a copy of the complaints procedure and that their views will be taken into account. People who use the Foundations services can also been involved with the Executive Committee and the Adult Services Committee. Anyone who is on one of these committees has full voting rights and can put forward the views of other residents. The Foundation has employed two new Advocates. Both are based at Chipchase House in Forest Hall. One is an Employability Officer for people who use the day centre and the other for residents living in the home. Staff are trained in the Protection of Vulnerable Adults (POVA), and the organisation has a whistle blowing policy that encourages people to speak out if they witness poor practice. Residents are also able to attend POVA training if they wish and spaces are available on the course. Care Homes for Adults (18-65 years) Page 18 of 26 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. People live in a homely environment that promotes their independence and the chance to spend time privately. Everywhere is usually clean and tidy. Evidence: Moor View Flat provides single bedrooms for three people. There is also a staff sleepin room, lounge, spacious fitted kitchen, adapted bathroom, separate toilet and plenty of storage. Each bedroom is fitted with a wash hand basin. Radiators can be independently adjusted for everyones comfort. People are able to have their own telephone in their bedroom if they wish. Door guards that close in the event of a fire are fitted to doors to make it easy for people who need to use a wheelchair to move around. The flat has separate access but people need to use the passenger lift in the college accommodation if they use a wheelchair. Evacuation equipment is in place so that people who use wheelchairs can get out of Care Homes for Adults (18-65 years) Page 19 of 26 Evidence: the flat using the staircase in the event of a fire. Staff are trained in health and safety and infection control. Care Homes for Adults (18-65 years) Page 20 of 26 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. People who live in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. Evidence: An acting manager and new staff team are in place to support the people who are moving into Moor View Flat. No staff files were seen during this inspection but records for staff recruited to work at Chipchase House were seen and found to be up to date. The management of Moor View Flat is currently supported from Chipchase House. Later this year a further property on the Northern Counties site at Jesmond is going to be registered as a care home. The Foundation will then register a manager who will be responsible for Moor View Flat and the new property. Staff who work for the Foundation have regular access to training, supervision and appraisal to help them with their jobs. Care Homes for Adults (18-65 years) Page 21 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in homes run by the Foundation are consulted about what goes on through surveys and meetings. They and their staff are protected through good health and safety procedures, systems and training. Evidence: Moor View Flat is registered to accommodate three people and is currently managed from Chipchase House at Forest Hall. Before people from the waiting list were invited to move into the flat, everyone at Chipchase House was given the opportunity to move and live a more independent lifestyle. There is an Admissions and Discharge panel who review all applications and make decisions about who might want to take advantage of any vacancies that occur. Decisions about admissions from the waiting list are made on need, not the length of time a person has been waiting. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: The Foundation has a history of complying with health and safety checks and of keeping their servicing contracts and arrangements up to date. All health and safety processes are supported by clear policies and procedures that staff have easy access to. This includes infection control, control of substances hazardous to health (COSHH), fire safety, control of medication and disposal of clinical waste. The Foundation has put together Quality Assessment Standards and an Assessment Audit Tool. These are currently under review to ensure that everyone can take part and that a more meaningful and achieveable action plan is produced. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Adults (18-65 years) Page 24 of 26 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 Requirement 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 Requirement 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 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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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