Inspection on 11/07/07 for Newton Hall Care Home

This inspection was carried out on 11th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Newton Hall Care Home 08/05/08

Newton Hall Care Home 06/09/06

Newton Hall Care Home 25/11/05

Newton Hall Care Home 11/07/05

Newton Hall Care Home 15/12/04

Newton Hall Care Home 18/08/04

Newton Hall Care Home 26/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Newton Hall Care Home Kingsley Road Frodsham Cheshire WA6 6YA Lead Inspector Bronwyn Kelly Unannounced Inspection 11 July 2007 09:30 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 Newton Hall Care Home DS0000018745.V332649.R02.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 Older People. 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. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Hall Care Home Address Kingsley Road Frodsham Cheshire WA6 6YA 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) 01928 739270 01928 736724 newton.hall@hotmail.co.uk Kingsview Homes Limited vacant post Care Home 34 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (19) of places Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 34 service users to include: Up to 19 service users in the category of OP (Old age not falling within any other category) Up to 15 service users in the category of DE(E) (Dementia over the age of 65) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 6th September 2006 2 3 Date of last inspection Brief Description of the Service: Newton Hall is a registered care home providing accommodation and personal for up to 34 older people. Up to 15 of the people that live in the home may have a diagnosis of dementia. The home is owned by the Springcare Group, which runs a number of homes in Cheshire and surrounding counties. The home is a detached property in its own grounds, on the outskirts of Frodsham, on the edge of open countryside. There are full community facilities in Frodsham, which is approximately a five-minute car drive away. Bedrooms are located on the ground and first floor. The rooms on the first floor are for people who have been diagnosed with dementia. There is a passenger lift and staircase to the first floor. There is a large dining room and two lounges on the ground floor, with further seating in the large entrance hall. On the first floor there is a smaller lounge and separate dining room, primarily for use of people who have dementia. The home has an enclosed garden with walkways and seating areas. The current fees are from £440 - £530 per week. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing and private chiropody. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 5 Visitors and people that live in the home are able to read the latest CSCI inspection report, which is available in the office. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit by one inspector took place on the 11 July 2007 and lasted 7.00 hours. This visit was just one part of the inspection. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit, various records and the premises were looked at. A number of residents and relatives were also spoken with and they gave their views about the service, which have been included in the report. What the service does well: What has improved since the last inspection? Since the last inspection, the recruitment checks and procedures for new staff have improved, providing more safety for people that live in the home. The care plans now contain more information, although further work is required with these to ensure all the needs of people are met. A complaint log is now kept, as recommended by the previous inspection, to show complaints and concerns received at the home and how these have been dealt with. Newton Hall Care Home DS0000018745.V332649.R02.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. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply as intermediate care is not provided at the home Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people are fully assessed before moving into the home, the statement of purpose does not accurately describe the type of care that is provided. This means that people who wish to move into the home are not receiving correct information about what it is like to live in the home. EVIDENCE: Since the previous inspection, the information about the home in the service user guide and the statement of purpose has been updated to reflect recent changes. Further updating is still required, as the statement of purpose states that “Newton Hall provides nursing and personal care for elderly frail people of pension age or above and can cater for all physical infirmity or disability”. This is incorrect, as nursing care is not provided. The statement of purpose must include the fact that Newton Hall cares for people with dementia as well as Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 10 providing residential care, and that these two groups are not necessarily separated, but living together. This will enable people to make an informed choice about whether or not to move into the home. All care plans seen showed that people who live in the home have an assessment of their needs before moving in. This should make sure that their needs can be met at the home. The statement of purpose says that, ‘Matron or another qualified nurse’ carries out these assessments. This is also incorrect, as nurses are not employed at Newton Hall, and must be altered. The main concern at present is the mix of people receiving residential care and those who have dementia. The recent increase in registration from 10 to 15 dementia places has meant that there is now insufficient room for all the people who have dementia to have a separate living area in the home. Therefore, this is having an impact on the lives of the people living in the home who do not have dementia. Consequently, the assessment that is done before people come to live in the home is essential. People must have accurate information about what it is like to live in Newton Hall so that they, or their families, can make an informed decision about moving into the home. