Inspection on 04/08/05 for Seaton Hall

This inspection was carried out on 4th August 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

Seaton Hall 19/02/09

Seaton Hall 21/02/08

Seaton Hall 28/06/07

Seaton Hall 21/06/06

Seaton Hall 04/01/06

Seaton Hall 16/02/05

Seaton Hall 30/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE 30 High Barn Road 30 High Barn Road School Aycliffe County Durham DL5 6QN Lead Inspector Paul Emmerson Unannounced Inspection 15th July 2005 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 Older People. 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. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 30 High Barn Road Address 30 High Barn Road School Aycliffe Co Durham DL5 6QN 01325 321180 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. Frances E. Bainbridge NA Care Home 2 Category(ies) of LD(E) Learning Disabilities - over 65 registration, with number of places 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18th February 2005 Brief Description of the Service: 30 High Barn Road is a care home for two older people with learning disabilities. The home is located in School Aycliffe, a residential area on the outskirts of Newton Aycliffe, County Durham. Although the two service users accommodated have their own, semiindependent, living accommodation, the premises are also the home of the registered provider – Mrs. Frances Bainbridge – and her family. Prior to the Care Standards Act 2000 the home was Registered as a ‘Small Home’ where a ‘lighter touch’ to regulation, and the standards required of such a home, was applicable. Further, although the home was registered it was not inspected. As such, over a period of twelve years, the service has developed its own, common sense, family-lifestyle approach to care. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory obligation to inspect all care homes at least twice a year. This unannounced inspection of 30 High Barn Road was carried out in accordance with this obligation. The inspection took place on the morning of Friday 15th July 2005. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be assessed during the next inspection of the home. Any issues raised in the last inspection were also examined. The inspector looked around the service users’ living accommodation. The home’s proprietor was spoken to as were - within the limits of their communication and understanding - the two service users accommodated. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Admissions to the home were appropriately managed. EVIDENCE: 30 High Barn Road is registered to accommodate two older people with learning disabilities. The two service users accommodated (now aged 75 & 80) came to live at the home 12 years ago. The provider has stated that it is her intention not to admit any more people into her home. Although there have been no admissions to 30 High Barn Road for some time, from previous discussions with the proprietor and care managers involved with the placements, the admissions to the home were appropriately managed and it is apparent that the service users’ needs are being met. 30 High Barn Road has a Statement of Purpose and a Service Users’ Guide to provide information about the home. The home has contract documents with the local social services department covering the placements. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 8 The home also has copies of detailed care plan documents prepared by the social services department, which set out the service users’ needs and form the basis for the care being provided. Care reviews are regularly held, the most recent of which was held on 17th June 2005. These continue to confirm the suitability of the placements and other support arrangements in place to meet any assessed needs. As stated in previous inspection reports, it is repeated here that the manner in which the care and support is provided does not readily translate into full compliance with any Regulations and National Minimum Standards under the Care Standards Act 2000. Nevertheless, it is clear that the home has been instrumental in bringing about significant improvements in the quality of care and quality of life experienced by the service users accommodated. The stigma of long-term institutional settings and the negative behaviours associated with those settings have been replaced by a far more prestigious and enjoyable lifestyle within a homely, family setting. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, as highlighted in previous inspection reports, it is recommended that the proprietor should undergo formal training in the safe handling of medicines. Attention is drawn to the Royal Pharmaceutical Society of Great Britain’s guidance ‘The Administration and Control of Medicines in Care Homes and Children’s Services’. EVIDENCE: N/A 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 Such arrangements are considered satisfactory in as much as applies in this particular service setting. A wholesome, nutritious diet is provided, which is based on the likes and dislikes of the people accommodated. EVIDENCE: Service users’ lifestyle needs and aspirations are met by the home. The two service users are provided with opportunities to maintain or enhance their personal living skills both within the home and through four days a week access (Monday to Thursday) to a day service provision for people with learning disabilities. Access to the local community, e.g. local churches, is facilitated. Although holidays are no longer arranged, trips out, for example to the seaside are arranged. From observations made and discussions with people in the home, it is apparent that the proprietor and her family have been instrumental in enabling the persons accommodated to make significant progress in relation to their overall well-being and the quality of life they experience. Within the limits of their communication and understanding the service users accommodated expressed their satisfaction with the home and appeared settled and content. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 11 Comprehensive assessments and care plans have been prepared in conjunction with the service users’ care manager and day care service provider. Reviews have recently been conducted. Basic diary records of any appointments and activities are kept. Since no additional care / support staff are employed (the proprietor herself provides any care or support required) care planning arrangements are considered satisfactory in as much as the need for such documents applies in this particular service setting. From discussions with the provider a wholesome and nutritious diet is provided, which is based on the likes and dislikes of the people accommodated. There are no formal written menus. The proprietor has developed her own understanding of what the two service users like to eat and will offer choices to them by asking them what they would like to eat at any particular meal. One of the two service users is able to prepare snacks and beverages and is enabled to do this for himself and the other person accommodated. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, as highlighted in previous inspection reports, in the absence of family involvement and alternative safeguards, service users’ financial matters should be considered in any care management reviews. EVIDENCE: N/A 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 30 High Barn Road is well maintained, safe and homely. EVIDENCE: 30 High Barn Road is a large, modern, detached house situated in a desirable residential area. Although the two service users currently accommodated have their own, semi-independent, living accommodation, the premises are also the home of the registered provider and her family. The inspector had a look around the service users’ living accommodation and saw that the premises are well maintained, appropriately decorated and adequately furnished to meet the needs of the two service users currently accommodated. The home has attractive gardens to front and rear. 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. EVIDENCE: N/A 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these outcomes / standards were assessed on this occasion. They will be examined during the next inspection of the home. However, as highlighted in previous inspection reports, the proprietor should ensure that from time to time she undertakes such training as is appropriate to ensure that she has the experience and skills necessary for carrying on the care home. EVIDENCE: N/A 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 17 Are there any outstanding requirements from the last inspection? No 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 None 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 9 Good Practice Recommendations As highlighted in previous inspection reports, it is recommended that the proprietor should undergo formal training in the safe handling of medicines. Attention is drawn to the Royal Pharmaceutical Society of Great Britain’s guidance ‘The Administration and Control of Medicines in Care Homes and Children’s Services’. As highlighted in previous inspection reports, in the absence of family involvement and alternative safeguards, service users’ financial matters should be considered in any care management reviews. As highlighted in previous inspection reports, the proprietor should ensure that from time to time she undertakes such training as is appropriate to ensure that she has the experience and skills necessary for carrying on the care home. 2. 17 3. 31 30 High Barn Road B54 S7559 30 High Barn Rd V228276 150705 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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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