Inspection on 04/05/05 for Moorpine

This inspection was carried out on 4th May 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

Moorpine 30/05/07

Moorpine 05/10/05

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 Moorpine 18 Thornholme Road Thornhill Sunderland SR2 7LA Lead Inspector Andrea Goodall Announced 4 May 2005 at 1.00 pm 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. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Moorpine Address 18 Thornholme Road, Thornhill, Sunderland 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) 0191 5109610 0191 5672902 Tyne and Wear Autistic Society Mrs Christine Graham Care Home 3 Category(ies) of LD Learning Disability 3 registration, with number of places Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection This is the first inspection Brief Description of the Service: Moorpine is a care home for 3 younger adults with Autism Spectrum Disorder. It is owned and managed by the Tyne & Wear Autistic Society (TWAS), Moorpine is a family-sized house in a quiet area near the City centre of Sunderland. It is indistinguishable from similar surrounding family houses, including the neighbouring 2 houses which are also small care homes operated by TWAS and managed by the same registered Manager. The house has an open hallway, off which there are a comfortable main lounge, kitchen/dining room and one bedroom. On the first floor there are 2 generously-sized bedrooms, a bathroom and the small staff sleep-in room.The quality of furnishings and decoration are of a very good standard throughout the house. The home is a domestic dwelling, previously used as a family house. It is not intended for people with a physical or mobility needs. There is a small step to the front door, although TWAS would provide a temporary ramp to allow access to the ground floor for visitors with mobility needs. The house has a short driveway for the home vehicle. There is a small front garden and an enclosed, private back garden. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents the first inspection of Moorpine, which began operating in October 2004. The inspection was announced and took place over one day. As this was the first inspection of a new service, the home was assessed against all the National Minimum Standards for Younger Adults. The majority of standards were met. The Inspector spent time talking with staff and the 3 people who live here, and joined residents for the tea-time meal. All parts of this small home were examined, and a sample of records including care plans; policies and procedures were also inspected. Throughout the rest of this report the people who live here will be referred to as ‘residents’, and Tyne & Wear Autistic Society will be referred to as TWAS. What the service does well: What has improved since the last inspection? N/A This is the home’s first inspection. Moorpine B02-B52 S62275 Moorpine V217654 040505 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. Moorpine B02-B52 S62275 Moorpine V217654 040505 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 Moorpine B02-B52 S62275 Moorpine V217654 040505 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) 1, 2, 3, 4,& 5. Comprehensive assessment and admissions procedures ensure that only those residents who needs can be met are offered a placement at the home. The home provides a specialist service for people with Autism Spectrum Disorder and staff are trained in this area of need. Residents have information about their rights and responsibilities whilst staying at Moorpine in a form that meets their communication needs. EVIDENCE: The home has a Statement of Purpose that gives detailed information about TWAS services, and the aims and objectives of the home. These are given to parents of residents and to professionals involved in the residents’ care. There is also a Service Users Guide pack that is given to each resident. This has information about their rights and how to make a complaint, much of which is in plain language and in photographs or pictures. However, again this is about TWAS services and does not give any specific information about Moorpine itself. There should be some details about the facilities at the home in the Statement of Purpose and Service Users Guide for residents’ information. The TWAS provides very specialist services for people with Autism Spectrum Disorder, and this new home is one of 6 similar small homes for younger people run by TWAS. All staff have Autism Focus training to help them to understand and support the needs of the people who live here. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 9 TWAS has clear written guidelines about Referral and Assessment to its services and before they move here residents’ needs are assessed by social and health care professionals. Relatives and TWAS staff are also included in making a decision about whether the home could meet people’s needs. People who are new to TWAS services have at least a one week trial stay at a TWAS home as part of the assessment process. Reviews of their care are held after 3 months of moving in and then every year to make sure the home can still meet their needs. Residents are given a Licence Agreement, much of which is in pictorial form to help residents understand the information. The Agreement explains their rights and what to expect from the service. These were seen to be signed by residents and are kept in care files which residents have access to at any time. