Inspection on 10/05/05 for St Judes Residential Home

This inspection was carried out on 10th May 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

St Judes Residential Home 19/11/08

St Judes Residential Home 21/11/06

St Judes Residential Home 18/01/06

St Judes Residential Home 03/11/04

St Judes Residential Home 19/05/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 St Judes Residential Home 22 Breckon Hill Road Middlesbrough TS4 2DR Lead Inspector Penni Hughf Unannounced 10 May 2005 09:30 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 Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Judes Residential Home Address 22 Breckon Hill Road Middlesbrough TS4 2DR 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) 01642 868914 Miss Elaine Stephens Miss Elaine Stephens Care Home 6 Category(ies) of Mental Disorder registration, with number of places St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: St. Judes is a large Victorian terraced house in a residential area on the outskirts of Middlesbrough, opposite to a primary school, close to shops and local amenities, within walking distance of the town and adjacent to bus routes.The home provides accommodation for six people, in single rooms, all with en-suite facilities. Three with a shower, wash hand basin and w.c. and the rest with wash hand basin and w.c. only. . In addition, there is a bathroom containing bath, wash hand basin and w.c. There is a non-smoking lounge and a smoking lounge, a breakfast/dining room and a kitchen, which is domestic in nature. Externally there is a garden a patio area to the rear and a lawned garden to the fron of the property. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took three and a half hours and was carried out as one of the two statutory annual inspections required by the Care Standards Act 2000. A partial tour of the premises took place and staff and care records were inspected. Two staff on duty were interviewed, together with two of the five residents. The other three residents were out either on work placements or at a day centre. There were no visitors during the inspection. What the service does well: What has improved since the last inspection? St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 6 All staff now have a copy of the home’s code of conduct and the General Social Care Council code of practice. The manager is in the process of obtaining updated versions of the General Social Care Council code of practice for both the staff and herself. This includes an audio version for a member of staff who suffers from dyslexia. 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 Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 & 5 Admission procedures are robust and ensure that residents will be looked after in the way they want. The home is good at providing contracts and agreements about what the residents can expect whilst living at the home. EVIDENCE: No new residents had been admitted since the last inspection. However, there was evidence on residents’ files examined of care management assessments and care plans and these were integrated with the Care Programme Approach. The manager said that admission only ever took place after the provision of a long-term mental health history assessment, from previously involved professionals and this was confirmed by staff interviewed. The last resident’s admission took place over a period of months, commencing with visiting for tea and ending with several days stay. The three resident’s files examined all held a copy of their contract/terms and conditions, which included the fee for their care and accommodation, which room they occupied, and were all signed by the manager and the resident. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 & 7 The home is good at ensuring that the changing personal goals and health care needs of residents are identified and met. Residents and their relatives are treated with dignity and respect, and staff display an in depth knowledge of the residents and their needs. EVIDENCE: The home’s philosophy was that a person centred approach enabled them to treat each resident as an individual, and their care plans reflected this. There was clear evidence of multi -disciplinary communication and working, with a holistic approach to the needs of the residents, which was providing them with a high level of satisfaction in their day-to-day lives. Evidence was examined which highlighted one resident’s wishes to move into independent living. The manager said that she would be really sad to see him leave, he had been at the home since it opened: however, she was delighted that the home had been able to provide a solid base, from which he had been able to develop his practical and emotional skills, to the point where he was confident enough to want to live independently. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 10 Multi-disciplinary assessment had identified semi independent living as the way forward, with Care Programme Approach support, and the resident had been involved in the decision making process. Residents spoken to both said that they were happy with their lifestyle. One said that staff asked him what he would like to do and he gets to choose the things he wants to do. He showed the inspector his diary, with his activities planned out, which he had completed himself. The other resident said that the staff were “very nice.” He said that he wouldn’t move from St Judes, he clearly considered it his home for life. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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) 12,13,14 ,15 & 17 The home is good at supporting residents to take part in a variety of workplace, college and leisure activities with their wishes and needs being central to all choices. Dietary needs are well catered for, with a well balanced and varied selection of food available meeting residents tastes. EVIDENCE: On the day of the inspection, there were only two of the five current residents at home. The other three were all out participating in the programme of activities arranged for and with them by the manager and staff. Subjects being undertaken by residents included literacy and numeracy at Personal Person Development in Middlesbrough and a variety of activities at Outlook Industries at S Lukes. Residents also attended the St Aidans Centre and Lothian Road Day Centre in Middlesbrough. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 12 Residents said that they liked to go shopping in the town, liked going to “Fitness for Fun” and went to the pub about once a week, in addition to their programmed activities. On this occasion, there were no visitors during the inspection process, but the residents said that their family and friends were always welcome and this was confirmed by manager, staff and Statement of Purpose and findings at previous inspections. Residents said that they really enjoyed the food at the home, comments included “the food is really lovely” and “the food is beautiful”. On the day of the inspection, the evening meal was planned to be fish and chips with mushy peas and crusty bread. Homemade ham shank soup was being prepared by one of the staff, full of fresh vegetables. This was for the following day. The staff said that at weekends, puddings such as apple pie, fruit and ice cream were on offer. However, during the week, residents were offered things like yoghourts. Staff said the residents had all started to put on too much weight and the diet had been changed accordingly! St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 standard(s) Standards not assessed on this occasion. EVIDENCE: St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 Staff displayed knowledge and understanding of Adult Protection issues, which protects the residents from abuse. Residents were confident that their complaints would be listened to. Comments included “I think the staff would listen to me and sort it out.” EVIDENCE: A complaints procedure was in place, and a copy provided, together with the Statement of Purpose, next to the visitors book on the hall table. There were no complaints recorded and none had been received about the home by the Commission for Social Care and Inspection. Residents said they had nothing to complain about, but felt they would be listened to and their complaint acted upon if they had one. Staff files contained evidence of adult protection training undertaken on 10/08/04 by all staff and the manager. The manager said that further training had been arranged for this year. Staff interviewed were very clear about the procedure to follow in the event of an allegation of abuse, and both confirmed that they were enrolled to commence a 12 week course on the Protection of Vulnerable Adults in August 2005. The Dept. of Health’s guidance “No Secrets”, was available for inspection, and there was a policy and procedure in place: however, this needs developing, to highlight the link to the “No Secrets” guidance, as discussed with the manager at the inspection. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27 & 30 The home continues to provide a high standard of accommodation, which is comfortable, well-maintained and a safe environment for the residents and their visitors. EVIDENCE: The home was well situated, within walking distance of local amenities, and local transport was also within easy reach. A tour of the premises showed the home to be clean, hygienic, well maintained and in excellent decorative order. Communal areas consisted of a lounge, a smoke lounge, a dining room, and a kitchen. Sky television and a DVD player were installed in the lounge for residents use. Residents made comments about the high standards of both hygiene and décor in the home. There was ample room in resident’s bedrooms to house items such as computers, music systems or a television. Three contained a shower, wash hand basin and lavatory, and three contained wash hand basin and lavatory. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 16 The resident who occupied the one undersize room had actually had a choice of this or one of the other rooms on admission, but had chosen the smaller room as he liked it better. All rooms were lockable and residents retained their key if they so wished. Currently, the home provides accommodation for up to six residents, but application has been made by the manager/provider to the Commission for Social Care Inspection to increase this to eight residents. Work has commenced, with all the present building work being external and therefore not impacting on the residents’ day-to-day lives. The manager stated her intention to re-decorate the whole home, following completion of all the building works. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35 &36 Recruitment procedures are robust, and staff morale is high resulting in an enthusiastic and tight knit team that works positively with the residents to improve their whole quality of life. EVIDENCE: The home employed six members of staff in addition to the manager/provider. All six staff had successfully completed their National Vocational Award at level 2 in care, and three staff were due to commence their level 3 in September 2005. The two staff on duty confirmed this. Supervision, including performance reviews, took place and was recorded on staff files. Training undertaken during the past 12 months included: First Aid, Fire Safety, Adult Protection, Medication, and Health & Safety. Further training planned for this year included a 12 week adult protection course already mentioned under National Minimum Standard 23 and a 12 week fire safety course. A recruitment policy and procedure was in place, and this included redundancy. The policy had been expanded to identify that the two references required prior to employment must be applied for by the manager in writing. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 18 Satisfactory written references were on files examined. All current staff’s Criminal Records Bureau disclosures had been examined by the inspector on the last inspection, and a record taken of the disclosure numbers as evidence. Staff interviewed were able to display an in depth knowledge of the residents, their needs, likes and dislikes, choice of activities and the things that caused them to feel worried or anxious. The two residents spoken to said that they liked the staff and the staff looked after them in a way that they liked. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 19 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) 37,38,39 & 42 The manager/provider has a clear development plan and vision for the home. Continual staff training ensures the residents’ health and safety is promoted. Staff are well supported and confident in the leadership provided. Residents’ rights and needs are protected by the management approach of the home. EVIDENCE: Residents and staff alike were full of praise for the manager, with staff saying that the home is well run, with good lines of communication and regular staff meetings (one to be held Thursday12th May 2005.) Regular staff supervision was undertaken. The manager/provider had a clear development plan, which currently included the proposed increase in the number of rooms, and ongoing staff development. Staff said that they felt well supported and were encouraged to undertake training. They said that on first working at the home, they had felt nervous about “going back to school” but now looked forward to training and increasing their knowledge. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 20 The manager/provider had successfully completed her National Vocational Award Registered Managers Award level 4, and her certificate, dated December 2004, evidenced. Residents said the staff asked them how they wanted to be looked after and the staff interviewed said they believed that the residents knew that their views and wishes were paramount to the staff. St Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 21 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 4 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 4 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Judes Residential Home Score x x x x Standard No 37 38 39 40 41 42 43 Score 4 3 3 x x 3 x B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 22 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 YA23 Regulation 13 Requirement The homes adult protection procedure must be developed to include reference to the Dept. of Healths guidance No Secrets Timescale for action 01/07/05 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 Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit B, Advance House St Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Judes Residential Home B51-B01 S135 St Judes V226419 100505 Stage 4.doc Version 1.30 Page 24 - 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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