Inspection on 18/04/05 for Scottlyn

This inspection was carried out on 18th April 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

Scottlyn 21/03/07

Scottlyn 10/10/05

Scottlyn 06/09/04

Scottlyn 02/04/04

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 Scottlyn Mile Road Widdrington Morpeth NE61 5QW Lead Inspector Allan Helmrich Unannounced 18 April 2005 13:00 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. Scottlyn Version 1.10 Page 3 SERVICE INFORMATION Name of service Scottlyn Address Mile Road Widdrington Morpeth Northumberland NE61 5QW 01670 790482 01670 790482 newlife.care@btinternet.com Newlife Care Services Ltd 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) Mrs Jacqueline Elisabeth Dunn CRH 5 Category(ies) of LD Learning disability (4) registration, with number LD(E) Learning disability - over 65 (1) of places Scottlyn Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: No conditions of registration are applied. Date of last inspection 6th September 2004 Brief Description of the Service: Scottlyn is a detached bungalow with ramped access to the front door. It has all single bedrooms, one of which has a en-suite toilet and hand basin. There is a small garden to the front and a large rear garden. The home is owned by Newlife Care Limited and provides personal care for 5 adults with a learning disability.The home is situated in the rural village of Widdrington in a cul-desac shared by 2 other properties.Local amenities and public transport are limited but include a small supermarket, public house, community centre and GP surgery. Scottlyn Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Scottlyn took place over 4 hours and was unannounced. At the time of inspection, construction works were taking place to create an additional bedroom and also to improve the communal facilities available to the residents. The residents and three staff took a planned holiday in the Lake District the previous week to enable major works to the heating system to be undertaken. The building works are undertaken after a full risk assessment was put in place that all workmen sign up to. There is limited verbal ability within the resident group, however each resident was spoken with and they appeared in good spirit. Notwithstanding the building works the home was safe and comfortable. The home was staffed during the day by the manager and her deputy,1 other member of staff came on duty during the inspection. The information provided by staff was generally positive although some consideration is suggested regarding the lack of a company induction and to the improvement in staff morale. What the service does well: What has improved since the last inspection? The standards maintained in the home are generally high. Requirements and recommendations made are addressed promptly. Currently the recommendation to achieve 50 of the staff team with NVQ level 2 or above in care has yet to be met. Scottlyn Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Scottlyn Version 1.10 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 Scottlyn Version 1.10 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) 1,2,3,4,5. Comprehensive information is available to allow prospective service users to make an informed choice. EVIDENCE: Comprehensive information in the form of a Statement of Purpose and Service user Guide are available in the home and each resident is supported by a local authority contract and the home’s Terms and Conditions. The residents of Scottlyn cannot read or write and have limited verbal communication. The manager and her staff have informed each resident of their rights and this is constantly reinforced. Each resident has family support and an advocate from Skills for People. Various methods of communication are used from regular verbal information to picture formats. Comprehensive case records are in place, detailing specific preferences, these have been developed by the manager over the many years each resident has been in the home. Scottlyn Version 1.10 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) 6,7,8,9,10. Residents’ rights are promoted by the staff team and the individual health and personal care needs are met with their needs and preferences taken into account. EVIDENCE: Each resident has a care plan that was explained to them and whenever possible they have made a mark as confirmation. These plans contain information covering; physical, emotional, social, psychological and spiritual needs. Whenever appropriate, risk assessments are produced and the manager regularly reviews these plans. There was an issue mentioned by one staff member that a company induction was not provided and that her induction into the home was not comprehensive. Residents, with the assistance of staff, confirmed that their needs and preferences were met. Scottlyn Version 1.10 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, 13, 14, 15, 16, 17. Residents have meaningful social lives and are enabled to maintain regular contact with both friends and family. A regular programme of activities is in place for each resident and a healthy diet is promoted by staff in the home. EVIDENCE: Each resident is supported by a plan of care that is regularly re-assessed by staff and evaluated by the manager. Within the limits of their abilities, each resident is encouraged to participate in the day to day activities of the home. Information is provided in different formats to assist residents in making choices and everyone is involved in the monthly house meetings when a large range of issues are discussed. Risk assessments are in place for individual residents and action is taken to minimise identified risks and hazards. Scottlyn Version 1.10 Page 11 A record is maintained of activities undertaken and community facilities used. During the week residents attend day centres for art and cookery, enablers take residents to places of interest and at weekends there are family visits and outings to local markets, garden centres and car boot sales. Residents assist with weekly shopping and all meals taken are recorded. Scottlyn Version 1.10 Page 12 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. Each resident’s personal support and healthcare needs are well met. EVIDENCE: The residents and a core of the staff have been together in the home since its opening, providing a consistency of support. Staff are aware of residents needs and preferences and these are documented in the residents individual plans. Residents are supported by staff to purchase their own clothes and those residents seen at the inspection were dressed appropriately. Where residents require additional specialist support this is obtained and documented in their records. Resident’s healthcare needs were recorded in the individual daily records and a record of each visit to community healthcare facilities together with appropriate information was evidenced in residents’ files. Also regular assessments of residents’ dependency are conducted. Scottlyn Version 1.10 Page 13 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) 22, 23. The home has a complaints procedure that adequately meets the needs of residents’ and their visitors. EVIDENCE: A complaints procedure is available in the home. No complaints