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are generally well looked after, ensuring their health, social and personal care needs are met. However, the care plans for people with dementia could include more information that would help staff to understand those people’s needs. EVIDENCE: The majority of care plans seen were in good order, and all contained risk assessments, falls evaluations, moving and handling assessments, weight charts, nutritional risk assessments and other documents to ensure that people’s care needs were met. Named staff review them monthly and the acting manager audits them. This ensures that information is up to date. The acting manager is in the process of changing the way recording takes place in the care plan files. At present, there is no key worker scheme in place, which would ensure people receive individualised care. The care plans for people with dementia are lacking in any person centred Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 12 planning or specialist plans to meet their particular needs. There was not much information in the files about each person’s lifestyle and past history. This information would enable staff to have a greater understanding of each resident. Staff should become familiar with the use of life history techniques and have an understanding of the importance of person centred planning. This would ensure that people living in Newton Hall get support from staff who understand their care needs. There was no evidence that staff have had any training in dementia care since the unit opened twenty months ago, although some is planned for the future. Some people who live in the home have therefore been cared for over the last year by staff that may not fully understand their special needs. The medication system was seen, and staff giving out medication to people that live in the home were observed. Senior staff in the home who give out medicines have attended an in-house medication-training course. Staff said they followed the medication policy and procedure for the home. The storage, returns and recording of medication were all in good order, ensuring that the people who live at the home receive their medicines safely and as prescribed. Medicine administration records seen were correctly filled in. Care staff were observed to treat people with dignity and respect and communicate with them in a variety of appropriate ways. One relative wrote on a questionnaire, “Unfortunately most people do not want to be in care, but as far as I have seen they are treated very kindly”. Another wrote, “ I am completing this form on behalf of my mother who has dementia. I cannot fault in any way the care, support and obvious affection she receives from all staff”. People who live in the home who were able to express an opinion also gave positive comments about the care they received from the staff. One person said, “The staff do a lot for me. They are very, very helpful indeed”. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Opportunities for people who live in Newton Hall to take part in activities and have full choices about how they spend their day are limited, except for choices in relation to food. This means that the needs of some people are not being met. EVIDENCE: Since the previous inspection, there has not been much improvement in the provision of activities for people who live in the home to take part in. There is no activities co-ordinator, and care staff say they do not have enough time to get involved. The staff also say there is not enough going on in the home and people who live in the home who were spoken with all said the same. Some people have been helped to continue with some activities and hobbies of their choice, but for most, there is little going on apart from television. Outings have taken place in the past and musical entertainers come into the home, but those spoken with said there was not enough to do to keep them occupied. One person who lives in the home said, “Not much going on – it is better at Christmas”. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 14 There is no real structure or planning to meet the social needs of people who live in the home or evidence that people are involved in meaningful activities of their own choice. There is no real choice of how people can spend their day. The manager has tried to advertise locally for an activities co-ordinator, but without success. She plans to advertise in a wider catchment area. One relative wrote on a questionnaire, “ Entertainers are arranged and occasional outings for those who can manage”. In reply to the question “Are there activities arranged by the home that you can take part in?” the majority of the replies were “sometimes”. There are no imaginative and varied opportunities to develop and maintain the social and daily living skills of those people in the home with dementia. Some people who live in the home who were spoken with felt they were unable to fully enjoy the communal areas of the home due to the fact that some people who have dementia are now living and eating in the same part of the building, and sometimes their behaviour is upsetting to them. Consequently, they stay in their bedrooms. The first floor used to be for people who have dementia, but now people are mixed together throughout the home. This is not meeting the needs of a number of people that live in the home. One person said, “I never go to the lounge because of the dementia residents”. Another said, “I like living here but can’t go into the lounge because of some of the people. They wander all over the place and into my room whilst I am here”. People that live in the home said the food was good, and they were able to have a proper choice at each meal. Four or five people enjoy a cooked breakfast every day, and the cook said the menus were adaptable to meet the needs of individuals. One relative wrote on the questionnaire, “I live close enough to visit at least twice a week and have done for the past 18 months different days, different times etc. I am always made welcome. Mum always looks lovely. Her clothes are well laundered and the food is excellent. I have stayed for lunch as has my sister on her visits”. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for protecting people who live at the home from abuse are satisfactory so they are not at risk. EVIDENCE: The complaints procedure is clear and is available in the service user’s guide. A copy is also available in the entrance hall of the home; it includes information about how to contact CSCI . A number of people who live at the home said that they would have no problem bringing any concerns to the attention of the manager or the staff. Relatives confirmed this; one wrote on a questionnaire “I would easily contact the staff on my visits if any complaint occurred. I have had no problems.” The staff spoken with showed an understanding of adult protection procedures. A training course on protecting adults from abuse has recently taken place for staff to update their knowledge. There are policies and procedures in place for the protection of people who live in the home Following a recommendation made at the previous inspection, any formal complaints and their outcomes are now recorded to show what the complaint was and how it was dealt with. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The way that people with differing needs are mixed together, due to the layout of communal and shared rooms, means that some people are living in an environment in which they are not comfortable. EVIDENCE: At the previous two inspections, the driveway was found to be a hazard for pedestrians and a requirement was made on two occasions to improve it. Various problems have occurred getting this work completed, but the area manager gave her assurance that plans are underway to complete this work within the next few months. This should provide better facilities for people that live in the home. The way the building is being used at present means that the needs of some of the people who live in the home are not being met. Although there at least Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 17 fifteen bedrooms for people who have dementia on the first floor, the lounge and dining area on the first floor is not large enough to accommodate this number of people. Therefore, a number of people with dementia have to use the main lounge and dining room on the ground floor. This is not working well, and the behaviour of some people is very upsetting to others who do not have dementia. Some relatives have been in touch with CSCI regarding this issue, and at least three people that live in the home have made their feelings known to the management. As mentioned earlier, some people do not feel able to make use of the lounge and dining room because of the mix of people. Some people with dementia who have a first floor bedroom are taken to sit in the ground floor lounge by staff. This means they cannot freely choose to use their bedrooms in the day without having to ask staff to let them through locked doors. There are three lounges in Newton Hall. Most people sit in the ground floor lounges. The first floor lounge only has chairs for six people and the dining room next to it has dining space for eight people. There are no smaller rooms or areas where people can get away from others, or have some quiet time away from televisions and noise. Current good practice guidelines on caring for people with dementia in a residential setting should be obtained and put into place in the home. During a period of observation in the ground floor lounge, there were a number of occasions when people were seen to shout at each other in frustration at their behaviour. Staff seemed unable to manage the situation or to find a solution to the problem. One person sitting in the lounge said, “Sometimes residents are not compatible and this upsets some people. There are often arguments in the lounge. I sometimes feel frightened”. The manager is in discussion with the registered provider about the situation and they are considering ways to rectify it. Meanwhile, any new people moving into the home must be made fully aware of the situation. The home is generally in good order, although the carpets in the corridors on both the ground and first floors were very badly stained. One person living in the home said, “I’ve noticed the dirty carpets”. A number of areas in corridors such as doors, corners and lower walls have a lot of paint chipped off. At least two of the ensuite toilets seen did not have a call bell so that help could be summoned if necessary. Two of the bathrooms are not in use, as they do not contain the necessary aids for people. The hairdressing room also contains a toilet that is used by some people with nearby bedrooms. This contained a broken hairdryer and the room was generally in need of refurbishment. There are many ‘notices’ to staff pinned on the walls in toilets and bathrooms, plus other areas around the home. This does not provide a homely atmosphere for people that live in the home. The window frame in the first floor lounge was unpainted. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 18 The bedrooms seen of people who live in the home were in good order and personalised with the occupant’s belongings. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. A caring staff group cares for people who live in the home but they need training in caring for people with dementia in order to be able to provide the best quality of care for all the people who live at Newton Hall. EVIDENCE: People who live at the home gave many examples of how well they regard the staff group, and were very complimentary about the care they receive. Some comments received from people that live in the home include: • “The staff are very helpful indeed. They are very patient and do a lot for me” • “We are well cared for – the staff are caring” Some relatives wrote on a questionnaire “We have had excellent service when mother has been ill” and another wrote, “Unfortunately most people do not want to be in care, but as far as I have seen they are treated very kindly”. To date, 33 of staff have achieved an NVQ qualification and a further 3 are currently undertaking their training. This will still be below the recommended level of 50 of trained staff. Training for staff in working with people who have dementia has not been carried since the dementia unit opened 20 