Inspection on 12/12/05 for Stonehaven

This inspection was carried out on 12th December 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stonehaven 15/05/06

Stonehaven 21/09/05

Stonehaven 20/01/05

Stonehaven 21/07/04

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 Stonehaven Stonehaven The Willows Red Row Northumberland NE61 5AX Lead Inspector Jim Lamb Unannounced Inspection 12th December 2005 09:30 Stonehaven DS0000000558.V258454.R02.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 Stonehaven DS0000000558.V258454.R02.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. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stonehaven Address Stonehaven The Willows Red Row Northumberland NE61 5AX 01670 - 760692 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) Mrs Elsie Hazel Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 residents with a learning disability/mental disorder Date of last inspection 21st September 2005 Brief Description of the Service: Stonehaven is a small care home providing personal care and accommodation for three younger adults with learning disabilities. The house is a bungalow located in the rural Northumberland village of Red Row. There is easy access to the village amenities and good transport links to Amble and Newcastle. All bedrooms are single and service users have access to large landscaped gardens with sea views. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. Time was spent talking to the homes proprietor, looking at the homes policies and procedures, service users care records together with other records relating to the running of the home. What the service does well: 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. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 6 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 Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 7 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): 125 Admissions to the home are rare however; prospective service users would have enough information to make an informed choice about the home. Each service user has contract/statement of terms and conditions. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Both the homes statement of purpose and the service user contracts are being produced in pictorial formats. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 8 Within the two service users’ files checked there was a copy of a full needs assessment. Admissions to the home are rare; the last admission was over five years ago. The 2 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The homes proprietor confirmed that a range of specialist services was provided to service users and that staff had undertaken a range of relevant training during the last twelve months. Stonehaven DS0000000558.V258454.R02.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 9 10 The service users care plan evaluations must all be completed and social care plans fully introduced. The service users risk assessments must be agreed and signed by their representatives. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. The proprietor agreed to ask each service users representatives to agree and then sign the completed risk assessments. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There was some evidence that plans are amended and reviewed however, Some of the service users care Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 10 plans had not been evaluated; the proprietor will ensure that all evaluations are brought up to date and social care plans fully implemented. All service users have access to a range of external agencies that promote independence; any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ are supported and facilitated to make decisions for themselves; they are consulted about all aspects of the management of the home. Service users care records are secure and confidential. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 17 Service users have access to a wide range of community based social activities. The menus appeared varied and nutritional. A nutritional assessment is required to be completed for one of the service users. EVIDENCE: The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills, including supported work programmes, education and training. The staff team liaise closely with external agencies in order to monitor each service user progress. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 12 Service users are involved in housekeeping tasks and food shopping. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. One service user requires a special diet (low sugar/fat.) It is recommended that a nutritional assessment be implemented. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 The service users holistic health needs are being met. The staff has received medication training and the systems for the management of medication is appropriate. Arrangements are in place for the staff to receive ageing, illness and death training. EVIDENCE: No service users currently have any moving and handling needs. Service users require minimum help with her personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. There was evidence within the service users care records that they have access to external health care services. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 14 G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. The medication systems are well managed. The staff team have all undertaken medication training and ageing illness and death training is arranged for January 2006. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 15 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): 23 Procedures are in place to protect service users from abuse or harm; all staff employed has received POVA training. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. The home does keep a record of complaints, during the last twelve months there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 16 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): These standards were not inspected during this inspection visit. EVIDENCE: All standards were met during the previous inspection visit carried out on 21.9.05. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 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 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): 31 32 35 All staff are provided with a copy of their terms and conditions and a job description. All those employed have achieved NVQ level 2 and LADAF training. EVIDENCE: Staff levels on the day of the inspection continue to meet the agreed level. All the staff were over 18 years of age and those left in charge were at least 21. All staff have a copy of their job description/terms and conditions and are aware of their roles and responsibilities. Training needs of staff are identified via supervision and appraisal sessions. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 18 The proprietor confirmed that staff receives a minimum of three days paid training. Appropriate recruitment procedures are in place and robust checks are routinely carried out for all new potential employees. All staff employed had completed level 2 NVQ and LADAF training. The proprietor confirmed that all statutory training had been completed for all staff employed, including POVA training. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 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 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 43 A system is in place of self-monitoring, review, and development. The proprietor has previously provided the CSCI with appropriate information that demonstrates that the home is financially viable. It is anticipated that the home will have a new manager in post quite soon. EVIDENCE: The registered managers post is vacant, the post has been advertised and interviews have been arranged. The homes proprietor is over seeing the management of the home, she visits the home twice daily. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see There was information which verified that appropriate maintenance contracts for the home are in place. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 20 The proprietor has introduced a quality assurance system, based on seeking the views of the service users and in achieving/measuring, planning action and review, reflecting aims and outcomes for service users. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 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 3 3 X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stonehaven Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X 3 DS0000000558.V258454.R02.S.doc Version 5.0 Page 22 YES 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 YA 9 Regulation 15 Requirement Risk assessments to be agreed and signed by service users representatives. Outstanding. Care plan evaluations and social care plans to be fully completed. Timescale for action 01/03/06 2 YA 6 15 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA 37 YA 17 Good Practice Recommendations The CSCI to be informed as soon as a manager is appointed to post. A nutritional assessment to be completed for one of the service users who requires a special diet. Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 Page 23 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 Stonehaven DS0000000558.V258454.R02.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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