Inspection on 12/12/06 for Northleigh

This inspection was carried out on 12th December 2006.

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

Northleigh 11/02/09

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Northleigh 187 Rockingham Road Kettering Northants NN16 9JA Lead Inspector Debbie Williams Key Unannounced Inspection 12th December 2006 10:00 Northleigh DS0000067871.V323235.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 Northleigh DS0000067871.V323235.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. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northleigh Address 187 Rockingham Road Kettering Northants NN16 9JA 01536 312138 01536 513277 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) Minster Pathways Limited Mr Martin Hirst Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No person below the age of 35 years who falls within the category of Learning Disability (LD) may be admitted to Northleigh No persons to be admitted into Northleigh under categories LD/LD(E) where there are 12 persons in total of those categories/combined categories already accommodated within the home The maximum number of persons accommodated within Northleigh is 12 New service Date of last inspection Brief Description of the Service: Northleigh is situated approximately half a mile from Kettering town centre and provides personal care for up to twelve adults, of both sexes, with learning disabilities. The house is set off a main residential road leading into the town centre. The location of Northleigh allows the service users good access to the resources of the local community. Internally, there is a good standard of homely décor, and furnishings. There are ten single rooms and one double room. To the rear of the property there is a small area of garden and a patio area. The home provides long-term placements; some residents have lived at the home since it opened approximately eighteen years ago. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key unannounced inspection of Milligan Court, which was registered in March 2006 as a new service following a change of registered provider. The primary way of gaining information on inspection is known as ‘case tracking’, which involves identifying a number of residents with a range of health and social care needs and looking at how their individual needs are met. The Inspector case tracked three residents and aspects of daily life for other residents’ were looked at during the course of the inspection. The Inspector spoke with and observed the residents and staff, reviewed care records, and observed care practices and interactions between the staff and the residents. This was a positive inspection with good outcomes being achieved in all areas. What the service does well: What has improved since the last inspection? Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 6 This was the first 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. The summary of this inspection report can be made available in other formats on request. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 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 Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is available to residents prior to admission and a thorough needs assessment is undertaken. EVIDENCE: The home has a service users guide which is available to all prospective residents. Assessment records were seen; resident’s social, psychological, behavioural and physical needs are assessed. Social services needs assessments also form part of residents care records. There were no specific cultural or religious needs identified within care records inspected. Where possible prospective residents are invited to visit the home prior to admission, one resident spoken with confirmed that a visit was made prior to admission. The home’s contact of terms and conditions were seen within care records Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents changing needs are reflected in their care plans, risks are assessed and managed appropriatley. EVIDENCE: Care plans were comprehensive and included any specialist requirements. Care plans were generated from social work assessments and the homes own assessments. Where possible residents were involved in the care planning process. Risk assessments were completed within care records inspected. Procedures are in place for staff to respond to unexplained absences or residents going missing. The level of support required by each resident is recorded within care records. Residents are assisted where possible to handle their own finances, a recommendation was made that the providers ensure a clear audit trail is available for every transaction. Residents meetings are regularly held. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individaul needs and preferences of residents accomodated are met. EVIDENCE: At time of this inspection seven residents were out at day care. One resident was being taken out by staff Christmas shopping. Activities on offer included – TV, shopping and jigsaws, the deputy manager said there was more going on in the evening, residents go out two to three times a week, this could be to the cinema, ten pin bowling, the kaleidoscope club or karaoke. Some of the residents attend the local Baptist church every Sunday. The local church is very much involved with the home. No one from an ethnic minority community was living at the home at time of this inspection. A Christmas party was planned for the weekend following this inspection; this was for residents and their invited guests. One resident spoken with confirmed that visitors were welcome at the home. Due to the small size of the kitchen, Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 11 residents were unable to be involved in food preparation and cooking, an extension to the home which will provide a larger kitchen area was planned and this work was due to commence in January 2007. The lunchtime meal served during this inspection appeared appetising and nutritious. A large bowl of fruit was on the dining room table and available to all residents, the acting manager said that a fresh supply of fruit was supplied on a weekly basis. Residents spoken with were happy with meals provided. A copy of the home’s menu was supplied with the pre inspection questionnaire; a varied and nutritious diet was on offer and packed lunches supplied to residents attending day care. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected and supported by a range of excellent policies/procedures and facilities. EVIDENCE: The level of personal support required is recorded in each individual care plan. Evidence was seen of GP and other healthcare professionals visiting the home. One resident spoken with felt they were receiving the personal support and healthcare support they required. A monitored dosage system of medication was in place. All medication administration records and storage areas appeared to be in good order. All staff have received medication training. The registered manager audits medication procedures regularly. A new medication cupboard is on order and will replace existing storage. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Adult protection procedures minimise risk and promote protection for residents. EVIDENCE: The home has a complaints procedure and all complaints are responded to within twenty-eight days. A record of all complaints received is maintained. The registered manager was aware of the correct procedure to follow in the event of any adult protection concerns and staff receive instruction as part of their induction training. Records of transactions for residenst personal money were seen and the home’s policies and procedures discussed. A recommendation was made that a clear audit trail of all transactions be maintained. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises met the lifestyle needs of residents accomodated and provided a comfortable and homely environment. EVIDENCE: Communal areas and the private accommodation of case tracked residents were seen. All areas appeared clean, homely and well maintained. Information provided within the pre-inspection confirmed that the relevant health and safety and fire safety checks and training had been undertaken. The planned provision of a larger kitchen area will provide opportunity for some residents to move towards a more independent lifestyle. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and well trained staff team and protected by appropriate recruitment procedures. EVIDENCE: At the time of this inspection there were twelve residents accommodated in the home, a minimum of two care staff were provided during daytime hours, one waking and one sleeping during night time hours. Regular staff meetings are held. Staff records inspected contained all relevant checks and references. Staff training records and certificates were seen. All except one care staff member has a National Vocational Qualification in care. The registered manager also has achieved the registered managers award. The registered manager said there was a very low staff turnover at the home. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and administration procedures in place serve the best interests of residents accomodated. EVIDENCE: The registered manager is qualified and experienced and continues to undertake training to meet development needs. All mandatory health and safety training is provided; records of this training were provided with pre inspection information. Information provided in the pre inspection questionnaire also confirmed that all relevant health and safety checks and procedures were undertaken. The registered manager carries out monthly audits (records of this were seen). Resident satisfaction questionnaires are sent out quarterly and results discussed during residents meetings. Team meetings are held monthly and a communication book is maintained. Stakeholder questionnaires are sent out every six months. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 17 Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 18 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 3 2 3 3 3 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 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 19 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. Standard Regulation Requirement Timescale for action 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 YA23 Good Practice Recommendations The registered providers should maintain a clear audit trail of all transactions regarding resident’s personal money. Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Northleigh DS0000067871.V323235.R01.S.doc Version 5.2 Page 21 - 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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