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 10 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, 8, 9, & 10. Support planning systems ensure that staff work consistently in supporting residents towards long term independent living goals. Residents are supported to make decisions and choices, as far as they are able, and any limitations of choice are recorded. Residents are involved and included in the running of the home as far as their capabilities allow. Restriction of residents’ access to the parts of the premises due to safety risks must be recorded, and periodically reviewed. The confidentiality of residents’ records is respected and residents have information about their rights to access their own records. EVIDENCE: Support plans were in place for 2 of the people who live here. These contain clear details of the long-term goal/needs of the 2 residents, so that staff know exactly how to support them. The plans include goals towards daily living skills, communication and behaviour. The 3rd resident is still relatively new to TWAS services, and their support plan is still being developed. Support plans were up to date and reflect the on-going goals and progress for each of the service users in relation to their daily living skills. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 11 Residents are often present when staff are completing their support plan records. The support plans are signed by residents after they are verbally explained. It is advised that a pictorial clue next to each goal could be used to let residents know which goal staff are writing about. The nature of autism means that most service users can become very anxious when presented with too many choices. In order to support them, 2 residents are offered a small number of choices based upon their known individual preferences, for example activities, and menus. One resident cannot tolerate choices at all and has a specific daytime schedule that has been designed around their known likes. This is printed on laminate card for the resident so that they can carry it around and refer to it at any time. The home has a Participation of Service Users policy that supports residents’ rights to be involved and included in making decisions about the home. Residents have a monthly meeting where they are encouraged to make suggestions about what they would like. They are also being encouraged to put the record of their suggestions on computer so that they are fully involved in the decisions as they are able. There are risk assessment records in place about activities that people carry out that might incur an element of risk, such as shaving, being out in the community, and cooking. In this way staff are clear about the support people need to minimise any risk to them. It is good practice that these have been sent to and signed by parents and the relevant Social Workers. It was observed that the laundry door is kept locked to prevent any potential harm to residents from entering the room without staff support. However there is no risk assessment in place about this limitation of their use of this part of the home. There is an easy to read Access to Information statement in each person’s file, which they have access to. This tells the residents that their records belong to them and that only people who have a right to see their records can do so. There is also a clear Confidentiality Policy at the home for staff to understand their responsibilities in making sure that any information about the people who live here is confidential at all times. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 12 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) 11,12,13,14,15, 16 & 17. The service aims to promote and maximise the daily living skills of the people who live here. The TWAS provides residents with fulfilling, purposeful daytime occupations. Residents are supported to use all local community facilities, and are provided with a range of suitable activities. Residents are supported to keep in contact with family members and have opportunities to meet others at social and leisure events. Residents learn skills by being fully involved in choosing menus, shopping, preparing meals with staff support. Meals are nutritious and appropriate for the people who live here. EVIDENCE: The 3 people who live here have Autism, which make its difficult for them to make sense of the world around them and can impair their social and communication skills. The home aims to support people to learn independent daily living skills such as personal care, domestic skills, and social skills. The people who live here have a good understanding of verbal instruction but tend not to use speech themselves. Staff support the communication skills of the residents by encouraging them to join in conversations, and also use schedules made up of pictorial symbols to help residents make sense of the pattern of their day. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 13 Throughout the week the 3 residents all attend day services provided by Tyne & Wear Autistic Society. These include vocational courses at the nearby Thornbeck College, such as IT, meal preparation and arts & crafts. Residents also have opportunities to gain practical skills at the TWAS Workshop where they make garden furniture, cards and jewellery, which is sold locally (on a not-for-profit basis). This provides residents with tangible, fulfilling outcomes to their activities. This house is indistinguishable from other family properties in the area, as are 2 neighbouring houses that are also operated by TWAS and managed by the same Manager. The people who live here make good use of local facilities in the community including shops, sports centres, pubs, and post office. The home is a short distance from the city centre so residents have a good range of shops and leisure resources nearby. The people who live here are young and physically fit and every evening and weekend residents enjoy a wide range of activities with the support of staff. These include cycling, swimming, cinema, bowling, walks, picnic, shopping and discos. The activities are based on people’s known individual preferences, and occasionally new activities are tried to see if the residents