Inspection on 08/02/06 for 2 Newton Road

This inspection was carried out on 8th February 2006.

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 21/03/07

2 Newton Road 29/06/05

2 Newton Road 24/01/05

2 Newton Road 16/06/04

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Clover House

Dystlegh Grange

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Springfield Cottage

Cuerden Grange Rest Home

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Park Lodge

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 Liz Kelley Unannounced Inspection 8 February 2006 03:00 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 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.V277150.R01.S.doc Version 5.1 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.V277150.R01.S.doc Version 5.1 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 Babette Pattinson Care Home 3 Category(ies) of Learning disability (3), Physical disability (1) registration, with number of places 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 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 29th June 2005 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 bedroomed purpose built bungalow. Each bedroom is ensuite 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. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 2 hours. Two service users were staying at the respite facility and were spoken to, and two staff and were interviewed. A partial tour of the premises took place and staff records and service users files were examined. Earlier in the year a questionnaire was sent to the manager, and residents returned feedback cards on their experience. This was the second visit of the inspection year and the majority of areas were covered on the first visit. What the service does well: What has improved since the last inspection? There have been some interesting developments and improvements since the last inspection, which when fully in place will provide service users with a really excellent service. Previously the emphasis of the home had been to provide a “holiday Home” or “minding service” who’s aim was to give carers a break. Now the emphasis of the respite service is to provide service users with meaningful and purposeful stays were personal growth is a key feature of each persons stay. To assist in this care plans and records are in much more detail and are very individual to each person’s abilities and aspirations. For example one person was supported to cook a meal for friends - from the planning, through to shopping, cooking, and then requesting comments. Staff training is more focused on the knowledge and skills required for a respite setting. And this along with induction training for new staff ensures that staff are competent and skilled in dealing with a variety of disabilities and conditions. In order to promote independence a range of equipment has been purchased for example small kitchen aids, turn table, standing aid and a wheelchair accessible vehicle with electric ramps. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 6 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. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 7 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.V277150.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed and met at the last inspection. EVIDENCE: 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Service users participation and promoting choice and decision-making has been a real growth area for the home in recent months and is a very positive feature of the home. EVIDENCE: Considerable time and effort has been spent on working with individuals to drawn-up plans and goals. A key feature of this is assisting a person to develop new skills, which includes giving more choice and supporting people to make decisions. This is a hallmark of an excellent service and exceeds the expectations of most people’s view of a respite home. Staff had a good awareness of using an enabling approach rather than a “doing for people” approach and this had already helped service users to learn new skills. As well as the example given before about cooking another service user had planned and carried out a fell walk, another was working on writing a story, another was learning more dressing skills. The staff team meet every month specifically to review 10 service users plans to ensure that staff have the latest information and that each persons care plan is meeting and developing their needs. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15 and 17 Service users are given good opportunities to take part in the local community while staying at the home. The home maintains very good links with relatives and this has improved recently with the introduction of “reports” sent home with details of their stay. Meals in this home are of a good quality and promote a healthy diet. EVIDENCE: Staff have built-up resources over time so that they have a detailed information on local events, places of interest and are on mailing lists for different venues. This allows them to book events well in advance, previously they had found that if a person was only staying for a weekend it was too late to book. A picture book is available to service users with more limited communication. The new wheelchair accessible mini bus has helped in ensuring people make the most of their stay. Communication with relatives has improved and a photocopy of the notes staff have made during each persons stay is sent home. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 11 To encourage personal development, meals have been included in this change in working style so as to promote each persons abilities in learning new skills and understand healthy eating principles. This is much more forward thinking and makes for a more positive and rewarding experience for both service users and staff. