Care Home: Blyth Star Enterprises

What the care home does well There are good arrangements for residents to maintain contact with with their family and friends. The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. There is a very good standard of hygiene around the home. There is a very good level of staff training to give staff more understanding about the different needs of the residents. There is a very good standard of record keeping. The home is promoting the equality and diversity of residents and staff. What has improved since the last inspection? There is an ongoing programme of decoration and refurbishment around the home. The level of staff training continues to improve to give staff more understanding of the care and support needs of residents. Staffing levels have been increased to provide the necessary levels of care and support to the residents. Residents have the opportunity to holiday in this country and abroad. Residents also have the opportunity to enjoy outings and excursions to places of interest to them. There is a varied programme of activities for residents to take part in if they wish. What the care home could do better: The complaints procedure requires up dating to ensure accurate information is given to anyone who may wish to complain. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Blyth Star Enterprises 78 Middleton Street Blyth Northumberland NE24 2LU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karena Reed     Date: 2 6 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Blyth Star Enterprises 78 Middleton Street Blyth Northumberland NE24 2LU 01670-360122 01670352988 blythstar@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Blyth Star Enterprises Limited care home 7 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 7 The maximum number of service users who can be accomodated is: 7 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 7 Date of last inspection Brief description of the care home Blyth Star is a large, detached house situated in a residential area in the town of Blyth, it is in the town centre. It is also very close to the Northumbrian coast and the nearby countryside. It is registered to provide personal care to seven adults under the age of sixty- five years with mental health problems, past or present. The home does not provide nursing care. All bedrooms are for single occupancy. A passenger lift is not available. There is large lounge and a separate dining room that is also used as a quiet area when meals are not being served. Both living rooms overlook a garden to the front of the building. There are two bathrooms over the two floors of the house. There is also a self -contained flat for the use of residents preparing for independent living. The resource also provides an outreach service supporting people who may be living Care Homes for Adults (18-65 years) Page 4 of 30 0 9 1 0 2 0 0 8 Brief description of the care home independently within the community but who may require a level of support. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees do not include personal newspapers, toiletries, hairdressing and outings. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements,to improve national consistency.Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations,but only when it is considered that people who use services are not being put at significant risk of harm.In future,if a requirement is repeated,it is likely that enforcement action will be taken. How the inspection was carried out: Before the visit: Care Homes for Adults (18-65 years) Page 6 of 30 We looked at: Information we have received since the last visit. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The Visit: An unannounced visit was made on date 26/05/09. During the visit we: Talked with people who use the service,relatives,staff,the manager and any visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge,skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean,safe and comfortable. Checked what improvements had been made since the last inspection. We told the manager what we found. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Adults (18-65 years) Page 8 of 30 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure that prospective residents can make an informed choice about the home and that the home can meet their needs. Evidence: Records for three residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender,culture,religion,spirituality,educational and social histories,preferred daily routine and preferences. It also looks at mood,speech,behaviour,mental health,risks,sexuality and living skills. This information and the care managers assessment of the resident care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Residents have the opportunity to visit the home as often as they need in order to decide if they wish to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: the individual. Residents living at the home are involved in deciding who may come to live with them when a vacancy occurs.The home provides rehabilitation and residents are helped to prepare for more independent living. Comments include: I took advice from a health professional about the home before I moved in. I was in hospital when I was asked if I would like to move to Blyth Star. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are very good arrangements in place to ensure that residents care and support needs are recorded and to ensure that residents are involved in decision making in their lives. Evidence: There are detailed assessments in the residents care plans. Staff are allocated responsibility for a small number of residents and are known as their key worker. The key worker together with the resident are responsible for updating the care plan at least three monthly or sooner if a residents needs change. Care plans are person centred, they do show the amount of support that is required to assist the resident in certain areas. The tasks are broken down to give new staff clear instructions about the amount of care and support that is required to assist the resident to become more independent. Residents are asked individually and consulted about decisions involving themselves Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: and the running of the home. Meetings are held regularly with residents about the running of the home, choice of food,activities and outings.There is an active residents committee that meets regularly and a house meeting takes place every Sunday. Comments include: The service meets the needs of the individual with empathy, good care regardless of disability,age,gender,race and ethnicity. Sometimes up to date care plans and risk assessments are passed on by care management. There is a good standard of care. The care is good and safe. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and up to date risk assessments were present in residents care records. Staff commented: The service does a good job of promoting independence and independent living. We promote independence. We encourage clients to take control of their illness. We try to have all client views taken into account. We support the needs of the individuals through person centred planning and multidisciplinary working. Clients are encouraged to express their views and feelings,they are also encouraged to take control of their lives and illness. A health professional commented : The service manages care planning,risk,respecting individual need well and considers choice. Residents care records all contained statements of confidentiality to remind staff what information could or could not be disclosed about a resident. Care Homes for Adults (18-65 years) Page 14 of 30 Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have access to a range of activities both inside and outside of the home which helps them to enjoy a more varied life. Residents are also supported to keep in touch with their families. Evidence: Residents records and residents meeting minutes provided evidence that all residents are consulted and asked their opinion and encouraged to make decisions. Conversation with residents and staff show that residents are provided with the necessary levels of support to help the resident maintain some level of independence and retain some skills to be more self sufficient in aspects of everyday living.This level of independence is increased as a residents illness stabilizes and eventually a resident may move to more independent living. Since the last inspection four residents have left the home to live independently. