Inspection on 16/06/05 for Stockton Road (302)

This inspection was carried out on 16th June 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

Stockton Road (302) 27/03/07

Stockton Road (302) 30/11/05

Stockton Road (302) 14/10/04

Stockton Road (302) 26/05/04

Stockton Road (302) 18/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 302 Stockton Road 302 Stockton Road Hartlepool TS25 1JT Lead Inspector Tanya Newton Unannounced 16th June 2005 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. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 302 Stockton Road Address 302 Stockton Road Hartlepool TS25 1JT 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) 01429 223794 01429 223794 Real Life Options Care Home 6 Category(ies) of Learning disability registration, with number of places 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One named person, aged 65 or over, may be accommodated in the care home. Date of last inspection 14th October 2004 Brief Description of the Service: 302 Stockton Road is registered to provide care for up to six adults with a learning disability. It is a large detached house situated on Stockton Road, Hartlepool, a busy main road to the south of the town. The home is situated over two floors with shared lounge, dining, bathing and toilet facilities. Two of the six bedroom have en-suite facilities which include a bath. There is a large shared recreation room to the rear of the property which is also used for dining and a garden outside. There is also a snoozelan room for service users to relax in. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory duty to inspect all care homes at least twice a year. This unannounced inspection was carried out in accordance with this duty. The inspection was carried out on the 16/06/05 between the hours of 10.00 and 15.00. The manager and staff were spoken to as part of the inspection, feedback from which will be included throughout the report. A tour of the premises was taken and a feedback questionnaire was also received from a visiting healthcare professional, the comments from this are included within the report. Although the inspector was unable to communicate with service users to any significant degree, the inspector spent time in their company. In line with current CSCI policy on Proportionality, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be raised during the next inspection of the home. Issues raised in the last inspection were also examined. What the service does well: What has improved since the last inspection? Senior carers have attended training in first aid, this is a four day course and ensures that a qualified first aider is on duty at all times. The damp in resident’s en-suites has been treated and those residents who are not given keys to their rooms now have this explained within the “limitations to choice” section of their case files. A new manager has commenced employment. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 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. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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) 1,2,3,4 & 5 Assessments are carried out to ensure that the home is able to meet all of the physical and emotional needs of the residents being admitted. EVIDENCE: There is a statement of purpose and service users guide to the home, both documents require minor updating to include the new manager details and qualifications and the change in CSCI contact details and address. These documents provide residents with information before moving into the home. There is an admission policy and assessments are carried out on residents prior to them being admitted to the home. Residents are given several opportunities to visit the home and meet other residents and staff before moving in, a trial period of at least three months would be always be offered. There is clear evidence both in documentation and in discussion with staff that resident’s needs were being met. The service users accommodated have a high level of care needs. However, they were seen to be well cared for and comfortable in their living environment. The contract needs minor updating to reflect who is responsible for funding holiday costs, and the recent change to management. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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 & 9. Choice making is encouraged in all aspects of daily living ensuring that residents are the focus for all decisions and actions taking place within Stockton road. EVIDENCE: The service users accommodated are on the whole dependent upon staff to make choices and decisions on their behalf and best interests. However, within the limits of their communication and understanding choice is offered to service users and preferences are provided for. Three case files were viewed during the inspection; each resident has care practice statements, which outlines how the home will meet a specific area of need for example communication. Case files were well written and very resident focused and listed specific needs as well as likes and dislikes. Of the three files viewed all were at varying standards; the manager should audit these files to ensure that the same standard of documentation is maintained throughout the home. Risk management is included in case files, some areas like behaviour management would benefit from further extension, discussion with staff demonstrated that the home have a clear understanding of the individual and group needs of the service users living within Stockton road. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 10 Monthly house meetings are held and service users forums take place, representatives from residents in all the Tees Valley Real Life Options homes are able to attend these meetings. Each resident has a key worker and a cokey worker. One staff member commented, “service users here have a very fulfilled life, they always go out, they are really well cared for, the home definitely progresses people”. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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 Social activities take place, which provide stimulation and interest for people living at the home. Menus are varied and service users are given a choice. EVIDENCE: The manager and staff explained that residents were given several opportunities each week to develop their social and independent living skills. One to one time is given to residents on a daily basis and residents were able to access a range of activities within the local community. Outings included trips to restaurants, pubs, visits to professional and amateur football matches and shopping outings. Residents are strongly encouraged to follow their own hobbies and interests. Holidays are taken, with the duration being suited to the needs of each individual resident. Links with relatives were encouraged where possible. One of the staff interviewed during the inspection said “the positives about this home are that residents are given a choice in everything, they go out lots and they get good all round care, residents get really involved”. Staff with resident involvement devises menus. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 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) 18,19,20 Written guidance and practical support provides residents with care and support which maximises their independence. EVIDENCE: Staff are guided by the level and type of support needed by what is written in each residents care practice statement. Care is always provided in private and residents are encouraged to be as self-managing as possible, with staff providing additional support where it is required. The care practice statements viewed covered all areas of resident’s physical and emotional health care needs. One staff member commented, “Staff are very clear of individual needs, there is lots of experience within the team”. Support is provided to residents from other healthcare professionals; psychologists and district nurses visit the home when needed. A comment card was received from one of the community nurses, which states; “All staff are very professional and friendly, always helpful and informed”. The manager confirmed that there were good support arrangements from Hart Lodge which is an NHS centre providing both mental health and learning disability support as well as nursing input for those residents with difficult or challenging behaviours. The Boots Monitored Dosage System (MDS) is being used at Stockton Road; the registered person must ensure that unused medication is returned to the 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 13 pharmacy at the end of each month this prevents a stockpile of medication. There are no service users living at Stockton road that self medicate at present. Policies on medication are in place with guidance on PRN medication such as painkillers. All staff responsible for administering medication had attended training. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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 The homes policies, systems and training protect residents from the risk of abuse. EVIDENCE: There have been no complaints to the home since 2001. The housing association, which owns the property, has its own complaints policy. The home also has its own procedure, which is in a pictorial format; it is also being developed into an audio format to make it more accessible to residents. The home provides adult protection training as part of the induction for all new staff. Residents are also able to access this training. Staff spoken to during the inspection had a clear understanding of adult protection protocols and all confirmed that they would have no difficulty in reporting any concerns. Criminal Record Bureau (CRB) checks are obtained for all staff before they start employment, which also protects the residents living within the home. It is recommended that a log be held with the CRB number and the date it is obtained. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 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 & 30. The environment is individually decorated and furnished to individual residents choice promoting a homely atmosphere. EVIDENCE: The environment is in the main decorated to a high standard. Residents rooms are individually decorated and furnished, the two en-suite bathrooms have been recently treated for damp and were awaiting re-decoration. Toilets and bathrooms were suitable and had locks in place to ensure privacy. Communal areas such as the lounge, kitchen and dining room were well maintained. The recreation room would benefit from new flooring as the carpet is badly stained; the room is used both as a dining room and as a place to relax or join in recreational activities. The room is quite dark and would benefit from being “brightened up”. The home also has a well-maintained garden area with a patio area for residents to sit outside. The home was clean, tidy and free from odour on the day of the inspection. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staffing numbers and competencies support residents to remain as independent as possible. EVIDENCE: From 8am until 10pm there are five members of staff on duty. There are also 2 waking night staff each night. All staff spoken to during the inspection said that morale was high and that “good working relationships” were in place. Staff training includes induction training, foundation training then NVQ’s. Training is also provided for all staff in managing difficult behaviours. One staff member commented “the service is very service user led, its their home, when decisions are made we rely on those that know service users best, I feel confident in managing difficult behaviours”. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 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 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) EVIDENCE: None of these outcomes/standards were assessed on this occasion. They will be examined during the next inspection of the home. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 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 3 3 4 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 302 Stockton Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 19 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 YA5 Regulation 5(1)c Requirement The costs of extras payable by each resident (for example holiday costs) should be clearly descibed in each persons contract. Timescale for action 30/08/05 2. 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. Refer to Standard YA1 YA6 YA23 YA24 YA20 Good Practice Recommendations The of purpose and service users guide to the home should be amended to reflect the change in manager and CSCI contact details. Case files should be reviewed in order that they may all be maintained at a set standard and information detailing behaviour management should be extended in some areas. A log of all CRB checks should be maintained within the home. The recreation room should be re-carpeted and brigtened up. Medication which is not required at the end of the month must be returned to the pharmacy to prevent stockpiling. 302 Stockton Road B54 S21755 302 Stockton Road V224154 160605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection No.1. Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. 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