Inspection on 14/02/06 for Roslin

This inspection was carried out on 14th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roslin 28/07/09

Roslin 06/04/09

Roslin 12/04/07

Roslin 08/08/05

Roslin 16/12/04

Roslin 24/06/04

Roslin 04/03/04

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

CARE HOME ADULTS 18-65 Roslin 1 The Chesters Low Fell Gateshead Tyne & Wear NE9 5PB Lead Inspector Mrs Eileen Hulse Announced Inspection 14th February 2006 01:30 Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roslin Address 1 The Chesters Low Fell Gateshead Tyne & Wear NE9 5PB 0191 487 3191 0191 487 3191 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 Mrs Denise Simpson Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (2), of places Physical disability (1) Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Roslin can provide personal care for five people with a learning disability. The home cannot provide nursing care. Roslin is a detached house in a quiet area of Low Fell in Gateshead, close to local amenities including a shopping area, Doctors surgeries and local public transport. The local college is within walking distance of the home. The home provides 4 bedrooms on the first floor and 1 bedroom on the ground floor suitable for a service user unable to use the stairs. The home comprises of a large entrance hall, a sitting room, a conservatory and a combined kitchen/breakfast room. There are gardens to all sides of the house, which service users can reach easily. Facilities are suitable for those people who live there and the home has its own transport. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 14 February 2006 by one inspector (Eileen Hulse), the date and time of the inspection was announced to people who use the service including the Manager and staff and was carried out as part of the annual inspection programme. Prior to the inspection, four questionnaires were sent out to the service users currently living in the home, they were completed and returned to CSCI prior to the inspection. Comments made within the questionnaires were positive about the service and the care they receive and included: • • • • ‘It is a lovely house but I don’t like helping in the kitchen’ ‘I like the privacy I have in the house and my bedroom’ ‘The staff look after me and I have a key worker’ ‘I get help when I need it as I am going to live in my own home’ The inspection took 6hrs to complete that included 1hr 30 mins to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by people who live in the home. Time was spent chatting with service users, observing the practice of staff throughout the inspection and talking with the Manager and staff who were on duty. Some records were inspected that included individual care plans, menus and staff training records. A tour was made of the communal areas of the premises and into some service users bedrooms at their invitation. What the service does well: Two service user’s have now moved out of the home and into their own home with the help of supported living. This has been achieved with the hard work of the staff team, working with the service user to gain and improve their daily living skills. Roslin is a well managed home and provides a good quality of care and provides a service that helps people to gain new skills with help and support from a staff team that are caring and committed and keen to ensure that service users are involved in making decisions about their lives. Plans that are developed with service users make sure they have good support to lead varied and fulfilling lives. It was observed throughout the inspection that staff at all times promoted the dignity and respect of service users. All records inspected were found to be up to date and well maintained Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 6 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. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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): These standards were not inspected at this time. EVIDENCE: Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 and 7 The plans of care for individual service users continue to be impressive and give specific information about service users as individuals and this helps to provide a good quality of care. EVIDENCE: The individual care plans cover a wide range of needs/wishes, goals to be achieved and descriptive guidance is given to staff on the action to be taken to ensure that the needs of service users are adequately identified and met at all times. The care planning systems in place are reviewed regularly and each service user meets with their key worker monthly and six monthly and if the service user chooses to, can invite other people within their support circle to these meetings when every aspect of the care plans are evaluated at this time. Service users take ownership of their individual plans and the support circle can be any person the service user chooses to be included within this circle. These meetings are followed up with an annual review to find out how the Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 10 individual plans have progressed or if no progression, to find out why they are not progressing. Within the care plans are long and short-term goals and these can be achieved in various lengths of time such as one month or two years depending on the content of the goal. Some service users in the home can go out independently and risk assessments are in place to support this. The Deputy Manager is a personal centred plan facilitator and is therefore able to give guidance to staff and service users to develop a plan designed specifically for them. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 11 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): 15 and 17 The service users have formed good personal relationships and have a range of outside interests where they meet other people. This helps them to lead fulfilling and active lives. Service users actively help to plan, prepare and serve meals. A varied and balanced menu is in place and this can be changed at any time at the request of service users. EVIDENCE: Good personal relationships have been formed and two service users who have recently moved out of the home have gained the necessary skills to be able to live with their partners independently. Service users go to an advocacy service once a week and are involved with this service as much as they choose to be involved. People are supported to maintain contact with their family and friends and this is outlined in the plans of care. Some people regularly go out to see their relatives and friends, and it was very encouraging to note that this was identified as a Care Plan goal. Everyone enjoys going out for meals and visiting the local discos to meet up with old friends. Relatives and friends are also welcome to visit people at home at any time. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 12 Mealtimes are very flexible and times of meals depend on the routines and activities that service users are attending. Menus are planned and decided with service users and special diets or healthy eating regimes are put into place with the help of staff, service users also assist with the shopping on a weekly basis. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 13 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 Service users receive good personal support based on areas that is important to them. They are well written and ensure service users contribute to the support plan content. EVIDENCE: The service users all have personal support plans within their plans of care that are based on the amount of personal support they require. The areas covered within the support plans include personal care, communication, financial, learning opportunities, mobility and safety. The support plans are all different and cover various areas as their content reflects the needs of each service user. When these support plans are reviewed, each service user is involved individually with the discussions so that they can contribute what support they feel they need. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 14 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 inspected at this time. EVIDENCE: Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 15 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 The standard of decoration, cleanliness and general maintenance is good throughout the home. All areas of the home are well maintained and have an overall high standard making it a comfortable and homely place for service users to live in. However, the ground floor bedroom carpet is looking worn and needs replacing. EVIDENCE: All areas of the home are furnished to a high standard. New kitchen units and utilities have been purchased and in the next few weeks the kitchen/dining area is to be redecorated and the new units fitted. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 16 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 and 36 All of the care staff team have acquired an NVQ qualification and all staff receive regular supervision. This ensures that an effective and efficient staff team supports the service users. EVIDENCE: The Manager has achieved the Registered Managers Award and Level 4 in care and two of the staff team are assessors for NVQ qualification. The home has a good staff training profile. All care staff have obtained an NVQ qualification in Level 2 and some staff are currently being enrolled to complete Level 3 in NVQ. Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 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): These standards were not assessed on this occasion. EVIDENCE: Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 X 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X X X Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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 YA24 Regulation 23 Requirement Two lounge windows must have the seals replaced. ((Previous timescale of 01 Nov 2005 not met) The kitchen must be redecorated ((Previous timescale of 01 Nov 2005 not met) The ground floor bedroom carpet must be replaced Timescale for action 01/05/06 2. YA24 23 01/05/06 3. YA24 23 01/05/06 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 Roslin DS0000007405.V271939.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Roslin DS0000007405.V271939.R01.S.doc Version 5.1 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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