Inspection on 31/08/05 for Tweed View House

This inspection was carried out on 31st August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Tweed View House 12/07/07

Tweed View House 12/07/06

Tweed View House 28/04/05

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 Announced 31 August 2005 09:00 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 V235718 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Tweed View House Address Tweed Street Berwick upon Tweed Northumberland TD15 1NG 01289 303550 01289 331764 NA Berwick Care Homes 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) Miss Moira J Simpson CRH 37 Category(ies) of DE(E) Dementia - Over 65 - 14 registration, with number OP Old Age - 22 of places PD(E) Physical Disability - Over 65 - 1 Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 28.04.05 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-seven older people, fourteen 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. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over one day and involved discussion with five residents, the Manager and four staff. It also included inspection of records and documentation and a tour of the building. What the service does well: What has improved since the last inspection? Appropriate handrails have been provided on the garden terrace to safeguard residents. This area has been landscaped and attractive seating is available. Some refurbishment of bathrooms is ongoing. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 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. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 7 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 V235718 310805 Stage 4.doc Version 1.40 Page 8 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) 1, 2, 5, 6 Prospective residents receive the information they need to make an informed choice about where to live. Each resident has a copy of a written contract with the home. Arrangements are in place for prospective residents and their relatives to visit and assess the quality, facilities and suitability of the home. Tweed View does not provide intermediate care. EVIDENCE: The Statement of Purpose provides appropriate information about the operation of the service. The Manager reported that this document is in the process of being reviewed and updated. Information is available for prospective residents about the service provided, the accommodation available, staffing, the number of places and type of residents cared for and the complaints procedure. Residents said that they were supplied with sufficient information at the time of their admission. At the time of his/her admission each resident receives a written contract detailing the conditions of residence. One resident confirmed that she had received a contract. Copies of contracts were available in residents’ files. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 9 Residents confirmed that they had visited the home prior to admission and that they were encouraged to look around and talk to residents and staff. The Manager said that visits to the home are organised to suit the individual needs of prospective. These visits can be for lunch/tea, overnight stays and the length of time spent in the home is organised to suit individual needs. The Manager reported that Tweed View does not provide intermediate care. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 10 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) 8, 9, 10 Residents’ health care needs are fully met. Residents are protected by the home’s policies and procedures for dealing with medicines. They are able to retain control of their own medicines subject to risk assessment. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Each resident has an individual plan. Samples inspected showed that appropriate records are kept of health care needs and how these are met. Residents are registered with local doctors and records of visits by health care staff are available. Risk assessments are in place for falls, incidence of pressure areas and nutrition. Written guidance is in place for the administration of medication. Residents who keep their medication have in place a written risk assessment and staff carry out regular checks. Records are kept of all medicines received, administered and disposed of. Samples checked were in good order. Staff training in dealing with medicines has been provided and records were available to confirm this. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 11 All residents have a single room. Staff were observed knocking on bedroom doors and speaking respectfully to residents. Written guidance is available for staff on privacy and dignity. Residents said that they are satisfied that staff respect their privacy and dignity. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 12 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) 12, 14 Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents are helped to exercise choice and control over their lives. EVIDENCE: Residents gave examples of how they are able to make choices about their lifestyle and these included daily routines, mealtimes and leisure activities. Records showed evidence that staff take account of each person’s wishes about routines and other aspects of their daily lives. A programme of activities is in place and this showed a wide range of events including tea dances, exercise classes, games and musical events are available. Residents are encouraged to keep control of their money for as long as they wish to and have the capacity to do so. The Manager said that residents and relatives are informed of how to contact an external advocate who will act in their interests. Residents confirmed that they have been encouraged to bring in personal possessions and inspection of rooms confirmed this. Written guidance is in place relating to access to personal records. One resident said that she thought that if she asked she could see her records, but she had never wanted to. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 13 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, 18 Residents feel confident about making a complaint to the staff and know that their concerns will be taken seriously. Residents are protected from abuse. EVIDENCE: Residents said that they could make a complaint to a member of staff or the Manager. They said that they were confident that any complaints are taken seriously. Staff know that there are written policies and procedures relating to complaints. They gave appropriate examples of how to help a resident to make a complaint. Complaint records were available for inspection and these provided appropriate information. Written guidance is in place for dealing with allegations of abuse. No allegations or incidents of abuse have been made. Staff training has been provided and records confirm this. Staff are aware of the abuse guidance and can appropriately describe how to assist a resident to make an allegation. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 14 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) 20, 21, 22, 23, 24, 25 Residents have access to safe and comfortable indoor and outdoor communal facilities. Specialist equipment is available to meet residents’ needs and to make them as independent as possible. Residents’ rooms suit their needs, are safe and comfortably furnished. The heating, lighting, water supply and ventilation meet relevant environmental health and safety requirements. EVIDENCE: Evidence of regular maintenance was confirmed from discussion with staff and from inspection of records. The staircase is to be redecorated shortly. Sitting and dining areas are furnished to suit residents’ needs and are of adequate size. The garden to the back of the building has attractive views of the river and surrounding area. Seating is provided for residents in the garden. Handrails have been fitted to the lower garden seating area since the last inspection. Some areas of this garden are still to be planted. Toilets and bathrooms are fitted with aids appropriate for the residents and are well decorated. A number of bedrooms have en-suite toilets. Since the last Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 15 inspection one bathroom has been re-decorated and the toilet and wash hand basin have been moved to provide more space. Grab rails, handrails and other aids are provided in corridors, bathrooms, toilets and other rooms to suit residents’ needs. Aids, hoists, assisted toilets and baths are installed. An appropriate call system is provided with points in residents’ rooms, toilets, bathrooms and other communal areas. Residents’ rooms are above the minimum size requirements. At the time of this inspection there were no residents sharing rooms. Each resident’s room is well decorated and furnished. Appropriate furniture is provided by the home, but many residents have brought in items from their previous homes. Lockable storage is provided. All rooms are well ventilated and central heating is fitted. Radiator guards are fitted and the temperature can be adjusted in each room. All areas are well lit and emergency lighting is provided throughout the home. Water storage arrangements are satisfactory. Sluice facilities are provided with appropriate hand washing facilities. Laundry equipment is fitted with special programmes for washing soiled linen. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 16 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, 28, 29 Residents’ needs are met by an appropriate number of qualified and experienced staff. Staff are trained and competent to do their jobs. EVIDENCE: There were six staff on duty at the time of this inspection. The rota showed that there is always a senior member of staff on duty on each shift throughout the day. Sufficient domestic staff are available. The Manager confirmed that the rota is flexible and can be adjusted to provide additional staff hours to meet residents’ needs. Residents and staff said that there are always enough staff on duty. Records showed that appropriate training opportunities are provided for all staff. More than half the staff have completed National Vocational Training in care at Level 3. The Manager confirmed that all new staff are provided with Induction and Foundation training and records provided evidence of this. A training plan is in place. Staff confirmed that they have sufficient opportunities to access training. Evidence was available that training is regularly updated for first aid, food hygiene, moving and handling. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 17 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) 31, 32. 35, 36, 38 Residents live in a home that is run and managed by an appropriately qualified person. The Manager ensures that there is an open, positive and inclusive atmosphere in the home. Residents’ financial interests are protected. Staff are appropriately supervised. Residents’ health, safety and welfare is protected and promoted. EVIDENCE: The Manager is experienced in caring for older people and has appropriate management qualifications. The Deputy Manager also holds a management qualification has experience in the provision of care. Records show that the Manager and Deputy have regular opportunities to access training. A written job description is in place for the Manager and Deputy Manager. Staff said that they feel able to raise issues about the service with the Manager and that they are encouraged to put forward their views. It was clear that staff felt that there was clear leadership and support from the senior staff. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 18 Policies and procedures make a clear commitment to equal opportunities. A copy of the General Social Care Council code of practice is available in the home and staff have had an opportunity to read this. Public Liability Insurance cover is in place and a valid certificate confirmed this. Clear accounting and financial procedures are in place and appropriate records are maintained. Appropriate written guidance is in place for staff who handle residents’ money. Some money is held on residents’ behalf and records of all transactions are kept. Samples of the money held were checked and these balanced with the records kept. Residents have lockable storage in their rooms for keeping money or valuables safe. Appropriate health and safety guidance is in place for staff. Risk assessments are in place for the premises and for fire. Accident records are kept. Induction and foundation training has been provided for all care staff employed. Arrangements are in place for induction training for domestic and ancillary staff. Records are kept for fire equipment and fire alarm tests and servicing. Fire training is provided at appropriate intervals for all staff and records confirm this. Staff confirmed that they receive appropriate training and updates for moving and handling, first aid, infection control and food hygiene. Records are kept that show when updating training is needed. Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 19 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. 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 3 3 x x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION x 3 3 3 3 3 3 x STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 3 x 3 Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 20 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 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. 1. Refer to Standard Good Practice Recommendations Tweed View House B53-B03 S513 Tweed View House V235718 310805 Stage 4.doc Version 1.40 Page 21 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. 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