Inspection on 28/06/07 for North View (21)

This inspection was carried out on 28th June 2007.

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 found no outstanding requirements from the previous inspection report, but made 5 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) 14/07/08

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 09/07/2008.

CARE HOME ADULTS 18-65 North View (21) Jarrow Tyne And Wear NE32 5JQ Lead Inspector Hilary Stewart Key Unannounced Inspection 28 June,30 July & 9th August 2007 11:30 th th North View (21) DS0000000259.V340160.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.V340160.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.V340160.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 ** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2006 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 service users 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 newly refitted 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. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary: This is an overview of what the inspector found during the inspection. At the time of the first visit although a manager had been employed they had not started work at the home. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last visit on 11th July 21st August & 14th September 2006. How the service dealt with any complaints & 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 & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 28th June 2007 and another visit on the 3oth July. The visit was completed on 9th August 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 7 If the home had working quality assurance system this would make sure the home continually improves its service to the people who live there. If the staff had regular fire instruction this would make sure they knew what to do if a fire did occur and they would know how to keep the people at the home safe. If the information about the people who live at the home, such as care plans and risk assessments were complete and up date the staff would be clear about how they can meet their needs. If records were kept of when staff are vetted this would make sure that the manager knows that only suitable people are working at the home. 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.V340160.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.V340160.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples care needs are assessed before they are offered a service. This is so the staff can be sure that they can meet their needs and provide them with good care and support. EVIDENCE: The deputy manager said that all of the people who live at the home are involved in their assessments and reviews. They have all lived at the home for some time. The deputy 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.V340160.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 8 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people who live at the home have had their needs assessed. If the peoples care plans were complete this would provide accurate information about how their needs can be met by the staff. The people who live at the home are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. EVIDENCE: The deputy manager and staff said that all of the people who live at the home have their own care plans. They have pictures and are easy to read. Some parts of the care plans had not been completed so some information was missing. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 11 Some of the person centred plans (PCP’s) had been started but not completed. Communication passports had been completed for the people who live at the home by a speech therapist. They are in an easy to read format and describe how each person communicates and their likes and dislikes. Staff said that the people take part in writing their own care plan as much as they can. The deputy manager and staff said that the people who live at the home are supported to be as independent as they can be safely. They are encouraged to make choices and decisions about what they want to do. The deputy manager said that the people now have their own meetings. Records showed that they have a meeting every two weeks and all of the people who live at the home were spoken to individually and their comments were recorded. Some of the people do not speak so staff observe their facial expressions and gestures to communicate with them. Staff said that as a result of what the people who live at the home had said meals times are now not at a set time. The staff and manager said that they regularly look at the options open to the people who live at the home in relation to work, leisure and social activities. At the same time they have to be realistic about the choices. North View (21) DS0000000259.V340160.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 This judgement has been made using available evidence including a visit to this service. Staff treat the people who live at the home with respect so they know they are valued. The people have a variety of social activities so they experience new things and find new interests. The meals are well presented and nutritious so the people who live at the home have a healthy well balanced diet. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 13 EVIDENCE: The deputy manager and staff said that the people who live at the home are going out more often as the staffing levels have improved. They said that the people who live at the home have the same rights as everyone else to make choices but they have to look at the risks at the same time. As some of the people who live at the home need staff to make decisions for them the reason for any restrictions on their freedom are recorded to explain why some people can’t take part in certain activities such as going out by themselves. Staff said that the people are given a choice of activities. They go to the football matches, beauty therapy and the local pub. One person said, “ We are going out to the café for some hot chocolate”. Each person has a holiday one person had been to Yorkshire. Staff said that the people who live at the home see their family and friends when they want. One person had been to visit their family for a family celebration. They can contact them by telephone and staff organise visits and holidays. The people who live at the home could have their own keys to their rooms if they want but some choose not to or would not know how to use them. Staff were observed knocking before entering the peoples bedrooms. The deputy manager and staff said that some of the neighbours say hello and talk if they pass them. Staff said that the people choose what they want to eat everyday this is recorded in their file. Fresh fruit and vegetables were in the kitchen and staff said the people could have drinks and snacks whenever they wanted them. At least three meals are served to the people, which are varied and nutritious. Food served on the day of the visit looked appetising and nutritious. The people who live at the home are also involved with the shopping. Staff said special diets could be catered for. North View (21) DS0000000259.V340160.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people who live at the home have personal support when they need it so they can be as independent as possible. The staff monitor and promote the health of the people to maintain their wellbeing. Records of medication administered at the home are sometimes not filled in so there is no confirmation that people have taken it when they should. This is a risk to the health of the people who live at the home. EVIDENCE: The staff said that the health and well-being of the people who live at the home is very important. Records showed that it is discussed in staff meetings. If there are concerns about a person’s health appropriate action is taken. The staff could describe and records showed how people are provided with personal support when they need it. The people who live at the home looked smart and well groomed. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 15 Staff said that they have had training in how to administer medication. The medication records were up to date but one persons records had not been filled in so staff did not know if they had been given their medication or not. Staff said any discrepancies are taken very seriously. If it were thought to be safe following a risk assessment, the people who live at the home would control their own medication. Details of health checks, visits to their GP and hospital appointments are recorded in each individuals file. North View (21) DS0000000259.V340160.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 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a procedure for complaints to make sure that any problems are taken care of quickly, which helps good relationships to be maintained. Staff know about adult protection procedures so the people who live at the home are kept safe. EVIDENCE: Staff said that the home has a complaints procedure. Records showed that one complaint had been made since the last visit, which had been dealt with and resolved. The complaints procedure is now available in a format that is easier for the people who live at the home to read. A number of the people have difficulty expressing themselves and staff said either they would support them to make a complaint or their families or an advocate would. The staff at the home said that they have had training in how to protect vulnerable people from abuse. They could describe the procedure to be followed if an allegation of abuse was made. One person who lives at the home when asked if they felt safe at the home said, “Yes” if they were worried about something would they tell the staff they said “ yes”. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 17 Throughout the visit the people at the home and the staff were observed talking and interacting with each other and there was a good rapport between them. The home has a procedure for responding to allegations of abuse. North View (21) DS0000000259.V340160.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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Safety checks have been carried out in the home so the people who live there are safeguarded. The home is comfortable and clean; if some areas were decorated it would make it a more pleasant place for the people to live in. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. The bedrooms looked comfortable and the people who live at the home had personalised them. Paint on the walls, doors and other woodwork is chipped and discoloured. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 19 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 This judgement has been made using available evidence including a visit to this service. The home has a recruitment procedure to vet staff so the residents are kept safe but complete records had not been kept on all staff. This means that the manager cannot check if the staff are suitable to work at the home. Staff are supervised and get training, which helps to make sure they know how to give the people who live at the home good care. EVIDENCE: The manager said that 80 of staff have vocational qualifications. Staff said that they receive training and it helps them with their work. One member of staff said that the training the was “excellent” and that they had received all of the mandatory training. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 20 The manager said that all staff would have had a CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. Some records showed that staff had been vetted, however some staff records did not show that all checks had been carried out. Copies of references had not been kept and one member of staffs records were not at the home. Enough staff were on duty during the visit. The manager and staff said and records showed that enough staff work at the home. Staff said that they get individual supervision and are supported to do their job. However since the last manager left they had not been supervised as frequently. The new manager said and records showed that they have started individual supervision and have more planned in the future. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 21 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 This judgement has been made using available evidence including a visit to this service. The home has a new manager about to start to run the home so the people who live there are well cared for. The home has a quality assurance system, which was being developed by the last manager it is still to be implemented fully. When it is this will help the service to shape the quality of the service and ensure it is run in their best interests. Good systems and practices are in place that help to make sure the people who live at the home and staff are safe from risk of harm. Fire instruction for staff could not be confirmed. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 22 EVIDENCE: On the first visit a manager was not in post at the home and and a manager from another home was overseeing the home. Some management tasks such as staff supervision had not been taking place since the last manager left. On the second visit the new manager had started work at the home and was familiarising themselves with the service. The home has quality assurance system, which was started by the previous manager this is still to be developed and put into operation. Staff said that regular fire drills are carried out and they have been trained in fire safety. Records showed that staff carry out regular drills with the people who live at the home. Staff receive fire instruction when they should but this had not been recorded. The people who live at the home take part in fire drills with staff. Senior staff said and records showed that risk assessments are carried out and recommendations from the fire authority are complied with. A health and safety audit was carried out in January 2007. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 23 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 X 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 X 3 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 2 x 3 X 2 X X 2 x North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 24 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. Standard YA6 Regulation 14 Requirement Written evidence must be kept to show how each service users support-plan is evaluated and updated to reflect changing needs and circumstances. Risk management documents must be evaluated in the same way. (Timescale of May 2005 and 18/01/07 not met). 2. YA20 13 The medication system and practices must be reviewed to ensure accurate records are maintained and safe administration practices are adopted. (Timescale of 25/11/06 not met) 25/11/07 Timescale for action 18/10/07 3. 4. YA39 YA42 24 23 3. YA34 19 The registered person must 25/11/07 implement a quality assurance system at the home. The registered person must 25/10/07 make sure that staff have fire instruction at the required intervals. The registered person must 25/11/07 make sure that records are DS0000000259.V340160.R01.S.doc Version 5.2 Page 25 North View (21) kept on the recruitment and vetting of staff who work at the home. 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 YA6 Good Practice Recommendations Following care plan reviews where ‘no change’ in a user’s needs has been found and plans have remained the same, information should be recorded to evidence staff judgments. North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Shields Area Office 4th Floor 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. Extracts may not be used or reproduced without the express permission of CSCI North View (21) DS0000000259.V340160.R01.S.doc Version 5.2 Page 27 - 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. 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