enjoy them and to broaden their social experiences. In this way the home provides fulfilling, active and appropriate leisure interests for the people who live here. None of the residents are from the Sunderland area so the home makes sure that there is good contact with relatives by telephone. Most people also have visit from their relatives for days out or go for weekend visits to the family home. Relatives are fully included in reviews and invited to complete an annual questionnaire to give their views and suggestions about the service that residents get. The nature of Autism means that residents benefit from structured programmes that helps them make sense of the pattern of their day, so there are routines in place to help residents to understand how they will spend the day. Evenings and weekends are more flexible, and are determined by service users’ own choice of leisure activities. There is good freedom around this small home, and 3 people who live here make use of the lounge and their own bedrooms for their own hobbies and for privacy. The 3 residents are all involved with staff support in shopping at local supermarkets and in preparing their meals. They dine with staff in the kitchen/diner when staff encourage residents to join in conversations and this supports their social and communication skills. The Inspector joined residents for a tea-time meal. Some resident were observed to be involved in cooking the meal with staff support, and all residents were encouraged to make their own choice from the dishes prepared. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 14 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) 18, 19, 20 & 21. The personal and health care needs of residents are identified and met. Following assessments of people’s needs, trained staff take responsibility for managing any resident’s medication. EVIDENCE: The 3 residents are physically fit and mainly need verbal prompts and guidance for their personal care, such as washing. One person does need extra support with shaving and one person needs supervision when bathing. These areas of staff support were seen to be recorded in a risk assessment to make sure that residents get the right support and to minimise any risks. The home arranged for the 3 residents to be registered with a local GP practice, and also have access to optician and dental services (or continue to use their own family practitioners if their relatives so choose). None of the people who live here can manage their own medication so staff provide support with this. Only one resident has prescribed medication, and this is administered by the senior staff who have had training in safe handling of medication. However there is no record of those designated staff with their names and initials. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 15 Medication is securely stored in a suitable medication cabinet. Medication records were seen to be in good order. There are consent forms that have been signed by the GP and by relatives about over-the-counter medication that can be given to residents if and when they might need it, for example simple painkillers. The people who live here are young and physically fit. Nevertheless, TWAS has comprehensive procedures regarding the death of a service user. Clearly healthcare professionals and relatives would make decisions about the care of a service user in such an event. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 16 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) 22 & 23. Residents, relatives and care professionals have information from the service about the method of making a complaint. Information is provided to residents in pictorial form to support their understanding of the complaints procedure. Staff have had training in local vulnerable adult procedures to ensure that people living in the home are protected from abuse. Staff have had accredited training in methods of managing residents with behavioural needs. This ensures residents’ safety and support during behavioural episodes. EVIDENCE: The home has a clear Complaints Procedure that has been provided to relatives and representatives. There is also a simpler pictorial version for the residents that supports their communication needs. A copy of the pictorial complaints procedure was seen to be in each of the residents’ care files and they can look at these at any time. Staff also ask residents for their comments at Residents’ Meetings. There is weekly contact between the home staff and relatives and the views of relatives are requested at annual reviews and through questionnaires. In this way the complaint procedure is advertised to residents and their representatives. As with all care services for adults in the City of Sunderland, TWAS has adopted the MAPPVA (Multi-Agency Panel for the Protection of Vulnerable Adults) policy and procedures. These are robust procedures for dealing with suspected abuse. All staff (except a new staff member) have had training in MAPPVA procedures so they would know what to do in the event of suspected abuse. All staff (except the new staff member) are now trained in CALM (Calm Aggression-Limitation Management) and new staff will receive this training. This is a method of physical intervention that requires minimal restraint, and is Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 17 used only to prevent harm to the resident or to others if residents need support to manage their behaviour. This method is approved by the BILD (British Institute of Learning Disabilities) and ensures that all staff can present a consistent approach when supporting a service user in this way. Intervention records were seen to be kept in bound books with numbered pages and clearly detail any triggers and the intervention used to support the resident, and this is good practice. However the records should also give details of any other resident who was involved in the situation, as this might show a pattern that residents need support with. In the vast majority of cases the intervention comprises of redirecting the resident away from the situation where no physical contact is required. The records are signed by staff and audited by the Manager and TWAS Care Coordinator. This is good practice, as residents’ needs can be kept in constant review and the Manager can ensure that staff are supporting residents consistently. