Care Home: Grange Park Avenue, 18

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well The home provides a good standard of care to the people using the service. The staff team enjoy their work and make every effort to ensure the home is pleasant and comfortable. The relationships between staff and the people who live in the home were good and personal support was provided in a way that promotes their privacy and dignity. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person`s preferences. They treat the people as individuals and support them to live the life they choose as much as possible. People living in the home are given support to lead fulfilling lives and enjoy facilities in the local community. They are also supported to keep in touch with family and friends. Opportunities for training are good which enables staff to learn new skills to support the residents in all aspects of their lives. The home has procedures for staff when they administer medication. This makes sure the people who live at the home receive their medication when they need it and at the correct times. The people in the home said they enjoyed going out shopping, meals out, concerts and local places of interest. They also confirmed that they have had a number of short holiday breaks, which they enjoyed. What has improved since the last inspection? Since the last inspection the sleep-in member of staff has been replaced by a waking night staff to meet the changing needs of the people living in the home. At least two members of staff are on duty during the day to help ensure people can enjoy activities on their choice. This also helps to ensure that all areas of the home are clean and hygienic. The bathroom has been redecorated. New carpets have been provided in the lounge, hall and stairs. What the care home could do better: All care plans must be reviewed to ensure they are up to date and take into account any changing needs of the people living in the home. The paintwork in the hall, stairs and landing was chipped and showed signs of wear of tear and should be repainted. The paintwork on the window frame in the rear bedroom was pealing off and the landing and side bathroom window were leaking and in need of repair. CARE HOME ADULTS 18-65 Grange Park Avenue, 18 18 Grange Park Avenue Bedlington Northumberland NE22 7EF Lead Inspector Anne Brown Key Unannounced Inspection 18th and 23rd April 2008 10:30 DS0000000572.V363018.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 DS0000000572.V363018.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. DS0000000572.V363018.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grange Park Avenue, 18 Address 18 Grange Park Avenue Bedlington Northumberland NE22 7EF 01670 - 530544 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) NTAWNT.GrangePark@nhs.net Northumberland, Tyne & Wear NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000572.V363018.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2007 Brief Description of the Service: 18 Grange Park Avenue is a semi-detached house situated in a residential estate on the outskirts of Bedlington. The home is registered to provide accommodation for three residents with learning disabilities, two of whom are over 65 years of age. Northumberland, North Tyneside and Newcastle NHS Trust provide the service and the property is rented from Wansbeck District Council. The ground floor accommodation consists of a lounge, kitchen/dining room and one bedroom with an en-suite facility. On the first floor there are two bedrooms, a bathroom and an office for the staff. There is a small garden to the front and a large garden to the rear of the house. The fees are £1030.70 per week. Inspection reports and information about the home are readily available. DS0000000572.V363018.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 12th April 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives. The visit • An unannounced visit was made on 18th April 2008. A further visit to see the people living in the home and the staff on duty was made on 23rd April 2008. During the visit we: • • • • • • • • Talked to the manager and the staff. Talked to the people using the service. Observed the interaction between the staff and the people using the service. 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 they were clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the manager of the home what we found. DS0000000572.V363018.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the sleep-in member of staff has been replaced by a waking night staff to meet the changing needs of the people living in the home. At least two members of staff are on duty during the day to help ensure people can enjoy activities on their choice. This also helps to ensure that all areas of the home are clean and hygienic. The bathroom has been redecorated. New carpets have been provided in the lounge, hall and stairs. DS0000000572.V363018.R01.S.doc Version 5.2 Page 7 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. DS0000000572.V363018.R01.S.doc Version 5.2 Page 8 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 DS0000000572.V363018.