months ago. This situation would be improved with some specialist training from a recognised source. This would ensure that people who live in Newton Hall who have dementia are receiving good quality care by staff who have an understanding of person-centred care. Some staff spoken with could not Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 20 remember if they had received training and some had never received any training in working with people who have dementia. The acting manager said that training is planned for the near future. Staff receive other training such as moving and handling, safeguarding adults, fire safety training and other courses to enable to carry out their duties. One member of staff spoken with displayed a good understanding of equality and diversity issues, and gave some good examples of how these are included in the way the staff works. The staff rotas for the week of inspection showed that there were sufficient people on duty for most of the time, but some staff were working very long shifts, sometimes of 12 hours, to cover for staff off sick. Some care staff spoken with said many of staff are off sick a lot and shifts are often short staffed because of this. One person that lives in the home said, “We ring the bell and no-one comes for ages. Staff are always rushed”. There was generally 5 staff on each morning, 4 during the afternoon/evening and three staff on at night. In addition to this, there were housekeeping staff, laundry staff, kitchen staff and a cook. Recruitment procedures are good with proper checks being made, ensuring that the people who live in the home are protected from possible harm. Four staff files were seen and each contained evidence of an interview, two references and the necessary POVA and CRB checks having been obtained before the staff member started working in the home. This provides a level of security and safety for people that live in the home . Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some of the management functions could be improved so that there are better outcomes for people that live in the home. EVIDENCE: The acting manager has worked in the home for approximately 13 years as a carer and recently as deputy manager. She is undergoing the registration process with CSCI, and understands that further training and qualifications will be necessary for her to successfully carry out the role of registered manager. Her present understanding of caring for people who have dementia within a residential setting has not been underpinned by sufficient training. This has meant that some people who live in the home are not having all their needs met. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 22 Formal supervision of staff has started, but this must be further developed and held on a more regular basis, to make sure that people who live in the home are being cared for appropriately. Quality survey forms have been sent to people who live in the home and their families earlier in the year. The results of these surveys should be collated and a summary made available for the service users’ guide, detailing any actions that may or may not be needed. Both staff and residents’ meetings are held, enabling people to give their views about life at Newton Hall. The home works to a good system for safeguarding residents’ money and clear records with receipts are kept. Policies and procedures for safeguarding residents’ money provide security for those living in Newton Hall. The information provided from the home before the inspection visit showed that equipment and installations at the home are serviced regularly. A handyman is employed at the home to attend to maintenance issues such as checking fire equipment, water temperatures and other health and safety matters to make sure that the environment is safe for staff and residents. Newton Hall Care Home DS0000018745.V332649.R02.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23(2)(b) Requirement The driveway up to the home must be repaired so that it no longer presents a risk to residents and visitors. The previous timescales of 31/03/06 and 01/02/07 were not met. Timescale for action 31/10/07 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. Refer to Standard OP1 OP4 Good Practice Recommendations The statement of purpose and service user guide should be made accurate to reflect the services and type of care provided in the home. The specialist dementia care that is on offer should be based on current good practice and reflect specialist guidance, so that people living in the home receive the support they require. Further information should be gained about each persons’ past history, lifestyle, likes and dislikes from relatives and friends so that staff can work with people that live in the home in a person centred way and have a greater DS0000018745.V332649.R02.S.doc Version 5.2 Page 25 3. OP7 Newton Hall Care Home 4. OP12 5. 6. 7. 6. 7. OP19 OP19 OP22 OP30 OP31 understanding of their needs through the care planning. This is particularly important for people in the home who have dementia. People that live in the home should be enabled to exercise choices and participate in leisure and social activities. Particular attention should be paid to the needs of those with dementia. The layout of the home at present is not suitable for its stated purpose. Individual and collective needs are not being met in a comfortable and homely way. Improvements to the corridor carpets and redecoration would provide a better environment for people that live in the home. Accessible alarm call systems should be available in the ensuite toilets, so that people can summon assistance in an emergency. Staff who work with people who have dementia should have specialist training to ensure that they receive a better quality of life. The acting manager should update the skills and competencies required to manage a residential home to make sure that it is run in the best interests of all the people who live there. Newton Hall Care Home DS0000018745.V332649.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 - 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. 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