Inspection on 09/11/09 for 1-2 Newton Court

This is the latest available inspection report for this service, carried out on 9th November 2009.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

1-2 Newton Court 24/02/06

1-2 Newton Court 27/09/05

1-2 Newton Court 18/01/05

1-2 Newton Court 31/08/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Newton Court (1-2) Stowe Hill Road Paston Ridings, Peterborough PE4 6PY     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Andy Green     Date: 0 9 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 24 Information about the care home Name of care home: Address: Newton Court (1-2) Stowe Hill Road Paston Ridings, Peterborough PE4 6PY 01733325713 01733325713 michelle.oreilly@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Karen Barr Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: Learning Disability only in association with Sensory Impairment Date of last inspection Brief description of the care home Sense East, a national charity for people with dual sensory loss, is the registered provider for 1-2 Newton Court. The home provides accommodation and support to six people with dual sensory impairment and in some cases with an associated learning disability. The home is situated in a residential area, approximately 2 miles from Peterborough city centre. Local shops are within walking distance and a bus service is available. The home is part of a terrace of four houses. Numbers one and two have been connected to form one property. The premises provide six single bedrooms, a kitchen/dining and two sitting rooms. There are two bathrooms, four WCs and one shower room. Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 0 6 6 Brief description of the care home The fees currently payable are in the range of £1147 to £2054, assessed and payable by the local authority for each individual. Care Homes for Adults (18-65 years) Page 5 of 24 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: three star excellent 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, the Care Quality Commission, carried out an unannounced key inspection of 1-2 Newton Court on 9th November 2009. We inspected a number of documents including; the Statement of Purpose, assessment documents, care plans, recruitment, training, health & safety records and supervision records. A tour of the building and grounds was also conducted. The manager completed an Annual Quality Assurance Assessment (AQAA) which is a self assessment audit that gives the home an opportunity to give their opinion about how they meet standards and regulations. Surveys were received from staff and residents. We also spoke with residents and staff during the inspection to gather their opinions regarding the services provided in the home. Care Homes for Adults (18-65 years) Page 6 of 24 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 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 7 of 24 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 8 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home produces information to ensure that prospective residents are aware of the care and support that is provided. Thorough assessments are undertaken so that needs can be met. Evidence: A variety of information is produced to ensure that prospective residents are clear about the care and support that is provided in the home. there is a robust assessment process to ensure that prospective residents complex needs can be met. There have been no admissions to the home since the last inspection, however, two resident files inspected evidenced that thorough assessments are made. Examples in assessments included; vision and hearing abilities/needs, communication, life history, likes & dislikes, college, activities, cultural preferences, personal care, healthcare and medication. A transition plan is implemented during the assessment period to monitor the progress of visits and ensure that needs can be met. The manager stated that it is not uncommon that the assessment period can take up to six months during which time regular reviews are held including the prospective resident, their relatives/carers and healthcare Care Homes for Adults (18-65 years) Page 9 of 24 Evidence: professionals. Each resident receives an individual contract which is also provided in a pictorial version and soon to be produced in a braille format to ensure residents understanding. Care Homes for Adults (18-65 years) Page 10 of 24 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 home produces detailed care plans and risk assessments to ensure that residents receive appropriate care and support. Evidence: Three care plans were inspected and they were all recorded in a person centred style to accurately reflect the care and support needs of residents. Care plans are generated from the information and transition plans collated and implemented during the assessment period. Details in care plans included; an information sheet, personal profile, communication, mobility, travel, health & safety, healthcare appointments, bathing, language development, behaviour support guidelines, money/finances, domestic needs, activities/work placements/college, self direction, eating and drinking guidelines and nutrition. There is a communication profile which looks at interventions and methods with regular updates. Vision and hearing issues/developments are reviewed every six months. Care plans are regularly reviewed including input from the resident and their family where appropriate, The home has close contact with relatives to ensure that care and support is well delivered and communicated. There is also a Care Homes for Adults (18-65 years) Page 11 of 24 Evidence: Quick Reference guide regarding each resident for new workers and agency staff that gives essential history and care and support needs. There is a thorough risk assessment process in place and examples included, accessing the community, behaviour support and physical intervention strategies, travelling in vehicles, choking and eating guidelines. Risk assessments are reviewed regularly to ensure they are meeting current care and support needs. There are analysis records in place to chart developmental and incidents of challenging behaviour throughout the year to assess trends and improvements /deterioration. Daily log sheets are completed which give details of significant events occurring during the residents day. Staff assisted residents with filling in forms and comments in surveys received included; I enjoy living here and if I need to calm down I talk to the staff I like all the people at Newton Court The staff help lots with all things I like the dinners at Newton Court and the new bathroom and bath I like living at Newton Newton Court loads Comments received from relatives included; Newton Court assist in all things and couldnt be better - they are most caring There is nothing that I can think of that they could do better My daughter is well looked after - it is a home from home She learns a lot of useful things - they promote independence The home addresses all aspects of clients specific needs both mentally and physically They give support and guidance to enable client to access wider community It was also noted that the home has won the SENSE audit award for Providing Support to the Highest Standard 2009. Care Homes for Adults (18-65 years) Page 12 of 24 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 activities to meet their lifestyle preferences and development needs. Evidence: The residents have access to a wide range of activities to meet their preferences and lifestyle choices. As mentioned previously, activities are identified during the assessment process and incorporated into the care plan to ensure needs can be met. Examples of activities included; the Education Centre provided by SENSE, colleges, work placements, working in charity shops, shopping trips and holidays. Residents have a Community Day which includes shopping, visit to hairdressers, personal food shopping and in house jobs. Holidays and day trips are provided throughout the year and the home has access to a car and minibus. Holidays have been arranged to Derbyshire, Norfolk, York and France. Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: Day trips have been arranged to London, local seaside resorts, pubs and cinemas. One of the residents has successfully taken part in a sponsored 5km and 10km for charity. One of the residents has been particularly keen to pursue her interest in digital photography and she has produced photographs as part of an information file for the home. There is a Lifestyle Skills Book where activities and leisure events are recorded. Residents have access to a range of food /meals in the home and healthy eating is promoted. Residents choose a menu for the day which they help to prepare. Care Homes for Adults (18-65 years) Page 14 of 24 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. Residents have access to appropriate healthcare and are assisted with medication. Evidence: Residents have regular access to healthcare professionals and specialists who provide input regarding vision and hearing needs. All residents have contact with a local GP and are assisted with attending hospital outpatient appointments. Input is received from the local Learning Disability team, clinical psychologist and mental health services. Care plans evidenced regular recording of contact with healthcare professionals. Strategies/risk assessments are in place regarding residents who may occasionally self harm. Staff in the home have appropriate communication skills with residents including sign language and finger typing to clearly communicate and understand needs. There is also a range of equipment to aid communication including; hearing aids, symbol programme, braille, pager for deaf staff, flashing door alarm, finger spelling (Deafblind Manual ) and residents have access to the web cam in the office when contacting friends and relatives. The medication records were inspected and they were accurately recorded. Care Homes for Adults (18-65 years) Page 15 of 24 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. Residents have their views listened to and are protected from abuse. Evidence: Residents views are clearly sought on an ongoing basis and their preferences and needs are a central part of the homes philosophy. There Is a complaints procedure which is produced in a number of formats to assist residents with being able to raise concerns. There have been no complaints received since the last inspection and the Care Quality Commission has not received any concerns. Residents are protected from abuse and staff receive adult protection training at induction and receive an in-house update. The manager will, however, contact the local adult protection trainer regarding refresher training on an annual basis. The personal monies held for two residents, were inspected and were accurate. Care Homes for Adults (18-65 years) Page 16 of 24 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 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 suitable for the needs of the residents and is well maintained. Evidence: The environment is suitable for the needs of the residents and is presented in a clean and hygienic manner. Communal areas are well furnished and decorated and bedrooms are personalised to meet the individuals choices and preferences. As mentioned previously residents also have access to aids and equipment to assist them in the home. Since the last inspection there have been a number of decoration and refurbishments including; new flooring to the kitchen, dining room, corridors and stairs, new tiling in the bathroom and the fitting of a jacuzzi style bath, decoration to the main lounge and two new settees in the lounge. There are plans to refit the kitchen by March 2010. The sensory gardens are shared with the adjoining property and are laid out in a safe and creative way to provide residents with a stimulating and relaxing area to enjoy throughout the year, It was noted that the garden has won the SENSE in Bloom regional award for a sensory garden. Care Homes for Adults (18-65 years) Page 17 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has skilled and well trained staff to safely meet the complex needs of the residents Evidence: There are a skilled and committed group of staff to assist the residents with their care and support needs. It was noted that there also a number of staff who have hearing impairments and this is a positive benefit for residents to aid their communication. There are training programmes in place for specific communication issues, these include sign language(BSL), a diploma course in Deaf Blind Studies, communication workshops and finger typing. There is also regular back up from speech and language therapists. Mandatory training is also o in place which includes; moving and handling, first aid, fire safety and health and safety. Training is also given regarding mental capacity, deprivation of liberty, adult protection and challenging behaviour interventions. NVQ training is well established in the home and there are over 50 of staff at either level 2 or 3. The home has a robust recruitment procedure and two staff files evidenced that all appropriate checks are made prior to the commencement of their employment. Staff receive regular six weekly supervision sessions and there are monthly staff meetings. Comments received in staff surveys were complimentary about the service and Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: examples included; We treat each service user as an individual and we listen to their needs We ensure that there are regular updates in the care plans if the situation changes We work as a team to ensure the best possible care is given Our manager and deputy are always approachable to discuss any concerns we have regarding service users Residents would benefit from more staff hours in the evenings Care Homes for Adults (18-65 years) Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and appropriate health and safety procedures are in place to ensure the safety of residents. Evidence: Since the last inspection there has been a change of manager in the home. The manager was appointed in July 2008 and she has successfully registered with the Commission. She was previously the deputy manager and is experienced in working with the deaf and blind as a carer. She has completed an NVQ Level 4 and is starting the Leadership & Management Skills course via Skills for Care. The manager receives the mandatory training courses throughout the year and in house management training examples of which include; supervision. disciplinary and capability, stress management and delegation skills. Regular support is provided by her line manager who completes monthly audits of the home as required. There are regular health & safety checks in place including; fire safety, fire drills and hot water temperature tests. Records are accurately maintained and are also audited by SENSE on a regular basis. Service contracts are also in place for the servicing of equipment and services in the home. Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: There are good on-call arrangements and an Emergency File which gives essential information and on call contact numbers. A Missing Persons procedure is also in place. Staff spoken with during the inspection were complimentary about the support they received from the managers in the home and stated that they felt able to raise issues and concerns at any time. Care Homes for Adults (18-65 years) Page 21 of 24 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 22 of 24 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 23 of 24 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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