Inspection on 28/06/07 for Third Row 19

This inspection was carried out on 28th June 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Third Row 19 09/05/06

Third Row 19 27/01/06

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 Anne Brown Key Unannounced Inspection 28th June 2007 1:30 Third Row 19 DS0000035930.V338260.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 Third Row 19 DS0000035930.V338260.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. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Third Row 19 Address 19 Third Row Linton Morpeth Northumberland NE61 5SB 01670 862893 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) coley@eldcare.fsnet.co.uk 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.V338260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2006 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 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 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 staff team are drawn from the village and other communities nearby. 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. There is a vacant place, which is sometimes used to provide short-term care to one person. Information about the service and inspection reports is readily available at the home. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four hours. A tour of the premises took place and a sample of records was inspected. These included care plans, fire log, accident book, complaints, minutes of meetings, finance and medication records. Staff records are not kept at the home. This has been accepted under arrangement with the Commission for Social Care Inspection and is reviewed at each inspection. The staff records were examined during the second date of the inspection at the owner’s office. The manager, one staff member and the two residents were spoken to during the inspection. Questionnaires were sent to the resident and their relatives. Two relatives returned questionnaires. What the service does well: The home blends totally with neighbouring properties. The service is part of the local community. The people using the service have regular contact with other people of their age and a wider staff team from other neighbouring services. The home is well decorated and furnished and provides a homely place for the residents to live. The staff know the residents well and have developed a very positive relationship with them and their family. The staff respond well to the changing needs of the residents. They are committed to introducing him to new experiences, such as holidays and outings. The service involves other specialist services for support in caring for the resident. Residents are supported to enjoy an active lifestyle and risk taking is part of this. The staff are willing to support residents to take risks and to overcome the obstacles to participation in activities. Personal care is provided in a sensitive way and according to the residents’ preferences. Relatives commented that they were very satisfied with the care given by the staff. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 6 Good relationships were observed between the resident, staff member and the manager. 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. Third Row 19 DS0000035930.V338260.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 Third Row 19 DS0000035930.V338260.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): 1 and 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Written information is available to help people make choices about the home before moving in. Residents have their individual needs assessed prior to admission. This ensures that the staff are aware of individual needs and helps them to meet these. EVIDENCE: The resident has a copy of the Service User Guide. This is a written document and is not yet available in a style that is suitable for the people for whom the home is intended. Video and audio versions were discussed with the manager, as well as the possibility of residents being involved in producing these. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 9 The home conducts a pre-admission assessment. This includes obtaining the Care Management Assessment and, where applicable, information is sought from carers/relatives and relevant health care professionals. Copies were available on the individual case files so staff can refer to these to help ensure individual needs are met. The manager is in the process of evaluating the assessed needs of the residents to make sure any changes are taken into consideration. Third Row 19 DS0000035930.V338260.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): 6, 7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are care plans that contain guidelines for dealing with needs, which explain what staff need to do. Residents are encouraged to make decisions. The care staff support the residents to take risks as part of their lifestyle. EVIDENCE: The care plans for the people who use the service were examined. These are evaluated on a regular basis. Recordings are made on a daily basis. A discussion was held with the manager on ways of involving the residents in their care plan. The manager confirmed that she is in the process of introducing person centred planning to the home. The care managers from the Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 11 Local Authority are to assist in this process and residents will be actively involved. The residents are encouraged and supported to make decisions and relevant information is provided. Residents are supported to take risks in their day-to-day lives. Risk assessments were available on the care plan for each activity. Third Row 19 DS0000035930.V338260.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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the community and opportunities to participate in social and personal development activities are good. Residents are encouraged to keep in touch with family and friends. Residents’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. EVIDENCE: Residents are supported to take part in community life, within their abilities. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 13 The staff encourage the residents to keep in touch with other residents in the other two homes in the village. They said they regularly invite them to the home for tea and any parties that are taking place. Support for the residents to go out of the home is part of the daily activity plan. A car is available and outings take place on a regular basis. The permanent resident is supported to take a holiday each year. A relative of a respite user returned a questionnaire which stated that the staff take their son out to the coast, pub etc. Relationships with family are encouraged. The permanent resident regularly spends time with relatives each week. The staff said that the resident values this. The staff include residents in the day-to-day running of the home. Staff talk to them about what they are doing and about the plans for the day. The staff were engaging and interacting with the resident at the time of the inspection to encourage communication skills. The home does not have a designated cook. The staff share the responsibility of preparing and cooking food. The manager said that the menus are planned around residents’ likes and dislikes. Mealtimes are flexible to suit the schedules of the residents. The menus show that meals are mainly home cooked and fresh ingredients are used as much as possible. Third Row 19 DS0000035930.V338260.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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given the personal support they require and according to their preferences. Professional medical advice is sought, and reassessments are requested when necessary. Adequate medication systems are in place to make sure that residents are not put at risk. EVIDENCE: There are plans of care in place for supporting one resident with personal care. The care plan for one of the residents shows a good level of health care monitoring. For example, staff continue to encourage visits to the well man clinic to ensure health is monitored. Referrals are made to health care professionals when appropriate and appointments recorded in the care plans. