Inspection on 19/03/09 for 2 Newton Road

This inspection was carried out on 19th March 2009.

CSCI found this care home to be providing an Good 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

2 Newton Road 21/03/07

2 Newton Road 08/02/06

2 Newton Road 29/06/05

2 Newton Road 24/01/05

2 Newton Road 16/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 2 Newton Road 2 Newton Road Penrith Cumbria CA11 9FA     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: Margaret Drury     Date: 1 9 0 3 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 25 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 25 Information about the care home Name of care home: Address: 2 Newton Road 2 Newton Road Penrith Cumbria CA11 9FA 01768899490 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janice Catherine Herbert Type of registration: Number of places registered: The Glenmore Trust care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of LD (Learning disability under 65 years of age) up to 1 person in the category of PD (Physical disability under 65 years of age) Date of last inspection Brief description of the care home 2 Newton Road is a registered care home providing short-term respite breaks for up to three adults with a learning disability, they may also accommodate one service user who has a physical disability and uses a wheelchair. The home allocates one of the beds for emergency purposes which takes priority over other respite bookings. If not in use the emergency bed is given over to respite. Service users are made aware that Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 0 3 1 Brief description of the care home their break may have to be cancelled at short notice to accommodate an emergency placement. The home is operated by the Glenmore Trust, a charitable body providing services for people with learning disabilities throughout North Cumbria. The home is located on the outskirts of Penrith and is a four bed-roomed purpose built bungalow. Each bedroom is en-suite and there are two additional bathrooms, one with an assisted bath and the other with a walk-in shower. The home has a living room and separate dining room and a kitchen with small dining area. The home has extra wide doorways and corridors and a garden that is accessible for wheelchair users. The Home has a wheelchair accessible mini bus for use by service users during their stay. All admission to the home are via a Social Services referral, none of the rooms are currently available for private fee payers. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The assessment of this service took place over a couple of weeks and included a visit to the home. As part of our assessment we sent out questionnaires and received replies from 4 service users, 4 members of staff and 4 relatives. Comments received were very positive. The manager had completed an Annual Quality Assurance Audit (AQAA) that told us of the progress made during the past 12 months and the plans in hand for further improvement. We looked at a sample of residents files and care plans, discussed staffing arangements and undertook a tour of the building. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 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 25 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. People using this service have their needs fully assessed before they are admitted. This ensures all the assessed needs can be met in the best way possible. Evidence: A new manager has recently been appointed to this service and she is working hard to bring all the administrative processes and paperwork up to date. The Statement of Purpose and service user guide have been updated and will, in future, be reviewed annually. It is also produced in an easy read format that makes it available to all the people who use the service and their families. The manager and staff are aware that social and personal needs can change and recently every person who stays at the home has been re-assessed through a visit to the family home and a dicussion about the individual needs and capabilities. This process has just been completed and the manager and staff all agreed that it was worthwhile. It also gave the opportunity to undertake a quality audit of the service provided at Newton Road. Each resident is re-assessed prior to admission for their short stay and this ensures that Newton Road can still meet their assessed needs in an appropriate manner. Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: Routines for the residents during their stay are kept as normal as possible with visits to day centres, educational facilities and leisure activities kept very much as they are whilst residents are at home. There is a contract with the Local Authority with a copy on file for reference. Prior to a new resident being admitted to the home they and their familes are invited to spend some time meeting the staff and other residents staying there. This can include an overnight stay if this is thought to be advantageous for the person using the service. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are able to make choices about their everyday lives. Care plans and risk assessments are properly maintained, which means that the support needs of the residents are fully met. Evidence: During our visit we looked at a sample of care plans and found them to be informative, relevant and up to date. At the time of the recent re-ssessment exercise each care plan was reviewed and updated. The care plans are now reviewed each time a resident comes to stay. Prior to the visit a review form is sent to the parents for completion to confirm whether or not the original needs assessment has changed. The manager is well aware that depemdency levels can change and the review form is a way of ensuring that all needs can be met by Newton Road. Care plans provide the staff with information about the personal, health and social needs of the residents and how these can be met. Also documented is information about any employment or educational activities those staying in the home are involved in. There is now a key worker system in place with each membe of staff taking respeosibility for a group of Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: residents. The key workers are also responsible for keeping the care files up to date and taking part in the review process. The staff respect the right of those living in the home to make their own decisions about how to spend their time. Every effort is made to keep the routines similar to those when the residents return to their own homes. Risk assessments are in place and form part of the care plan. They were all up to date and covered activities both inside and outside the home. Positive risk taking is in place as part of the decison making process. Care Homes for Adults (18-65 years) Page 12 of 25 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. People who stay in Newton Road make decisions and choices about their lifestyle. They are encouraged and supported in participating in meaningful activities. Evidence: We were able to speak to two of the people who were staying at the home and they confirmed that they are able to make thier own decisions about their daily routines and how they spent their time. Routines are flexible and enable the residents to attend the centres, school or work as they do when at home. They choose their own leisure activities and the manager is now looking to introduce new activities such as theatre visits, evening meals at the local pub and visits to the cinema. Some residents attend the Rainbow Club that is held every 2 weeks at one of the local schools. This has helped many of those who come to stay at Newton Road to make new friends whilst spending time with people they know well. One of the residents we spoke to told us that she works at Oxfam every Thursday Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: morning and really enjoys her job. The home offers family style living and residents said they loved Newton Road because it is like visiting friends for a holiday. Residents can, if they wish, participate in daily living activities such as helping with the dishes and preparation of meals. They go with the staff for the main shopping each week and are encouraged to choose the meals they would like during their