Inspection on 05/10/05 for Moorpine

This inspection was carried out on 5th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 04/05/05

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 14 Thornhill Park Thornhill Sunderland SR2 7QG Lead Inspector Miss Andrea Goodall Unannounced Inspection 5th October 2005 02:00 Moorpine DS0000062275.V251561.R02.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 Moorpine DS0000062275.V251561.R02.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. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Moorpine Address 14 Thornhill Park Thornhill Sunderland SR2 7QG 0191 5102038 0191 5672902 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) Tyne and Wear Autistic Society Mrs Christine Graham Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 04/05/05 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 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 DS0000062275.V251561.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one afternoon and early evening. Time was spent with the Manager discussing the progress of this relatively new home, and examining care records. The Inspector joined the 3 residents and 2 staff for the teatime meal so that time could be spent talking with them. The shared areas of this small home were also examined, including the lounge, kitchen/diner and bathroom. The home has been open for just less than one year. This is the second inspection of the home. The first inspection took place in May 2005, when the home was assessed against all the National Minimum Standards for Younger Adults. At this inspection a few areas that needed some more work were looked at, as well as the progress of the residents, staff and the house. What the service does well: The house is a very comfortable, pleasant and safe place for the 3 young men to live. It is well decorated and furnished, and has a modern style that suits the age and lifestyle of the people who live here. Each of the 3 men has their own good-sized bedroom, which they can use for their own interests and privacy if they want. The 3 men all take part in shopping, cooking and cleaning in their house. Staff said that the house is a great place for the men to get more help to learn new skills. Staff said that the 3 men are getting better at doing things for themselves since moving here. There are plenty of leisure activities for people to enjoy in the evenings and week-ends, and residents have recently enjoyed a holiday away with the support of a couple of staff. Staff are enthusiastic about their support of the people who live here, and understand their individual needs. There are plenty of staff on duty to help residents when they are at home. Staff have training to help them provide a good service. The management and organisation of the service is very good, and makes sure that residents are well cared for and safe. All the records that should be in place are generally in good order, and this helps the staff to provide consistent support to the people who live here. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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 DS0000062275.V251561.R02.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 Moorpine DS0000062275.V251561.R02.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): 1. Prospective residents have information about the service at Moorpine, which would support them to make an informed choice about moving here. EVIDENCE: Since the last inspection the Service Users Guide has been revised. This now includes a brief brochure that is written in plain English, which gives specific information about the house, the service, and the activities. It includes photographs of residents taking part in the daily domestic tasks and relaxing in the house. In this way any prospective new residents would have clear information about the house before they visited to see if it would suit them. At this time the Service Users Guide still refers to the previous representative of TWAS as the Responsible Individual. Moorpine DS0000062275.V251561.R02.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 & 9. Support planning systems ensure that staff work consistently in supporting residents towards long-term independent living goals. Residents are supported to take acceptable risks as part of an independent lifestyle. EVIDENCE: Support plans are in place for the 3 people who live here. These contain clear details of the long-term goal/needs of the 3 residents, so that staff know exactly how to support them. The plans include goals towards daily living skills, communication and behaviour. A record is also kept, about monthly, to show any progress they are making towards their goals. The support plans are signed by the residents to show that they have been included in their plans. They are written in plain language and kept in the small office/sleep-in room and residents can see these at any time. The people who live here are supported to take acceptable risks as part of an independent lifestyle. 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 Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 10 that these have been sent to and signed by parents and the relevant Social Workers. The laundry door is kept locked to prevent any potential harm to residents from entering the room without staff support. The Manager stated that since the last inspection a risk assessment has been developed about this limitation of residents use of this part of the home. However at the time of this visit the risk assessment was being printed at the TWAS office so was not available within the home. This will be looked at again at the next inspection. Moorpine DS0000062275.V251561.R02.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): 12. The TWAS provides residents with fulfilling, purposeful daytime occupations. EVIDENCE: 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, arts & crafts, and sports sessions such as swimming. TWAS also have allotments where residents can be involved in growing vegetables. Residents also have opportunities to gain practical skills at the TWAS Workshops where they make garden furniture, greetings cards and jewellery, which is sold locally (on a not-for-profit basis). This provides residents with tangible, fulfilling outcomes to their activities. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Assessments of people’s needs determine whether residents can manage their own medication or whether trained staff take responsibility for this on their behalf. EVIDENCE: Only one of the people who live here has prescribed medication, and at this time he has been assessed as unable to manage his own medication. All staff who take responsibility for administering medication have had certificated training in Safe Handling of Medication. There is a list of the designated staff that can manage this and this includes any peripatetic sleep-in staff. 