Inspection on 21/04/05 for 346b Newton Road

This inspection was carried out on 21st April 2005.

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

346b Newton Road 18/07/06

346b Newton Road 15/11/05

346b Newton Road 15/09/04

346b Newton Road 04/05/04

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Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 250 NEWTON ROAD 250 NEWTON ROAD LOWTON WARRINGTON WA3 2AD Lead Inspector Judith Stanley Announced 5 May 2005 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 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 Stationary 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. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 250 Newton Road Address 250 Newton Road Lowton Warrington WA3 2AD 01942 602146 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mary Meekin Mrs Mary Meekin CRH Care home 3 Category(ies) of LD Learning Disability 3 registration, with number of places 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10 November 2004 Brief Description of the Service: Newton Road is a large private, domestic bungalow, which offers care for up to three female resdents between 18 - 65 years of age with a learning disability. The bungalow is set back from the main road and is close to local amenities including shops and the local club. The Home is pleasently situtated in its own grounds, and has a large attractive garden at the rear. Limited car parking space is available at the front of the Home. There are three single rooms, all are fitted with wash hand basin and the bathroom and toiltet for the residents is close by. The Home offers a large lounge/dining area, conservatory with the kitchen and the office leading off it. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over a morning visit and time was spent talking with Mr & Mrs Meekin, the two residents living at the Home and with one member of staff who helps with the care of the ladies and with the office work. The Inspector was invited to look around the Home and the care plans and records were inspected. Comment cards were sent to relatives and one has been returned. What the service does well: What has improved since the last inspection? What they could do better: Not all staff had been trained in some areas of health and safety; this could affect the well being of the residents. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 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 standard(s) 2 & 3 The residents had their needs and compatibility with each other in the Home assessed and agreed before admission. They therefore knew what to expect of the service, and felt confident that their needs were understood from the outset. There is a satisfactory admission procedure in place to ensure the home only admits people whose needs they are sure of being able to meet. The staff have the skills and expertise required to meet the needs of the present group. EVIDENCE: The residents of the Home were admitted via the care management process and the manager has a copy of the assessment. The manager has in place a needs assessment form that she would use to assess a self -funding resident. The two residents have lived at the Home for several years and generally get on well together. There have been no new admissions in recent years; however, if there were another admission to the Home the manager would ensure that the suitability and compatibility for all concerned was met. From talking with the manager, staff and the residents, it was clear the home was fully meeting the needs of the residents living there. The emotional and social needs of both residents were met due to the individual attention that staff can offer. Residents expressed confidence in the Home’s suitability and felt that staff understood their needs. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 9 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 10 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 standard(s) 6,7 & 8 There is a clear and consistent care planning system in place for both residents. The plans reflect each person’s changing needs, choices goals, support requirements and risk assessments. These measures are effective in supporting the residents to remain safe, and to increase their independence, self-esteem and ability to make informed choices EVIDENCE: Residents have a detailed care plan in place that identifies the resident’s care needs and the support required. Although there had been little change to the care plans evidence was available to show that they had been reviewed on a regular basis. Discussion with the residents confirmed their awareness of, and involvement in personal goal setting and review. They gave examples of practical support and encouragement, resulting in a sense of achievement and fulfilment in particular areas of their lives. Examples included learning new tasks and leisure opportunities both within the Home and at the day centres attended. Each person’s progress and daily activities were recorded in individual diaries completed within the Home and by staff at the day centres. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 11 There was evidence of residents making decisions individually and as a group. Staff supported individual’s choices about daily activities, such as shopping or using personal monies to buy things they like. The potential risks to the safety of the residents were recorded. Risks were managed so as not to limit the preferred activities, but to ensure the safety and vulnerability of the residents. Residents and staff confirmed that all activities and trips out are accompanied by a member of staff from the day centres or by staff from the Home. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 12 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 standard(s) 12,13 &16 Residents take part in activities that develop their strengths and selfconfidence. Residents use local amenities and feel part of the local community. Care practices ensured residents’ rights are upheld and they recognise their responsibilities. EVIDENCE: Activities enjoyed by people living at the Home include attending the day centres each day. Both residents attend a different centre that provides them with the opportunity to meet and socialise with different people. Residents confirmed that they enjoyed their regular Saturday night out at the local club listening to the music and having a dance. Residents and staff said that family ‘get togethers’ take place regularly and residents are included. Both residents were aware of the their responsibilities in assisting that the house ran smoothly. Where possible, residents’ help with appropriate tasks, however these are fully risk assessed due to the safety aspect, for example residents could help prepare a cold meal however, would be at risk from boiling at kettle. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 13 Individual rights were promoted. Residents were given mail unopened, and can make and receive telephone calls and choose how and where they spend some of their free time. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 14 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 standard(s) 19 & 20 The support provided is effective helping to improve the physical and emotional needs of the residents. Medication procedures were satisfactory and promote good health. EVIDENCE: There was very little medication administered, only one resident receives a regular prescribed tablet, however individual drug sheets were available to record any medication given. Residents have access to a local GP and to other health care services as required. A member of staff accompanies any resident that needs to attend any healthcare appointments to offer support and familiarity. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The views of residents are listened to and acted on to their satisfaction by the manager and staff. Policies and practices ensure the protection of residents from abuse. EVIDENCE: The manager confirmed that she has advised residents how to complain and who to if they were unhappy. Both residents have family support and are in regular contact with the residents, information has been given about how to contact local independent advocacy services. Both residents spoken with had no complaints and were happy with the care received. There have been no complaints made to the CSCI over the past year. There were written procedures for whistle blowing and responding to allegations of abuse, staff spoken with understood these procedures and would act accordingly. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 &30 Newton House provides a safe, clean, comfortable and homely environment for the people living there. EVIDENCE: Newton House is a large, detached property that is not identifiable as a care home. There are three single bedrooms; all are fitted with a vanity unit. Bedrooms were observed to be very comfortable and had been personalised with the resident’s own belongings. There is a separate bathroom that is fitted with a medi bath to assist residents with bathing. Residents and family mainly use the large conservatory at the rear of the Home; this overlooks a large garden and is near to kitchen area. There is a separate office for staff to complete any managerial task, this is close to the living space but does not impede on the residents space. Measures were in place to ensure a safe living environment. These include regular smoke alarm checks, and environmental health visits. The Home maintains a high standard of cleanliness and hygiene. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 17 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 Staff morale within the Home was good, due to the continuity of the staff; this offers residents a high standard and consistency of care. Staff at the Home have the necessary skills and experience to meet the needs of the present service user group. EVIDENCE: The Home is managed by Mrs Meekin and two part time staff. Mr Meekin also plays an active part in some of the care for the residents. One member of staff is a registered nurse and has achieved the National Vocational Qualification Level 4 award in management and care. Staff were observed respecting residents and have the appropriate manner that is important to them. Staff were seen sitting talking and listening to the residents and both appeared comfortable in one another’s company. Staff had a good understanding of the residents in their care and of their assessed needs. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 42 The manager is committed to ensuring that service user benefit from a well managed, well run service. Further training is required to ensure that the safety and welfare of the residents is promoted and protected at all times. EVIDENCE: The manager has over twenty years experience in caring for people with learning disabilities and has managed and cared for residents in her own home for 4 years. The Home appears to be well run and organised. The manager is currently undertaking the NVQ Level 4 award will should be completed by June 2005. Discussions with the manager and staff with regard to training identified that there should be one member of staff with an up to date first aid certificate on duty at all times and regular updates for training in the protection of vulnerable adults should be completed. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 20 Other safety aspects within the Home are regularly maintained and checked to ensure they in working order, for example smoke alarms and fire extinguishers. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 250 NEWTON ROAD Score 3 3 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Score Version 1.20 Page 21 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x 3 3 x x 3 x 31 32 33 34 35 36 x 2 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 22 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. 1. 2. Standard 42 42 Regulation 18 18 Requirement A member of staff with first aid training to be on duty at all times. staff shoulld be suitably trained in the protection of vulnerable adults. Timescale for action 29 July 05 31 August 05 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 32 Good Practice Recommendations That the registered person continues to work to complete the NVQ Level 4 award by June 2005. 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 23 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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. Extracts may not be used or reproduced without the express permission of CSCI 250 NEWTON ROAD F56 F06 S5771 250 Newton Road V217193 050505 Stage4.doc Version 1.20 Page 24 - 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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