Inspection on 18/01/06 for St Albans Place (14)

This inspection was carried out on 18th 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 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

St Albans Place (14) 23/05/07

St Albans Place (14) 23/08/05

St Albans Place (14) 24/02/05

St Albans Place (14) 14/09/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 St Albans Place (14) Windy Nook Gateshead Tyne & Wear NE10 9SP Lead Inspector Mrs Eileen Hulse Unannounced Inspection 18th January 2006 01:30 St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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 St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Albans Place (14) Address Windy Nook Gateshead Tyne & Wear NE10 9SP 0191 469 7882 0191 438 0159 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 Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4), Physical disability over 65 of places years of age (1), Sensory Impairment over 65 years of age (1) St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: St Albans Place is a detached bungalow located within the Windy Nook area of Gateshead. It is close to a variety of local amenities and bus routes. The home has an enclosed rear garden and patio area with level access from the utility and lounge areas. There is also a small garden to the front of the house, which has ramped access. The bathroom and one bedroom are provided with overhead tracking. There is an adapted bath, which is suitable for a person who has a physical disability. The design, layout and facilities of the home enable it to be suitable for people who have a physical disability. A loop system is installed to assist people who wear hearing aids. The home also has an adapted vehicle, which is appropriate for people who use a wheelchair. The home is registered to provide personal care for four adults over the age of 65 with a learning disability. The home is not registered to provide nursing care. It is managed and staffed by Northgate and Prudhoe NHS Trust. The philosophy of the home is to support and enable service users to take part in a range of activities in the community and to take part in domestic routines within the home. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 18th January 2006 by one inspector (Eileen Hulse), it was un-announced and was carried out as part of the annual inspection programme. It took 5hrs to complete that included 1hr to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by service users who live in the home. Time was spent chatting to service users, talking with the acting Manager and staff who were on duty and observing the rapport between service users and staff, inspecting some records including service user’s contracts, care plans, risk assessments, medication arrangements and a sample of staff training files and a tour was made of the building. Some service users living in the home have complex needs and communication difficulties and therefore, they are not all able to verbally express how they feel about the service. No relatives visited the home at the time of the inspection so their views of the home could not be obtained at this time. Staff were positive about the home and comments they made included: • • • ‘It’s a lovely home and I am really enjoying working here’ ‘The staff all work as part of a team’ ‘We get good support from the Manager’ What the service does well: What has improved since the last inspection? Staffing levels have improved and the home currently has a full complement of staff and staff training has improved using the Learning Disabilities Awards Framework foundation course training that helps the home as it is more service user orientated and all new staff have completed the Ldaf training. New furniture has been purchased for the lounge and service users helped to choose the furniture supported by staff. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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 St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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): 5 Each service user is given a contract of residency. This ensures that service users and their relatives know what service they can expect to receive and what is expected of them to fulfil the contract. EVIDENCE: The contract details the terms and conditions of the service users stay in the home and covers areas such as: • • • Periods of notice that must be given if the service is moving out of the home. Details of the gross weekly charge to live in the home and what contribution the service user must make. The care that their relative will receive whilst living in the home. A copy of each contract is located on the service user’s personal files. If a service user cannot sign the contract, then a relative or representative will sign it. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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 and 9 The Care plans in place are very detailed and contain all aspects of personal care and social support that gives good guidance to the staff team to ensure the care needs are met. Good risk assessments are used with the care plans that show service users are supported to take risks as part of their independent lifestyle. EVIDENCE: The care plans describe in great detail the wishes/aspirations of the service users, their strengths and likes/dislikes. The care plan records are currently being updated as the needs of the service users living in the home are changing and service users are needing more support. Records detailing the activities of the service users are particularly impressive and show that service users living in St Albans lead very full and active lives. They are easy to follow and ensure that the special needs of the service users are recorded and follow a complete program of care giving good guidance for the staff to follow ensuring that the care needs are continuously identified and met. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 10 The admissions procedure instructs staff to complete risk assessments when the care plans are implemented and where this is appropriate. The records within the care plans show that risk assessments are carried out prior to the introduction of a new activity that the service users are to be involved in. During the inspection, one service user was able to go to the local shop. The service user when asked about going out independently commented as follows: • • • ‘I go to the shop every night for the paper’ ‘I post the letters’ ‘Sometimes I show new staff where the shop is’ The risk assessments have improved as training programmes have been implemented and they include more detailed assessments. