Inspection on 21/03/07 for Scottlyn

This inspection was carried out on 21st March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10/10/05

Scottlyn 18/04/05

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 Northumberland NE61 5QW Lead Inspector Allan Helmrich Key Unannounced Inspection 21 and 22nd March 2007 9:45 st Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 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 Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 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. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scottlyn Address Mile Road Widdrington Morpeth Northumberland NE61 5QW 01670 790482 01670 790482 newlife.care@btinternet.com 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) Newlife Care Services Limited (wholly owned subsidiary of Minster Pathways Limited) Mrs Jacqueline Elisabeth Dunn Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 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 full ensuite facilities and another has ensuite 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 6 adults with a learning disability, one who is elderly. The home is situated in the rural village of Widdrington in a cul-de-sac shared by 2 other properties. Local amenities and public transport are limited but include a small supermarket, public house, community centre and GP surgery. Inspection reports and information about the home are readily available. The home’s fees are £649 per week. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s periodic unannounced key inspection visit. The inspection was done over two days and took 7 hours. Time was spent talking to the manager, two care staff and several residents. Some of the home’s care records were reviewed and the systems that maintain residents safety. Also as part of the inspection the care plans for three residents were inspected against the actual care provided. This is called ‘case tracking. The communal areas of the home were inspected and the kitchen and laundry areas. Permission was obtained from residents to look at bedrooms. The residents’ mostly have limited communication. However time was spent with them and staff are very good at interpreting their responses. Questionnaires were provided for visitors to the home and the information provided was used in the production of the report 3.responses were received. All of the responses were positive about the home and no issues were raised. What the service does well: The management and staff support residents to live an active life in the community. Each resident is supported and encouraged to choose what to do and where to go. All residents in the home enjoy living there and are well supported by the staff. The home is comfortable and homely. The manager is very able and supports residents through their emotional challenges. Staff are well-trained and all have either achieved a NVQ in care or are working towards this qualification. The home is safe. No hazards were seen that would affect the well being of the residents. Many • • • • Scottlyn positive comments were received from the families of residents; Never had any concerns Everyone is given their own carer and time is spent with them Nothing can be done to improve the home. Everyone gives full commitment. Carers very proactive and responsive. DS0000041329.V330077.R01.S.doc Version 5.2 Page 6 • • • • • • I feel the staff work hard to meet the needs of residents. The home actively involves residents to stay in touch with relatives. Carers are extremely vigilant and keep families informed of important issues. Genuine commitment to go beyond obligations to ensure happiness and wellbeing. The home has always taken good care of my relative, I cannot thank them enough. The home is always run at a high standard. 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. The summary of this inspection report can be made available in other formats on request. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 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 Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents are given the opportunity to know the home and other residents before a decision is made to offer them a place. Comprehensive information about the home is available to allow prospective users of the service to make an informed choice. EVIDENCE: A Statement of Purpose and Service user Guide is available in the home and each resident is supported by a local authority contract and the home’s Terms and Conditions. A new brochure has recently been produced for the home. 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 advocates from Skills for People have been involved for additional support when major decisions are made that affect them. Various methods of communication are used from regular verbal information to picture formats. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 9 Comprehensive case records are in place, detailing specific preferences; the manager has developed these over the many years each resident has been in the home. The newest resident was accepted into the home after several visits to ensure her needs could be met and that the other residents were happy with the placement. Relevant professionals were involved and special equipment required to meet the resident’s needs was obtained. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have good plans in place for daily living. Residents are involved in making lifestyle decisions. Residents are encouraged to be independent. EVIDENCE: Three care plans reviewed showed the care provided to each resident is different and meets their individual needs. Residents are regularly consulted about the care they receive and any changes to meet their needs are recorded. Individual key workers review the plans of care but do not provide a holistic monthly assessment using the information collected and in consultation with the resident. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 11 Residents are given the opportunity to decide what to do and routines in the home are flexible to enable individual choices to be made. Each resident has family involvement and enablers are also provided to allow individual residents to choose activities that suit them. A risk assessment plan is in place to promote independence and the manager has with agreement improved the personal living space for some residents to better meet their needs. One resident whose mobility is reduced has been provided with a larger bedroom and ensuite facilities. The manager is also looking at how to improve these facilities to provide even greater freedom of movement. The home maintains a system to record any monies they keep for residents. Each resident’s monies are kept separately and two staff sign each transaction. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to make lifestyle choices. Activities provided are individual and appropriate. Residents use a range of community facilities supported by staff. Residents are supported to maintain relationships. Residents are respected and their rights are promoted. Residents enjoy healthy wholesome meals. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 13 EVIDENCE: Each resident has an activities programme that is used as a guide for permanent staff and visiting enablers. Each programme is different and has been developed with the needs of each resident in mind. Two residents attend work placements; one in a charity shop and another, who used to work in the gardens of a Stately Home now chooses to work with Age Concern at a day service. A range of activities take place each week both in the home and outside. These include; an art group, day centres, visits to places of interest and shopping. Should a resident choose not to do a certain activity other choices are offered. Three responses to questionnaires from close family all stated they were happy with the commitment of staff and the range of activities provided. They also confirmed that staff support residents to stay in touch both with transport and assisting in sending holiday postcards and greeting cards. The home now produces a quarterly newsletter that is sent to families and care managers to inform them of past and future events. Residents are encouraged to help around the home and one resident stated he enjoys helping with small tasks. The home’s menus were provided prior to the inspection. These show that good healthy meals are encouraged. The meals provided are varied and contain appropriate amounts of fruit and vegetables to keep residents in good health. Every resident spoken to said that they enjoy the meals provided in the home. Residents’ assist with weekly shopping and all meals taken are recorded. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident’s personal support and healthcare needs are well met. The home’s systems for dealing with medication are satisfactory. EVIDENCE: The home’s records show that each resident receives regular health checks. A range of professionals are involved to meet residents needs. Staff have been trained to support the community nurse with some tasks. Information regarding this training is retained in the home together with the approval letter from the nursing service. Each resident’s health is kept under review by the staff and any changes are recorded and appropriate actions are taken. Equipment for one new resident has been provided to ensure her care needs are met. Another resident has a standing aid that is used to improve his mobility. The home has been altered Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 15 to provide a ramp to aid this residents mobility and his bedroom has been changed to provide him with additional space for movement and a personal ensuite bathroom. All responses from visitors’ questionnaires praised the staff team for the quality of the care provided. The homes system for recording and administering medicines is appropriate to the size and style of the home. Staff are trained in handling medicines and have access to a medical reference book like a BNF. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good complaints process supports residents and they are protected from abuse by a staff team that are aware of vulnerable adult procedures. 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. Residents 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. Staff confirmed they had received training and were aware of the issues relating to protecting vulnerable people. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is comfortable and homely and meets the individual needs of each resident. EVIDENCE: The home is not institutionalised in any way. The home is furnished in a contemporary style that suits the residents living there. It is well maintained and decorated throughout. Recently the home has been adapted to meet the needs of one resident. A ramp was provided at the main entrance and the staff room was moved to Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 18 create a larger bedroom and ensuite bathroom. This room can now contain his specialist equipment used to promote his mobility. Residents are proud of their home and each bedroom is individual in style and furnishing. The kitchen is recently refurbished with split level benches for wheelchair users and new catering equipment. The laundry is newly created with readily cleanable walls and floors and washing equipment that meets disinfection standards. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent staff group supports residents, however the proportion of fully trained staff is less than desirable. The homes recruitment process meets the Commissions requirements to ensure residents are safe. EVIDENCE: Of the six care staff employed, two have completed a National Vocational Qualification (NVQ) in care and four are currently working towards this qualification. Staff new to care are provided with a full induction and are enrolled on a learning disability award to ensure the care they provide meets residents needs. Staff spoken to stated that training is available and the manager monitors the training requirements using a wall planner. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 20 Returned questionnaires praised the staff team for their competence and commitment to providing a good standard of care. During the inspection staff were observed dealing sensitively with residents and involving them in decision making and general discussion. Two staff files reviewed contained sufficient detail to identify the person, references and Criminal Record Bureau details. A record of the foundation training was in place and the supervision records from regular 1-1 sessions with management. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager is qualified, competent and works to improve the care provided to the residents. The quality of care provided is supported by a formal quality monitoring system involving residents and their supporters. A good standard of health and safety is maintained for the benefit of residents. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 22 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 (A wholly owned subsidiary of Minster Pathways Limited) and is part of their management team. She has completed the Registered Managers Certificate and has been involved in a range of other management training recently. 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 residents at Scottlyn. Relaxed relationships were observed throughout the inspection. Staff confirmed the manager promotes a clear sense of direction and leadership. 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 that may affect them. Records in the home are maintained in a secure environment, are up to date and are generally in good order. Accidents to staff and residents within the home are recorded appropriately and necessary remedial action is taken. Management has an awareness of safe working practices and infection control. Fire checks are conducted on a regular basis as is staff training. The fire risk assessment is ready to be reviewed. The manager uses her own quality audit tool to identify any areas for improvement in the home. Issues identified requiring a budget are discussed with senior management. Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 23 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 4 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 24 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. 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 YA6 Good Practice Recommendations The manager should instigate a system of review on a monthly basis between the keyworker and resident where all facets of life are reviewed and any changes required are reflected in the care planning system. Continue with the staff training to achieve a fully qualified workforce. 2. YA32 Scottlyn DS0000041329.V330077.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000041329.V330077.R01.S.doc Version 5.2 Page 26 - 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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