Inspection on 23/08/05 for St Albans Place (14)

This inspection was carried out on 23rd 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

St Albans Place (14) 23/05/07

St Albans Place (14) 18/01/06

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 NE10 9SP Lead Inspector Eileen Hulse Announced Tuesday 23 August 2005 at 11:45am rd 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. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Albans Place (14) Address Windy Nook Gateshead NE10 9SP 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) 0191 469 7882 0191 438 0159 None Northgate & Prudhoe NHS Trust Ms Carole Ruddick Care Home 4 Category(ies) of LD (E) Learning Disability over 65 - 4 registration, with number LD Learning Disability - 4 of places PD (E) Physical Disability over 65 - 1 Sensory Impair over 65 - 1 St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24th February 2005 Brief Description of the Service: St Alban’s 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) B52 B02 St AlbansS7406 V219712 230805 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 23rd August 2005 by one inspector (Eileen Hulse), the date and time of the inspection was announced to people who use the service including the Manager and staff and was carried out as part of the annual inspection programme. Prior to the inspection, questionnaires were sent out to the service users and their families. 4 were returned from service users that had been completed with the help and support of staff. 2 completed questionnaires were received from relatives. There were no relatives visiting at the time of the inspection but completed questionnaires from families appeared they are satisfied with the service provided to their relatives in general. Service users were generally positive about the service and comments included: • • • • ‘I feel safe, secure and happy’ ‘I like living with my friends’ ‘I am well cared for by staff who are also my friends’ ‘It would be nice if my room was a little bigger’ The inspection took 6hrs to complete that included 1hr 30mins 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 with service users, observing the practice of staff throughout the inspection and talking with the Manager and staff who were on duty. Some records were inspected including service user assessments, care plans, POVA and complaints records and staff training records. A tour was made of the communal areas of the premises accompanied by a staff member and a meal was taken with the service users and staff who were on duty. What the service does well: This is a well run home that gives the service users a good quality of life. The quality of care provided to the people living there is good and the staff are caring and committed and support service users to make decisions that affect their everyday lives, to support them in running their home and ensuring they have a fulfilled and varied social life. There is a good rapport between service users and the staff and this helps to ensure the healthcare needs of people are well met. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 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. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 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 St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 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) 2 Good assessments are in place for all service users that form the basis of their care plan to ensure that all care needs are met on a day-to-day basis. EVIDENCE: Individual reviews are held for each service user living in the home annually that is formulated as a multi disciplinary review. Other professionals are involved at this review such as the nutrition nurse, the physiotherapist and the occupational therapist, smaller reviews are held every six months that include input from the enabler, key worker, Manager and service user to update the information held. At the review, the support plan is reviewed along with every service statement within the care plan. During the review, supported by their key worker, service users are able to voice their opinions, new ideas and aspirations or other things they would like to try. This information is clearly recorded within the plans of care. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 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 7 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. Service users are supported by staff in all decisions that are made, which affect their everyday lives and ensures that service users are able to choose what they want to do. EVIDENCE: The care plans describe in great detail the wishes/aspirations of the service users, their strengths and likes/dislikes. The 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. Service users were observed to make choices on several occasions throughout the day, service users were asked if they wanted to attend a music session, St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 Page 10 one service user chose not to attend this activity. At meetings, service users choices are discussed and when staff receive individual supervision sessions, records evidenced the importance of staff awareness regarding the rights of service users to make informed choices and that it is a subject that is discussed at regular intervals. The Manager also works with new staff on practice issues regarding choice in the home. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 15 Service users are encouraged to maintain valued and varied activities some of which take place within the local community, this helps them to lead fulfilling and active lives. There are no visiting restrictions at the home and this enables service users to have visitors at a time of their choosing. EVIDENCE: An enabling service ensures that all service users living in St Albans have an individual activities programme to carry out activities on a one to one basis with an activity of the service user’s choice, other activities that take place have been chosen by service users to be carried out by all the service users joining in as a group. Service users are very involved within the local community by visiting coffee mornings and one service user attends the local church every Sunday. Although there were no visitors to the home at the time of the inspection, the care plans recorded regular contact between the service users, families and friends. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 The homes policy is to give personal support by staff of the same gender whenever possible to safeguard the service user. Evidence of service users physical and emotional health care needs is available in the individual care plans. This ensures that that both physical and emotional care needs are met at all times. EVIDENCE: The female staff work with female service users at all times and two male staff are employed who work as support for the male service users. Health professionals such as the Occupational Therapist and the physiotherapist are invited to attend the six monthly review meeting held within the home. There was also evidence to suggest that service users receive eye and dental health checks on a regular basis. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 The home have a detailed policy and procedure to be followed by staff should a complaint or concern be made about aspects of the home. They also have information for staff regarding adult protection so that they are aware of abusive situations and therefore protect the service users. EVIDENCE: On viewing records, there have been no complaints made to the home since the last inspection. The home has an ‘Adult Protection Procedure’ to guide staff in their practice and a ‘No Secrets’ document is also in place and the staff team have now received Protection of Vulnerable Adults Training St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 standard(s) 24 The standard of decoration, cleanliness and general maintenance is good throughout the home making it a comfortable home for service users living there. EVIDENCE: The standard of decoration, cleanliness and general maintenance is good throughout the home and at the time of the inspection, it was obvious that the service users and staff take pride in their home. The home is bright, clean, and comfortable and has a homely feel to it. All areas of the home are well maintained and have an overall high standard. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 34 and 35 This is a well managed home and the quality of care provided is of a high standard with the home achieving 50 of qualified staff on the team. The home has a detailed policy and procedure that is followed when recruiting new staff into the home that ensures the correct staff are chosen for employment. EVIDENCE: It was observed that staff offer caring and sensitive support to all service users and to some people with complex needs. It appears that staff are aware of their roles and responsibilities and during discussions with staff their morale appeared good therefore ensuring a high standard of care is maintained. Comments during discussions with the staff on duty included: • • • • • ‘It’s a lovely house with lovely service users’ ‘The Manager is lovely and very approachable’ ‘I have worked here for three months and I love it’ ‘I have been employed here for four years, its great’ We get loads of training which is good’ The staff have an excellent understanding of the needs of service users and throughout the inspection staff demonstrated a good knowledge of service users as individuals, service users appeared settled and very at ease with staff. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 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) 39 and 42 The home have good quality monitoring systems available that detail the quality of care produced at St Albans that help to monitor the service effectively. It was observed that staff appear to adhere to health and safety guidelines at all times to keep service users safe. EVIDENCE: The systems include regular reviews with service users and their representatives on how the service can be improved, Regulation 26 reports that are detailed and personal letters are sent to service users families by the Manager of the home. Service user meetings are detailed and recorded and a large number of feedback questionnaires are received by the home from universities and students following placements within the home. St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score 3 x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Albans Place (14) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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 24 Regulation 23 Requirement The wallpaper in the lounge area and office needs to be replaced Timescale for action 1 Dec 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. Refer to Standard Good Practice Recommendations St Albans Place (14) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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) B52 B02 St AlbansS7406 V219712 230805 Stage 4.doc Version 1.40 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. 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