Inspection on 27/01/06 for Third Row 19

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Third Row 19 28/06/07

Third Row 19 09/05/06

Third Row 19 07/11/05

Third Row 19 19/03/05

Third Row 19 19/01/05

Third Row 19 16/03/04

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 Third Row 19 19 Third Row Linton Morpeth Northumberland NE61 5SB Lead Inspector Carole McKay Unannounced Inspection 27th January 2006 10:30 Third Row 19 DS0000035930.V281198.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 Third Row 19 DS0000035930.V281198.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. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Third Row 19 Address 19 Third Row Linton Morpeth Northumberland NE61 5SB 01670 862893 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 Lynn Walton Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 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. 19 Third Row is a small terraced house with a garden to the front and a rear yard. The nature of the service is not obvious from the outside. The home blends totally with neighbouring properties. The small staff team are drawn from the village and other communities nearby, so car parking is not a problem. This is one of three small homes in the village, all owned by Mr.John Cole and Mrs Delia Cole. Lynn Walton manages it, with six regular carers as support. The service is home to one young man and is also the base for providing day care to a small number of clients. This is an unusual arrangement, which has been accepted by the Commission for Social Care Inspection because the person using the service was previously a user of the day care service and went on to use the service for one overnight stay per week, before becoming a resident at the home. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service continues to develop around the needs of an individual service user. The Inspector talked to the two staff on duty and to the service user. The records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The service needs to identify how the service user can be supported to improve his communication further and to make decisions. The service must clarify whether the service user can give consent to treatment. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 6 Procedures for consent to treatment and the use of homely remedies must be made clearer. Staff training should support staff in communicating with the service user. The registered person should identify what additional support and resources are required to assist staff in further developing the service user’s independence. 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. Third Row 19 DS0000035930.V281198.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 Third Row 19 DS0000035930.V281198.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): 0 These standards were not examined at this inspection. Standard 2 was assessed at the last inspection and will be examined again at the next visit. EVIDENCE: Third Row 19 DS0000035930.V281198.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): 9 Initial risk assessments are carried out but are not reviewed and kept up to date. EVIDENCE: The service user’s care file contained a thorough and detailed risk assessment. This was carried out by the service user’s care manager and was dated 6th June 2001. No up to date service risk assessment was available. Staff are able to describe the risks, which arise form promoting the independence of the service user, and have ways of managing these risks. Third Row 19 DS0000035930.V281198.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): 12,16 and 17 The care staff have formed a fulfilling relationship with the service user. The service user responds to staff. The assessed needs of the service user to do with taking part in the community activities, rights, responsibilities, diet and mealtimes need to be more clearly written down. So does the plan of care. EVIDENCE: The support staff are able to describe the development of the service user’s communication, choices in moving around the home and going out of the home. This includes going on a short holiday with one of the support staff. Despite communication difficulties the service user is beginning to use basic communication with care staff. The ways in which the staff have supported these developments are not detailed in the service user’s plan. Because of this it is not possible to track the progress of the service user. But the outcomes of these experiences are clearly recorded. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 11 The staff have formed a strong and meaningful relationship with the service user, which can be seen in the service users’ responses to staff. Care staff have emphasised mealtime routines and social skills in their work with the service user but this has not been planned out in a structured way. Staff said that they would welcome additional support, resources and guidance in all of these areas. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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): 0 These key standards were not examined at this inspection. They will be assessed during the next inspection visit. Following a requirement made at the last inspection action has been taken to do with standard 20. EVIDENCE: Since the last inspection the way the service manages and records medication has changed. The procedures and the recording of this are clearer. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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 home has a complaints procedure and a complaints record. Service users and their representatives are informed of local procedures. The home has staff guidance and procedures in place to protect vulnerable adults from abuse. Local procedures and national guidance documents should also be available to the manager and her staff. EVIDENCE: The home’s complaints procedure is available in the home and is also included in the Service User Guide. The manager said that no complaints have ever been received by the service. None are recorded in the complaints record. The home’s procedure includes the contact details of The Commission for Social Care Inspection (CSCI). No complaints about the service have been received by CSCI since the last inspection. The home has written guidance and procedures for the staff to do with the protection of vulnerable adults (POVA). Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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): 0 Theses key standards were not examined at this inspection. They will be assessed at the next inspection visit. EVIDENCE: Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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): 32,34 The staff should be supported in their work with the service user by further training. The inspector was not able to verify that the staff that works with the service user had all gone through a thorough recruitment process. EVIDENCE: The staff on duty both said that they had a background in caring for people with learning disabilities, prior to working in this service. The training they described was relevant to this service. Training specific to the needs of the service user had not been provided. The staff files are not available at the home for inspection. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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): 37,39 The service is focused on the needs of the service user. EVIDENCE: Staff described how the routines of the home and the activities they undertake are designed to address the needs of the service user. The registered manager does not hold NVQ level 4 in management and care. It has been agreed that this is not essential as managers in the group do hold relevant qualifications. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 3 23 3 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 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 2 X LIFESTYLES Standard No Score 11 2 12 2 13 X 14 X 15 X 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 X X 3 X 3 X X x X Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 18 YES 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 YA8 Regulation 12(2) Requirement The service user plan must show how the service user will be consulted about his care. The service user plan must show how the service user will be consulted about his care. The service user plan must show how the service user will be consulted about his care. The risk assessment must be updated and regularly reviewed The registered person must identify the resources, training and other support required by the staff in promoting the independence of the service user. The service user plan must include; The plan for developing the service users’ communication skills An assessment of the service user’s ability to consent to treatment Arrangements for consent to treatment, to include homely DS0000035930.V281198.R01.S.doc Timescale for action 31/01/06 2. YA7 12(2) 31/01/06 3. YA6 12(2) 31/01/06 4. 5. YA9 YA16YA12 14(2) 13,16,18 30/04/06 30/04/06 6. YA18 15(1) 14(1) 31/01/06 Third Row 19 Version 5.1 Page 19 remedies 7. YA11 15(1) 14(1) The service user plan must include; The plan for developing the service users’ communication skills An assessment of the service user’s ability to consent to treatment Arrangements for consent to treatment, to include homely remedies The registered manager must ensure that the advice of a speech therapist is taken. 31/01/06 8. YA19 13(1)(b) 31/03/06 9. YA34 17,19 Schedule 4 10. YA35 18(1)(i) The registered person must keep 30/04/06 in the care home the records of all persons employed at the care home, including in respect of each person so employed – a) His full name, address, date of birth, qualifications and experience; b) A copy of each reference obtained in respect of him; c) The dates on which he commences and ceases to be employed d) The position he holds at the care home, the work he performs and the number of hours for which he is employed each week Correspondence, reports, records of disciplinary action and any other records in relation to his employment. The registered manager must 31/03/06 arrange for staff to receive training in the use of non- verbal communication systems. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 20 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 YA7 Good Practice Recommendations The registered manager should look for an independent advocate for the service user. Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 21 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 Third Row 19 DS0000035930.V281198.R01.S.doc Version 5.1 Page 22 - 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. 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