Inspection on 18/11/05 for Portland Avenue 35-37

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Portland Avenue 35-37 12/06/07

Portland Avenue 35-37 10/02/06

Portland Avenue 35-37 21/10/04

Portland Avenue 35-37 29/06/04

Portland Avenue 35-37 09/12/03

Portland Avenue 35-37 20/08/03

Portland Avenue 35-37 06/11/02

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

CARE HOME ADULTS 18-65 Portland Avenue 35/37 35 Portland Avenue Seaham Durham SR7 8AL Lead Inspector Ms Kathy Bell Unannounced Inspection 02:30 18 November 2005 th Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Portland Avenue 35/37 Address 35 Portland Avenue Seaham Durham SR7 8AL 0191 5810741 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) European Services for People with Autism Limited Mr Jason Carroll Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/10/2004 Brief Description of the Service: 35/37 Portland Avenue is a care home providing personal care and accommodation for four people between the ages of 18 and 65 years with autism spectrum disorders. It is managed by the organisation now known as European Services for People with Autism Limited, which was established in 1987 and runs a range of services for younger adults with autism. The premises are two semi-detached bungalows, each with two bedrooms, kitchen and lounge/dining space. The home is on an estate on the outskirts of the town of Seaham with local shops nearby. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during one afternoon in November 2005 and all four residents returned to the home during the course of it. Current residents find it difficult to comment fully on their care during the inspection because of their autism and communication difficulties. However, surveys carried out by the home in the past showed satisfaction with all aspects of the home. During this inspection, the inspector, Kathy Bell spoke with the parents of one resident. They felt the home was excellent. They said the staff understood their sons needs and were very helpful. What the service does well: What has improved since the last inspection? A separate toilet has been installed in one of the bungalows. Daily recording focuses much more on the progress made towards individual goals for each person. Staff are working with the speech therapist to improve residents abilities to express their choices in daily life. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 6 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. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 A very detailed assessment is made of each residents needs before they are admitted so that the home can be sure it will be able to meet their needs. EVIDENCE: Before admission, ESPA collects information from parents and obtains assessments from their speech therapist, psychologist etc. This information is considered by their admissions panel before an admission is agreed. The last stage of the process is a visit to the home. This gives staff a chance to see how the prospective resident gets on with them and other residents, and lets the resident see if they would like the home. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Each resident has a care plan which explains the care staff need to give them so that staff can provide the care in a consistent way and in the way residents want. EVIDENCE: Care plans are very detailed and cover all aspects of residents lives, from personal care to daily activities. They include individual goals and the daily recording focuses on how the resident is working towards these goals. Relatives are able to attend the six monthly reviews of the care plans. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, and 17 Residents have an active lifestyle and take part in different activities according to their individual wishes. Staff support them keeping up contact with their families. While respecting individual choices, staff try to promote a healthy diet for residents. EVIDENCE: Residents take part in a range of different activities. One goes to ESPAs own college, another to a college in Newcastle. They also go to ESPAs Day Centre which provides arts and crafts, a cafe, and other activities. Two residents join in a conservation group, helping with woodland management etc. Residents also use community resources such as bowling. Relatives felt that staff communicated well with them. Residents all had visits to their families and when necessary, staff helped make this possible. Records showed the meals eaten by each resident and how staff try to make sure residents eat enough vegetables. These records show that residents are choosing the meals they eat. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents receive personal support which enables them to be as independent as possible. The home make sure that health needs are met. Arrangements for handling medication are generally satisfactory. EVIDENCE: Care plans provide very detailed guidance to staff on the personal care each resident needs. These take into account each persons existing skills and abilities. Good records were kept of any visits to the doctor and the home arranges regular checkups of teeth etc for residents who agree to this. There is an established safe system for handling medication for residents and staff have received training in this. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this inspection. EVIDENCE: Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home provides a comfortable, safe place to live in a domestic setting which meets residents needs. The home seemed clean on the day of inspection. EVIDENCE: The home consists of two semi-detached bungalows, each with two bedrooms and its own lounge/dining area and kitchen. Staff have an office and sleeping room in one bungalow and work between the two. They have assessed any risks to do with residents being in a bungalow when none of the staff are present and provide satisfactory levels of oversight. Although some refurbishment is the responsibility of the landlord, a housing association, a satisfactory standard of decoration and furnishing is maintained. The home seemed clean and staff have a schedule of cleaning and maintenance to be carried out on a regular basis. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 There are enough staff on duty at all times to meet residents needs. EVIDENCE: There are usually two or three staff on duty during the daytime and two staff on duty in the evenings. The manager is also on duty in the daytime Mondays to Fridays. These staffing levels enable staff to go with residents to college or to the day centre so that they are supported by familiar people. There is one member of staff on duty asleep at night which is satisfactory for current needs. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The manager has a number of years experience in the care of people with autism and appears to have the necessary skills and competence for his role. He is working towards the recommended qualifications for managers. EVIDENCE: The manager has been in post for several years and has the required skills and experience. He continues to undertake training arranged by ESPA. He is working towards NVQ 4 in management and care but described some difficulties in obtaining the necessary support to do this. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 4 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Portland Avenue 35/37 Score 4 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000007564.V257568.R01.S.doc Version 5.0 Page 17 N/a 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 2 Refer to Standard YA 33 YA 37 Good Practice Recommendations 50 of the care staff should achieve NVQ 2 in care The Manager should achieve NVQ 4 in management and care. ESPA should review its arrangements for supporting managers to achieve this. Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Portland Avenue 35/37 DS0000007564.V257568.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!