CARE HOME ADULTS 18-65
Third Row, 11-12 11-12 Third Row Linton Morpeth Northumberland NE61 5SB Lead Inspector
Carole McKay Unannounced Inspection 7th November 2005 02:00 DS0000000652.V266033.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 DS0000000652.V266033.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. DS0000000652.V266033.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Third Row, 11-12 Address 11-12 Third Row Linton Morpeth Northumberland NE61 5SB 01670 861417 01670 862342 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) Mr John Thomas Cole Mrs Delia Cole Mrs Linda Algar Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000652.V266033.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 19th March 2005 Brief Description of the Service: Linton is a small village situated in a rural ex coal mining area of Northumberland. The village is a small close-knit community comprising of rows of attractive terrace houses. The village has a small shop, which is run by the local community as a co-operative, and a local pub. 11/12 Third Row, Linton is a four bedroom terraced house created from two converted houses. The house has a large private garden. Three men live at the house. Their ages range from mid 40’s to mid 60’s. Linda Algar manages the home, under the supervision of Mr Cole. A small team of experienced staff are employed. DS0000000652.V266033.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. When the Inspector arrived the manager was on duty. All of the men who live at the home were attending daytime activities, returning later in the day. The Inspector looked at the records kept at the home and was shown around the home by the manager. What the service does well: What has improved since the last inspection?
No requirements or recommendations were made at the last inspection. The home continues to provide a well maintained home for people living there, with an emphasis on individual care. DS0000000652.V266033.R01.S.doc Version 5.0 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. DS0000000652.V266033.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 DS0000000652.V266033.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): 3 The registered manager demonstrates that the service meets the needs of people who live at the home. EVIDENCE: Linda Algar is able to fully describe the care needs, abilities and interests of service users. Individual preferences and lifestyles are emphasised when discussing clients. DS0000000652.V266033.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): 6,9 The Service users know that their needs and goals are described in an individual plan. They are supported in their plans to take risks as part of an independent lifestyle. They benefit from this by being helped to go out socially and take holidays out of the country. EVIDENCE: The service has gathered together information about the men who live at the home that helps to meet their needs. This has been done with their assistance. The individual plans contain information taken from the direct experiences of the people using the service. The records include risk assessments. These are used to identify risks when helping service users to go out and show how the risks will be reduced. Staff training is part of the plan for reducing the risks. A care programme is in place for one service user. DS0000000652.V266033.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): 12,13,15 The men who live at the home have a structure to daytime activity giving opportunities to meet other people, and develop new skills. Leisure activities are followed. These are appropriate to the ages of the men and the local community. Links with family and friends are supported. EVIDENCE: Two of the service users attend other services through the day, which offer vocational training in horticulture. One of the service users attends a local college for part of the week. This gives him opportunities to learn about music and healthy living. Two of the service users regularly spend time with their families. The home has an allotment and two of the men regularly spend time there with support of the staff and the owner of the service. DS0000000652.V266033.R01.S.doc Version 5.0 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): 19 The health needs of the men who live at the home are met. EVIDENCE: The Inspector saw assessments identifying health needs of individual people. The Inspector found care plans for each health care need. Documents were found that showed that service users are supported in obtaining medical help and treatment. Plans for preventing ill health were seen by the Inspector. DS0000000652.V266033.R01.S.doc Version 5.0 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): 0 Theses standards were not assessed at this inspection. EVIDENCE: DS0000000652.V266033.R01.S.doc Version 5.0 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): 24,27,28,30 The service provides a homely and comfortable place to live, where the people living there can have privacy or spend time with others. EVIDENCE: The Inspector saw that the home was in good order throughout. The service users’ bedrooms are on the small side, however the people living at the home have a choice of using two large living rooms, a conservatory and a large kitchen/ diner on the ground floor. Toilet and washing facilities are located on both floors. This provides for spacious accommodation for three persons. Each service user has their own bedroom and these have been decorated to individual wishes. Toilets and bathrooms are clean, tidy and suited to the needs of service users. All areas of the home are clean. DS0000000652.V266033.R01.S.doc Version 5.0 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): 32,33,35 A team of seven long –serving staff supports Service users. The staff are trained to meet the needs of individual service users. EVIDENCE: The Manager said that usually there is one person on duty at the house. Other staff are available to call on in neighbouring services owned by the same provider. The Manager said that she had undertaken NVQ level 3 and that all of the staff had taken basic training in caring for people with learning disability. The Inspector saw records of additional staff training which had been planned to address the needs of one of the service users. DS0000000652.V266033.R01.S.doc Version 5.0 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): 42 The health and safety of staff and service users are promoted. EVIDENCE: The Inspector was shown the policies and procedures manual which covers: accident/incidents, health and safety at work, food safety, fire safety, smoking policy, guidelines for moving and handling, safety of vehicles, assessment of risk and risk management, dealing with aggression and unexplained absences, handling medicines safely. DS0000000652.V266033.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 4 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000000652.V266033.R01.S.doc Version 5.0 Page 17 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 DS0000000652.V266033.R01.S.doc Version 5.0 Page 18 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
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