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 15 The staff were observed to be dealing with the resident who was present in a caring and sensitive manner. The home has a policy and procedure for staff to follow. A separate protocol has been produced for the giving of medications on an ‘as required’ basis. The staff keep records of medications as they receive them, administer them and dispose of them. These are properly maintained. The home has secure storage arrangements. The manager and staff on duty confirmed that they had received training for administering medications. Third Row 19 DS0000035930.V338260.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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives know whom to contact with their concerns and these would be taken seriously. Staff training and policies and procedures protect residents from abuse. 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. Two relatives who returned surveys stated that they were aware of the complaints procedure. One said ‘we have no complaints’. The home has staff guidance and procedures in place to protect vulnerable adults from abuse, (POVA). The manager said that all of the staff had received awareness training in this subject. The staff on duty confirmed this and said they would not hesitate to report any bad practice. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 17 The system for dealing with residents’ finances was examined. The Home maintains financial records on behalf of the permanent resident. There was evidence of personal spending and signatures and receipts are kept. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 18 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): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely and comfortable environment for the residents to live. All areas of the home are clean and hygienic. EVIDENCE: The home is a small mid terrace house and is totally in keeping with the local community. The home is attractively decorated and clean throughout. The room belonging to the permanent resident was personalised with things that belong to them. There is sufficient space for residents to enjoy internally and externally. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 19 The ground floor has a living room and conservatory. The garden is pleasant for sitting out and the yard is covered in, sheltered and has seating. The manager confirmed that the staff have been provided with information on infection control. All areas of the home were seen to be clean, hygienic and free from unpleasant odours. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 20 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): 32, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff team are well trained and competent to support the residents. The recruitment policy and practice supports and protects the residents. The needs of the residents are met by appropriately trained staff. Formal supervision sessions are out of date which could mean staff are not fully supported to carry out their roles. EVIDENCE: Staffing arrangements are flexible to meet the needs of the residents. The manager works four sleep over shifts per week from 10pm until 10 am the following morning. Day care staff, also employed by the provider, offer daytime support Monday to Friday. One member of care staff is on duty in the evenings, and in the mornings till 10am, and at any time when the manager is Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 21 not on duty. Sickness and holidays are covered by bank staff or staff who are employed in other homes, which are also run by the provider. Both of the staff on duty demonstrates a good level of insight into the needs of people who are learning disabled. Staff records are not kept at the home. This has been accepted under arrangement with the Commission for Social Care Inspection and is reviewed at each inspection. The records were examined during the second date of the inspection at the owners’ office. They showed that appropriate checks are carried out prior to staff being employed, which protects the residents. Training programmes are in place for staff to receive up to date health and safety training. The staff also confirmed that they receive specialist training to meet the individual needs of the residents. Eight permanent staff are employed in the home. Six have completed training to do with learning disability. Two members of staff have completed National Vocational Qualification (NVQ) Level 2 or above and one is currently undergoing this training. The manager stated the owner has a certificate to train staff in the use of physical intervention. The staff have now completed this training. A file of courses available to the staff team is maintained in another home owned by the proprietor. All staff have recently undergone training on the protection of vulnerable adults and equality and diversity. Some of the staff team are to undertake training on nutrition and cooking when an appropriate course has been identified. Although the staff confirmed that the proprietor and the manager are supportive, formal staff supervision sessions were out of date. Mr Cole, the owner, stated that the structure of the sessions is to change and an appropriate form for recording these is being introduced. The staff on duty stated the manager and the owners are supportive and approachable. Good relationships were observed between the resident and the staff. One questionnaire returned by a relative stated ‘I think my son is being looked after properly, I am satisfied’. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 22 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): 37, 39 and 42. 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 with a focus on the residents. The management and staff team respect the residents’ views regarding the running of the home. The health, safety and welfare of residents are protected by the systems the home has in place. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Registered Manager of the home has been employed at the home for six years. She has a background in working with people with learning disabilities and is qualified as a learning disability nurse. She does not hold NVQ level 4 in management. It has been agreed that this is not essential as other managers in the group do hold relevant qualifications. There is a Quality Assurance policy statement. The owner makes monthly visits and reports of these visits are available. He visits the service frequently and is in day-to-day contact with staff, residents and residents’ families and friends. The manager issues questionnaires to the residents every three months to find out their opinion of the service. One resident can complete these and the others are helped by their relatives. Maintenance contracts and test certificates are in place and fire safety equipment is tested at the appropriate intervals. This helps to ensure the residents’ safety. The staff confirmed that they had received up to date health and safety training. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 24 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 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 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 Requirement The registered manager must continue to update the care plans to address all aspects of the residents’ care and involve them in this process. The registered manager must ensure all care staff receive formal supervision at appropriate intervals. Timescale for action 30/11/07 2. YA36 18(2) 31/08/07 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 YA1 Good Practice Recommendations The service users’ guide should be produced in a style that is easy to understand by people for whom the service is intended. The residents should, if they wish, be involved in producing this version. Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Third Row 19 DS0000035930.V338260.R01.S.doc Version 5.2 Page 27 - 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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