Inspection on 02/02/06 for Prudhoe House

This inspection was carried out on 2nd February 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

Prudhoe House 05/06/08

Prudhoe House 24/06/07

Prudhoe House 19/11/06

Prudhoe House 08/09/05

Prudhoe House 26/11/04

Prudhoe House 22/07/04

Prudhoe House 09/03/04

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 Prudhoe House South Road Prudhoe Northumberland NE42 5LB Lead Inspector Bill Middlemist Unannounced Inspection 10:30 2 February 2006 nd DS0000000648.V259613.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 DS0000000648.V259613.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. DS0000000648.V259613.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prudhoe House Address South Road Prudhoe Northumberland NE42 5LB 01661 830786 01661 830786 prudhoe@prudhoehouse.wanadoo.co.uk 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) Northgate & Prudhoe NHS Trust Ms Judith Blackburn Care Home 6 Category(ies) of Learning disability (6) registration, with number of places DS0000000648.V259613.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: Prudhoe house is a registered care home for six people who have learning disabilities, situated within the community of Prudhoe. The aim of the service is to support the clients to enable them to take an active part in the community and actively choose their own lifestyle. The home is an attractive listed building and blends in with the local community; it is not recognisable as a care home. DS0000000648.V259613.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for 3 hours. The care and support planning for 3 people were inspected and discussed with the Manager and members of staff. Staff were observed carrying out their duties, supporting people and offering care and stimulation. Parts of the building that are used by everyone were inspected, and matters regarding health and safety were also inspected. What the service does well: 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. DS0000000648.V259613.R01.S.doc Version 5.0 Page 6 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 DS0000000648.V259613.R01.S.doc Version 5.0 Page 7 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): Standard 2 was assessed and met at the previous inspection. EVIDENCE: DS0000000648.V259613.R01.S.doc Version 5.0 Page 8 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, 7, 9 Care planning continues to reflect each person’s needs. Each person is supported to make choices. Each person is able to take risks to promote as much independence as possible. EVIDENCE: Each person has a service user plan that describes their needs and how the home will meet them. The plans state what staff need to do to care and support people. The plans are reviewed on a regular basis. Plans are updated to reflect people’s changing needs. People are assisted to make their own decisions through both staff support and through care planning. People are supported by the home’s risk assessment and risk management strategies. The home recognises that taking risks is an essential part of people’s lives, and takes proper steps to ensure that new experiences and learning are combined with safety. DS0000000648.V259613.R01.S.doc Version 5.0 Page 9 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): 13, 15, 17 Each person is part of their local community according to personal preferences. Each person is supported to have appropriate relationships. Each person is offered a healthy diet. EVIDENCE: Care plans include how people will be involved in their local and wider community. Good use is made of what the local and wider community has to offer. People can access these places through the home’s own car. Staff support people to keep in touch with the others, such as relatives and friends, who are important to them. Relatives are consulted about what happens in people’s lives. People have opportunities to mix with people who do not have disabilities, through the use of what the local community has to offer. Each person is offered a diet that suits them: staff were observed preparing meals and carrying out due diligence in food hygiene. Staff were observed supporting people at lunchtime where they displayed respect and sensitivity towards each person. DS0000000648.V259613.R01.S.doc Version 5.0 Page 10 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): 18, 19, 20 Each person gets the personal support they need in a way that suits them. Each person’s physical health needs are being met. Procedures for dealing with medication are suitable for the people who live here. EVIDENCE: There are detailed moving and handling plans for those people who require such assistance: all members of staff have signed the plans and have agreed to work in line with them to ensure consistency and dignity. Each person has been assessed by relevant professionals and equipment has been provided to maintain levels of independence. There is ample evidence that the home and its’ staff work closely with healthcare professionals to keep each person as healthy as possible. A previous recommendation that staff could be trained in footcare is withdrawn. People are reliant on care to staff to administer medication in line with the home’s medication policy and procedure. Records were examined and a spot check made on a limited number medications: all those inspected were in order. There was evidence that staff have received the right training in order to deal with medication. All medication was stored in line with pharmacy guidelines. DS0000000648.V259613.R01.S.doc Version 5.0 Page 11 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): 23 Standard 23 was assessed and met at the previous inspection. EVIDENCE: DS0000000648.V259613.R01.S.doc Version 5.0 Page 12 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): 24, 29, 30 Plans are well underway to make parts of the building more homely. EVIDENCE: There are plans to make the lounge more homely: several bedroom carpets have been cleaned, and some people are getting new bedding and curtains soon. There plans to install equipment to assist people in their personal care routines. Everywhere that was inspected was clean and staff were observed carrying good hygiene procedures. DS0000000648.V259613.R01.S.doc Version 5.0 Page 13 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): 32, 35 The people who live at Prudhoe House are supported by competent, qualified and appropriately trained members of staff. EVIDENCE: The members of staff on duty during this inspection demonstrated good values and attitudes: they were observed carrying out a range of care and support practices that clearly benefited and suited each person. Staff also clearly understand and know each person’s individual needs and character. This home enjoys good relationships with other professionals in a way that promotes good outcomes for each person. The staff team are well trained to do their jobs: nearly all staff hold an NVQ qualification and in this area the home exceeds the expected standard. DS0000000648.V259613.R01.S.doc Version 5.0 Page 14 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, 42 Each person benefits from a living in a well run home. The health and safety of each person is promoted. EVIDENCE: The Manager has created a range of systems and care practices that promote good outcomes for each person, and has demonstrated competence through experience and good practice. All matters relating to health and safety that were inspected were satisfactory. DS0000000648.V259613.R01.S.doc Version 5.0 Page 15 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000000648.V259613.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations DS0000000648.V259613.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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