Inspection on 14/12/05 for 7 Newgate Lane

This inspection was carried out on 14th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

7 Newgate Lane 19/10/09

7 Newgate Lane 10/09/09

7 Newgate Lane 18/02/09

7 Newgate Lane 12/09/08

7 Newgate Lane 10/01/07

7 Newgate Lane 21/06/05

7 Newgate Lane 25/01/05

7 Newgate Lane 12/08/04

7 Newgate Lane 10/12/03

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 7 Newgate Lane Fareham Hampshire PO14 1BQ Lead Inspector Gina Pickering Unannounced Inspection 14th December 2005 11:00 7 Newgate Lane DS0000012363.V275026.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 7 Newgate Lane DS0000012363.V275026.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 Older People and 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. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 7 Newgate Lane Address Fareham Hampshire PO14 1BQ 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) 01329 230121 www.c-i-c.co.uk. Community Integrated Care Mrs Lin Cowdrey Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4), Physical disability (4) of places 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: 7 Newgate Lane is a care home that offers care for up to four people who have a learning disability and sensory disability. The property is owned by Knightstone Housing Association and is manged by Community Intregated Care who is the registered provider. The home is situated in a residential area near to the town of Fareham and the village of Stubbington. The home has easy access to local recreational and health care facilties. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours on 14th December 2005. The inspector spoke with three staff members, three gentlemen living at the home, toured the communal areas of the home and looked at various documents as part of the inspection process. Discussions evidenced that those living at the home like to be collectively known as gentlemen, this will be reflected throughout the report. The gentlemen that the inspector spoke with stated that they are happy living at the home. What the service does well: What has improved since the last inspection? What they could do better: 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 6 The home needs to ensure that the action planned to provide a ramp for emergency access is implemented to ensure a safe escape route for all gentlemen in the event of an emergency evacuation of the building. 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. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&5 Explanations given by staff at the home in a manner that prospective service users understand will enable them to make informed choices. The gentlemen and their representatives are made aware of their rights and obligations of residency at the home with revised statements of terms and conditions of residency and explanations in a manner that they can understand. EVIDENCE: Following a requirement made at the previous inspection information about the home has been put on individual audiotapes for the gentlemen. This plus explanations given by the care staff will be used to inform the gentlemen and prospective service users about the home to allow them make a choice about the suitability of the home. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 9 The gentlemen now all have a statement of terms and conditions of residency that are signed by a representative for the gentlemen from CIC as well as the home manager as representative of CIC. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7&9 The home’s philosophy of care encourages and supports the decisions of the gentlemen. The ethos and management of the home supports the gentlemen users to take risks with regard to their life style and choices. EVIDENCE: Each gentleman has received a charter that indicates that they must be given choice and control over their lives. Discussion with staff members and two of the gentlemen evidenced that the gentlemen are able to make individual decisions about their activities and daily routines, and that support by staff members is given to them to fulfil their decisions. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 11 Risk assessments for all activities of daily living are documented; including the risks to service users, risk to staff and risk to public and the action to be taken to reduce these risks is recorded. Documentary evidence revealed that risk assessments are reviewed six monthly or earlier if needed and amended accordingly. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 17 The management of the home ensures that the gentlemen’s rights and decisions are respected. The dietary needs of the gentlemen are met with flexibility allowing them choice about their meals. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 13 EVIDENCE: Staff members discussed with the inspector that daily routines are flexible being led by the wishes and needs of the gentlemen. The gentlemen were observed making their own decisions whether to go Christmas shopping, stay at home socialising with the home staff or enjoy the privacy of their own bedrooms. A varied healthy menu is planned on a weekly basis and displayed in the kitchen area that incorporates the likes and dislikes of the gentlemen. This menu is flexible and is able to change to meet the daily wishes of the gentlemen. Policies and procedures about the catering procedure include information about healthy eating that is reflected in the menu plan. Records kept of meals eaten by the gentlemen contribute to the monitoring of the gentlemen’s nutrition. Staff were observed to assist a gentleman at lunchtime with sensitivity understanding his non-verbal gestures that he had had enough to eat. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 20 Staff members are able to deliver personal support to the gentlemen in the manner that they wish. The gentlemen’s welfare is protected by robust medication procedures. EVIDENCE: Care planning documents provide detailed information regarding the gentlemen’s preferences about support required in receiving their personal care as well as support needed in other daily activities. Staff members spoken with at the home work closely with each gentleman enabling them to know the needs and preference each person. Robust medication policies and procedures are in place that cover the ordering, storage, administration and disposal of medications. Looking at medication 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 15 administration charts and the storage areas evidenced that the policies and procedures are adhered to. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed. EVIDENCE: 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Good practices in the home about hygiene and infection control contribute to the health and well being of the service users. EVIDENCE: Information is available in the home about hygiene and the control of infection and staff have had training in this subject. Care staff are responsible for the 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 18 cleaning and laundering in the home. The home at the time of the inspection was clean and free from offensive odours. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Staff members at the home are equipped with the skills to effectively support the gentlemen living at the home. EVIDENCE: The manager along with the assistance of the training officer at the local CIC office assesses the training needs of the staff group at 7 Newgate Lane; relevant training is then put in place. Staff members told the inspector that they have received training that has equipped them with the skills to meet the needs of the gentlemen at the home. Training records are kept at the home for all staff members; these records indicate that the training staff members have received is relevant to meeting the needs of those living at the home. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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 & 42 The gentlemen’s opinions and wishes are an integral part of the running of the home. EVIDENCE: 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 21 The gentlemen’s views about the service provided by the home are obtained during one to one conversations with them and monitoring their responses to activities and events happening in the home. Further views about the management of the home and the service they provide are gathered from the gentlemen and representatives of the gentlemen during their annual multidisciplinary reviews. A review of the emergency exits from the home has resulted in a planned installation of a ramp from one of the exit doors. This has yet to be actioned to ensure that all gentlemen at the home can be easily evacuated in the event of an emergency situation. The risk of gentlemen tripping in the garden has been reduced with the levelling of paving flags. 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 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. 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 Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 3 40 X 41 X 42 3 43 X X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 7 Newgate Lane Score 3 X 3 X DS0000012363.V275026.R01.S.doc Version 5.1 Page 23 yes 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 7 Newgate Lane DS0000012363.V275026.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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