Inspection on 21/03/07 for 2 Newton Road

This inspection was carried out on 21st March 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 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 19/03/09

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 08/07/2008.

CARE HOME ADULTS 18-65 2 Newton Road Penrith Cumbria CA11 9FA Lead Inspector Jacqueline Southern-Leigh Unannounced Inspection 21st March 2007 09:30 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Newton Road Address Penrith Cumbria CA11 9FA 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) 01768 899490 The Glenmore Trust Mrs Sharon Little Care Home 3 Category(ies) of Learning disability (3), Physical disability (1) registration, with number of places 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 8th February 2006 Brief Description of the Service: 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 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. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Key Inspection scheduled for 20th March 07, however there were no staff or service users at the home on that day, arrangements were therefore made with the Team Leader to return the following morning at 9.30am. The inspection included a tour of the premises, a review of the paperwork and talking to a member of staff. On this visit there were no service users present, the three residents currently on respite were either at day centres or at work. Service users questionnaires had been returned to the inspector and these were used to gain the opinions of residents. What the service does well: What has improved since the last inspection? 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. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes assessment and admission process encompasses the needs and aspirations of the residents. EVIDENCE: Newton Road currently provides respite care for three residents on a short-stay basis, the average stay is three or four nights, the length of stay can be varied in consultation with the home and Social Services. All referrals are via Social Services, the home does not currently take private fee payers. One of the three beds is classed as an emergency bed and can be utilized by Social Services for emergency admissions at any time, all potential residents are given this information in case of last minute cancellations. The home provides potential new residents and their families with an information booklet about the home. Each time Social Services makes a referral to the home a thorough assessment process is implemented. The potential new resident and their family will be invited to come and look around the home. The family or carers will be asked to complete an in-depth form that looks at the likes and dislikes of the resident, normal daily routines, medical history and any other social or care needs the resident may have. The resident will then be invited to come for tea and to spend some time at the home. This process varies depending on the needs of the resident, some will 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 8 spend several weeks visiting and spending time at the home before they are happy to stay over night, others may only require one or two visits, the home bases this process around each individual. One resident commented on the questionnaire ‘I like to stay here’ and confirmed that they had attended visits first. Each resident has an individualised plan of care, these plans are extremely thorough and are reviewed on a regular basis by the staff team. The home also holds open days when families are welcome to come and visit the home, the home is also in the process of developing a newsletter which will go out to current residents and their families. All residents and their families are issued with a Respite Contract prior to each new admission to the home. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home supports the service users in developing and evaluating their own lifestyle choices. EVIDENCE: The individual plan of care for each service user were comprehensive and included relevant personal details, the plans looked at health and care needs, social and recreational preferences, goals and personal achievements each resident would like to do when on respite. The plans of care included information from the resident, their families or carers, staff at the home and social services, in some cases other information was also included such as assessments from Physiotherapists, safety strategies from the Challenging Behaviour Team and information from Occupational Therapists. The plans also include a section from the residents General Practitioner which details current medication. This information is all necessary to ensure the residents safety. The person centred care plans for each resident detail what each person would like to do when they are on respite, the current staffing levels are two staff to three residents, however the Team Leader explained that if all the residents 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 10 wanted to do completely different things out of the home environment a third staff member could be brought in to provide one to one support. The activities that each resident wants to do are recorded as goals, the actions necessary to achieve these gaols are recorded on the chart, there are separate evidence charts to record when and how the goals were achieved, these can include photographs of the event. A resident’s questionnaire told us ‘I can chose what I want to do, I like the cinema’, they also said that they can do what they want to do at all times. The home has a comprehensive set of Risk Assessments for each resident. The Glenmore Trust provides staff with training to support residents and service users to take realistic and appropriate risks in everyday life. This training has resulted in residents undertaking more varied and interesting activities. All the residents files are stored in a locked cupboard, the home is aware of the importance of confidentiality and the paperwork currently in place evidences this practice. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good system of support to allow the residents to make lifestyle choices. EVIDENCE: As discussed in the Individual Needs and Choices section the home supports all its residents to undertake their own personal development. For some residents this means carrying on with their normal activities as they would at home for others coming for respite offers them an opportunity to try new things. Each resident has their own set of personal goals, therefore the different activities that take place in the home vary from day to day and are specific to the individual. Examples were seen where residents had requested that they go to the pictures or out for a meal when they were on respite. Another resident had a comprehensive plan looking at his goal of going for a fell walk, the resident and staff member have put a detailed action plan in place in preparation for the walk, the next step is going for the walk and fulfilling the goal. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 12 The residents families are welcome to visit at any time, there is no restriction on visiting, all relationships are considered important and are looked at on a individual basis. The Glenmore Trust has polices in place to safeguard the residents rights to have sexual relationships, the Trust also provides training for its staff on the rights of its residents and service users. Newton Road does not have an advance menu in place, it allows each group of residents that are admitted for respite to discuss their own menu choices for the three or four nights they are there. Once the menu has been decided the staff and residents go shopping together to buy the food at the local shops. Details are kept of each meal that is prepared so that staff can check on a daily basis what meals the residents have had. Healthy eating is promoted by the staff but ultimately the residents choose what they would like to eat. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures the residents health, emotional and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The staff are aware of the personal support that each resident requires from the information gained from families and carers and also from assessment. The personal preferences for each resident were seen in the plans of care, these included morning washing/bathing preferences and bedtime routines. The home has the Glenmore Trust polices and procedures in place for the safe handling, storage and disposal of medication, it also has polices in place for residents who wish to self-medicate. The staff at the home record all medication that enters the home in a medication book which is signed by two members of staff, the medication sheet that the residents General Practitioner (GP) completes is checked against the medication received and the instructions from the family. Any discrepancies are checked with the residents GP, the correct information is then put onto a medication chart and all medication given is signed for on the chart. At Newton Road medication is only given by staff who have completed an accredited training course, it is necessary for all staff responsible for the 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 14 administration of medication to be suitably experienced and with the necessary accredited training. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides an accessible and transparent complaints system that protects the rights of the service users. EVIDENCE: The home has no received any complaints since the last inspection, there have been no Protection of Vulnerable Adult referrals during this time. The home listens to and reacts to the comments made by residents and their families, there is a comments section in the information pack, the home always checks this section and responds to comments and suggestions made. Comments in the resident’s questionnaire confirm that residents are aware of how to complain, ‘I’ve got a letter that tells me what to do’. The residents also reported that if they were unhappy they would ‘ask the staff or Sharon’. The Glenmore Trust have organised an organisation wide training schedule for the protection of vulnerable adult, this takes place between April and October 2007. All staff receive initial basic training in these areas during their induction period. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the residents with a safe, hygienic and homely environment. EVIDENCE: Newton Road has three bedrooms for residents use, each room has an en-suite bathroom. The bedrooms all have a bed, wardrobe, set of draws and television for the residents use while on respite, the bedrooms are quite basic and are in need of redecoration and some degree of up-grading to make them more homely and comfortable for the residents. This programme of redecoration and up-grading is in the homes business plan and is due to be undertaken in July 2007. A ‘shopping list’ of items the staff feel are required to make the environment more comfortable was also seen on the inspection, once these improvements are in place it will have a very positive impact on the bedrooms. One of the residents has commented in a questionnaire that the home is always fresh and clean but they ‘would like more posters on the wall’. The lounge and large hall area has been recently redecorate to a good standard. The kitchen and dining room are both well maintained and comfortable. The home has a bathroom with a hoist for those residents that 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 17 require assistance, and a separate toilet with a shower. These rooms were both suitable for use and the hoist has been serviced. The home was clean and in good condition. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates good recruitment practices that ensure the resident’s needs are met by staff that are appropriately inducted, trained and have the correct skill base for the role. EVIDENCE: There is a clear staff structure at the home, the Registered Manager is parttime and does not manage the day-to-day issues at the home, the Team Leader is responsible for the day-to-day issues and puts together all necessary assessment paperwork for all admissions. The residents are cared for by two Support Workers during the evening, in the mornings and at weekends when the residents do not attend work or day-centres. All new staff undertake the Glenmore Trusts induction programme during the first six months, the programme is in two parts dealing with the more basic issues in the initial induction and looking at more in-depth training during the foundation period. Staff must complete and pass set assignments during this induction period. 50 of the current staff have an National Vocational Qualification at level two or above. Staff at the home have undertaken a good range of training since the last inspection, further training is planned for 2007. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 19 The Glenmore Trust has a full range of recruitment polices and procedures, all personnel information is retained at Head Office. All staff receive supervision on a regular basis, this is recorded and kept at the home. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,40,41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well run and organised, it takes into account the needs and views of the residents. EVIDENCE: Newton Road has a well organised structure for residents admissions and staff support, it is a well run home. The Registered Manager is Sharon Little, she has been at the home since May 2006, her role is part time. To support the manager provide continuity at the home there is a Team Leader. On the day of inspection the Registered Manager was on a day off and it was the Team Leader that was present throughout the inspection. The Glenmore Trust does not currently undertake any monitoring of its service users opinions. However there is a section in the admissions information that allows service users and their families to comment on their stay at the home. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 21 The Glenmore Trust has policies and procedures in place for safeguarding residents rights and promoting the best interests of all the trusts residents. There is a full range of Health and Safety policies and service records for equipment was available for inspection. The home has a policy in place for safeguarding resident’s money, residents are able to look after their own finances when they are at the home or if they prefer the staff can look after it for them. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 3 3 X 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP19 Good Practice Recommendations The Registered Manager should ensure that the bedrooms and the general environment of the home is redecorated and made homely for the residents. 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 2 Newton Road DS0000049150.V327660.R01.S.doc Version 5.2 Page 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. 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