stay. The main meal is chosen and prepared on a daily basis when the residents return from the days activities. Care Homes for Adults (18-65 years) Page 14 of 25 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. People using this service have access to healthcare professionals, which ensures their physical and emotional needs are met. Evidence: People who come to stay at Newton Road bring in their own clothes with them so are always able to choose what to wear during their stay. The amount of personal care provided depends on who is staying in the home at any given time. Some residents need full support whilst others require only prompting. One of the residents we spoke to showed us what she had brought with her to wear, including a dress to wear when she went out. Healthcare needs are met through a good working relationship with the doctors and district nurses. The manager confirmed that she only had to phone the doctor for an immediate response.The district nurses are on hand for support and advice. They have provided training in colostomy care and are going to provide training to help staff care for a resident who is fed through a tube. The manager is currently preparing a new protocol to put in place when this training is completed. Medication is received in a variety of ways , bottles, boxes and monitored dosage systems and staff have completed training in safe handling of medication. We looked Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: at the medication records and found all to be in order. Care Homes for Adults (18-65 years) Page 16 of 25 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. Those using this service know any concerns will be listened to and acted upon. They are safeguarded at all times. Evidence: There is a complaints procedure in place and a copy of this in an easy read format has been sent to everyone who uses this service. A letter explaining the process has also been sent to each family. There is a complaints log in place but there have been none to record and we (CSCI) have not received any and neither have we been notified of any received by Social Services. We discussed adult protection issues with the manager and staff and all were aware of the proecess to follow should they suspect any untoward incident. Staff have, in the past, completed training in this subject but the manager has contacted head office to request access to a refresher course for all the staff. She has recently completed a course in this subject which is always discussed in staff induction and supervision. Care Homes for Adults (18-65 years) Page 17 of 25 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. Newton Road provides people with a warm, safe and comfortable environment in which to live. Evidence: Newton Road is a large bungalow that was purpose built for use as a small care home. Accomodation is all on one level, which means it is suitable for anyone who may have difficulty in accessing stairs. We toured the building with the manager and one of those living in the home on the day of our visit was delighted to show us her room. The environmental standards are good and the organisations head office ensures that the maintenence and upkeep of the buildings is up to date. The home is well maintained and tastefully decorated throughout. There are three single bedrooms, a large lounge and dining and kitchen facilities. There is sufficient communal space for activities and watching television. Bathing facilities are suitable for any resident who may have a physical disability and there are aids available for any who need them. Laundry facilities are available. Risk assessments are in place and an up to date fire risk assessment has been completed. The home was extremely clean on the day of our visit and the manager and staff are aware of the need to avoid cross infection. The manager is making arrangements for infection control training to be updated. Care Homes for Adults (18-65 years) Page 18 of 25 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. People who use this service are supported by a qualified and experienced staff team that understands their needs and requirements. Evidence: We looked at a sample of staff records that the manager now keeps at Newton Road. The main staff files are held a head office. The human resources department is responsible for staff recruitment and selection, although the manager did confirm that she would be involved in the recruitment of any new staff who would be working at Newton Road. There is a robust recruitment and selection process and no new staff start work until all the legal formalities have been completed. All staff have enhanced Criminal Records Bureau checks, which ensures only suitable people are employed to care for those living in the home. All new starters are given a copy of the code of conduct and a staff handbook is also available. The manager has introduced some staff records to be held at the home. These include details of training completed, a job description and details of staff supervision. All staff except one have completed their National Vocational QWualification in social care level 2 and the one remaining staff is hoping to start the course very soon. Details of available training are provided by head office and the manager accesses as much as possible to ensure good practice is kept up to date. Staff supervision is completed monthly with records made available during our visit. Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: Members of the staff team we spoke to during the visit were aware of their roles and responsibilities and said the team work very closely together. There are always two members of staff on duty when the residents are home. Care Homes for Adults (18-65 years) Page 20 of 25 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 manager of Newton Road is experienced and competent to manage the home. She ensures that the home is run in the best interests of those living there. Evidence: Newton Road is run by The Glenmore Trust and managed by Janice Herbert who has recently been appointed to the post of manager. She is currently awaiting registration and confirmed that she is soon to attend for interview. She has a great deal of experience in caring for younger people having worked for simliar organisations on previous occasions. She has completed her National Vocational Qualification (NVQ) level 4 in social care and is currently working through the Skills for Care managers guide. When this is completed she will then undertake a higher level management qualification. Since her appointment she has worked hard to bring up to date all the administrative procedures and updated the Statement of Purpose and service user guide. She has recently completed a full review of all those people who use this service through home visits and speaking to the residents and their families. This exercise also formed part of the internal quality audit to assess the level of care and support Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: that is provided by the home. She agreed that this was very worthwhile as it gave the opportunity of meeting all the pepople who use the service and talk to their families as well. Quality audit surveys will also be sent out on an annual basis to residents, families, advocates and healthcare professionals. There was a warm and friendly atmosphere in the home and the residents we met spoke very positively about Janice and how well she cared for them. Staff also were highly appreciative of the support the manager and senior staff gav them. The home has a full set of policies and procedures that are updated annually by head office staff to ensure they are in line with current legislation. Staff training records indicate that health and safety training and manual handling training is up to date. All fire protection equipment is in place and serviced regularly under annual service level agreements. All electrical equipment has only recently been replaced and is still under guarantee. All risk assessments are in place and up to date and includes a fire risk assessment. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 24 of 25 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 25 of 25 - 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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