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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): 16 and 17 Daily routines are very flexible and take into account if service users wish to be involved or not with the household tasks. This recognises the rights of service users. EVIDENCE: Service user’s individual care plans evidenced that service users get up and go to bed when they choose to do so and their daily lifestyles are based on what they choose to do. This was evident throughout the inspection, at all times throughout the day service users were consulted on what they wanted to do even if it was moving from one room to another. Observation showed staff consulting with service users constantly throughout the day, evidencing also that staff promote and encourage the independence of service users. With the support of staff, service users are able to help with some of the household tasks and the daily chores are centred on what service users choose to do. Service users actively help to plan, prepare and serve meals. There is a varied and balanced menu that service users have helped to plan and have contributed to with the help of picture cards and the support of staff, any St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 12 changes to the menus are discussed within the service user meetings. On a notice board in the kitchen, the days menus are in picture form on the board so service users know what meals they are having and therefore can change them if its something they do not fancy. Special diets are catered for and clearly recorded in the plans of care. Meal times are flexible and taken at times to suit the service users and the activities in place. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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): 20 Good procedures are in place on the administration of medicines that helps to make sure service users are given their medication safely. EVIDENCE: The home has a policy and procedure on the administration of medicines used in the home. A monitored dosage system is used and the policy in place covers areas on the recording, administration, safekeeping and disposal of medications held within the home. All medications are recorded on individual medicine administration record sheets that are up to date and well maintained. At all times, medicines are given to service users in the presence of two staff and all staff in the home has completed the accredited medication training ‘Safer Handling of Medication’. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 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): These standards were not inspected at this time. EVIDENCE: St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 15 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 and 30 The house is homely and comfortable, however, the lounge and hall carpet should be replaced as part of the home’s refurbishment plan. The home is clean with good cleaning schedules in place and there are no odours within the home. This provides service users with a nice home within a safe environment. EVIDENCE: The bedrooms were found to be homely and personalised to individual tastes and have a homely, comfortable feel and service users demonstrated a real sense of ownership in their own space in the home. The bedrooms are all decorated to their own taste and the service users chose the decoration and furniture. However, the lounge and hall carpet are worn in places and during observation, when a wheelchair is pushed over the carpet it is rucked in several places and could cause a tripping hazard for other service users and staff. One service user stated, ‘we need a new carpet in the lounge’. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 16 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 Service users are supported by staff that are well trained and have a good understanding of their roles and responsibilities. Service users can be expected to be cared for by staff that has the skills and knowledge to support them. EVIDENCE: Four staff members have acquired NVQ Level 2 and have reapplied to complete NVQ Level 3 and a further three staff have applied to complete NVQ Level 2. The home has now achieved 50 of the staff team with a qualification. Discussions held with the acting Manager and members of staff during the inspection, evidenced that staff have a good understanding of their roles and responsibilities. Staff stated that they are provided with training specific to the needs of the service users and this has allowed the home to have a mix of skills and experience among the staff group necessary for the tasks they are expected to undertake. No staff members working in the home at this time are under the age of 18 years. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 17 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 42 The Commission for Social Care Inspection has not yet received an application from the acting Manager. The Manager must be registered to ensure the home is managed effectively. There were no health and safety issues that would compromise the safety of service users and staff working in the home. EVIDENCE: The Manager has been at St Albans for almost two years and prior to working in this home has been employed as a Manager in other homes for the last eight years and has vast experience working with this service user group. She is a qualified first level nurse and has gained her RNLD and was a ward sister prior to managing in community care homes. The Manager shows strong leadership skills in managing a staff team and she has completed the A1A2 Assessor award. All staff receives mandatory training in health & safety matters including Food Hygiene, Moving & Assisting, Fire Safety and First Aid. New members of staff St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 18 also receive this training within their Induction/Foundation programmes, which also includes Infection Control training. Good moving and handling techniques were observed by the inspector that were used by staff assisting a service user to transfer. St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 19 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 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x 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 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 x 2 X X X X 3 x St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 20 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 YA24 23 2. YA37 9 Regulation Requirement The lounge and hall carpet should be replaced as part of the homes refurbishment programme. The acting Manager must be registered with the Commission for Social Care Inspection. Timescale for action 01/04/06 01/04/06 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 St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 St Albans Place (14) DS0000007406.V265702.R01.S.doc Version 5.1 Page 22 - 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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