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs and wishes of each person who lives in the home have been assessed. This helps to ensure that staff can provide the people with the care and support they require. EVIDENCE: The home conducts a thorough pre-admission assessment. This includes obtaining the Care Management Assessment and information is sought from carers/relatives and relevant health care professionals. Copies were available on the individual case files so staff can refer to these to ensure individual needs are met. The assessments address all aspects of the people’s lives. No admissions have been made to the home since the last inspection. DS0000000572.V363018.R01.S.doc Version 5.2 Page 10 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, 8 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are care plans that contain guidelines, which explain what staff need to do. However some evaluations were out of date, which may mean some information may not be correct. EVIDENCE: The care plans for the people living in the home were examined. The monthly evaluations for two plans were out of date. The manager is in the process of carrying out an audit on the care plans to ensure they provide staff with up to date information. The staff on duty were able to describe the needs of the people living in the home and were observed consulting and communicating with them. They were also respecting people’s privacy and dignity. DS0000000572.V363018.R01.S.doc Version 5.2 Page 11 Risk assessments are available on the case files. These assist the people living in the home to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. The staff have knowledge of equality and diversity issues and these are carefully considered when writing the care plans. DS0000000572.V363018.R01.S.doc Version 5.2 Page 12 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, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home are encouraged to mix with people in the local community and are well supported to participate in activities of their choice. EVIDENCE: Each person living in the home chooses how they spend their time and what activities they wish to participate in. This information is recorded in the daily reports. Two people living in the home receive the services of an enabler twice a week to escort them to a variety of venues. DS0000000572.V363018.R01.S.doc Version 5.2 Page 13 One person attends an art session once a week at Earth Balance and crafts, music, gardening and pottery at Northumbria Daybreak in Hexham. The staff support one person to visit his cousin in Wooler which he confirmed he really enjoys. All the people living in the home said they enjoyed going out for lunch, shopping and visiting local places of interest. One person also attends a church service on a regular basis. Weekends and short breaks had been arranged for all the people living in the home. One person was preparing to spend the next weekend in Liverpool. Two people said they enjoyed going to Newcastle City Hall and the Arena to see concerts of their choice. At least two members of staff are on duty during the day to ensure the people living in the home can participate in individual activities of their choice. The staff encourage the people to make choices and to respect their rights. The manager confirmed that menus are discussed regularly with the people in the home and their favourite meals are included. Menus are planned on a four weekly basis and people living in the home are involved in this process. The menus are varied and nutritious. Alternatives are always available and special diets are catered for. People said the food was good and they enjoyed their meals. They also said they enjoyed eating out and at the time of the inspection two people were going out for a fish and chip lunch. DS0000000572.V363018.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care needs are well met and in a way which the people living in the home prefer. EVIDENCE: Records showed that health and well being are discussed with the people living in the home. Any signs that people may not be well are identified and staff have clear instructions on how to act in such situations. Details of health checks, visits to their GP and hospital appointments are recorded in each individual’s file. The staff on duty confirmed they had been given training on how to deal with the individual health needs of the people living in the home. The staff were escorting one person to a hospital appointment on the day of the inspection. DS0000000572.V363018.R01.S.doc Version 5.2 Page 15 A random sample of medication records and the system for storage and handling medication was looked at. This system was appropriate and in accordance with the pharmacy guidelines. People living in the home are assessed and encouraged to keep their own medication if they are able. The manager confirmed that all staff have undergone training on administering medications at Newcastle College and from the local pharmacist. DS0000000572.V363018.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are properly dealt with and training in adult protection has been provided for the staff, which helps to protect people from abuse. EVIDENCE: The home has a complaints procedure written in a way to help the people living in the home to understand its contents. The procedure is also available on DVD. The people living in the home and their relatives had been given a copy of the procedure. A copy of the procedure is displayed in the home so other visitors have access to this. Two questionnaires were returned by relatives stating they knew how to make a complaint if they needed to. The home keeps a record of complaints and the outcome of the investigation. No complaints had been received since the last inspection. The home has a whistle blowing policy and a copy of the Local Authority Safeguarding Adults Procedure. The staff members on duty were aware of the action to take if bad practice was observed. All staff have undergone training provided by Northumberland Care Trust on the