Care Home: Hirst Villas, 6

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What the care home does well The home draws up plans to meet the care needs of its service users. Service users health care needs are also fully assessed and properly met. The service users, relatives and advocates have all been involved in implementing person centred plans. These are unique to each individual and include detailed and relevant information about the person. The home stores medicines safely, and administers them correctly and safely. Service users say that staff treat them well and treat them with respect. Service users are encouraged to keep in regular contact with family and friends. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Service users were very complimentary about the food, and there is a balanced diet, with service users choice included. Complaints and concerns are taken seriously and are responded to properly. The home is kept clean and hygienic and free from odours. The home has enough staff to meet the needs of service users. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its service users. The manager is experienced and is providing positive leadership to the home. The home is being run in the best interests of the service users. Service users finances are protected by the home`s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home`s policies and systems. What has improved since the last inspection? The home has a registered manager who is providing good leadership. Since the last inspection visit, significant improvements have been made: service users care records are now fully complete and clearly identify each service users holistic needs. The home has an up to date quality assurance system in place, and staff training and development has also improved. What the care home could do better: No requirements or recommendations were identified during this inspection visit. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hirst Villas, 6 6 Hirst Villas Bedlington Northumberland NE22 5QQ     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: Jim Lamb     Date: 0 6 0 4 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 28 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 28 Information about the care home Name of care home: Address: Hirst Villas, 6 6 Hirst Villas Bedlington Northumberland NE22 5QQ 01670-531799 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) : ntawnt.hirst@nhs.net Northumberland, Tyne & Wear NHS Trust care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 3 Hirst Villa is a small residential care home providing personal care and accommodation for three female service users with learning disabilities.The home is located in a residential area of Bedlington. There is good access to all local amenities and transport links.The home provides very comfortable and spacious facilities for the service users. All bedrooms are single and highly personalised to each individuals taste.The homes front and rear gardens are landscaped and easily accessible.Fees for the home range from 949.17 to 1024.74. Information about the service and previous inspection reports is available in the home. Care Homes for Adults (18-65 years) Page 4 of 28 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: 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. The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. How the inspection was carried out. Care Homes for Adults (18-65 years) Page 5 of 28 Before the visit we looked atinformation 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, and the views of people who use the service and their relatives, staff and other professionals. During the visit we talked with people who use the service, staff and the manager, looked at information about the people who use the service and how well their needs are met, looked at other records which 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/parts of the building to make sure it was clean, safe and comfortable, and checked what improvements had been made since the last visit. We told the manager/provider what we found. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 7 of 28 No requirements or recommendations were identified during this inspection visit. 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 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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. Prospective service users are provided with enough information about the home to enable them to make a choice about where they want to live. Evidence: The home has a Statement of Purpose and Service Users Guide that gives clear information about the service. These include good details of the accommodation for the people who have moved here. Admissions to the home are rare, there have been no new admissions for several years. However, there are comprehensive assessment process that would include the input of any new prospective service user, their relatives, social worker, care manager and, where appropriate, psychology, and psychiatry services. This ensures that the needs of each prospective service user are fully assessed before a decision is made about whether the service can meet their individual needs. All the people who live here have contracts that outline their rights and responsibilities whilst living here. These are kept in their care files which they can access, with support Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: if necessary. The contracts also include details of the individual fees for each service user and their contribution. Care Homes for Adults (18-65 years) Page 11 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The holistic needs of the service users are well met with evidence of good multi disciplinary working taking place. Evidence: Three staff were interviewed. It was evident that they were fully committed to helping people living at the home to live fulfilling lives as independently as possible. During the inspection, there was evidence that the people using the service made their own decisions about how they lived their lives. For example, two service users said that they are supported to make decisions about their day-to-day lives. The care records of two service users were examined. Their care plans had taken account of the information contained in the assessments and care plans supplied by social services as well as that of the homes own assessments. Care plans were based around service users strengths and their preferences for how they wanted to be cared for. The needs of the service users had been clearly identified and plans put in place to meet those needs. The care plans examined were easy to understand (pictorial) and had been Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: written in plain English. A key worker system was in operation and this allowed staff to work more closely with some people whilst also contributing to the care of all living at the home. Care plans had been reviewed on a monthly basis. In each persons care records, comprehensive risk assessment information was available. No limitations had been placed on service users right to make decisions and choices about how they lived their lives. Staff were aware of the need to treat people living at the home with respect and dignity when providing personal care. Service users said that they were happy with the way that staff cared for them. Staff were observed caring in a way that respected their right to privacy. Care Homes for Adults (18-65 years) Page 13 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported to live a normal life in the community. They have close links and access to a wide range of community activities. Evidence: Each person has a structured activities programme to help them to understand the pattern of their day. Through consultation with each service user, the home ensures that each person has opportunities for personal development. The home is near to many local facilities that people here make good use of, for example, shops, restaurants, pubs, parks, supermarkets and post office. People have good opportunities for leisure activities and with the support of staff, for example shopping, and trips to places of local interest. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Service users are supported to be as involved as they can be in the running of their home. Some are involved with daily domestic tasks, with support only where necessary. All are supported to read their own mail, and all are invited to join in with the House Meetings. The home ensures that people have good opportunities to contact relatives if they wish. Some go out to visit their relatives, and relatives are welcome to visit the home whenever they wish. All service users are involved in making decisions about the menu and make their own choices about what they like to eat. All are supported to eat a varied, nutritious and healthy diet. Those that are able, help staff to prepare meals to support their independent living skills. Care Homes for Adults (18-65 years) Page 15 of 28 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. Service users have access to health care professionals. There are systems in place for the management and administration of medication. Evidence: Service users do not have any moving and handling needs. Service users need minimal help with personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. Service users care records showed that they have access to external health care services. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. All service users receive regular health care checks. Staff who have completed relevant training administers medication. A sample of medication records was examined. Clear directions were recorded and each dose of Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: medication was signed for, or a code entered to verify the reason not given. Safe handling of medication training is on-going for all staff. 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 17 of 28 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. Procedures are in place to protect service users from abuse or harm. All staff have undertaken Safeguarding Adults training. Evidence: There is a complaints procedure. The procedure is written in a way that ensures service users fully understand its contents. One service user said that she had been given a copy of the procedure and that staff always listened to any concerns and always dealt with them fairly. The home keeps a record of complaints. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Healths document, NO SECRETS. Staff are aware of these procedures and have easy access to them. Since the last inspection visit, there have been no complaints received. Safeguarding adults training is ongoing for all staff. Service users can deposit cash for safe keeping and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded, there was plenty of evidence of personal spending. Receipts are obtained for Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: purchases and numbered to cross-reference to the transaction. Weekly checks of balances and cash are carried out. Care Homes for Adults (18-65 years) Page 19 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a very homely, safe and comfortable place for service users to live. Evidence: The premises maintain a very pleasant and homely atmosphere. All parts of the building seen were clean, suitably equipped and have good quality decoration and furnishings. There is an ongoing programme of decoration and refurbishment: there are new carpets in the lounge, dining room, hall, stairs and landing. These areas have all been redecorated and have new light fittings. New leather sofas have been purchased for the lounge. The service users bedrooms are spacious, highly personalised and nicely furnished. The grounds are well maintained and are used regularly by service users. Two of service users spoke positively about their bedrooms and the accommodation in general. The home has policies and procedures on hygiene and control of infection. Staff Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: receive infection control training. There is suitable hand washing facilities throughout the building. Disposable gloves and aprons are provided for staff use. Care Homes for Adults (18-65 years) Page 21 of 28 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. The staff are competent and committed to meeting the assessed needs of the service users. Evidence: Staff levels on the day of the inspection met the agreed level for the number of service users. On the day of the inspection there were 3 service users. All staff were over 18 years of age and those left in charge were at least 21. The training needs of the staff are identified in supervision and appraisal sessions. The homes training programme meets the National Training Organisation requirements for the first six months. Staff receive at least three days paid training each year. The Trust has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The service has a good staff training and development programme in place. All statutory training was up to date and 100 of the staff team has completed NVQ level 2/3. Care Homes for Adults (18-65 years) Page 23 of 28 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 home is properly managed, and the service users heath and safety is promoted and safeguarded by the homes policies and procedures. Evidence: The manager has achieved NVQ level 4 and the Registered Managers Award, which are appropriate qualifications for a manager. The people who live here have benefited from the consistent support of the new manager and the staff team. Discussions with staff indicated that they work well as a team, are motivated, and are supportive of the people who live here. The manager has an open, inclusive and encouraging style. There are clearly good working relations between staff, manager and the service users. These positive practices help to give the home a friendly, welcoming and relaxing atmosphere for the Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: people who live here. The service has a comprehensive quality assurance system to review the quality of the home. There are also House Meetings for service users and staff to make their suggestions, comments or concerns about the service. Each service user has an annual review with their relatives, and their social worker to make sure that the service is still meeting their needs. Service users, relatives and professionals receive an annual questionnaire to complete in which they can give their views about the service. Staff have access to all the relevant policies and procedures that are involved in the running of the home. Records that were examined were up to date and clear, and are securely and confidentially stored. All staff receives statutory health & safety training, and new staff receive this through Induction training. In this way staff understand the practices and procedures to ensure the health and safety of the people who live here. The Fire Authority has approved the fire alarm system. Staff drills and tests are carried out at the correct times. Maintenance contracts were seen to be in place for services and equipment. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 Care Homes for Adults (18-65 years) Page 27 of 28 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. If you would like a summary in a different format or language please contact our helpline or go to our website. 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. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!