have been received by the home, however a book is maintained to record matters of this nature. More appropriate ways of obtaining residents’ views regarding their likes and dislikes are detailed in the individual care plans together with the details of behaviour likely to indicate discontentment. The home has policies and procedures relating to abuse and a copy of the local authorities Adult Abuse Procedures and the DOH guidance No Secrets is available in the home. This has been discussed by the staff team in addition to them having specific external training. Scottlyn Version 1.10 Page 14 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, 25, 30. Notwithstanding the current building works to upgrade the facilities, the home was safe and clean. EVIDENCE: On the day of the inspection, workmen were in the home, constructing walls and providing new facilities in the living and dining areas, in the kitchen, laundry and bathrooms. The building works are undertaken after a full risk assessment was put in place that all workmen sign up to. The home is set in a small village with limited facilities and poor public transport facilities. The premises are adapted for the benefit of residents with a physical disability with ramps to the outside and rear garden area. A tour of the home showed that safe communal areas were available to residents and individual bedrooms were not affected by the works. Bedrooms were noted to be individual in style with a good quality of furnishing. They contained many personal effects including audio and sensory equipment. A more comprehensive assessment will be produced when the current works are completed. Scottlyn Version 1.10 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) 31, 32, 33, 34, 35, 36. Sufficient care staff are employed to meet the current needs of the residents. The employment of staff follows appropriate guidelines. The staff employment and training records were of a reasonable standard. Staff do not have a company induction and some staff do not have a fully detailed induction form in place. Regular staff supervision is in place. EVIDENCE: Staff spoken with were clear about their roles in the home. They were knowledgeable regarding residents needs and were involved in the development of care plans. Staff have clear job descriptions and contracts of employment. A training plan is in place to achieve a workforce qualified to the required standard by the desired date. Staff have undertaken training relating specifically to the needs of the resident group that includes Challenging Behaviour, Communication, Epilepsy and the Protection of Vulnerable Adults. Scottlyn Version 1.10 Page 16 On the day of inspection two staff were on duty throughout the day, however the manager stated that additional staff are brought in when the activities schedule requires this. Normal staffing levels are maintained at 2 staff between 7am and 10pm with one member on staff on sleepover duty from 10pm until 7am. This meets previously agreed levels for the current resident group. The majority of residents have an external daily activities programme that is supported with the use of enablers. Each staff member has an individual training and development plan. This training was found to be linked to the needs of residents and included new staff undertaking training leading to the Learning Disability Award. Staff confirmed that an induction is in place but that this was not comprehensive and did not include an induction from the company. Supervision and staff meetings take place, it is suggested the manager uses this forum to ascertain any issues with the staff team. Supervision notes inspected were appropriate. Scottlyn Version 1.10 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) 37, 38, 39, 40, 41, 42, 43. There has been continuity and a structured development plan as the manager has worked in the home since it opened. She has been involved in all aspects of the homes development and is continually looking to improve the standards of care and the development of the individual residents. EVIDENCE: The manager has been part of the original management team for several years and has been involved with the development of the home’s policies and procedures since it was first registered. She is now supported by Newlife Care Services Limited and is part of their management team. She has recently completed the Registered Managers Certificate. In discussion with the manager she demonstrated a commitment to a high standard of care provided by trained staff. She also detailed the ways in which she promotes residents choice and her commitment to the fulfilment of the Scottlyn Version 1.10 Page 18 residents at Scottlyn. Relaxed relationships were observed throughout the inspection. Staff confirmed the manager promotes a clear sense of direction and leadership but that some issues within the staff team need to be resolved to return to the high level of morale once achieved. Comprehensive policies and procedures are in place in the home, these appear to be developed to meet current best practice and are reviewed by the manager with new staff. The ability of the residents to understand the home’s documentation is limited, however the manager stated that each resident is involved in completing their own care plan and staff try to develop some understanding of any issues which may affect them. Records in the home are maintained in a secure environment, are up to date and are generally in good order. It has been explained to residents that information about them is held in the home and that access to these records is available to them. Where this has been possible confirmatory signatures have been obtained. Accidents to staff and residents within the home are recorded appropriately and countersigned by management and there was an awareness in the home of safe working practices and infection control. The manager was reminded to ensure all of the required fire checks are conducted on a regular basis. 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. Where there is no score against a standard it has not been looked at during this inspection. 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) Scottlyn Version 1.10 Page 19 “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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 2 3 3 3 3 x Scottlyn Version 1.10 Page 20 No 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. 2. 3. 4. Refer to Standard YA32 YA34 YA36 YA38 Good Practice Recommendations Continue with staff development training to ensure 50 have achieved NVQ level 2 in care by 31st December 2005 The company should consider providing an induction to make new staff aware of the company structure and support available to them. The manager should use supervision sessions to ensure the staff team are adequately supported and free to comment on the homes operational procedures. The manager should review her management practices to ensure an open forum for discussion and improvement is available to individual staff and the staff team. Scottlyn Version 1.10 Page 21 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Scottlyn Version 1.10 Page 22 - 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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