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 18 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, 25, 26, 27, 28, 29 & 30. Moorpine offers a very good standard of accommodation for residents. The home is warm, comfortable and safe. The private and communal spaces suit the age and lifestyles of the young people here. The necessity to restrict the use of keys by a resident should be recorded. The home currently lacks the facility to ensure that dishes and cutlery are washed at suitably high temperatures to protect residents and staff. EVIDENCE: Moorpine is detached family house that provides a very good standard of accommodation and furnishings for the people who live here. All areas of the home are decorated to a good standard, in keeping with the age and interests of the residents. There is a small driveway to the front of the home and a good sized rear garden. The home is not intended for people with a physical disability, although visitors with such needs could be supported to access the ground floor via a temporary ramp, if needed. The home has a comfortable lounge and large kitchen/diner on the ground floor. Residents were seen to make good use of these sitting areas and also of Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 19 the own bedrooms for privacy. The bedroom measurements are all larger than the national minimum standards, so there is plenty of room for people to use their rooms for hobbies and interests. Due to a slight slope in floor level, the wardrobe in one bedroom was tilting, and this should be fixed to the wall. All three bedroom doors are fitted with suitable locks and two residents have their own keys, so they can keep their rooms locked when they wish. In discussions staff were very clear about the reason why the third person would not be able to manage a key. However there is no written risk assessment about this limitation. Due to the domestic nature of the house there are no en-suites. The home provides a large bathroom, which contains a bath, walk-in shower and toilet. At this time the cold tap to the washbasin in the bathroom is very loose and not working due to the enthusiasm of one person. The garage, which can be accessed from the hallway, is being used as a utility room and the washing machine and drier have been fitted in here. This ‘room’ is very cold as it still has the garage doors and no heating source. This area would benefit from being properly converted and could provide an additional washbasin for use by residents. The temperature of hot water to the kitchen washbasin measured only 43 degrees Centigrade, which is not hot enough to wash dishes, and so does not protect the hygiene of staff or residents. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 20 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) 31, 32, 33, 34, 35 & 36. The staff team is sufficient to provide the level of support required to meet the needs of residents. Staff know their individual roles and responsibilities. Procedures for recruitment of staff ensure the protection of the people who live here. Staff have specific Autism training, and there are good opportunities for other relevant training. The home falls short of the required number of staff with NVQ qualifications, but staff are actively engaged in training towards this. EVIDENCE: The staff team consist of the Manager, 2 seniors and 2 support workers. All the staff are provided with job descriptions that clearly outline their role and responsibilities in relation to supporting the residents towards improved independent lifestyles and skills. Most of the staff worked at other TWAS homes before transferring to this new home when it open last year. Most staff had previously provided support for the people who live here and so were already familiar with their needs. This helped staff and residents to have a smooth transition from the previous home to Moorpine. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 21 The staffing levels are sufficient to meet the needs of the 3 people who live here. There are least 2 support staff on duty during the day at times that residents are in the house. All residents are at their vocational or college placements during the week at term times, and at the house all week-end. Staff are on duty from 1pm to 10pm during the week and from 10am to 10pm during week-ends. There is one member of staff on sleep-in duty each night. These duties are carried out by the Manager, seniors or very experienced staff from other TWAS homes. At this time one staff member has attained NVQ level 3. In this way the home currently falls short of the national minimum standard of 50 of the staff team with NVQs. However 2 other staff have commenced training towards this qualification, and so it is anticipated that the home will meet this standard in the next year. There has been one change to personnel since the home opened. TWAS’s recruitment and selection procedures were seen to be thorough. Staff are only employed after satisfactory references and Criminal Records Bureau checks have been received, and this ensures the protection of the people who live here. Individual staff training records were seen and these confirmed that staff have received the necessary training in health & safety matters. All staff receive Autism Focus training, which is specific training to support them to understand the needs of the people with Autistic Spectrum Disorder. However the details of this training are not included in the training records, and should be to demonstrate that staff are equipped to provide such specialist care. The Manager, Assistant Manager and 1 senior have had training in supervisory management. Staff confirmed that they receive individual supervision sessions with a senior staff, and that TWAS policy is for staff to receive at least 6 supervision sessions each year. (Documentary evidence could not be accessed as the Manager was on sick leave at this time). Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 22 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) 37, 38, 39, 40, 41, 42 & 43. Residents and staff benefit from a well managed, well organised service. Residents receive consistent quality care. Systems, procedures and practices promote the safety and welfare of the people who live here. Recording systems are in good order and accessible by all staff. TWAS have demonstrated the on-going financial viability of the services it provides. EVIDENCE: The Registered Manager has many years senior experience of working with children and adults with Autism. She has achieved NVQ Level 4 in Care and is working towards the Registered Managers’ Award, which she anticipates will be attained within 2005. (The Registered Manager is also responsible for the management of 2 other similar small homes next door to Moorpine.) She is supported by an Assistant Manager, and there are clear lines of accountability and management support within the organisation. In this way the residents, and staff, benefit from a well managed service. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 23 In discussions staff stated that the Manager is approachable and supportive. The people who live here are unable to express their views about the service they receive. Time was spent observing the good interaction between residents and staff, and there was a friendly relaxed atmosphere in the home. In discussions staff were enthusiastic about the improvements to people’s needs and lifestyles since moving to this home. The responses to a relative’s questionnaire were also very positive about the service, and one relative stated, “we cannot praise the dedication and professionalism of staff at Moorpine highly enough.” TWAS has a quality assurance policy in place to review the service, and this includes the views of the residents through their annual reviews and Residents’ Meetings. Pictorial questionnaires are also given to residents from time to time for them to indicate their likes and dislikes, such as activities. These could also be used, perhaps annually, for their views about the actual home and the service they receive. There was documentary evidence that the personal monies of the people who live here are directly debited into their individual savings. Residents are supported to access their monies by management personnel. All records relating to their monies were seen to be up to date, and the systems used demonstrate that residents are monies are safeguarded. Staff have access to all procedures and this ensures that residents receive a well organised and consistent service. Staff records demonstrate that all staff receive statutory training in all health & safety matters. Records of health & safety checks are also in place, and staff were knowledgeable about the necessary health & safety practices they carry out to ensure the welfare of the people who live here. Satisfactory financial clearances were received in respect of TWAS during the registration process last year which demonstrated its on-going business viability to continue to provide the service at Moorpine. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 24 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 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 3 3 2 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Moorpine Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 25 N/A 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 1 Regulation 4, 5 Requirement The Statement of Purpose and Service Users Guide must include details of the facilities and services provided in the home. There must be a written risk assessment in place regarding the restriction of residents use of the utlity room. There must be a written risk assessment in place regarding the reasons why one resident does not have a key to their bedroom. Hot water to the kitchen washbasin must be sufficently hot to prevent potential crosscontamintion, and risk assessment must be in place for use of the hot water by residents. Alternatively, a dishwasher could be provided. The wardrobe in one room must be fixed to the wall: the cold tap in the bathroom must be fixed. Timescale for action 1/8/05 2. 9 13(4)a 1/8/05 3. 26 13(4)a 1/8/05 4. 30 13(3) and 13(4)a&b 1/7/05 5. 42 13(4)a & 23(2)c Immediate Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 26 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. 4. Refer to Standard 20 23 32 35 Good Practice Recommendations There should be a list of the names of designated staff who take responsibility for the administration of residents medication. Intervention records should include the names of other people who are affected by behavioural episodes of a resident. At least 50 of the staff team should have attained NVQ 2 or above by 2005. Staff training records should include details of their Autism Focus training. Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection Baltic House Port of Tyne South Shields Tyne and Wear NE34 9PT 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 Moorpine B02-B52 S62275 Moorpine V217654 040505 Stage 4.doc Version 1.30 Page 28 - 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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