Inspection on 25/06/07 for Tyndale Avenue

This inspection was carried out on 25th June 2007.

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 06/02/06

Tyndale Avenue 11/08/05

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 Elizabeth Hendry Key Unannounced Inspection 25th June 2007 09:30 Tyndale Avenue DS0000006248.V329345.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 Tyndale Avenue DS0000006248.V329345.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. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 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 Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David M Hogton Mrs Doreen Hogton Mr David M Hogton Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents may also have mental health problems Can provide accommodation and care for one named service user who is aged over 65 years - category LD 6th February 2006 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 everyones 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 DS0000006248.V329345.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s key inspection, which took place over the course of a morning. Policies and procedures and records were viewed and ladies who live at the home were spoken with. The inspector would like to thank Mr & Mrs Hogton for their hospitality during this visit. 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. The summary of this inspection report can be made available in other formats on request. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People move into the home knowing that their health, personal and social care needs would be fully met. EVIDENCE: All of the care plans were viewed; all contained a pre admission assessment that clearly identified individual needs in areas such as personal, physical, emotional, social and educational care. The people living at Tyndale Avenue have lived there for many years and are looked on and treated as members of the family. A discussion took place with the Registered Manager surrounding the admission of the ladies into the home; he confirmed that before offering a placement to any person they undertook a detailed assessment of their needs to ensure they could be fully met. There have been no new admissions or any vacancies within the home since the last inspection. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, and 9. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service know that their needs are accurately reflected within their plan of care. EVIDENCE: Individual care plans were viewed for all of the ladies living within the home. Sufficient detail was contained within these plans in an easy read format. One lady spoken with was aware of the contents of their care plan and that this forms the basis for the level of care provided by the owners of the home. Evidence of individual involvement was present in the form of the ladies signatures. Each care plan clearly identified the level of family involvement, personal preferences, activities, interests and healthcare information. A detailed copy of the terms and conditions of residence was present within each file and had been signed by the individual and owners of the home. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 9 The owners of the home explained that each lady has a 6 monthly care review in order to identify any change in their care needs in addition to the local authority care management assessments. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Those living at the home are fully supported to participate in activities, develop interests and participate within their local community. The home offers the ladies a balanced and varied selection of food that meets their individual tastes and choices. EVIDENCE: During the inspection, two of the ladies were observed undertaking a variety of activities on an individual basis. One of the ladies said that they enjoy being able to choose what they would like to do and that they really enjoyed arts and crafts in particular needlework and cross-stitch. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 11 Within the home there is a wide variety of activities available. These include music, arts and crafts, watching television, board games and gardening. Mr and Mrs Hogton spoke of the ladies enjoying a number of holidays each year, some of the destinations visited on a frequent basis include Turkey and the Canary Islands. Photographs of these holidays were seen and all residents looked to have had a very good time. Day trips to local attractions take place on a frequent basis in particular during the summer months. Mr and Mrs Hogton consider the ladies as an extended part of their family and, as such, encourage participation in the day to day running/routine of the home. Records viewed within individual care plans identified the level of their family involvement with detailed accounts of all visits being recorded, and the means by which the ladies maintain these relationships. People who use the service users spoke highly of the meals provided within the home. Mrs Hogton explained that all the food is freshly made with fresh vegetables and ingredients. Records viewed identified that the home has successfully supported one person living at the home to change their diet in order to promote and maintain their good health. Individual likes and dislikes are known by the owners of the home and menus are altered to accommodate personal choices. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical and emotional needs of those living at the home are fully met. EVIDENCE: Mr and Mrs Hogton confirmed that the ladies are supported to maintain their health through regular GP checkups. Each lady receives six monthly reviews with a dentist and are able to access specialist services upon referral from their GP or primary health care trust. Optician appointments are attended on an annual basis or as any issues arise. Care plan records viewed confirmed that any healthcare problems identified are quickly addressed. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Those people living at the home are confident that their views, concerns and comments will be listened to and acted upon. People using the service are safeguarded and protected from self harm and abuse by the policies, procedures and practices governing adult abuse. EVIDENCE: Discussion with the ladies and management show that the home listens to what people say and takes action to correct things if any problems are identified. During the visit to the home Mr and Mrs Hogton confirmed that there had been no complaints in the last twelve months. Records viewed during the inspection confirmed this. A copy of the homes complaints policy was on display within the home and also within the service user guide. Resident questionnaires returned to CSCI indicated that they knew who to speak to if they were unhappy about anything. Mr and Mrs Hogton confirmed that they had attended training in and were aware of safe guarding procedures and that a copy of the local authorities guidance was available within the home. At the time of the inspection the home did not have any adult protection alerts. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The standard of the environment is high; those living at the home benefit from an attractive and homely place in which to live. EVIDENCE: The home has an ongoing program of redecoration and furnishing. One single bedroom and the ground floor of the home have recently undergone redecoration to a high standard. Mr Hogton spoke of the remaining bedrooms being scheduled for decoration later in the summer. A high standard of decoration and furnishing was found throughout the home. Fixtures and fittings were domestic in nature. To the rear of the property there is a large paved garden area with additional seating for the summer months. Mr Hogton spoke of the ladies being encouraged to personalise their bedrooms. All bedrooms were viewed with the kind permission of the ladies and all were Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 15 found to be clean, tidy and decorated in a manner that was preferred by the resident. All areas were found to be clean and tidy, with infection control measures being appropriately followed. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 16 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 and 35. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Competent and suitably qualified people support those living at the home. People who use the service are protected by the homes staff selection and recruitment policies and practices. EVIDENCE: The home is staffed by the owners Mr and Mrs Hogton on a full time basis. No agency staff are used within the home. A discussion took place with Mr and Mrs Hogton regarding the recruitment of staff, should this need arise in the future Mr and Mrs Hogton are fully aware of the need to conduct background checks and provide induction, ongoing training and supervision. Mr and Mrs Hogton have worked with the ladies for many years and are extremely knowledgeable about the needs of those with learning disabilities. Since the last inspection Mr Hogton has undertaken first aid training. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 17 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. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Those living at the home benefit from living in a well run home where they know their views will be listened to and influence what happens in the home. The people who use the service are actively involved in quality monitoring and are safeguarded by the homes policies and procedures regarding health and safety. EVIDENCE: The service continues to be well managed and run in the best interests of the ladies. Mr and Mrs Hogton play an active role within the home and operate an open door policy. This enables people to air any views or concerns they may have in order for solutions to be found and for the home to continue to move forward. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 18 Annual quality assurance checks are made within the home in the form of questionnaires, local authority and CSCI inspections. The home confirmed that CSCI inspection reports are used to highlight areas that require improvement. House resident meetings are held on an informal basis as needs arise. This is at the request of those living in the home. Mr and Mrs Hogton ensure that, so far as is reasonably practicable, the health, safety and welfare of the ladies is maintained. This is done through risk assessment. Information sent to the commission prior to the inspection identified that regular fire drills take place, and regular safety checks are made on electrical and gas appliances within the home. Portable appliance testing is undertaken on a regular basis and all fire safety equipment has recently been inspected. Policies and procedures are regularly reviewed and amended as necessary. Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 4 X 4 X 3 X X 4 X Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 20 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. 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. Refer to Standard Good Practice Recommendations Tyndale Avenue DS0000006248.V329345.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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