Inspection on 27/02/06 for Taylor Avenue, 1

This inspection was carried out on 27th February 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 25/09/06

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 Unannounced Inspection 09:30 27 February 2006 th DS0000000569.V258474.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000000569.V258474.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000000569.V258474.R01.S.doc Version 5.0 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 gterlyn@AOL.com Mr Terry Grimshaw Mrs Lynne Grimshaw Mrs Lynne Grimshaw Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000569.V258474.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 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. DS0000000569.V258474.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two and a half hours. A tour of the premises took place and a sample of care records were inspected along with the fire logbook, accident book, complaints, minutes of meetings and two staff files were examined. An interview was held with the manager on the first day of the inspection and a further visit was made to speak with the service users. What the service does well: What has improved since the last inspection? A shower has been installed which is more suitable to meet the needs of the residents. DS0000000569.V258474.R01.S.doc Version 5.0 Page 6 Mr & Mrs Grimshaw have applied to convert the garage to provide a larger bedroom for one resident. Work is nearing completion. 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. DS0000000569.V258474.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000000569.V258474.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Prior to admission prospective residents aspirations and needs are assessed. Prospective residents have the opportunity to ‘test drive’ the home. EVIDENCE: 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 all areas of the residents’ care needs. A care management assessment was available for each resident. Prospective residents are invited to the home for meals and overnight stays prior to deciding whether the home can fully meet their needs. DS0000000569.V258474.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. The individual care plans reflect the need and goals of the residents. Residents are supported to make decisions about their lives. Residents are supported to take risks to encourage independent lifestyles. EVIDENCE: The care plans describe the needs and goals of each resident. The manager is in the process of developing a care plan with a new resident. The plans are based on a full assessment and describe how individual needs are met. The manager stated the plans are discussed with the residents each month and evaluated. Three residents were spoken to and confirmed that they are consulted and encouraged to make decisions about their lives. They stated they were encouraged to make choices, which include meals, décor, activities and holidays. DS0000000569.V258474.R01.S.doc Version 5.0 Page 10 Risk assessments are in place for each resident and describe how action is taken to minimise hazards. The residents confirmed that they are encouraged to be independent both in and outside the home. DS0000000569.V258474.R01.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): 11, 13, 16 and 17. Residents have ample opportunities for personal developments. They are encouraged and supported to participate in the local community. 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. The manager confirmed that residents are regularly consulted about how they spend their time. 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 and visiting friends and relatives. The residents said they used DS0000000569.V258474.R01.S.doc Version 5.0 Page 12 public transport but transport is also provided by Mr & Mrs Grimshaw when necessary. The residents confirmed that they are asked for their choice of food the previous day. They said alternatives were always available and healthy eating is encouraged. The residents also confirmed that the food was very good and mealtimes were flexible. No record is kept of the food that is served. DS0000000569.V258474.R01.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): 18 and 20. Residents are given personal support according to their individual needs and preferences. An appropriate system is in place for dealing with medications. EVIDENCE: The records showed that individual residents’ health care needs are met. Referrals are made to appropriate health care professionals and specialist needs are detailed in the care plan. One resident described how her personal needs were met and confirmed that she was satisfied with the support she received. The medication system and records were inspected. Medications that had been administered are well recorded. Some medications, which were no longer in use, had not been returned to the pharmacist. One resident keeps their own medications and there is a system in place for checking on this. DS0000000569.V258474.R01.S.doc Version 5.0 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 the following standard(s): 22 and 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 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 the two members of staff have been booked to undergo abuse training. DS0000000569.V258474.R01.S.doc Version 5.0 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 the following standard(s): 24, 25 and 30. The home is homely, safe and well maintained. Residents’ bedrooms are comfortable and suit their needs. The home is clean and hygienic. EVIDENCE: The home is comfortable, well furnished and equipped. Some areas are due to be redecorated. The residents confirmed that they are consulted about décor and furnishings. Each resident has their own room that shows evidence of their individual taste and interests. The garage is being converted to provide one resident with a larger bedroom with en suite facilities. A new shower has been fitted to replace the corner bath, as this is more suited to the needs of the residents. On the day of the inspection all areas were observed to be clean, hygienic and free from offensive odours. DS0000000569.V258474.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. 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 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 were 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. DS0000000569.V258474.R01.S.doc Version 5.0 Page 17 A robust recruitment and selection policy and procedure is in place. The staff file confirmed that a Criminal Records Bureau check and written references had been received. DS0000000569.V258474.R01.S.doc Version 5.0 Page 18 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. 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 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. Meetings with the residents are held on a monthly basis. Brief minutes are recorded. A fire risk assessment is in place. The fire logbook was examined and some tests are not carried out at appropriate intervals. Records of fire training are DS0000000569.V258474.R01.S.doc Version 5.0 Page 19 kept in an appropriate manner. Moving and handling training records are maintained and these show regular updating training is provided. DS0000000569.V258474.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 4 X 3 X X 2 X DS0000000569.V258474.R01.S.doc Version 5.0 Page 21 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 YA42 Regulation 23(4)(a) Requirement Tests to fire safety equipment must be carried out at appropriate intervals. Timescale for action 06/03/06 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 Refer to Standard YA17 Good Practice Recommendations A record of the food served in the home should be maintained. DS0000000569.V258474.R01.S.doc Version 5.0 Page 22 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 DS0000000569.V258474.R01.S.doc Version 5.0 Page 23 - 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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