Inspection on 12/08/05 for South Highnam

This inspection was carried out on 12th 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

South Highnam 09/01/07

South Highnam 05/10/05

South Highnam 14/10/04

South Highnam 03/06/04

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 South Higham Park Avenue Hartlepool TS26 0DZ Lead Inspector Stephen Willcock Unannounced 12 August 2005 th 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. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service South Highnam Address Park Avnue Hartlepool TS26 0DZ 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) 01429 864848 Milbury Care Services Limited Carole Stephenson Care Home 7 Category(ies) of LD Learning disability - 7 registration, with number of places South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Not Applicable Date of last inspection 14th October 2004 Brief Description of the Service: South Highnam is a large detached property located in a pleasant residential area of Hartlepool. The house is situated in its own grounds. There is a car parking area to the front of the property whilst the large rear garden provides a private area for service users to enjoy. The home is registered to provide care and accommodation for up to 8 people who have a learning disability. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 12th August 2005 and lasted around 4 hours. Time was spent talking to staff and the manager and service users. We looked around the building and at a number of records and documents. Since the last inspection a new manager has been appointed and has been registered with the Commission for Social Care Inspection. The home was very pleasant and the service users who were at the home on the day appeared happy and well cared for. The manager and staff displayed enthusiasm for their roles and for undertaking training opportunities. A good rapport was observed between staff and the service users and one service user said, “I like living here”. There were some areas that needed attention but these could be attended to within the homes general maintenance plan. What the service does well: Service users are enabled to have opportunities to develop skills, educational and work experience. Service users are offered a variety of activities and are often out at the pictures, sporting events, shopping or enjoying a trip to the pub. Service user files and other documents looked at were very well kept and accurate. A good rapport was maintained at the home. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 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 South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 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 and 4 The home provides service users with satisfactory information to base a decision about whether to live at the home. Appropriate assessment of individual service users needs is undertaken. EVIDENCE: Information was available for prospective service users to decide whether to stay at the home. The Statement of Purpose and Service user Guide were informative and available to each service user, in a pictorial format. The manager had recently updated both documents and said a further review was to take place. Previous inspection reports were also available. Assessment documents for individual service users were seen to be in place. The documents contained original assessments from social workers and also the homes own assessments conducted prior to admission. Evidence was available to show that service users are invited to stay at the home after a process of trial visits including staying for tea and overnight stays prior to moving into the home. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 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 and 9 Care plans are prepared and reviewed with each service user. Risk assessment is carried out to cover many aspects of daily life and activity. EVIDENCE: Individual service user care plans were looked at and found to be informative and up to date, detailing the care provided and how this was linked to the assessed needs of the service user. There was evidence of regular review of the care provided being undertaken. Risk assessments were completed for each service user covering many aspects of their daily lives and social activity. The assessments showed evidence of regular review and included aspects of transport, health and holidays. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 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 and 14 The home enables service users to find satisfactory leisure, educational and community interests. EVIDENCE: In discussion, the manager said that educational and employment opportunities were looked for. Service users were enabled to attend a Skills Centre and work placements through Employment Link. One service user had found work at a charity shop. Arrangements for forthcoming holidays were being discussed with the service users, families and care managers in addition to the outside leisure interests such as visits to places of interest, bowling, snooker and regular home visits to see family and friends. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 11 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) 20 and 21 Procedures are in place to assist a service user to control their medication if requested and service users wishes are recorded in the event of ageing, illness or death. EVIDENCE: Examination of medicine administration records found them to be well kept and accurate. There were no service users who were self-medicating but the manager was able to outline the homes procedures of risk assessment and monitoring should a service user wish to develop self-medicating skills. Staff at the home had undergone college training in the administration of medication along with the homes policies and procedures on medication. Protocols were in place for the use of homely remedies and it was noted that the service user’s GP had taken part in the protocol and signed to show his agreement. Agreements were in place to record the wishes of service users in the event of ageing and death. The manager was able to show that sensitivity and respect had been maintained in collecting this information from the service user and family members. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 12 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 and 23 The home operates a thorough complaints procedure and can demonstrate good knowledge of Adult Protection issues and procedures. EVIDENCE: A corporate complaints policy and procedure was made available that included timescales and stages of the complaints process. The manager said that service users were asked about any issues they were unhappy with during regular residents meetings and a book was available to record any concerns they may have. The home operates an adult abuse policy following the protection of vulnerable adults strategy “No Secrets”. The manager was able to outline the procedures to be followed in the event of an adult protection referral. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 13 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, 28 and 30 The home provides a safe, clean and pleasant environment, accommodating individual preferences and needs. EVIDENCE: The home provides spacious accommodation that is generally well maintained and pleasantly decorated. The garden to the rear is secluded and quite large. There were some areas in the house that needed repainting as there was some damage caused by wheelchairs. It was noted that the lounge carpet was showing signs of wear and cracks had appeared in a wall and ceiling. A new bedroom had recently been constructed and this had been done to a high standard. There was some wear to the kitchen workbenches. In addition to the comfortable lounge area a games room with snooker table was available to service users. One service user said he particularly enjoyed playing snooker. The home was clean, tidy and free from odour. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 14 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) 34 and 35 Staff training is updated and developed. There is a commitment to provide staff with the knowledge and skills to meet service users assessed needs. EVIDENCE: Staff files were seen to follow the homes recruitment and selection policies and contained the appropriate references and Criminal Bureau checks. Staff training files were looked at and found to contain evidence of regular updating and training. The manager produced a training matrix showing detail of courses completed and to be undertaken. The staff duty rota identified the different skills and qualifications that staff held, by a colour coding, and this was a useful tool for the manager to ensure the correct skill mix and specialities of staff to meet the needs of service users on a daily basis. South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 15 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) 38, 41, and 42 The registered manager uses skills and abilities to provide a good standard of care to service users and to ensure health and safety within the home. EVIDENCE: The manager had recently undergone registration and demonstrated enthusiasm to provide good quality care to the service users. The manager was studying at NVQ 4 level in care and management and hoped to complete the courses by the end of 2005. A check of service users personal finance records found them to be accurate and well recorded. During the inspection it was demonstrated that the health, safety and welfare of service users, staff and visitors to the home, as far as reasonably practicable, was maintained. Risk assessments covering equipment used at the home were completed and up to date and a fire file was completed and included a full fire risk assessment. South Higham B54 S21748 South Highnam V224753 120805 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 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 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 South Higham Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 x x 3 3 x B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 17 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. Refer to Standard 24 24 Good Practice Recommendations The manager should make arrangements for repainting where damage has occurred through wheelchair contact. THe manager should arrange for renewal or refurbishment of the lounge carpet, repair of cracked walls and ceiling and repair or replacement of the kitchen work surfaces. South Higham B54 S21748 South Highnam V224753 120805 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. Extracts may not be used or reproduced without the express permission of CSCI South Higham B54 S21748 South Highnam V224753 120805 Stage 4.doc Version 1.40 Page 19 - 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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