Inspection on 14/07/08 for North View (21)

This inspection was carried out on 14th July 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

North View (21) 13/07/09

North View (21) 28/06/07

North View (21) 11/07/06

North View (21) 24/02/06

North View (21) 16/09/05

North View (21) 02/09/04

North View (21) 21/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 North View (21) Jarrow Tyne And Wear NE32 5JQ Lead Inspector Anne Brown Key Unannounced Inspection 14th and 17th July 2008 10:00 North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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 North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North View (21) Address Jarrow Tyne And Wear NE32 5JQ 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) 0191 420 0125 0191 483 8857 None United Response Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2007 Brief Description of the Service: 21 North View is a registered care home owned by United Response. It provides accommodation with personal care and support for up to six men and women aged between eighteen and sixty-five who have learning difficulties. Some people living in the home may also be physically disabled or have a sensory impairment. Nursing care cannot be provided. The property is a detached purpose built two-storey house, which stands in its own grounds. It has an accessible garden and patio, and blends in well with neighbouring houses. It has six single bedrooms, all located on the ground floor, a shared living room and a separate dining room and fitted kitchen. Staff accommodation is on the first floor. Within walking distance of Jarrow town centre, the home is close to local shops, churches, pubs and a range of leisure facilities. It enjoys very good public transport links. The fees are £1109.98p per week. Information about the home and previous inspection reports are readily available. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • • Information we have received since the last key inspection on 28th June 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. How the requirements and recommendations from a random inspection on 27th February 2008 had been dealt with. The visit • • An unannounced visit was made on 14th July 2008. A further visit was made on 17th July 2008. During the visit we: • • • • • • Talked with people who use the service, relatives, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We sent questionnaires to the home to issue to people who live in the home, members of staff and relatives. None of these were returned. We told the manager what we found. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager is in the process of recruiting permanent staff which will reduce the need to employ staff from outside agencies. The manager and staff continue to provide people living in the home with opportunities to access local amenities. They encourage people to sample new experiences and activities which they might enjoy. The manager and staff have worked hard to ensure routines are flexible to meet the individual needs of the people living in the home. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 7 Menus have been changed according to personal preferences and more fresh vegetables and fruit are available. 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. The summary of this inspection report can be made available in other formats on request. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 8 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 North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4. Quality in this outcome area is good. People’s care needs are assessed prior to them moving into the home. This helps to ensure that staff can provide them with good care and support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people living in the home have resided there for a number of years. No new admissions have taken place since the last inspection. The manager said that all of the people who live at the home are involved in their assessments and reviews. Relatives, representatives and health care professionals are also involved when necessary. The manager and staff said that if they had a new admission they would be able to try the service out before they made a decision to move in. They could visit the home and stay overnight before they made a decision. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is adequate. The care plans are incomplete which means staff may not be provided with accurate information about how people’s needs should be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Person centred plans had been started for the people living in the home but these were not completed. The manager and staff said they are currently working on these so that up to date information is available to meet the individual needs of each person. Each person living in the home has a communication passport. These were drawn up by a speech therapist. They are in an easy-read format and describe how each person can communicate and their likes and dislikes. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 11 The staff on duty were able to describe the needs of the people living in the home and were observed consulting and communicating with them. They were respecting people’s privacy and dignity and encouraging them to make decisions. Risk assessments are available on the case files. These assist the people living in the home to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. However these had not been updated since 2007 so may not provide the staff with appropriate information. The manager was well aware of this and is planning to update these documents in the near future. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. The people living in the home are encouraged to mix with people in the local community and are well supported to participate in activities of their choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living in the home chooses how they spend their time and what activities they wish to participate in. This information is recorded in the daily reports. Three people living in the home attend a day centre each week. Two have services from Access, an organisation, which escorts them to various places in the local area and offers them different experiences. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 13 The staff support people to visit and keep in touch with their relatives. Visitors are made welcome in the home at any time. One person was looking forward to spending a few days staying with their mother. Two people living in the home use a computer. The manager is looking into purchasing a web cam to enable them to keep in touch with their families. The people living in the home enjoy going out for lunch, shopping and visiting local places of interest. They also go to a disco in South Shields on a regular basis. Three people enjoy visiting the local pub in the evening. Two people enjoy horse riding and swimming. Each person living in the home is being helped by the staff to choose a holiday for later in the year. The staff said they have recently arranged for an aroma therapist to visit the home. Several people had enjoyed massages and this seemed to relax them. The staff confirmed that menus are discussed regularly with the people in the home and their favourite meals are included. One person confirmed that they had chosen the evening meal. The evening meal was being served during the second visit to the home. An alternative meal was being provided for one person. Crockery and cutlery was provided to meet individual needs and to enable people to be as independent as possible. The staff were attending to people’s needs in a sensitive way and respecting their dignity. Fresh fruit and vegetables are served in the home and drinks and snacks are provided whenever people wanted them. Special diets are catered for and advice is sought from a dietician whenever necessary. The people living in the home are also given opportunities to eat out at local pubs and cafes. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. People living in the home are given personal support when they need it and staff monitor and promote their health to maintain their well-being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff on duty were able to describe the personal support required for each person living in the home. They were also aware how people preferred this support to be given. Records showed that health and well being are discussed during staff meetings. Any signs that people may not be well are identified and staff have clear instructions on how to act in such situations. Details of health checks, visits to their GP and hospital appointments are recorded in each individual’s file. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 15 The staff on duty confirmed they had been given training on how to deal with the individual health needs of the people living in the home. A random sample of medication records and the system for storage and handling medication was looked at. This system was appropriate and in accordance with the pharmacy guidelines. The staff on duty confirmed that they had undergone training on administering medications. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Complaints are properly dealt with and training in adult protection has been provided for the staff, which helps to protect people from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Several complaints have been received since the last inspection. These have been fully investigated and action plans formulated. The manager has met with families to reassure them that their complaints are taken seriously and to help create more open and understanding relationships. Advocates have also been introduced to help protect the interests of the people living in the home. A complaints procedure is available and is in a format that is easier for the people who live in the home to read. The manager was also planning to develop more accessible formats to meet individual needs. i.e. videos, CD etc. A complimentary letter has been received from a relative saying they were pleased with the recent changes that had been made in the home. They felt these changes were beneficial to their relative. The manager confirmed that all the staff working in the home had completed training on safeguarding adults. This helps to protect the people living in the North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 17 home. The staff on duty confirmed they had completed this training. They also said there was a whistle blowing policy in the home and they would not hesitate to use this if they observed any bad practice. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. The home is comfortable and clean. If some areas were redecorated it would provide people with a more pleasant place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and staff work hard to ensure the home is comfortable and pleasant to live in. There is a programme for repairs and decoration. A tour of the premises was carried out and all areas were clean and hygienic. The people living in the home have their own bedrooms that are decorated and personalised according to their wishes and tastes. Bedrooms are equipped to ensure the comfort and safety of the individuals. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 19 The paintwork in the communal areas was showing signs of wear and tear. The manager and the staff confirmed these areas were to be redecorated in the near future. The manager also stated they had recently received a grant and were hoping to create a sensory garden for people to enjoy. Infection control forms part of the staff induction training. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is adequate. There are sufficient staff employed in the home to meet the individual needs of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Training programmes are in place to help ensure staff receive appropriate training to meet the needs of the individuals living in the home. The staff on duty said they felt the training they were offered was excellent and met all their training needs. The manager confirmed that Criminal Records Bureau checks are carried out and two written references were obtained. These were not available in the home. The manager confirmed they were at central office and she intended obtaining written evidence that these checks had taken place. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 21 There was sufficient staff on duty to meet the needs of the people living in the home. Since the last inspection some staff have left the home and these vacancies are being covered by regular agency staff. The manager had interviewed recently and five people had been offered posts subject to satisfactory checks being carried out. A programme is in place to ensure staff receive formal supervision on a regular basis. The staff on duty confirmed that they had supervision sessions with the manager every six weeks and there were plans to increase these to once every four weeks. This helps to ensure staff feel competent and adequately trained to carry out their roles efficiently. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. The culture and systems in the home help to ensure that the service is led by the needs and wishes of the people living there, and protects them from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has experience in working with adults with learning disabilities and will be applying to become registered with the Commission. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 23 The staff on duty confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the people living there. Minutes of the meetings were available for inspection. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the people living in the home. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the people living in the home. The routines in the home are flexible and revolve around the needs of the individuals living there. Staff felt they were able to spend more one to one time with people and meet their individual needs and help them access preferred activities. The manager is introducing a quality assurance system and is aware of the need to seek the views of relatives and other interested parties. She also confirmed that staff at head office carry out regular audits within the home to ensure standards are met. These visits are not carried out on a monthly basis to help ensure that the people who live there get the care they need and their health, safety and welfare is promoted. The records showed that fire drills are carried out and fire equipment is checked on a regular basis. The staff receive regular health and safety training. The staff on duty confirmed that they receive health and safety training to help protect the safety of themselves and the people living in the home. No unsafe practices were noted during the inspection. North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 3 X North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 25 YES 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 YA6 Regulation 15 Timescale for action Written evidence must be kept to 31/10/08 show how each service users support-plan is evaluated and updated to reflect changing needs and circumstances. Risk assessment and 31/10/08 management documents must be evaluated and reviewed to ensure people’s safety in all areas of their lives. Written evidence must be 30/09/08 provided to show that criminal records bureau checks and two written references are obtained before staff work in the home. This will help protect the people living in the home. (Timescale of 25/11/07 not met). The registered person must visit 31/10/08 the home on a monthly basis and provide a written report on the conduct of the home. This will help to ensure the quality of the service. Requirement 2. YA9 13 3. YA34 19 3. YA39 26 North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 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. Refer to Standard Good Practice Recommendations North View (21) DS0000000259.V368639.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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