Inspection on 30/01/06 for Sixth Avenue, 53-55

This inspection was carried out on 30th January 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 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

Sixth Avenue, 53-55 22/07/09

Sixth Avenue, 53-55 27/04/09

Sixth Avenue, 53-55 30/04/07

Sixth Avenue, 53-55 15/08/05

Sixth Avenue, 53-55 17/01/05

Sixth Avenue, 53-55 09/09/04

Sixth Avenue, 53-55 27/02/04

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 Sixth Avenue, 53-55 53-55 Sixth Avenue Blyth Northumberland NE24 2ST Lead Inspector Jim Lamb Unannounced Inspection 30th January 2006 09:30 DS0000000646.V268404.R01.S.doc Version 5.0 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 DS0000000646.V268404.R01.S.doc Version 5.0 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. DS0000000646.V268404.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sixth Avenue, 53-55 Address 53-55 Sixth Avenue Blyth Northumberland NE24 2ST 01670 - 368717 01670 368693 sixth@sixthavenue.wanadoo.co.uk 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 Jacquleine Anne Hutchinson Care Home 8 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (3), Mental disorder, excluding of places learning disability or dementia (1) DS0000000646.V268404.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user categorised as MD also has a learning disability Date of last inspection 15th August 2005 Brief Description of the Service: 53-55 Sixth Avenue is two purpose built bungalows situated in the centre of a housing estate in Blyth. The home is easily accessible to the town centre of Blyth and close proximity of local amenities. Northgate and Prudhoe Health Care Trust manage the home. The home is registered to provide personal care and accommodation for eight adults with learning disabilities and physical disabilities. DS0000000646.V268404.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second unannounced annual inspection visit. The inspection lasted two and a half hours. Time was spent talking to one of the homes support workers and one of the enablers, two service users care records were examined together with other records relating to the running of the home, including policies and procedures, medication systems and service users finance records. 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. DS0000000646.V268404.R01.S.doc Version 5.0 Page 6 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 DS0000000646.V268404.R01.S.doc Version 5.0 Page 7 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): 25 All service users are provided with a written contract that includes all terms and conditions with the home/provider. A full needs assessment is carried out for all prospective service users. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Arrangements are in place to provide information on DVD Two service users’ files were checked and on each were a copy of a full needs assessment. The two service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. Staff members interviewed confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. DS0000000646.V268404.R01.S.doc Version 5.0 Page 8 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 8 10 The home has an appropriately detailed confidentiality statement/procedures in place. Holistic care plans were seen to be in place. Service users are involved in all aspects of life in the home. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. DS0000000646.V268404.R01.S.doc Version 5.0 Page 9 Self-advocacy continues to be promoted, service users can access a range of external agencies that promote independence, and any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ are encouraged and supported to make decisions for themselves. DS0000000646.V268404.R01.S.doc Version 5.0 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 the following standard(s): 13 14 16 The service users continue to be involved in community life and have access to a wide range of social and leisure activities. The staff team respect the rights of service users and promote independence, choice and freedom of movement. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. The service users continue to have access to a range of community-based services, which promote and provide opportunities to learn and use life skills, including, education and training. In the last twelve months all service users enjoyed holidays to various places at home and abroad. The staff team continue to liaise closely with external agencies in order to monitor each service user progress. DS0000000646.V268404.R01.S.doc Version 5.0 Page 11 There was evidence that daily routines promote independence, choice and freedom of movement. The inspector observed both staff interacting in a very sensitive and respectful manner with service users. The staff on duty were very knowledgeable about all aspects of the service users needs. DS0000000646.V268404.R01.S.doc Version 5.0 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 the following standard(s): 18 20 21 Following appropriate assessment each service users receives support in the way that they require. Medication systems are well managed. Procedures were seen to be in place for: illness and death. EVIDENCE: Moving and handling and O/T assessments have been completed for all service users. Technical aids and equipment are in place. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be appropriately managed. DS0000000646.V268404.R01.S.doc Version 5.0 Page 13 The dispensing pharmacist offers good support and advice. The staff team have recently experienced caring for one-service user that required palliative care; appropriate procedures are in place for illness and dying. DS0000000646.V268404.R01.S.doc Version 5.0 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): 22 23 Appropriate procedures are in place to protect service users from abuse, neglect and self-harm. The staff team requires POVA up-date training. The home has detailed complaints procedures in place. EVIDENCE: The home does have a complaints procedure (Tell Us), which the inspector saw. It contains details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. Key workers support service users to express any concerns that they may have and would help them to make a complaint. The home does keep a record of complaints. Since the last inspection visit there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. DS0000000646.V268404.R01.S.doc Version 5.0 Page 15 The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. There was evidence of personal spending and receipts are kept. The cash balance held was checked for one service user, this was found to be correct. The service users finance records are checked daily and regular audits take place. DS0000000646.V268404.R01.S.doc Version 5.0 Page 16 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): These standards were not inspected during this inspection visit. EVIDENCE: All standards were previously met. There was evidence that both bathrooms will be refurbished within the next few months. DS0000000646.V268404.R01.S.doc Version 5.0 Page 17 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): 31 32 34 35 The staff understands each other’s roles and responsibilities. The Trust are very committed to staff training and development, the majority of staff have either commenced or completed NVQ training. The Trust appears to operate very robust recruitment and selection procedures. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Staff duty: 2 staff between 8am and 9pm with one sleep-in between 9pm and 8am.There are also two waking nightstaff. Staff interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. DS0000000646.V268404.R01.S.doc Version 5.0 Page 18 In addition to statutory and NVQ training, all staff has access to a wide range of appropriate training courses organised by the Trusts training and development department. The Trust has very robust procedures in place for the recruitment and selection of staff, no staff files are held in the home however, the staff confirmed that the necessary checks are always carried out for all new employees. DS0000000646.V268404.R01.S.doc Version 5.0 Page 19 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): 39 42 43 The Trust operates an effective quality assurance system based on achieving the aims and objectives of the home. The health, safety and welfare of the service users are promoted within the home. Appropriate insurance is in place against loss or damage to all assets of the home. EVIDENCE: Staff interviewed were very knowledgeable and clear about their responsibilities and each other’s. The Trust has developed a range of policies and procedures which have been linked to the National Minimum Standards. A quality assurance system operates based on achieving the aims and objectives of the home. DS0000000646.V268404.R01.S.doc Version 5.0 Page 20 The records inspected were found to be appropriately completed, these included the fire log book, infection control procedures, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable and appropriate public liability insurance is in place. DS0000000646.V268404.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 3 DS0000000646.V268404.R01.S.doc Version 5.0 Page 22 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 Ya 23 Regulation 13 (6) Requirement Provide all staff with POVA update training. Timescale for action 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 DS0000000646.V268404.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cramlington Area Office 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. 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