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: Residents are encouraged to pursue their own interests and hobbies and are supported to do so:pamper nights, computing,healthy eating group,ladies swim night,mens gym night, listening to music and reading.Residents also enjoy meals out at local pubs, shopping,barbecues,attending relaxation classes,card playing,board games,dominoes and whatever is of interest to the resident. Residents have enjoyed holidays to Turkey,Scotland,Tenerife and Center Parcs. They also enjoy days out to Durham,York,Kielder,Seahouses,Angel of the North,Tynemouth and North Shields. Within the home some residents bedrooms are equipped with their own televisions,radios, books,pictures and whatever is of interest to the resident. Residents care plans and case records detail any family involvement. Conversation with residents also provided evidence that residents are encouraged to maintain contact with family and friends, if they wish to do so, with staff providing any support that may be required. Residents take turns to cook the evening meal once a week.On Sundays staff will cook the lunch for all residents. Buffets also take place regularly and themed eating nights. Residents are also allocated individual household tasks weekly which they are responsible for carrying out. A resident commented: We have jobs to do at weekends which we are asked to complete, one on Saturday and one on Sunday. Some residents attend local church. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure that residents health and social care needs are met. Evidence: Three care plans and case records were inspected. The daily records detailed the care and support required for different needs. They reflected the changing needs of residents as they become more independent, or the increased amount of care and support required if a resident has just moved in. The home respects the wishes of an individual when dealing with their increased dependency, if there is an acute episode of illness. Residents and their key workers up date the care plans two to three monthly. Residents do not have any moving and handling needs. Residents are independent with regard to personal care.Privacy and dignity are respected at all times. Service users care records showed that they have access to external health care services. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. A member of staff commented :We arrange all appointments through GPs,consultants and ensure they are kept or re-arranged. Our turnover of clients from the hostel to semi-independence in the community is quite good and improving. All service users receive regular health care checks from opticians and dentists. Staff have completed relevant medication training.Residents administer their own medication however a system is in place to oversee the medication of residents as they retain and administer their own medication. Privacy and dignity issues are built into the homes policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear complaints procedure and systems are in place to protect residents from abuse. Evidence: There is a comprehensive complaints procedure that includes what complainants should do if they are not happy with the homes investigation and response. The procedure is out of date and does not record the correct addresses of whom a complainant should contact if they wish to complain. Residents comments include: I have a key worker and co-worker who I can approach, also other staff who I feel comfortable talking to. I know how to approach a staff member. The home keeps a record of complaints. No complaints have been received since the last inspection. The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. Staff have received training about Protection of Vulnerable Adults and Prevention of Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: Abuse. Residents can deposit money for safe keeping in the homes safe and records are kept of accounts. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides quite a comfortable environment for those living there and areas are clean, tidy and free from offensive odours. Evidence: There is a programme of redecoration and improvement around the home. The home was clean, well decorated and well maintained. Since the last inspection some bedrooms and the hallway have been decorated,the lounge has been decorated and the furniture has been replaced. The outside of the building was in the process of being decorated and some residents told me they had been involved choosing the colour for the front door. The home has a a separate lounge and dining room but no other communal areas for residents to relax.Several comments state that a newer larger,building with more living space would be more appropriate for the rehabilitative role of the service. Comments include: The facilities at the hostel are old and worn, it has a positive atmosphere and clients feel safe here but it would be lovely to offer more modern equipment and surroundings. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: We need to have a new hostel. Our service would be better or more effective in a purpose built hostel, we could assist our clients through the rehabilitative process in a more effective manner as our present accommodation is quite old. Residents can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in good condition. Residents bedrooms have opening windows. The rooms were centrally heated. All bedrooms were personalized according to individual taste. There was emergency lighting throughout the home. The home was clean and free from offensive odours. The washing machines have the specified programme to meet disinfection standards. Residents are responsible for doing their own washing and may be supported by staff if required. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff who are appropriately recruited and well trained to meet the needs of the residents. Evidence: 7. 15 am- 1.45pm 3 - 4 staff members 1. 30pm - 9.00pm 3- 4 staff members. 8.45pm- 7.30am 1 sleep in and 1 waking night staff These numbers do not include the manager.A senior member of staff is on duty on all shifts.There is a low turn over of staff and there is a stable staff team.Staff members carry out cooking and cleaning duties with the help of residents. Staffing levels have increased since the last inspection a new post has been created for an activities coordinator to arrange activities for the evenings and weekends. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents.Comments include: I think mostly the staff are a good crowd who try their best to be nice and approachable. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Sometimes I feel like I am struggling to make myself and my opinions and feelings heard and understood. This makes me irritated and frustrated. Sometimes due to sickness and holidays staffing is a problem. There is a good level of staff training although some staff members commented that it was not as good as it used to be. They felt more training was required to keep up to date with the changing needs of residents. 80 of staff have National Vocational Qualifications at level 3 and 25 have level 4. Most staff are registered mental health nurses. Staff and their records showed that they also receive training or advice in other areas such as infection control ,equality and diversity, mental capacity, recovery and rehabilitation, social role valorisation, person centred planning, deprivation of liberty, first aid, food hygiene, safeguarding and mental health and safe guarding future strategies and challenging behaviour with mental health. Staff receive regular supervision. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health,safety and welfare of the residents are promoted and protected. Evidence: The manager has the appropriate qualifications, experience and management skills necessary to manage the service. The manager encourages an ethos of involvement amongst staff and residents within the home. Residents living at the home appear to like living there. The health,safety and welfare of residents are promoted and protected. There is a health and safety policy and a range of associated procedures. The staff receive training in health and safety and safe working practices, fire safety, first aid, food hygiene, and infection control. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: Records as required by the Care Homes Regulations were well documented and completed. The necessary checks are being carried out prior to workers being appointed. Two written references were available on staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Staff files contained proof of identity. Staff files contained a photograph of the staff member. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. Water storage tanks, gas and electrics are checked annually. Staffing records looked at contained all the relevant information. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 22 The complaints procedure should be up dated to include the correct information for complainants. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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