Inspection on 13/07/06 for Springdale, 29

This inspection was carried out on 13th July 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springdale, 29 26/08/08

Springdale, 29 21/12/05

Springdale, 29 06/07/05

Springdale, 29 09/03/05

Springdale, 29 08/09/04

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 Springdale, 29 29 Springdale Tweedmouth Berwick Upon Tweed Northumberland TD15 2DD Lead Inspector Bill Middlemist Key Unannounced Inspection 13th July 2006 13:00 Springdale, 29 DS0000000571.V295737.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 Springdale, 29 DS0000000571.V295737.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. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springdale, 29 Address 29 Springdale Tweedmouth Berwick Upon Tweed Northumberland TD15 2DD 01289 - 302169 F/P 01289 302169 communityhome@springdalenhs.fsworld.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) Northumberland, Tyne & Wear NHS Trust Mrs Claire Selby Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: The service at Springdale is provided by Northgate and Prudhoe NHS Trust and offers care and support to three adults who have a learning disability. Springdale is a three bedroom, semi-detached property situated in a residential area in Tweedmouth, on the outskirts of Berwick upon Tweed. The property is rented from Berwick District Council. The accommodation is arranged on two floors and there is a small garden to the front of the property and a larger area to the rear. The Home is within walking distance of Berwick town centre and a range of local amenities. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took three hours to complete. The way care is planned and delivered was inspected. An assessment of how rights, choices, inclusion and independence are being promoted was examined. Staff were observed offering care and support to people. A brief tour of shared areas in the home was made to inspect health and safety. The way the home is run and plans for the future were discussed with the Manager. What the service does well: What has improved since the last inspection? The way staff are helped to do their jobs has got better. All electrical equipment has been checked to make sure it is safe. Making sure that people get a good service all the time is continuing. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 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. Springdale, 29 DS0000000571.V295737.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 Springdale, 29 DS0000000571.V295737.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person’s needs and changing needs are assessed. EVIDENCE: Each person has an assessment of their needs that have been updated as a result of changing needs. There are supplementary assessments that have been carried out by healthcare professionals. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 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): 6, 7, 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has an individual plan that reflects their needs. Each person is able to make decisions with support from staff. Each person is able to take managed risks as part of their lifestyle. EVIDENCE: Each person’s service user plan is well written, with clear guidelines to promote choice, rights, inclusion and independence. The plans are reviewed every six months to ensure that they remain effective. Some information is duplicated and out of date, removing this information will make the files easier to use. Unused documents should be archived. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 10 Each person is well supported by staff when they need to make any kind of decision. Decisions include what to do on a day-to-day basis, as well as more long-term decisions such as planning holidays. Each person’s file includes individual risk assessments and risk management plans that are clearly linked individual plans. All risk assessments have been reviewed to ensure that they continue to effectively support people. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16, 17 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has limited opportunities to take part in activities that suit them and be part of the local community, due to staff shortages. Each person has appropriate relationships with support from staff. Each person’s rights and responsibilities are recognised and promoted. Each person is offered a suitable diet. EVIDENCE: Each person usually has a good range of opportunities in leisure and education, due to staff shortages these have been limited, and people are not currently getting as many chances to be included in the community. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 12 There is good evidence that each person is supported to maintain contact with family and friends: each person is able to visit people that are important to them and visitors are welcomed at the home. Each person has responsibilities within the home and maintains independent skills inline with their needs and abilities. Menus are varied and nutritious. Each person is able to make choices based on personal preferences and in line with the domestic nature of the home. Good work has been carried out to balance healthy eating with preferred food choices. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 13 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, 19 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person gets the personal support they need in a way that suits them. Each person’s healthcare needs are carefully considered. Each person is supported by the way the home deals with medication. EVIDENCE: All personal support is provided in private. There are no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. There was evidence that people are encouraged to choose their own clothes and to take care of their appearance. People’s healthcare needs are met through the home’s systems making sure that they get to the right kind of help at the time that they need it. The home is very good at monitoring people’s conditions and making referrals to specialists before potential complications develop. Some access to chiropody is limited and getting staff trained in footcare should be considered. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 14 Medication is monitored by care staff and agreed in the service user plan. Each person is reliant on care staff to administer medication in line with the home’s medication policy and procedure. Records were examined and a spot check made on a limited number medications: all those inspected were in order. There was evidence that staff have received the right training in order to deal with medication. All medication was stored in line with pharmacy guidelines. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person views are listened to and acted on. Each person is protected from abuse and neglect. EVIDENCE: The home has an effective complaints procedure that details action to be taken in the event of a complaint being made, including timescales, and ensures that people will not be victimised for making a complaint. Staff monitor each person’s reactions to everyday life at the home and make any adjustments to the care and support provided as necessary. The home has procedures for the protection of vulnerable adults, which includes whistle blowing. There was some uncertainty about using the procedure to safeguard adults and an update is needed in this subject. There are good guidelines available for staff to meet the needs of people whose behaviour may challenge the service, and staff confirmed that they view behavioural challenges as a means of communication. The home has an effective system for recording transactions made on resident’s behalf. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 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): 24, 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Springdale is homely and comfortable. Everywhere was clean and hygienic. EVIDENCE: Each person benefits from this domestic style setting, all shared areas are nicely decorated and there are plans to replace the carpet in shared areas. The bathroom suite and decoration are not really pleasant and replacement should be considered. The extractor fan was not working and should be repaired or replaced. In the kitchen the seal around the sink unit is badly worn and must be replaced. Everywhere that was inspected was clean. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 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): 32, 33, 34, 35 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Staff are competent and qualified but there is a staff shortage. Each person is supported by an appropriately trained staff team. EVIDENCE: Springdale is short staffed. This is affecting the personal care provided, as well as rights, choices and inclusion of people. Members of staff are both working overtime to meet people’s needs and coming in to carry out duties during their holidays. Some activities are not taking place because of the staff shortage. Those staff on duty demonstrated good will and excellent values and attitudes. The Northumberland and Tyne and Wear Trust hold all staffing records relating to recruitment centrally. Staff provided verbal evidence of their training and said that the training was good, and that it supported in doing their job. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 18 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, 39, 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person benefits from a well run home. Each person benefits from a developing quality assurance system. The health, safety and welfare of each person is promoted. EVIDENCE: The Manager is new to her job and is demonstrating competence and enthusiasm. She is experienced in working with people who have learning disabilities and displays excellent values and attitudes. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 19 Quality assurance systems have been developed and are used to gain people’s views of the service they receive. The home receives an unannounced monthly visit from a Locality Manager where quality matters are inspected. All matters relating to health and safety that were inspected were satisfactory. The Manager has identified that a more structured approach to general risk assessment is needed. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 20 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 X 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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 21 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. 2. Standard YA24 YA33 Regulation 13 18 Timescale for action Repair or replace the seal around 31/08/06 the sink unit in the kitchen. Staffing levels must be reviewed in relation to the needs of service users. 30/09/06 Requirement 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. 3. 4. Refer to Standard YA6 YA19 YA23 YA24 Good Practice Recommendations Reorganise each person care files to make them easier to use, and archive unused documents. Staff training in footcare should be considered. Staff should be updated in safeguarding adults procedures. Consider replacing the bathroom suite, replacement of the extractor fan and redecoration. Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Springdale, 29 DS0000000571.V295737.R01.S.doc Version 5.2 Page 23 - 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. 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