Inspection on 09/10/07 for Moor View Flat

This inspection was carried out on 9th October 2007.

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

Moor View Flat 08/04/09

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

CARE HOME ADULTS 18-65 Percy Hedley Foundation Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH Lead Inspector Elaine Charlton Key Unannounced Inspection 9th October 2007 09:15 Percy Hedley Foundation DS0000069990.V346590.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 Percy Hedley Foundation DS0000069990.V346590.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. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Percy Hedley Foundation Address 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) Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH 0191 2381300 Percy Hedley Foundation Sarah Fielding McCormick Care Home 3 Category(ies) of Physical disability (3) registration, with number of places Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Physical Disability - Code PD, maximum number of places: 3 The maximum number of service users who can be accommodated is: 3 First Inspection Date of last inspection Brief Description of the Service: Moor View Flat is on the Percy Hedley Foundation/Northern Counties site at Jesmond. The Foundation is a registered charity caring for people with cerebral palsy and related physical disabilities. All the Foundation’s services share the same management and administrative team. Moor View Flat was registered in April this year so that three people who lived at Chipchase House, the Foundation’s registered home in Forest Hall, could move out whilst their bedrooms and other rooms underwent a major programme of renovation to provide three self-contained, en-suite, bed-sits. The flat is at first floor level, has three large bedrooms, staff sleep-in room, adapted bathroom, separate toilet, lounge and large, fitted, domestic style kitchen. Wheelchair users can access the flat via a lift in the attached college accommodation. The people who have been using this service have now moved back to Chipchase House at Forest Hall. The Foundation is inviting applications from people who live in Chipchase House or are on the waiting list for accommodation to see if they would like to live at Moor View. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 5 Nursing care is not provided but staff are trained to carry out some delegated nursing tasks. Fees are between £633 and £710 per week. The home has a Residents Handbook that gives information about the support and care anyone wanting to move into the Foundation’s accommodation might need to make a decision about whether their needs can be met. Copies of the Commission for Social Care Inspection (CSCI) reports are available. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. An announced visit was made on date the 9 October 2007. lasted for four hours. Before the visit we looked at: Information we have received since registration on the 16 April 2007; Information provided by the Foundation for the inspection of Chipchase House and Ferndene in April 2007; How the service dealt with any complaints and concerns since registration; 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 and other professionals who visit the service. During the visit we: Talked with on person who used the service, a member of staff and the registered manager; Looked at information about the people who use the service and how well their needs are met; Looked at other records which 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/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since registration. We told the manager what we found. The inspection What the service does well: Information is made available to people in a way that it is easy for them to understand. Helps people to make decisions about what they want to do in a way that promotes choice and independence. Provides a warm, comfortable and homely environment for people to live in and gain new skills. People are consulted and involved in talks about alterations and things that affect their life and home. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 7 People who use the service can join in training with staff to increase their knowledge and help keep them safe. Care plans reflect the expected benefits to people who live in the home and are regularly reviewed and amended as necessary. Minimised the effect of moving to new accommodation and achieved continuity of staff for the people using the service. CSCI receives a high level of co-operation from the manager and staff. One person who lived at Moor View said: “I enjoyed living there and going out”. 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. The summary of this inspection report can be made available in other formats on request. Percy Hedley Foundation DS0000069990.V346590.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 Percy Hedley Foundation DS0000069990.V346590.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): 1 and 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are given good information to help them decide about moving into the home. Their needs and wishes are assessed before they are given the chance to move in. EVIDENCE: The Foundation produced a new residents’ handbook earlier this year. This was done with the help of people who live at Chipchase House and Ferndene, in Forest Hall. It includes frequently asked questions and photographs. Information can be made available in large print and on audiotape. As people need, information can also be provided in Braille or other languages. There is no one from an ethnic or minority background living in the Foundation’s homes at the moment but staff know what they would have to do to make sure information was available in a suitable format. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 10 People are only admitted to the home following a thorough assessment process. Strong links are maintained with school services and day services. Moor View Flat is empty at the moment but applications are being invited from people who live in Chipchase House, or are on the Foundation’s waiting list, to see if they would like to live more independently in a small, homely environment. Everyone has a service user plan that includes risk assessments and records of any interventions by health care professionals. One person who stayed at Moor View said they had enjoyed it, had been involved in budgeting and planning for meals and had been out and about in the local community. