Inspection on 01/03/07 for The Edwardian

This inspection was carried out on 1st March 2007.

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

The Edwardian 23/02/06

The Edwardian 18/11/04

The Edwardian 28/07/04

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 The Edwardian 72 Yarm Road Stockton-on-Tees TS18 3PQ Lead Inspector Neil McKenzie Unannounced Inspection 1st March 2007 09:30 The Edwardian DS0000000006.V330829.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 The Edwardian DS0000000006.V330829.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. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Edwardian Address 72 Yarm Road Stockton-on-Tees TS18 3PQ 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) 01642 634113 Mr Joseph Matthews Mrs Mary Matthews, Miss Joanne Louise Matthews Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons shall not at any one time exceed 11 adults with mental health problems 23rd February 2006 Date of last inspection Brief Description of the Service: The Edwardian provides a home for 11 residents with mental health disorder. There are nine single bedrooms, and one shared room. Nine full en-suite, one with just shower and basin. Communal space consists of two sitting rooms, one of which is a designated smoking area. The dining room is situated at the rear of the house, adjacent to the kitchen. There is an enclosed garden at the rear of the building, which has seating for the use of residents when weather permits. The home is a large, terraced property, which is in keeping with other properties in the area, and is situated in Yarm Road, approximately one mile from Stockton town centre. Yarm Road is also on a main bus route into both Stockton and Middlesbrough, both of which provide a range of leisure and shopping facilities. At the time of the inspection the highest and lowest cost for a bed was £350.00 per week. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspection lasted for about 6 hours. During the visit the inspector spoke to residents, relatives and staff to find out what their views were about living and working at The Edwardian. The inspector also spent time speaking to visiting professionals and the manager of the home. The inspector spent some more time watching how staff and residents are with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles medication. There was also questionnaire’s sent to the home, and these were looked at to help decide how well the home does in meeting the National Minimum Standards. What the service does well: It was evident from the inspection that the manager and staff work hard at The Edwardian to ensure the residents are well cared for. Residents spoken to described how they are supported to do activities of their choice and supported to be independent. As one resident stated, ‘You can go out and come in went you want to as long as you let someone know, have your own front door keys’. The manager and staff are also good at helping new residents visit the home before they agree to move in. This allows time for them to decide if it is the right place for them to live. As one professional visiting the service said, ‘I have found staff to be incredibly supportive, staff attended ward rounds, and involved family in visits to the home and continued to make sure they attended their day supports’. At the time of the inspection the home was busy with visitors, residents and it was a relaxed atmosphere. As one relative visiting the home said, ‘this is a fantastic place, friendly atmosphere, not a lot of stress about’. 80 of staff has completed a National Vocational Qualification in Care Level 2 to ensure they have the training to meet resident needs. The Edwardian DS0000000006.V330829.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. The summary of this inspection report can be made available in other formats on request. The Edwardian DS0000000006.V330829.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 The Edwardian DS0000000006.V330829.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The care needs, and aspirations, of any prospective residents are assessed prior to admission EVIDENCE: Two resident files were looked at. Residents living at the home had received a detailed assessment of needs carried out in partnership with the local social services department and health service. Copies of these assessments were available in resident files. The manager said that any prospective resident following an assessment is given opportunity to visit and stay at the home to help them decide if it is where they want to live, ‘normally we do this over a period of 3 to 4 months, meet the person themselves and provide them with information’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 9 One professional visiting the home supported this statement and said, ‘I have found staff to be incredibly supportive, staff attended ward rounds, and involved family in visits to the home and continued to make sure they attended their day supports’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments were detailed with evidence of review and updating. Support is given to all residents to try to ensure as independent a lifestyle as possible. EVIDENCE: Evidence was in place in the files examined that relatives and residents had been involved about the content and in particular any risks for a resident in care plans. One care plan with regard to a recent resident review recorded residents, relatives and other professional’s comments and suggestions to help shape future care. The manager plans to ensure that this style of review is adopted and recorded in all resident care plans. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 11 Each care plan included detail on how best to support a resident with information on, for example, how to assist with relationships, work and health. One visiting professional commented’ just recently completed a review of a care plan, and I visit on a regular basis and discuss with staff and share plans, very open and relaxed, friendly atmosphere and residents supportive of each other’. There was evidence from records in care plans that the home also works hard to reflect the wishes of residents with regard to choices about their care, and activities. One resident describe his work as a Steward at a local football club and another residents stated, ‘You can go out and come in went you want to as long as you let someone know, have your own front door keys’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in a wide range of activity in the home and further a field. Resident’s dietary needs and choices are well catered for and relatives and friends are encouraged to maintain contact. EVIDENCE: Staffs work hard at supporting their residents to access appropriate activity. This includes residents attending different activities during