Inspection on 28/04/05 for Tweed View House

This inspection was carried out on 28th April 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Tweed View House 12/07/07

Tweed View House 12/07/06

Tweed View House 31/08/05

Tweed View House 14/10/04

Tweed View House 27/04/04

Tweed View House 10/10/03

Tweed View House 30/04/03

Tweed View House 12/06/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Tweed View House Tweed Street Berwick Upon Tweed Northumberland TD15 1NG Lead Inspector Anne Urwin Brown Unannounced 28 April 2005 09:30 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 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 Older People. 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. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Tweed View House Address Berwick upon Tweed Northumberland TD15 1NG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01289 303550 01289 330827 N/A Berwick Care Homes Miss Moira Jane Simpson CRH 37 Category(ies) of DE(E) Dementia - over 65 (14) registration, with number Old age (22) of places PD (E) Physical disability - over 65 (1) Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 14 October 2004 Brief Description of the Service: Tweed View is located within walking distance of the centre of Berwick upon Tweed near the railway station and bus station. The building was formerly a hotel and has been adapted to provide residential care for up to thirty-six older people, thirteen of whom are diagnosed as having dementia. The Home provides accommodation on three floors and a shaft lift is fitted. At the back of the building there are attractive views of the River Tweed and surrounding areas from the building and the garden. The garden has recently been redesigned and additional seating provided and this is commended. There is a need for hand rails and fencing to be fitted to ensure residents can access this area safely. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted four hours and involved talking to residents, the Deputy Manager and staff; inspection of records and a tour of the building. Residents said that they were satisfied with the quality of care provided. They spoke highly of individual staff. A good rapport existed between residents and staff. Care plans seen during the inspection contained relevant information about care needs and the support required. The Home is well furnished and appointed and each resident has his/her own bedroom. There is a shaft lift installed for access to the first and second floors. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, 5 Residents have their needs assessed before moving into the Home. Arrangements are in place to ensure that residents’ needs are met. Pre visits are arranged to the Home so that prospective residents and their family are aware of the facilities and service provided. EVIDENCE: Records were available that show residents’ needs are assessed before admission to the Home. The Deputy Manager said that each new resident has full assessment carried out. Two residents said that they were satisfied that staff knew their needs and had identified them at the time they came into the Home. Care plans were available in residents’ files to provide information about their needs. Four care plans were seen during the inspection and one did not contain risk assessments concerning a particular area. Residents receive support from local health care staff to meet their needs and records confirmed this. The Deputy Manager described how visits to the Home and initial trial periods are arranged to suit individual needs. Care managers are asked to supply information prior to any unplanned admissions to the Home. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 Care plans providing details of each resident’s needs are in place. EVIDENCE: Records of four residents were inspected and showed care plans are in place that reflects individual needs. In one care plan there was an evident gap within the risk assessment and this was discussed with the Deputy Manager. All files seen during the inspection were up to date and showed evidence of regular reviews. Four residents indicated that they feel satisfied that staff knew of their needs and that the support provided was appropriate. Residents were able to give appropriate examples of how they are individually supported by staff. Two residents said they knew that staff kept records, but they did not want to see them. Staff confirmed in discussion that they were aware of individual care plans. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 15 Residents are encouraged to maintain contact with relatives, friends and the local community. There is a choice of food and residents can make decisions about where to have their meals. EVIDENCE: Residents said that they can have visitors at any time. Staff confirmed that relatives are given written information that states visits can be made at any time. Records showed evidence of arrangements for contact with relatives. Menus were available for inspection showing the food provided at each mealtime. These showed a good variety of food is served. Individual residents likes and dislikes are recorded. Residents said that they could ask for an alternative if they did not like the food served. They also said the food is well cooked and is of good quality. Staff have received Food Hygiene training. Care plans contain evidence of nutritional assessments being carried out. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents feel confident about making a complaint to the staff and know that their concerns will be taken seriously. EVIDENCE: Residents said that they could make a complaint to a member of staff or the Manager. They said that they were confident that this would be taken seriously. Staff knew that there were written policies and procedures relating to complaints. They were able to give appropriate examples of how they would assist a resident to make a complaint. Complaint records were available for inspection and these provided appropriate information about the investigation and outcome of complaints. Three complaints have been made since the last inspection and these have been investigated and resolved. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 Tweed View is well maintained and provides comfortable accommodation on three floors. There is a lift fitted. The Home is clean and hygienic. EVIDENCE: A tour of the Home during the inspection confirmed the public areas are clean and well maintained. Work has recently been undertaken to improve the garden areas and this is to be commended. However there is a steep drop from the garden and this area needs to be made safe. Policies and Procedures are in place for Health and Safety and Infection Control. Records and discussion with staff confirmed that appropriate training has been provided. There are three domestic staff on duty each morning and four hours are provided for laundry. The laundry is fitted with appropriate equipment. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 Staffing at the time of this inspection was sufficient to meet the needs of the residents. Appropriate systems are in place for the recruitment of staff. EVIDENCE: At the time of the inspection the Deputy Manager, two senior care staff and four care staff were on duty. The rota showed that there are generally five staff working through the day. Residents said that they felt satisfied that there are enough staff to meet their needs. At night there are three care assistants on duty. No staff under the age of eighteen years are employed. There are written policies and procedures in place for the recruitment of staff. Four staff records were seen during the inspection and evidence is available of appropriate reference and Criminal Records Bureau checks. There are three Criminal Records Bureau checks for existing staff not completed. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 38 Arrangements are in place to safeguard the health and safety of residents and staff. EVIDENCE: Records and discussion with staff confirmed that training is provided in Moving and Handling, first aid, fire safety, food hygiene and infection control. Evidence is available that there are regular checks of water temperature, risk of legionnella, servicing of the boiler and central heating system. Records relating to fire alarm tests, equipment testing and servicing are maintained up to date. Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 14 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x 3 Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 15 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 7 19 Regulation 15 23 Requirement Written assessment of any identified risk must be completed. There is a need to provide fencing steep drop from the garden requires attention to ensure this is not a hazard to residents. Timescale for action 30.06.05 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 Good Practice Recommendations Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 16 Commission for Social Care Inspection 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 Tweed View House B53-B03 S513 Tweed View House V221067 280405 Stage 4.doc Version 1.20 Page 17 - 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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