Inspection on 11/07/05 for Taylor Avenue, 1

This inspection was carried out on 11th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Taylor Avenue, 1 02/10/09

Taylor Avenue, 1 17/09/07

Taylor Avenue, 1 25/09/06

Taylor Avenue, 1 27/02/06

Taylor Avenue, 1 01/03/05

Taylor Avenue, 1 14/10/04

Taylor Avenue, 1 24/03/04

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 Taylor Avenue, 1 Milburn Park, North Seaton Ashington Northumberland NE63 9JW Lead Inspector Anne Urwin Brown Announced 11 July 2005 12:30 th 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. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Taylor Avenue, 1 Address Milburn Park North Seaton Ashington Northumberland NE63 9JW 01670 811315 01670 857896 gterlyn@aol.com Mr Terry Grimshaw 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) Mrs Lynne Grimshaw CRH 3 Category(ies) of LD Learning disability [3] registration, with number of places Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 01.03.05 Brief Description of the Service: 1 Taylor Avenue is a detached house in a quiet residential estate on the outskirts of Ashington. Mr and Mrs Grimshaw live in the house and are registered to care for three people with learning disabilities. Each person cared for has her own room. Other areas used by the residents include the kitchen, dining room, sitting room and conservatory. There is a bathroom on the first floor. The house is very well decorated and comfortably furnished. There is a pleasant garden area with a patio to the rear of the house. Taylor Avenue is within easy walking distance of the main bus routes into Ashington. Mr and Mrs Grimshaw have two cars and provide transport when required. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over four and a half hours on one day and a return visit of an hour and a half was made to speak with residents. The inspection involved discussion with the manager and three residents, inspection of records and a tour of the house. 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. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3 Prospective residents have sufficient information to make a choice about where to live. Prior to admission residents aspirations and needs are assessed. Prospective residents know that the home they will choose will meet their needs and aspirations. EVIDENCE: The residents’ guide provides detailed information about the service provided by the owners of 1 Taylor Avenue. Residents said that they had been given enough information about the service before they came to live at the home. Records showed that an appropriate assessment is carried out to ensure that the needs of a prospective resident can be met by the service. A standard assessment form is used that covers the areas identified in Standard 2. Records were available to show that a care management assessment was available for each resident. Information from this assessment and the home’s assessment has been used to draw up a care plan for each resident. The Manager was able to describe the specialist services provided to meet residents’ needs. Evidence was available that particular care has been taken to ensure appropriate counselling support is provided to two residents. The Manager showed that she had a good understanding of each person’s needs and of the services available to support them. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 8 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, 8, 9 Each resident’s needs and goals are reflected within an individual care plan. Residents are consulted about all aspects of life in the home. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: There is an individual plan for each resident that describes her needs and goals. Each plan is based on a full assessment and sets out how individual needs are met. Risks are clearly identified. The manager described how she discusses the individual plan with each resident monthly. There are formal six monthly reviews held and records confirmed this. Residents were aware of having an individual plan and said that they are given opportunities to put forward their views about it. Residents confirmed that they are consulted about any decisions made about their lives. Evidence was available from records and talking to the manager that residents are encouraged to make individual choices and handle their own money. Residents said they are involved in decisions in the house. The examples they gave included daily routines, redecoration, refurbishment and holidays. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 9 Written risk assessments are in place for each resident. These show that residents are involved in the assessments. The Manager described how action is taken to minimise risks and hazards for each individual. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 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 standard(s) 12, 14, 15, 17 Staff support residents to undertake jobs, education/training or take part in activities suited to their age and interests. Residents are able to choose to take part in a range of appropriate leisure activities. Appropriate contact with relatives and friends is encouraged and supported. A varied diet is provided for residents. EVIDENCE: Records show that residents attend a range of daytime activities that suit their individual needs and interests. These include regular attendance at the local adult training centre, various college courses and Earth Balance. The Manager described how residents are supported to make choices about how they spend their time. She also said that there are regular reviews of their daytime activities and records confirm this. Residents said that they are satisfied with the support they receive to assist them to make choices about their daytime activities. Residents gave examples of a wide variety of leisure activities including attending the local sports club, Gateway Club, swimming, social clubs, outings and visits to relatives and friends. It is evident that they are encouraged by the Manager to take part in local community events and social activities. The Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 11 residents were able to describe how they make choices about their social life and the range of opportunities available to them. They confirmed that they are well supported by Mr and Mrs Grimshaw. Transport is provided if necessary, although public transport is also used where possible. The residents said that they are very happy with the food provided at No 1 Taylor Avenue. They are consulted about the food provided and can request alternatives at any mealtime. Records of the food provided were available and these showed a balanced diet is provided. The Manager was able to describe how residents are encouraged to keep to a healthy diet. Mr and Mrs Grimshaw have successfully completed Food Hygiene training. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 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) 19, 20 Residents’ physical and emotional health care needs are met. Residents are assisted to take their medication with an appropriate level of support. One person retains and administers her own medication. EVIDENCE: Information from records showed that individual residents’ health care needs are met. Arrangements for specialist support to meet residents’ identified needs are detailed within individual records. The Manager was able to give appropriate examples of how support is provided. Residents said that they were satisfied with the arrangements in place for their health care. Records of the administration of residents’ medicines are kept in good order. Written guidance is in place for dealing with medication. Arrangements for the storage of medication are satisfactory. One resident keeps her own drugs and there is a system in place for checking on this. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents feel their views are listened to and acted on. Residents are protected from abuse. EVIDENCE: Written guidance is in place for dealing with complaints. A system is in place for recording complaints, but no complaints have been made. Residents said that they feel able to discuss any issues or concerns with Mr or Mrs Grimshaw. They said they were satisfied that their concerns would be taken seriously. Mrs Grimshaw has completed abuse training. She was able to describe the appropriate procedure to be followed if an allegation of abuse is made. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 30 The residents live in a homely, comfortable and safe environment. Residents’ rooms suit their needs and lifestyles. The toilets and bathrooms are appropriate to meet residents’ needs. The house is very clean and hygienic. EVIDENCE: No 1 Taylor Avenue is a detached house on a modern housing estate with gardens to the front and rear. The rear garden is fenced and a patio area is available outside the conservatory. The house is comfortably furnished, well equipped and well maintained. Residents confirmed that they are consulted about the décor and furnishings. Each resident has her own room that shows evidence of her individual taste and interests. Residents said they were happy with their rooms and that they could make choices about furniture, colour schemes and décor. The main bathroom in the house is going to be refitted to provide a shower in place of the corner bath. Residents said that they were happy with the plans and feel that the shower will be a great advantage to them. A lock is fitted to the doors of the bathroom and toilet. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 15 The house was very clean and hygienic and evidence was available that appropriate systems are in place for infection control. The arrangements for washing residents clothing are satisfactory. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 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) 32, 33, Mr and Mrs Grimshaw provide an appropriate level of support for the residents. They are appropriately qualified and competent to care for the residents. EVIDENCE: Mrs Grimshaw confirmed that she and her husband live in the house with the residents. They provide almost all of the support for the residents assisted by a volunteer and a cleaner. There are no other staff employed. Mr and Mrs Grimshaw have completed appropriate training in care. The cleaner is currently on an Induction and Foundation course in caring for people with learning disabilities. Evidence was available that there are enough staff hours to meet residents’ needs. Mrs Grimshaw was able to confirm that additional staffing hours would be provided if a need was identified. Evidence was available that appropriate training is provided and that regular updating training is available. Training undertaken includes Moving and Handling, First Aid and Food Hygiene. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 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) 37, 42 Residents benefit from a well run home. Residents’ health, safety and welfare is promoted. EVIDENCE: Mrs Grimshaw is the registered manager and she has completed appropriate training for her role. A written job description for the manager is in place. The Manager is experienced in the care of people with learning disabilities and shows commitment to updating her skills and competence. A fire risk assessment is in place and records show that appropriate alarm and equipment tests are regularly carried out. Records of fire training are kept in an appropriate manner. The Manager described how advice was taken from the Fire Officer when the conservatory was planned. Moving and handling training records are maintained and these show regular updating training is provided. Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 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 4 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 x 3 x x 4 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Taylor Avenue, 1 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 x x x x 3 x B53-B03 S569 Taylor Ave 1 V2275801 110705 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 Regulation Requirement Timescale for action 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 Taylor Avenue, 1 B53-B03 S569 Taylor Ave 1 V2275801 110705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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. 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