Inspection on 08/09/05 for Prudhoe House

This inspection was carried out on 8th September 2005.

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 02/02/06

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 Announced 8 September 2005: 10:00 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 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 Stationary 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. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 Northgate & Prudhoe NHS Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Judith Blackburn CRH 6 Category(ies) of LD Learning Disability - 6 registration, with number of places Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/11/04 Brief Description of the Service: Prudhoe house is a registered care home for six adults with 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. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for four hours. Two people were at home during this time and members of staff were observed delivering care and supporting people. One parent’s views are included in this report. The care and support plans for three people were inspected and a tour of the building was carried out. Various matters about Health and Safety were also inspected. What the service does well: What has improved since the last inspection? What they could do better: Some guidelines for personal care could be more consistent. Some rooms within Prudhoe House could be used in a better way. The lounge could be more homely. Weekend staffing levels should be reviewed. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 6 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. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 2 Each person’s needs have been properly assessed. EVIDENCE: The people who live at Prudhoe House have lived there for several years and it is unlikely that any new people would be admitted. Each person has been assessed by a range of professionals involved in their care. Where necessary, for example as a result of changing needs, reassessments have been carried out and care and support has been reviewed. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 6, 9 Care planning is good and reflects people’s changing needs. Any activities that might involve risks are well assessed and managed. EVIDENCE: All of the care plans inspected were nicely detailed and centred around the person’s individuality and choices. There were good risk assessments that support people in their chosen activities. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 12, 14, 16, 17 People are encouraged to be involved in a range of activities that suit them, including leisure activities. People are offered a healthy diet. EVIDENCE: Each person has a good range of activities in a number of different settings; use is made of local resources such as day centres, colleges, places of interest and people also have individual support to go to pubs, restaurants and other places. Menus are varied and indicate that people are offered a healthy and nutritious diet. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 18, 19 Care plans instruct staff on people’s preferred routines; some guidelines could be more consistent. This home ensures that people’s physical and emotional health needs are met. EVIDENCE: Each plan inspected included instructions to staff on what to do in order to meet people’s needs; when discussing people’s needs in greater detail, it became apparent that some details of consistency would make certain aspects of personal care a more enjoyable experience – the Manager agreed to look at these. Access to chiropody is limited and causes some people difficulty; it is recommended that staff could be trained in footcare. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 23 People are protected from abuse, neglect and self-harm. EVIDENCE: The manager described some problems with people using seat belts in the home’s car; it is recommended that advice should be taken from the Traffic Police. All staff have attended basic training in the awareness of vulnerable adults. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 standard(s) 24, 27, 30 Some of the decoration and furniture could be more homely. More bathing facilities would better meet people’s needs. This home was clean, hygienic and free from odours. EVIDENCE: A new room for activities has been created; this is attractively decorated and there are pieces of artwork done by residents on display. Each bedroom is nicely personalised but there are a free standing wardrobes and these should be either fixed to the wall or, allowing for people’s choices as to where they have their own furniture, risk assessed. The lounge is looking rather worn; the chairs are not especially comfortable or attractive and the carpet looks at odds with the décor. It is recommended that replacing the seating and carpet be considered. The way the kitchen is designed does not make the most effective use of the space available; at some point in the future, consideration should be given to Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 14 redesigning the kitchen. There is also a lack of storage facilities throughout the home that could be improved by a better-designed kitchen. There are laundry facilities on the first floor; these could be moved to the basement and a walk-in shower created subject to a proper feasibility assessment, including the reversal of the door to create easier access. This would give the people who live at the home more choice and lead to less demand on the one bathroom. Everywhere that was inspected was clean and free from any odours. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35, 36 People are supported by competent and qualified staff, and staff are regularly supervised. There is enough staff on duty during the week, but not enough at most weekends. EVIDENCE: During this inspection, it was clear that the care and support provided by staff suits the people who live at Prudhoe House, and that staff demonstrate the kind of values and attitudes that people appreciate. One relative visited the home during the inspection and said that staff worked very hard but there was the impression that the home was short staffed. An inspection of the home’s staffing indicated that staffing levels at weekends are lower than during the week; for example, the home is operating with only two staff on Saturday and Sunday, throughout during three out of four weekends in September. The staffing rota at weekends should be reviewed to ensure that people have sufficient opportunities and choices. There is a good ongoing staff training programme covering both those subjects required by law, and in subjects that deal specifically with learning disabilities. Staff have completed NVQ studies to the point where the home exceeds the target set by standards. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 16 The Manager provided evidence that all staff supervision is now up to date. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The Health and Safety of people are promoted and protected. EVIDENCE: All matters relating to Health and safety that were inspected were satisfactory. The Fire Log was up to date, and a record is kept of repairs in the home and servicing of utilities. Staff were observed following appropriate hygiene routines and practicing due diligence in their everyday work. Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 2 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prudhoe House Score 2 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 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. 1. 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 Good Practice Recommendations Prudhoe House B53 B03 S648 Prudhoe House V235773 080905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington 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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