Inspection on 05/10/05 for South Highnam

This inspection was carried out on 5th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

South Highnam 09/01/07

South Highnam 12/08/05

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 Highnam Park Avenue Hartlepool TS26 0DZ Lead Inspector Stephen Willcock Announced Inspection 5th October 2005 11.00 South Highnam DS0000021748.V253864.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 South Highnam DS0000021748.V253864.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. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service South Highnam Address Park Avenue Hartlepool TS26 0DZ 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) 01429 864848 Milbury Care Services Limited Carole Stephenson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 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 Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 5th October 2005 and lasted around 3 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 the new manager has further established herself into the running of the home and has built up a good rapport with the service users, families and staff members. The home was very pleasant and generally clean, 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 that were being further developed, as new courses were made available. There were some areas that needed attention including the cleaning of some carpets and a boiler door that should be kept locked. Refurbishment of the bathrooms had been planned and the manager and service users were looking forward to the work being completed. What the service does well: What has improved since the last inspection? Since the last inspection the manager has gained further confidence in her role and has gained the support of staff and service users, and developed a good working relationship. Staff training and supervision has also increased and studies leading to NVQ2 and 3 are continuing towards completion. A new path has been laid in the garden to improve access for service users who use wheelchairs. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 6 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 Highnam DS0000021748.V253864.R01.S.doc Version 5.0 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 South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 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 the following standard(s): 3 and 5 The home can demonstrate how it can meet the service users needs and provides a licence agreement as a statement of terms and conditions. EVIDENCE: The home produces and individual Service Users Guide for each service user, available in a picture format and giving good detail of the services provided. Service users files were seen to be well-documented and contained individual needs within a care plan. Regular review of the plan ensured that changes in need were acted upon. Pre admission assessments were made available and identified how the how would be able to meet the service users identified needs. A ‘dictionary of expressions’ had been developed to identify specific communication methods for each service user and was used as a tool for new members of staff in communicating effectively with service users who had verbal impairments. Service agreements were in place for each service user and took the form of a statement of terms and conditions or contract. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8 Service users are enabled to make decisions about their lifestyle and in the running of the home. EVIDENCE: The manager gave details of regular meetings with service users either as a group or more often on an individual basis, where decisions about lifestyle and choices were made. It was common for family to be invited and an advocacy service had been used for one service user. Evidence was available to show that staff involved service users in making decisions about the running of the home. One service user spoke of his wish to have a new lounge carpet fitted and was keen for this to be done. South Highnam DS0000021748.V253864.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, 15, 16 and 17 The home arranges appropriate opportunities to be part of the local community and is willing to make arrangements to fit in with service users choices. EVIDENCE: Service users at the home use the local amenities, pubs and shops regularly and have the benefit of the homes own transport. One service user was particularly keen on visiting the local flea market and would travel to it unescorted. Service users were also engaged in employment opportunities at a local charity shop. Contact with family and friends, was maintained and regular. Staff often encourage visits by family and arrange transport when needed. One service user spoke highly of a recent holiday to Blackpool and said he thoroughly enjoyed it. In discussion the manager was able to describe the rights of the service user and explained that they “had the same rights as you or I” and were always offered the opportunity to take part in voting, using the postal vote where required. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 11 Food served at the home was to service users preference and menus are planned with service user input. The menus had recently been rearranged and were available in a picture format. Staff said service users would often choose what to eat on a daily basis and any dietary need or special diets would be considered. Mealtimes were flexible to fit in with service users activities and outside interests. South Highnam DS0000021748.V253864.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 and 19 Service users preferred way of receiving care is respected and health and emotional needs are met. EVIDENCE: Details of the personal support that each service user needs are recorded in the care plans and staff have full knowledge of service users preferred way of giving their care. Some service users have impaired verbal communication skills and staff have developed an understanding of their needs through eye contact and body language. There are good contacts with local healthcare providers and health checks are arranged and carried out regularly. The manager said that arrangements had been made for service users to receive Flu’ jabs through the local health centre. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home can demonstrate good knowledge of Adult Protection issues and procedures. EVIDENCE: 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 Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 and 27 The home offers comfortable surroundings for service users but work that is planned should be done within appropriate timescales. EVIDENCE: Service users bedrooms are decorated and furnished to the individuals preference and reflect their chosen lifestyle and interests. One service user’s bedroom that is currently vacant has been equipped with an en-suite facility and includes a shower. It was noted that one bedroom carpet was marked and needed cleaning. The manager said the downstairs bathroom and the flooring that was quite marked was had been equipped with specialised bathing occupational therapist to meet the needs of was to be refurbished this year also to be replaced. Bathrooms aids with the assistance of an the current service users. It was noted that the upstairs corridor carpet near the bathroom was quite stained and needed cleaning and a boiler cupboard should be kept locked. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32 Staff at the home are competent and trained to provide effective care to service users. EVIDENCE: Staff training is ongoing and further training is arranged in areas of Infection Control and Occupational Health and Safety. Studies’ leading to NVQ2 and NVQ3 in care are being undertaken and a number of staff already held the qualifications. The manager confirmed that all staff had completed the Learning Disability Awareness Foundation (LDAF) course in addition to courses in Epilepsy and Challenging Behaviour. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 16 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): 37 and 39 The home is well managed and inclusive of service users opinions. EVIDENCE: The manager has completed the Registered Managers Award and NVQ4 in care and is waiting for an assessors report to be completed. The manager hopes to have the qualifications before the end of 2005. The home appears to be well run and staff and a service user commented that the manager is approachable and competent. The manager demonstrated the need to keep service users informed about changes in the home and the value of service users views and opinions. The manager said that due to the nature of service users disabilities, including Autism, it was essential that any change was gradual and properly introduced. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 17 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 X 3 X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 2 X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 South Highnam Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000021748.V253864.R01.S.doc Version 5.0 Page 18 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 YA42 Regulation 13 Requirement The registered person must ensure the boiler door in the kitchen is kept locked. Timescale for action 31/12/05 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 YA25 YA27 Good Practice Recommendations The manager should arrange for the bedroom carpet that is marked, to be cleaned. The manager should ensure that the refurbishment of bathrooms is carried out as planned and the carpet in the corridor near the bathroom is cleaned. South Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office 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 Highnam DS0000021748.V253864.R01.S.doc Version 5.0 Page 20 - 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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