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Service users physical and emotional health needs are well met during their stay at the home. EVIDENCE: The home does not have overall responsibility for managing healthcare but does monitor health across service users stay. The home had relevant contact details of GPs and details on medical conditions, and medications. A medical consent form is used that gives permission to seek emergency medical advice and treatment in the event of the service users families/legal guardian being unobtainable. Also in place were consent to administer medication on behalf of service users. The home had various aids and adaptations to aid the care of service users and to ensure their comfort and safety, these included high/low beds, an assisted bath, and manual handling hoists and moving equipment. In order to promote independence a range of equipment has recently been purchased for example small kitchen aids, turn table, standing aid and a wheelchair accessible vehicle with electric ramps. This is all in line with the homes emphasis on supporting individuals to do as much as possible for themselves. Medications in the home are well managed and effective systems have been developed for the recording and safe handling of medicines. For each stay a new information sheet is completed requesting details on changes in medication or any change in health. Medications are checked by 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 13 two staff against the original package. A mini fridge had been purchased to store medications in the office for safety. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Staff have good knowledge and understanding of Adult Protection issues which protects residents from abuse. EVIDENCE: Staff had received training in the use of physical intervention procedures, which focused on diversion tactics. Physical restraints were not used. The home had polices and practices that safe guarded the handling of residents monies. Personal monies and records were examined and found to be correct, with the signatures of both staff and the resident. The atmosphere developed in the home encourages open discussion and expression of views. These areas, and training in Adult Protection safeguard residents from abuse. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The Home is ideal for short stays and is a modern, welcoming purpose built bungalow that is clean and well maintained. EVIDENCE: The ago and one respite home is a relatively new bungalow, built approximately 10 years specifically as a small care home for people with disabilities. The design layout is suitable for people of limited mobility and being a bungalow, is on level with accessibility to all areas. The manager has developed a maintenance and development programme for the home. This includes improving mobility and independence aids and measures to make the home more homely for example pictures and new bedding and curtains for bedrooms; two new leather sofa and an adult bean bag; and redecoration of the lounge, corridor and dining room. These are all due to carried out in the next couple of months. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 The recruitment practices of the organisation and the home ensure that service users welfare is safeguarded and that staff have the qualities and aptitudes to work in social care. EVIDENCE: The Home follows the recruitment procedures of The Glenmore Trust. Staff files are now held in the home and contain all the relevant documentation. The selection procedure includes obtaining two written references, a formal interview and an informal interview involving service users, wherever possible. All staff have CRB disclosure checks. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a six-month probationary period. The Glenmore Trust has a code of conduct and all members of staff have a statement of terms and conditions. A new member of staff was interviewed and she confirmed these practices. She also spoke very highly of the induction training she had been given and felt very well supported and prepared by the organisation and the manager. These are all good practices and procedures that protect service users ensuring they are supported by a carefully selected and vetted staff team. Staff training is more focused on the knowledge and skills required for a respite setting. And this along with induction training for new staff ensures that staff are competent and skilled in dealing with a variety of disabilities and 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 17 conditions. Staff have received training in the following areas: - epilepsy awareness, rectal and oral diazepam administration, autism, physical intervention, colostomy bag care and person-centred planning approach. The staff team have identified a need for training in makaton and bereavement and loss, which has now been arranged. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The home actively seeks the views of service users and with the use of person centred plans this ensures that the service user is central to the activity in the home. EVIDENCE: The manager promotes an open, positive and inclusive atmosphere in the home through a variety of ways: regular staff meetings; regular supervision; and by inclusion of service users in the use of feedback and open days. When interviewed staff stated that the manager was “ very supportive and approachable”. The home’s senior had been given extra hours to carry out her duties, and as a result both she and the manager had improved the running of the home. The home’s health and safety procedures were effective and up-to-date. Fire records were checked and were in order. The Glenmore Trust promotes “Person Centred Planning” for service users which ensures individually tailored care plans and the identification of needs. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 19 These plans are used to gain feedback on views and comments of the home. There were numerous examples of opinions and being listen to and acted upon, for example one person liked to have table clothes when eating a meal and thought there should be more pictures. Both of these comments were actioned. 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 20 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 3 X X 3 X 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 21 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. Refer to Standard Good Practice Recommendations 2 Newton Road DS0000049150.V277150.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 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. 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