CARE HOME ADULTS 18-65
The Edwardian 72 Yarm Road Stockton-on-Tees TS18 3PQ Lead Inspector
Neil McKenzie Announced Inspection 23rd February 2006 09:30 The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 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.V250938.R01.S.doc Version 5.1 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.V250938.R01.S.doc Version 5.1 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.V250938.R01.S.doc Version 5.1 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. 7th June 2005 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. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was an announced inspection and was completed within one inspection day, three and half inspection hours in total. A group of four residents were involved in informal discussion about life in Edwardian home. There was also detailed discussion with the manager, deputy manager and also informal discussion with staff. A tour of the premises was undertaken, the homes financial and abuse procedure and practice was inspected. Other documentation looked at was resident and staff files. The home had returned the pre-inspection questionnaire to CSCI. The inspector was made welcome. What the service does well: What has improved since the last inspection?
The home had a thorough inspection that took place over two separate days in June 2005 and concluded with no statutory requirements or recommendations to further good practice. At the time of the last inspection the registered manager was on maternity leave and has since returned to work. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 6 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 Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 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.V250938.R01.S.doc Version 5.1 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): 12 The homes Statement of Purpose provided residents with details of services provided but this needs to be updated to include current prices and the main aim to help residents lead more independent lives. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: The home had a statement of purpose which sets out aims, objectives and philosophy of the home but requires updating to reflect current costs of placement and the aim to enable residents lead more independent lives. Each file contained a contract/rent agreement signed by the resident. Examination of three resident files and conversation with manager and staff revealed that prior to admission there was a completed CPA that is reviewed every six months. Each file contained goal planning programme and risk assessment signed and agreed by the resident. However, the files should be developed so that information held is filed in such a way that it is easy to locate. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 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): Not assessed at this Inspection. EVIDENCE: The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 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): Not assessed at this inspection. EVIDENCE: The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 11 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): Not assessed at this inspection. EVIDENCE: The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 12 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): 23 Residents are on the whole protected by abuse procedures but during the inspection policy and procedure for the handling of resident money was not available. EVIDENCE: Staff knew about the topic of protection of vulnerable adults and they confirmed they had received training on the topic of abuse (although yet to receive the certificates) and were clear about the actions they would take. However, abuse procedures should be developed to include address and telephone numbers of the local CSCI team and the Vulnerable Adults Coordinator. At the time of the inspection the home did not handle resident personal allowances and was unable to locate policys and procedures available for staff for the handling of resident finances. These must be made available and or introduced to protect residents from financial abuse. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 13 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): Not assessed at this inspection. EVIDENCE: The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 14 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): 34 Recruitment and selection records should be developed to include a more detailed CRB confirmation sheet to ensure that residents are appropriately supported and protected by competent staff. EVIDENCE: A random sample of staff files was examined and they contained all of the required information. The information kept on Staff CRB should be developed to include the registration number, type and outcome. Staff spoken to were clear about their job descriptions and discussion with the manager revealed that they had been updated. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 15 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 Residents benefit from a well managed home, which has provided high standards and support to the staff team ensuring resident needs are met. EVIDENCE: The manager has been at the home since it was opened and has recently returned from maternity leave. The manager has obtained the required qualifications, although certification for the RMA had not been received to date. The manager is about to study to become an Approved Practice Teacher. During discussion, the home was described as well managed as one resident said, ‘this is a well run home’ and a staff member confirmed ‘manager is very approachable, provides supervision every couple of months and we have a regular staff meeting’. The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 16 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 2 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 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 17 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 2 Standard 1 23 Regulation 4 13 Requirement The Statement of Purpose must be updated to reflect current costs and aims of the home. The home must make available finance policy and procedure to ensure safe handling of resident finances The home must make safe fuse boxes that are exposed to condensation and residents Timescale for action 23/02/06 23/02/06 3 42 23 23/02/06 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 2 3 Refer to Standard 23 2 34 Good Practice Recommendations The home should develop and update their Abuse policy and procedure to include details of the local Vulnerable Adult Team Resident files should be developed to ensure information is easier to locate. The home’s recruitment policy and practices should include more detailed CRB confirmation sheets kept in staff files to include registration number, type and outcome The Edwardian DS0000000006.V250938.R01.S.doc Version 5.1 Page 18 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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