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. In this way the home makes sure that medication is managed in a secure and appropriate manner on behalf of the residents. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Most 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: 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. Of the 5 support staff, 2 newer staff have not had training in MAPPVA procedures so they may not know what to do in the event of suspected abuse. Most staff are 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 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 resident in this way. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 14 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 there were 2 blank pages in the intervention books. The Manager explained that one referred to an incident that had occurred on residents recent holiday away from the home and had yet to be recorded retrospectively. It was stated that the other blank page was an error and had yet to be recorded as such. Moorpine DS0000062275.V251561.R02.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, 26 & 30. Moorpine offers a very good standard of accommodation for residents. The home is warm, comfortable and safe and suits the age and lifestyles of the young people who live here. Residents bedrooms support their independence and privacy. The home is clean and hygienic. EVIDENCE: Moorpine is detached family house that is well decorated, well furnished and well maintained. The style of decoration is in keeping with the age and interests of the residents. Since the last inspection Dorguards have been fitted to most room doors, which allow residents to keep doors open without compromising the fire safety within their house. There is a now a risk assessment in place about one residents inability to manage a key to his own bedroom door. He chooses to keep his bedroom door open and this is fitted with a Dorguard. Other residents know that they must not enter his room without his permission. The other 2 residents are still being assessed to see if they can manage their bedroom door keys with support. All bedroom doors are lockable from the inside so residents can choose complete Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 16 privacy when they wish (which would only be overridden by staffs master key to protect the well-being of a resident). Since the last inspection the temperature of water to the kitchen sink has been increased so that dishes are now cleaned at a high enough temperature. As this water is now scalding hot, risk assessments have been written to support staff and residents to wash dishes safely using rubber gloves. At this time the risk assessment records were being printed at the TWAS office so were not available in the home. This will be monitored again at the next inspection. All areas of the house that were seen were clean, comfortable and safe. Moorpine DS0000062275.V251561.R02.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): 32, 33 & 35. The staff team is sufficient to provide the level of support required to meet the needs of residents. Staff have specific Autism training, and there are good opportunities for other relevant training. EVIDENCE: The staff team comprises of the Registered Manager, 2 senior support staff and 3 support workers. Two staff have achieved NVQ 3 and one is undertaking training towards this qualification. The remaining 2 newer staff are engaged in Induction and Foundation training, which will lead towards NVQ training in the future. In this way the home anticipates that all staff will have suitable care qualifications in the near future. The staffing levels are sufficient to meet the needs of the 3 people who live here. There are least 2 support staff (and occasionally 3 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 12:45 to 9:45pm during the week and from 9am to 10pm during week-ends. There is one member of staff on sleep-in duty each night. The Manager, seniors or very experienced staff from other TWAS homes carries out these duties. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 18 At this time there are no male support staff employed at the e home. This can occasionally limit the choice of activities for the men as female support staff cannot support them in changing rooms, for example at swimming baths or sports centres. In this way residents have to join up with staff and residents of other homes to be able to access these activities. The Manager said she is currently considering how this may be resolved. Individual staff training records were seen and these include a training and development plan and training certificates. This demonstrates that staff receive suitable training in care and 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. Moorpine DS0000062275.V251561.R02.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): 39 & 42. The views of residents are sought to review whether the service is meeting their wishes and needs. Systems, procedures and practices promote the safety and welfare of the people who live here. EVIDENCE: 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, food, accommodation and the staff. In this way the home can find out what residents might want to change about the service that they would not be able to communicate verbally. Staff receive statutory training in all health & safety matters, so that they know about the safe practices they must use when supporting residents. Records are in place to show that health & safety matters are checked Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 20 regularly, such as water temperatures, so that all areas of the house are safe for the people who live here. A monthly fire drill is held about once a month with residents so that they would know what to do if the fire alarms sounded. There were no health & safety issues noted during this visit. Moorpine DS0000062275.V251561.R02.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 3 x x x x Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Moorpine Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000062275.V251561.R02.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. 1 2 Standard 23 23 Regulation 13(6) 13(8) Requirement Training in MAPPVA must be pursued for the 2 members of staff without such training. The blank pages of the Intervention Records must be completed retrospectively, as all occasions of physical intervention must be recorded. Timescale for action 01/12/05 20/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 1 Good Practice Recommendations The Service Users Guide needs to be updated to reflect the new Responsible Individual of TWAS. Moorpine DS0000062275.V251561.R02.S.doc Version 5.0 Page 23 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields 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 DS0000062275.V251561.R02.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!