Inspection on 11/08/05 for Tyndale Avenue

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Tyndale Avenue 25/06/07

Tyndale Avenue 06/02/06

Tyndale Avenue 29/03/05

Tyndale Avenue 11/11/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 TYNDALE AVENUE 2 Tyndale Avenue Benton Park Horbury Wakefield WF4 5QT Lead Inspector Mavis Pickard Announced 11 August 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Tyndale Avenue Address 2 Tyndale Avenue Benton Park Horbury Wakefield WF4 5QT 01924 200982 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) Mr & Mrs D Hogton Mr David Hogton Care Home - Personal Care only 3 Category(ies) of Learning Disability - 18-65 years - 3 registration, with number Mental Disorder - 18-65 years - 3 of places TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection Brief Description of the Service: The home was first registered as a care home in 1994 to provide care for three adults with a learning disability or mental disorder. Mr & Mrs Hogton have now provided this form of care for 15 years. The providers live on site. The care provided is seen to be a “family setting” with the house and its facilities being for everyone’s use. The house is a modern four bedroom detached property on a very pleasant, small housing estate of similar properties. The home is situated on the outskirts of the village of Horbury with local amenities close by and there is a good transport service to Wakefield Town Centre. There is one large lounge with an additional “family den” in the converted garage. Each service user has their own bedroom accommodation. The home is well furnished with quality fittings and is maintained to a good standard. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the 3 hour announced inspection it was found that residents are central to the home, that they live a comfortable, domestic family life and that Mr &Mrs Hogton ensure they receive the best possible care and consideration. Mr Hogton has recently applied for a variation to the registration of the home to allow that a resident who is now aged over 65 may remain accommodated. It is found that this will not be necessary as the Commission is in a position to impose a change of registration to reflect the situation where a resident by reason of becoming over 65 years is outside the category of registration. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 7 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 standard(s) 2,3 & 5 Resident’s individual aspirations and needs are met. People accommodated and their representatives know that the home will meet their needs. All residents have a written contract. EVIDENCE: Records show that all people accommodated are assessed and that their needs are met. Those people living in the home, who could say, said that the home meets their needs. Records of all residents were examined they show what the individual needs are and how they are being met. All residents have a written contract. The home has now Statement of the Terms and Conditions of Occupancy, which includes the details outlined in Standard 5.2 of the National Minimum Standards. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 8 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 standard(s) 6,8 & 9 Residents changing needs are reflected in their individual care plans. Residents are consulted on all aspects of their lives within the home and are supported to take reasonable risk. EVIDENCE: From direct and indirect observation from the examination of care plans and from speaking with service users the Inspector is confident that residents are sure that their needs and wishes are taken in to account and that Mr & Mrs Hogton make sure that where possible these are met. It is clear that people talk to each other and discuss all aspects of resident’s daily living within the home and within the wide community. Residents are protected but are supported to take reasonable risk within a risk assessment framework. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 9 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 standard(s) 12,16 & 17 Residents take part in appropriate leisure activities. People accommodated have their rights and responsibilities recognised within their daily lives. Meals provided at the home are appropriate and healthy. EVIDENCE: The inspector spoke with two residents One was able to make good responses to the inspector’s questions whereas the other could not. The service user who spoke with the inspector continues to be very happy living at the home and does not wish to live anywhere else. The resident goes go out occasionally, including shopping for clothes and enjoys the long and regular holidays which the service users and providers take together. Everyone is continuing to enjoy regular holidays abroad and holidays are already planned for the year ahead. Some of these are taken at short notice when a bargain can be found. Those who were able said that they had a “great time on holiday”. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 10 Resident’s rights are recognised by the provider who ensures that as far as is possible residents understand their responsibilities in the home and the wider community. The Inspector was invited to take a meal with residents and found it to be well cooked, nutritious and tasty. Everyone appeared to enjoy their meal and people who could said that the meals are always good. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 21 Residents receive the level of personal care require in a way they prefer. Resident’s physical, emotional and health care needs are met. The aging process of residents is handled with dignity and respect. EVIDENCE: From direct observation, from the examination care related documents, and from speaking with the providers and where possible the residents it is clear that people accommodated receive the support they require in the way they prefer. The people who live at Tynedale House differ in ages and the providers understand and ensure that they meet their differing needs appropriately. One resident is now almost 70 years old, her changing needs are recognised and met by the whole ‘family’. Whilst maintaining her privacy, dignity and respect. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents who could say that they are listened to and that they are safe in the home. EVIDENCE: The home maintains an appropriate complaints policy and follows their own procedures where necessary. More importantly it is clear from spending time with this family that residents are treated fairly and their views and/or concerns are listened to. The Inspector is confident that residents are protected as far as is possible from abuse and the threat of abuse. The providers understand the local multi-agency protocols in respect to the protection of vulnerable adults and know what their responsibilities are in respect to the protection of the people accommodated. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,28 & 30 Residents live in a comfortable, safe, clean environment that wholly suites their needs. EVIDENCE: The Inspector toured the home and found that residents live in a comfortable family home which has been adapted to include a ‘den’ where residents can partake in leisure facilities such as sewing, art, reading, puzzles and watching television. Residents are able to use all communal areas of the home and are encouraged so to do. Resident’s bedrooms are all for single occupancy and are nicely furnished and decorated. The home is clean and well maintained and the garden area, which is having some, work done to make better the provision for the family, is accessible and pleasant. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The providers meet the resident’s needs appropriately. EVIDENCE: There are no staff employed at this home, it is clear from documentation examined, from speaking with the residents and from spending time in the home that the providers run and manage the home well and ensure that the needs of residents are appropriately met. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37&42 Resident’s benefit from a well run home. The health and safety of residents is protected. EVIDENCE: The providers, Mr & Mrs Hogton have been running this home for a considerable time and it is clear that the home is run for the benefit of and in the best interests of residents. Mr Hogton is the registered manager and clearly understands the people accommodated and takes great and deserved pride in the service the home provides. However it is Mrs Hogton, joint provider who as an experienced nurse working previously within a hospital setting with adults with a learning disability, who has the clinical expertise to ensure that residents, profound needs are met. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 16 Both providers understand their responsibilities with respect to the protection of residents at the home and what they would be required to do should an issue of abuse be suspected. TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 4 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 TYNDALE AVENUE Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 4 x x x x 3 x J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 18 No 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 TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 TYNDALE AVENUE J51J01_S6248_Tyndale Avenue_V246273_110805.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!