protection of vulnerable adults. DS0000000572.V363018.R01.S.doc Version 5.2 Page 17 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, 25, 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is safe, comfortable and has all the necessary aids and adaptations to support people’s independence. EVIDENCE: The manager and staff work hard to ensure the home is comfortable and pleasant to live in. There is a programme for repairs and decoration. A tour of the premises was carried out and all areas were clean and hygienic. New carpets have been provided in the living room, hall, stairs and landing. The manager also confirmed that new curtains and pictures have been purchased for the living room. These are to be introduced as soon as possible. DS0000000572.V363018.R01.S.doc Version 5.2 Page 18 The staff confirmed that the people living in the home have been involved in choosing the new items. The people living in the home have their own bedrooms that are decorated and personalised according to their wishes and tastes. Bedrooms are equipped to ensure the comfort and safety of the individuals and specialist equipment is provided to promote independence. Gardens are well maintained and provided with garden furniture. The paintwork in the hall, stairs and landing was chipped and showed signs of wear of tear. The paintwork on the window frame in the rear bedroom was pealing off. The manager also stated that the landing and side bathroom window were leaking. DS0000000572.V363018.R01.S.doc Version 5.2 Page 19 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff, who have been properly recruited, trained and supported, to meet the needs of the people living in the home. EVIDENCE: The staff at the home continue to demonstrate that they have good knowledge of each person’s individual needs and how they should be met. Those staff observed on duty displayed respect for people living in the home and demonstrated good values and attitudes. There is a good staff training programme that includes all statutory training, as well as training in subjects that relate directly to the needs of individuals. The staff on duty confirmed that they felt their training needs were well met and discussed on a regular basis. DS0000000572.V363018.R01.S.doc Version 5.2 Page 20 During the day there is a minimum of two care workers on duty. This helps to ensure that people living in the home can enjoy preferred activities on an individual basis. Since the last inspection the sleep-in staff member has been replaced by a waking night staff to meet people’s needs. The staff felt staffing levels were adequate to meet the needs of the people using the service. The home employs eight care workers. Seven have achieved National Vocational Qualification (NVQ), Level 2 or above and one member of staff is working towards achieving this. An appropriate recruitment and selection process is in place. No new staff have been employed since the last inspection. A programme is in place to ensure all staff receive formal supervision. The staff on duty confirmed they are supervised on a regular basis. Good relationships were observed between the people living in the home and the staff on duty. DS0000000572.V363018.R01.S.doc Version 5.2 Page 21 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, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The culture and systems in the home help to ensure that the service is led by the needs and wishes of the people living there, and protects them from harm. EVIDENCE: The manager has experience in working with adults with learning disabilities. She has achieved a National Vocational Qualification (NVQ) level 4 in care and the management component will soon be completed. She confirmed that she will be applying to become registered with the Commission in the near future. DS0000000572.V363018.R01.S.doc Version 5.2 Page 22 The staff members who were spoken to said the manager was approachable and supportive. One member of staff said, “she always listens and will discuss new ideas”. The staff on duty confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the people living there. Minutes of the meetings were available for inspection. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the people living in the home. The staff on duty stated that monitoring visits are made by a senior manager on a monthly basis. This is to check that the people who live there get the care they need and their health, safety and welfare is promoted. The fire logbook indicated that tests are carried out at the correct intervals. Charts are maintained to record water and fridge/freezer temperatures. The staff on duty confirmed that they receive up to date health and safety training to help protect the safety of themselves and the people living in the home. No unsafe practices were noted during the inspection. DS0000000572.V363018.R01.S.doc Version 5.2 Page 23 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 X DS0000000572.V363018.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 YA6 Regulation 15(2)(b) Requirement Care plans must be reviewed and updated. Timescale for action 30/06/08 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. 2. 3. Refer to Standard YA24 YA24 YA24 Good Practice Recommendations The paintwork in the hall, stairs and landing should be renewed. The window frame in the rear bedroom should be repainted. The leaking windows in the bathroom and landing should be repaired. DS0000000572.V363018.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000000572.V363018.R01.S.doc Version 5.2 Page 26 - 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!