the week and weekend. One resident described a variety of activity that included a day service, a gardening club, a local walking group and how he was being supported to apply for voluntary work. As another resident commented, ‘ just love my work and I get to see free football matches’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 13 Residents and staff described a choice menu that they are involved in choosing at home meetings. A resident said, ‘food is great here’ and a visiting relative commented, ‘ I have had a few meals here, very well turned out and nourishing’. Evidence was available during the inspection in residents’ bedrooms and care plans of family and friends involvement with residents in the home. One visiting relative stated, ‘this is a fantastic place, friendly atmosphere, not a lot of stress about’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents receive high levels of support based on individual needs with health care improved by the involvement of specialist health and social workers. Residents’ well being is promoted by effective storage and administration of medication. EVIDENCE: It was observed that staffs work hard at meeting the emotional and physical needs of residents. Records in files looked at and discussion with staff referred to specialist professionals for support and advice as well as access to general practitioners. It was evident on the day of the inspection that professionals were very much involved in supporting staff and residents to meet health needs. An Occupational therapist visiting the home on the day of the inspection said, ‘I have set up a care plan for a resident and found the staff to be incredibly supportive’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 15 During the inspection the home’s arrangements for receiving, storing, administering, recording and returning resident’s medication were examined and discussed in depth with the manager. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. The manager was able to show and describe how medication is received and disposed of and how this is recorded. There is separate storage for controlled drugs but the home requires a separate logbook for when administering controlled drugs. At the time of the inspection no residents were being administered controlled drugs. The manager stated that staff members who handle medication attend an external training course and receive a certificate on completion. However, at time of inspection these certificates were not available in staff records. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Observation and interviews with visiting professionals confirmed that staff observe and listen to the views of residents. Staff understood adult protection issues and complaints; and this protects residents EVIDENCE: Records kept by the home-demonstrated evidence of a complaints procedure for residents, relatives and advocates. Staff interviewed presented a clear understanding of adult protection and said they had done training on adult protection. Certificates held in staff records evidenced this. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and clean home. EVIDENCE: A tour of the home demonstrated continuous improvement to the homes environment with a new wooden floor to the hallway, a freshly painted kitchen/dining room and resident bedrooms. The manager also described plans for a new patio area in the garden at the rear of the home. The bathroom in the bedroom shared by two residents had bad condensation that was causing mould on the ceiling and wallpaper to peel, and this must be made good. The Edwardian DS0000000006.V330829.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and well-trained staff team and made safe by good recruitment practice. EVIDENCE: At the time of the inspection there was 1 staff member on duty and the manager. The duty rota planned for 2 staff to be working at any one time during the day and evening and 1 staff member providing night covers with on call back up. In addition there is a domestic and cook to support the staff team. Staff training records demonstrated that staff members receive a programme of mandatory training and certificates in staff files evidenced this. At the time of the inspection 80 of staff had completed National Vocational Qualification (NVQ) in Care level 2 or 3. The staff files looked at contained certificates in NVQ. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 19 The recruitment files of staff were looked at and contained application forms that were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for the staff members prior to them starting work in the home. Staff files examined and staff interviewed demonstrated that staff receives regular supervision and staff meetings to support their practices in the home. The Edwardian DS0000000006.V330829.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home is well run and whilst the needs and wishes of residents are central to the provision of care. EVIDENCE: The manager has worked hard to ensure the home is well run, and has identified a number of new policies and practices to introduce and develop further to improve the quality of life for residents in the home. For example, equal right policy, smoking policy and an annual development plan. There is evidence from the way staff, residents and relatives interact that the home is run in the best interests of those living there. Weekly meetings strengthen this with residents. As on staff member stated, ‘we meet 1 every week and explore personal and group living issues with residents’. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 21 Health and safety of residents are promoted by training for staff in, for example, first aide, nutrition and certificates kept in their personal records evidenced this. The Edwardian DS0000000006.V330829.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 3 2 3 3 X 4 4 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 X 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 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 2 X 3 X The Edwardian DS0000000006.V330829.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 YA24 Regulation 23 (2) Requirement The bathroom in the bedroom shared by two residents has bad condensation that was causing mould on the ceiling and wallpaper to peel, and this must be made good. Timescale for action 31/03/07 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 YA20 Good Practice Recommendations The home should ensure copies of certificates obtained by staff trained in the safe handling of medication are kept in staff records at the home. The Edwardian DS0000000006.V330829.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 The Edwardian DS0000000006.V330829.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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