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. People are involved in planning their care, making choices and decisions about what they want to do, and are helped to be independent in their personal care and daily life. EVIDENCE: Staff who work for the Foundation are being trained in Person Centred Planning (PCP) to promote the use of this process. Service user plans were seen for all three people who went to live at Moor View. All were kept in a standard way and included copies of care plans, evaluations, risk assessments and reviews. Records showed that everyone who lived at Moor View had been involved in decision making, shopping and managing their own food budget. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 12 The manager and the member of staff spoken to both said that all three people who went to stay at Moor View had gained in confidence, adapted well to living in a small group and had been very tolerant and considerate towards each other. Original assessment documents are kept in each persons archive file with all other correspondence. Reviews are carried out six monthly. One is held with staff from day services. This arrangement works well. Staff were not signing the weekly personal file check forms. Checks were not recorded as being carried out even monthly. People sign their care plans to show that they have been involved and are in agreement with the content/arrangements. Records show people are able to make choices about how they spend their time and where they wish to go. Work is being done to achieve more out-come based evaluations. Staff had made some very sensitive and informative recordings about what people had been doing, social events and contact with family. Mail is only opened and acted upon if someone is in hospital. The limits to this arrangement are detailed in care plans. Cultural and faith recordings are made separately and include arrangements in the event of a person’s death. Everyone is encouraged and helped to manage their personal finances. They have access to a lockable draw in their bedroom and had each been provided with a mini-safe. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access educational and social opportunities and the wider community. Choice and rights are promoted as well as healthy living. EVIDENCE: One person told the inspector that they had been out to restaurants and bars, had been to the cinema and had stayed in contact with people they had socialised with at Chipchase House. Another person had been to Birmingham to a pop concert. Everyone had been on picnics, days out and visits to the coast. Sometimes the choice had been to stay at home. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 14 Transport was available so that people could attend day services and spend time at Chipchase House as they chose. People are helped and encouraged to maintain contact with their family and friends. Chipchase House, Ferndene and Moor View are regional resources and attract people from as far away as Strathclyde and Kirklees. Between these furthermost points staff at the Foundation deal with 13 local authorities. A member of staff and a person who used the service said that routines at Moor View had been flexible and relaxed. Any limits to flexibility were only around people’s appointments, college or day centre commitments. One person told the inspector that whilst living at Moor View everyone sat down together once a week to decide what the menu for the next week would be, draw up a shopping list and arrange for the shopping to be done. The people who went to live at Moor View were given their own food budget to manage. They did this very well, staying within the budget, even when eating out in local restaurants rather than cook. One person went out independently with a friend who lived near the flat. This is not something they had done before. They have said they would like to continue doing this now that they have moved back to Chipchase House. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 15 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. This judgement has been made using available evidence including a visit to this service. People living in the home are asked how they wish their personal care to be provided, and by whom. They are supported and helped to be independent with medication and can see health care professionals as their health needs dictate. EVIDENCE: Care plans show the level of support and assistance each person needs with their personal care, how this should be provided and by whom. The preferred gender of carer is also recorded. People handling assessments were seen. equipment, where necessary. These support the safe use of The bathroom at Moor View had been fitted with an adapted bath for the comfort of people living there. Handrails and grab rails were also fitted. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 16 Peoples’ records show that they have regular access to dentists, opticians and chiropodists. Staff who knew the three people moving from Chipchase House went to support them at Moor View. New staff were recruited to take their place at Chipchase House. This meant that the effect of the move was minimised for everyone. The home has policies and procedures in place that promote the safe handling of medication. People are encouraged and helped to control their own medication if they wish. No medication was being kept in the home at the time of the inspection. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. The views of people who live in the home are listened to. They are protected from harm through policies, procedures and staff training. They are also encouraged to join staff training to help them understand what happens when complaints, concerns and allegations are made. EVIDENCE: The new Residents Handbook sets out what people can do if they are unhappy or wish to complain. It tells people they will be given a copy of the complaints procedure and that their views will be taken into account. Two people who live in one of the Foundations homes sit on the Adult Services Committee and the Executive Committee where all major decisions are taken. They have full voting rights and put forward the views of people who use services. Three new independent advocacy services are being introduced to people who use the Foundations services to give them more opportunities to talk to someone, or to get someone to speak on their behalf. Staff are trained in the Protection of Vulnerable Adults (POVA). People from Chipchase House and Ferndene were given the chance earlier this year to attend this training. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 18 The manager and staff record, investigate and report on complaints and protection issues in a consistent way. The Deputy Manager has received training as a POVA facilitator so that he can organise and deliver training in the home. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 19 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. This judgement has been made using available evidence including a visit to this service. People live in a homely environment that promotes their independence and the chance to spend time privately. Everywhere is clean and tidy. EVIDENCE: Moor View Flat provides single bedrooms for three people. There is also a staff sleep-in room, lounge, spacious fitted kitchen, adapted bathroom, separate toilet and plenty of storage. Each bedroom is fitted with a wash hand basin. Radiators can be independently adjusted for everyone’s comfort. able to have their own telephone in their bedroom if they wish. People are Door guards that close in the event of a fire are fitted to doors to make it easy for people in wheelchairs to move around. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 20 The flat has a separate access but it is not wheelchair friendly. passenger lift in the college accommodation attached to the flat. There is a Evacuation equipment is in place to use the staircase for people who are dependant on a wheelchair in the event of a fire. All areas of the flat had been left in a clean and tidy condition. Staff are trained in health and safety and infection control. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. EVIDENCE: Staff who already worked for the Percy Hedley Foundation and who knew the people going to live at Moor View made up the staff team. New staff were recruited/existing staff did extra hours, to fill their vacancies. No staff files were seen during this inspection. A thorough examination of the Foundations recruitment and selection procedures was carried out during the inspection of Chipchase House and Ferndene in April 2007. Staff files are kept in a standard way and provide evidence of references, criminal record bureau (CRB) checks, identification and qualifications. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 22 Sixty three percent of the whole staff team have gained a National Vocational Qualification (NVQ) at a minimum of level 2 or above. The staffing levels at Moor View were two members of staff to three service users at all times. Staff have access to regular training, supervision and appraisals. Internal and external advertisements are being place to establish a new, permanent, staff team for Moor View Flat. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 23 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 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run which benefits the people who live there. They are consulted about what goes on in the home through surveys and meetings. Both people living in the home and staff are protected through good health and safety procedures, systems and training. EVIDENCE: Moor View Flat was registered to accommodate three people whose accommodation at Chipchase House was to undergo a major programme of alterations. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 24 The Foundation has a waiting list of 27 people wanting/needing support and care. It is intended to recruit a permanent staff team for Moor View so that an additional three people can get help and support from the Foundation. In addition to people on the waiting list, everyone living at Chipchase House has been given the opportunity to apply to move to Moor View to achieve a greater level of independence. There is an Admissions and Discharge panel who will review all the applications and make decisions about who will move into Moor View and/or Chipchase House. Decisions about the admission of people from the waiting list are made on need not length of time on the list. The registered manager has suggested that people who might be interested in moving to Moor View should take the chance to speak to the three people who have moved back to Chipchase House about their experiences. Central heating, electrical and hot water systems are regularly checked and service arrangements are in place. All health and safety processes are supported by clear policies and procedures that staff have easy access to. This includes infection control, control of substances hazardous to health (COSHH), fire safety, control of medication and disposal of clinical waste. The Foundation has put together Quality Assessment Standards and an Assessment Audit tool. This was done in 2006 by a group which included service users, staff from Northern Counties College, day and residential services and a parent representative. An independent consultant helped the group. A report on the findings has been produced as well as an action plan to improve areas where satisfaction levels were not high. This is a very good piece of work. Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 25 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 4 2 4 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 4 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 4 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 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA6 Good Practice Recommendations Evaluation recordings should be more outcome based. This will mean that the benefits or needs of people who use the service can be more easily identified. Staff should make sure that they record and date weekly and monthly check sheet. This will provide evidence that the checks have been carried out. 2. YA6 Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Percy Hedley Foundation DS0000069990.V346590.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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