Inspection on 24/11/05 for St Marys View

This inspection was carried out on 24th November 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Marys View 27/01/09

St Marys View 31/01/07

St Marys View 10/01/06

St Marys View 12/01/05

St Marys View 14/07/04

St Marys View 20/02/04

Similar services:

22 Sandown Road

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Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 St Marys View Brook Street Whitley Bay Tyne & Wear NE26 1AF Lead Inspector Bill Middlemist Announced Inspection 24th November 2005 10:00 St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Marys View Address Brook Street Whitley Bay Tyne & Wear NE26 1AF 0191 2513630 0191 2513630 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) Lifestyles - Care & Support Ltd Mr Paul Brown is acting manager Care Home 9 Category(ies) of Learning disability (9) registration, with number of places St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The manager of the care home should achieve the Registered Manager’s Award by 2005. 12th January 2005 Date of last inspection Brief Description of the Service: St Mary’s View is a small home for up to nine people who have a learning disability. The Home is a short walk away from the sea front in Whitley Bay, and is convenient for the town centre with its’ range of shops and leisure facilities, as well as good transport services. St Mary’s is a well run home and the people who live there are very well supported and cared for. St Mary’s is part of Lifestyles – Care and Support Ltd; this company has gained a very good reputation for achieving excellent outcomes for people who have learning disabilities. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 hours. This inspection involved either talking to the people who live here and hearing their views, or observing how staff were working with them. Care records for 3 people were examined and discussed with the Manager and staff. Certain parts of the building were inspected as it was not possible to get in to all of the rooms. Matters concerning staff training were looked at, as well as matters relating to Health and Safety. Many of the requirements and recommendations were identified by the Manager, and do not detract from the fact that basic care and support is good. What the service does well: What has improved since the last inspection? Some rooms have been redecorated and there is an ongoing programme of repairs, decoration, replacement of fixtures and fittings, and safety checks. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 Each person’s needs have been assessed, and each person has both a contract and a statement of terms and conditions. EVIDENCE: Each file inspected included an assessment that had been carried out before the person started living at the home. Some people have had further assessments carried out as a result of changing needs, and individual plans have been developed as a result of these. Each file that was inspected included a contract that had been issued by the placing authority. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 Assessed needs are included in individual plans but not personal goals. The people who live here are consulted on what happens in the home and some wanted to be more involved. EVIDENCE: The current care plans are good and detail what people need in their day-today lives. New care plans need to be developed to promote a more empowering agenda: there should be a greater focus on independence, choice, rights and inclusion in the new plans, in line with Valuing People. The agenda for resident’s meetings should include the promotion of independence and choice, using the complaints procedure, and fire safety. Inspection questionnaires revealed that 2 people said they would like to be more involved in decision-making in the home, while others felt that they would not. There were further discussions with another 3 people who felt that decision- making wasn’t up to them. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15, 16, 17 Each person has a range of activities that suits them. People have support in their chosen relationships. People’s rights and responsibilities are recognised. Some of the meals offered could be healthier. EVIDENCE: Each person has regular access to activities in the community that combine leisure with learning. Each person indicated that they enjoyed the mix of activities. Each person has suitable support from staff to maintain relationships with family and friends. Relatives are welcomed in the home, and there is continual evidence that people are being supported to maintain relationships in a way that suits them. The home ensures that people’s rights and responsibilities are recognised in everyday living. People’s privacy is respected through staff being courteous and only entering bedrooms when they have permission. Staff were observed talking with people and involving them in what was going on when it was safe to do so. Recently, some significant risks have been identified in the kitchen St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 11 when the main meal of the day is being cooked, and there is restricted access to this area for a limited amount of time each day. People are able to spend time in the home as it suits them, they can choose to be with others or spend time alone. The menus that were inspected were rather repetitive and there was evidence that people’s suggestions had been included in the pre-inspection information, but not on the working documents being used in the home on the day of this inspection. Some people have type 2 diabetes and several of the meals were especially high in carbohydrates that promote high blood sugar levels. Menus should be reviewed to offer a wider variety and take people’s health needs into consideration. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 People’s physical health needs are being met. This home’s medication policy protects people, but at least one procedure has not been followed. EVIDENCE: 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. Individual foot care regimes should be developed for those people that need it. All records regarding medication were in order and medicines were stored appropriately. During this inspection, 1 person was observed being given their medication, but the member of staff did not actually observe the person taking it. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People feel that their views are listened to. This home is diligent at protecting people from abuse and neglect. EVIDENCE: Nearly everyone said that they knew who to complain to if they were unhappy about something, and some added that they have had no need to complain. The Manager felt that reminding people of the complaints procedure could be more regular, and assist in returning the strong sense of empowerment within the home. Safeguarding adults is taken seriously by this home and the procedures for protecting people have been used to achieve good outcomes. There is a clear understanding that any challenging behaviours are interpreted as attempts at communication. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 St Mary’s is a safe place to live but some changes are needed to make the environment more homely and comfortable. The home is clean and hygienic. EVIDENCE: Everyone spoken to said that their home and rooms were comfortable and that they really enjoyed living at St Mary’s. Several aspects of the home were not satisfactory on this occasion and the following repairs need to be carried out, to improve the environment for people: The 2nd floor landing needs to be redecorated where there was a previous damp patch. The handle on the 1st floor fire door at the top of the first set of stairs needs to be lowered so it is easier for people to use. The blue floor covering in the toilet next to the bathroom needs to be replaced. The grouting in the next toilet needs to be refreshed. The work surfaces in the kitchen are badly worn and need to be replaced. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 15 The following services in the home should be considered: The ground floor shower room was cold and heating should be provided. The front door bell is obtrusive and could be replaced with a more domestic sounding one. Everywhere that was inspected was clean and hygienic. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 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): 33, 34 People are being supported by an effective staff team. People are protected by the home’s recruitment procedures and practices. EVIDENCE: All of the people who were asked about the staff were full of praise for them. Staff were observed communicating with people in a skilled and courteous manner. There has been very good evidence that the staff team have worked hard to address the challenge in meeting people’s needs. There are sufficient members of staff on duty in relation to the current needs of people. Lifestyles – Care and Support operates their recruitment procedure throughout their three homes; the procedure follows appropriate guidelines, it includes an interview checklist and a recruitment chaser form to ensure that checks required by law are followed. There is also a job description, confidentiality agreement and an individual development plan. People living at each home are actively supported to be involved in the process. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 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): 38, 39, 41 The people who live here benefit from the management approach of the home. People know that management will listen to them but parts of the process needs to change. EVIDENCE: This home is well managed and several matters have been identified where improvements to the service could take place. Many files were full of old and irrelevant material, these could be archived to make them more user friendly and provide a greater focus for staff in meeting people’s needs. Lifestyles should consider changing some of the language in the service user questionnaire as some people who live here have misunderstood them. Regulation 26 visits must be carried out by either the Responsible Individual, or by someone within the company who is not directly involved in the home. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 18 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 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Marys View Score X 3 2 X Standard No 37 38 39 40 41 42 43 Score X 3 2 X 3 X X DS0000033192.V249265.R01.S.doc Version 5.0 Page 19 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 YA6 Regulation 15 Requirement Develop service users plans to include how independence, choice, rights and inclusion will be promoted. Staff must observe that medication has been taken. Carry out the following repairs: The 2nd floor landing needs to be redecorated where there was a previous damp patch. The handle on the 1st floor fire door at the top of the first set of stairs needs to be lowered so it is easier for people to use. The blue floor covering in the toilet next to the bathroom needs to be replaced. The grouting in the next toilet needs to be refreshed. The work surfaces in the kitchen are badly worn and need to be replaced. Heating must be provided in the ground floor shower room. Carry out Regulation 26 visits in line with Care Homes Regulations. Timescale for action 31/01/06 2 3 YA20 YA24 13 – (2) 23 – (2) 24/11/05 31/01/06 4 YA39 26 24/11/05 St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 20 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 5 6 7 8 9 Refer to Standard YA8 YA8 YA17 YA17 YA19 YA22 YA24 YA39 YA41 Good Practice Recommendations Include the promotion of independence and choice, using the complaints procedure, and fire safety in resident’s meetings. Consider how to include people in decision making within the home. Include people’s choices in menus. Review and revise menus to vary meals and take health needs into consideration. Individual footcare regimes should be developed for those who need it. Encourage greater use of the complaints procedure as a strategy to develop people’s empowerment. Replace the front door bell. Consider changing some of the questions in the Quality Assurance questionnaire so people can more easily understand them. Archive older or unnecessary documents in care files. St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 Page 21 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 St Marys View DS0000033192.V249265.R01.S.doc Version 5.0 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. 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