This inspection was carried out on 20th 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Teesside Cheshire Home Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA Lead Inspector
Jane Bassett Unannounced Inspection 20th December 2005 10:00 Teesside Cheshire Home DS0000000210.V250969.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 Teesside Cheshire Home DS0000000210.V250969.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. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Teesside Cheshire Home Address Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA 01642 482672 01642 759973 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) Leonard Cheshire Mrs Susan O`Brien Care Home 27 Category(ies) of Physical disability (27) registration, with number of places Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Eight named individuals who are aged 65 years and above are allowed to reside in the home. 7th June 2005 Date of last inspection Brief Description of the Service: Teesside Cheshire is a care home registered for 27 adults with a physical disability. Marske Hall is a grade 2 listed building situated in the centre of the village and is close to all local amenities such as pubs, leisure facilities, churches and shops. Transport facilities provide by the home are available to all residents. All rooms are single accommodation with ensuite toilet facilities. There is a passenger lift giving access to the first floor. The home offers a range of communal areas including the atrium with fishpond, conservatory, lounge and dining room. There are extensive grounds which are accessible and include an aviary and chicken run. The home offers occupational therapy services in a large and well equipped room. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. During the inspection the inspector spoke to five residents and five staff. Documentation including menus and training programmes were examined. The home submitted a pre inspection questionnaire. A total of three and a half hours were spent at the home. What the service does well: What has improved since the last inspection? What they could do better:
There are no requirements and recommendations made against the standards assessed at this inspection. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 6 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. Teesside Cheshire Home DS0000000210.V250969.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 Teesside Cheshire Home DS0000000210.V250969.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): These standards were not assessed on this occasion. EVIDENCE: Teesside Cheshire Home DS0000000210.V250969.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): These standards were not assessed on this occasion. EVIDENCE: Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 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 the following standard(s): 17 The home provides a varied and nutritious menu that takes into account resident’s preferences, promoting resident’s wellbeing and choice. EVIDENCE: The home has an eight-week menu that is available to all residents and displayed within the home. All residents who spoke to the inspector expressed their satisfaction with the variety of the meals provided. The inspector was told that alternatives were available to meet resident’s individual preferences and diets. One resident spoke of the ‘good food’ another spoke of being ‘well fed’. All who spoke to the inspector commented on looking forward to the Christmas day lunch, which offers a choice of three main courses and deserts. Staff who spoke to the inspector confirmed that residents were offered a variety of meals and were encouraged to make their preferences known. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 11 During the inspection it was observed that a number of residents had a meal that met their individual preferences. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 The homes policies and procedures promote the safety and wellbeing of the residents. EVIDENCE: The home has policies and procedures in relation to handling complaints and prevention of abuse. All residents who spoke to the inspector confirmed that they were aware of how to raise any concerns. All spoke of their satisfaction with the care and support that they receive from all the staff at the home. One resident spoke of the manager ‘ keeping an eye on everything’ and ‘listens to what we have to say’. Staff who spoke to the inspector confirmed that they had received training in relation to the prevention of abuse, ‘ no secrets’ and whistle blowing. All were able to describe the action they would take if a concern were raised. One staff member spoke of having access to and using advocacy services when necessary. Pre inspection information received indicated that the home had received six complaints within the last twelve months. All of these were responded to within 28 days, four of these complaints were not substantiated. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 15 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 Staff receive both mandatory and service specific training that should promote residents safety and wellbeing. EVIDENCE: The home has a regional and local training programme that includes mandatory training such as fire awareness, first aid and moving and handling. Other training included safe handling of medication, care planning, NVQ and disability and equality. Staff who spoke to the inspector confirmed that training is available and encouraged. The pre inspection information indicates that 49 of the care staff have achieved NVQ level 2 or above. The home has policies and procedures in relation to resident’s safety and promoting well being. Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed on this occasion. EVIDENCE: Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 17 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 X X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x 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 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Teesside Cheshire Home Score X X X x Standard No 37 38 39 40 41 42 43 Score X X X X X X x DS0000000210.V250969.R01.S.doc Version 5.0 Page 18 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. 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. Refer to Standard Good Practice Recommendations Teesside Cheshire Home DS0000000210.V250969.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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