Inspection on 25/09/06 for Taylor Avenue, 1

This inspection was carried out on 25th September 2006.

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

Taylor Avenue, 1 02/10/09

Taylor Avenue, 1 17/09/07

Taylor Avenue, 1 27/02/06

Taylor Avenue, 1 11/07/05

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 1 Taylor Avenue Milburn Park North Seaton Ashington Northumberland NE63 9JW Lead Inspector Anne Brown Key Unannounced Inspection 28th September 2006 and 5th October 2006 10.00 Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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 Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Taylor Avenue, 1 Address 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) 1 Taylor Avenue Milburn Park North Seaton Ashington Northumberland NE63 9JW 01670 810827 01670 857896 lynnegrimshaw@btinternet.com Mr Terry Grimshaw Mrs Lynne Grimshaw Mrs Lynne Grimshaw Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: 1 Taylor Avenue is a detached house in a quiet residential estate on the outskirts of Ashington. The home is registered to care for four people with learning disabilities. There are three bedrooms on the first floor and one on the ground floor. The downstairs bedroom has en suite facilities. Each person cared for has their own bedroom. There is a bathroom on the first floor and a toilet on the ground floor. Other areas used by the residents include the kitchen, dining room, sitting room and conservatory. 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. The home is not registered to provide nursing care. The fees range from £370.45p to £530.94p per week. Inspection reports and information about the home are readily available. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over five hours. A tour of the premises took place and the care records were inspected along with the fire logbook, accident book, complaints, minutes of meetings and two staff files. An interview was held with the manager on the first day of the inspection and a further visit was made to speak with the residents. Questionnaires were sent to the residents and they were all returned. What the service does well: The home provides a comfortable, homely and supportive environment for residents. Each person’s individual needs are identified and recorded. Residents are encouraged to take part in community events and they are involved in a wide range of activities. The residents stated they had enjoyed their holidays earlier in the year and enjoyed visiting local theatres. Recording systems are good and there are regular reviews of each person’s care. Residents are consulted about how their needs will be met and their views are taken into account. The residents said they were very satisfied with the support provided by Mr and Mrs Grimshaw and it was evident that good relationships existed between them and the residents. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 6 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 DS0000000569.V296151.R01.S.doc Version 5.2 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 Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users have their individual needs assessed prior to admission. This ensures that the staff are aware of all their needs and are able to meet these. EVIDENCE: Assessments are carried out prior to moving into the home. These are completed by care managers and staff in the home. Residents are visited in their own home or hospital in order to assess their needs. These are also discussed when the service user visits the home. No admissions have taken place since the last inspection. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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, 7 and 9. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There are care plans that contain guidelines for dealing with complex needs, which explain what staff need to do. Residents are encouraged to make decisions. The manager and care staff support the residents to take risks as part of their lifestyle. EVIDENCE: Each person has a service user plan that describes their individual needs and how the home will meet them. The plans state what staff need to do to care and support people. The plans are reviewed and revised on a regular basis. Mr & Mrs Grimshaw and the member of staff on duty were well aware of the individual needs of the residents. They were observed to be communicating with the residents and encouraging them to make decisions. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 10 The residents said they were offered choices in all aspects of lives. They said they chose their own clothes, hairstyles, what to eat and how to spend their time. Risk assessments are available on the case files. These assist the residents to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents have ample opportunities for personal developments. They are encouraged and supported to participate in the local community and to keep in touch with family and friends. Residents’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. EVIDENCE: The residents attend a range of activities to suit their individual needs and interests. These include attendance at local adult training centre, college courses and Earth Balance. All the residents said they enjoyed these placements. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 12 The residents confirmed that they are encouraged to choose their own activities. They gave examples of a wide range of activities including swimming, Gateway Club, local sports club, bingo at a social club, shopping, meals out, visits to local theatres and visiting friends and relatives. The residents said Mr & Mrs Grimshaw escorted them by car to various activities but they also used public transport. The residents stated they were encouraged to keep in touch with family and friends and could invite them to the home. They said they were excited about attending a Halloween party and were discussing their fancy dress costumes with Mrs Grimshaw. Three residents said they had recently enjoyed a holiday in Bridlington. The other resident said they had been to Disneyland in Paris with Mrs Grimshaw. All the residents said they enjoyed the food provided in the home. They confirmed they were offered a choice at every mealtime. A record is kept of the food served. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The physical and emotional health care needs of the service users are well met and recorded in the care plans. The staff give the service users the personal support they require and according to their preferences. An appropriate system is in place for dealing with medications, which protects the health of service users. EVIDENCE: Matters that affect people’s health and wellbeing are well recorded. Any signs that people may not be well are identified and appropriate action is taken. Each person’s care and support is regularly reviewed and action is taken on any changes. The residents spoke of recent hospital and GP appointments they had attended to address their individual health needs. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 14 Mr & Mrs Grimshaw were aware of the individual needs of the residents and confirmed they had undergone appropriate and specialised training. The questionnaires and conversations with the residents confirmed they were always treated well in the home. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. Residents are assessed and encouraged to keep their own medication if they are able. The medication records do not contain a photograph of each resident for identification purposes. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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): 22 and 23. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. 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 felt 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 a two-day training course on abuse. She was able to describe the appropriate procedure to be followed if an allegation of abuse is made. She confirmed that Mr Grimshaw, the staff member and volunteer, have attended a training course on abuse and the protection of vulnerable adults. Appropriate records, receipts and signatures are retained when dealing with money held on behalf of the residents. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 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): 24, 25 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is homely, safe and well maintained. Residents’ bedrooms are comfortable and suit their needs. The home is clean and hygienic. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 17 EVIDENCE: The premises are homely and comfortable. All areas are well maintained, pleasantly decorated and furnished. The residents’ bedrooms are decorated according to their individual tastes and personalised by their own possessions. The residents said they enjoyed spending time in their own bedrooms but also made good use of the communal areas. One resident said that when she moved into the home she was able to bring her own wardrobe and set of drawers. She said she appreciated this because they had sentimental value. The home was clean, hygienic and free from offensive smells. Mrs Grimshaw confirmed that she had booked a course on infection control for herself and the staff to attend. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 18 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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Mr and Mrs Grimshaw are appropriately qualified and competent to care for the residents. The residents are protected by the home’s recruitment policy and procedures. Residents individual and joint needs are met by appropriately trained staff. EVIDENCE: Mrs Grimshaw confirmed that she and her husband provide the care and support for the residents assisted by a home support worker and a volunteer. Mr and Mrs Grimshaw have completed appropriate training in care. The home support worker confirmed that she received plenty of training to carry out her role effectively. The staff files examined confirmed that Criminal Records Bureau checks had been carried out and two written references obtained. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 19 The residents said they were always given plenty of support both inside and outside the home. Mrs Grimshaw confirmed that additional staffing hours would be provided if a need were identified. Three residents enjoy the same activities and outings and spend a lot of time together. The other resident prefers a quieter lifestyle. Mrs Grimshaw ensures that one to one time is spent with this resident to enable them to access activities of their choice. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 20 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): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents’ benefit from a well run home. The residents’ views are important in all aspects of the running of the home. The health, safety and welfare of the residents are promoted. EVIDENCE: Mrs Grimshaw is the registered manager and has completed appropriate training for her role. She has a written job description and is experienced in the care of people with learning disabilities and shows commitment to updating her skills and competence. The residents said they were always consulted about things affecting the dayto-day running of the home. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 21 Regular meetings are held in the home to discuss day-to-day activities, food, décor and any other matters affecting the residents. Minutes are recorded but they did not include action points to ensure matters are followed up. Mandatory health and safety training is regularly updated. A fire risk assessment is in place. The fire logbook confirmed that tests are carried out at appropriate intervals. The residents were aware of what they should do if the fire alarm sounded. No safety hazards were observed. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 x Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 23 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 YA20 Regulation 13(2) Requirement Photographs must be placed on residents’ medication records. Timescale for action 31/10/06 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. Refer to Standard YA39 Good Practice Recommendations Ensure all issues raised in meetings are followed up and recorded. Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 24 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 Taylor Avenue, 1 DS0000000569.V296151.R01.S.doc Version 5.2 Page 25 - 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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