Inspection on 21/06/05 for 7 Newgate Lane

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 14/12/05

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 OLDER PEOPLE 7 Newgate Lane Fareham Hampshire PO14 1BQ Lead Inspector Gina Pickering Unannounced 8/6/05 10:00am and 21/7/05 10:00am 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 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 H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 7 Newgate Lane Address Fareham, Hampshire, PO14 1BQ 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) 01329 230121 Community Integrated Care Mrs Lin Cowdrey CRH 4 Category(ies) of LD- Learning Disability:4 registration, with number LD(E)- Learning Disability over the age of 65 of places years: 4 PD- Physical Disability: 4 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/1/2005 Brief Description of the Service: 7 Newgate Lane is a care home that offers care for up to four people who have a learning disabilty and sensory disability. The property is owned by Knihghtstone Housing Association and is managed by Community Intregated Care who is the registered person. The home is situated in a residential area near to the town of Fareham and the viallage of Stubbington. The home has easy access to local recreational and health care facilities. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 08/06/05 and was completed on 21/06/05 when the manager had returned from leave. At the time of the inspection there were only three service users living at the home. The inspector was able to hold conversations with four staff members and the three gentlemen at the home. Discussion with the manager and staff at then home illustrated that the service users at the home like to be known as gentlemen. This will be reflected in the report. All the gentlemen at the home appeared happy and content and were able to express choices throughout the inspection process. What the service does well: What has improved since the last inspection? Following the last inspection improvements have been made regarding the accounting of the gentlemen’s monies in the home. There is now a clear record of their money and how it has been spent. The gentlemen no longer purchase meals for themselves or staff members when outside the home. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 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. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 & 6 The service users guide is not produced in a format that meets the comprehension abilities of the gentlemen, thus prospective service users and their representatives are only able to make a partially informed choice regarding the suitability of the home. The gentlemen do not have a signed copy of the statement of terms and conditions of residency at the care home. Prospective service users will be able to move into the home confident that all their needs will be met. EVIDENCE: A statement of purpose has been developed by the home that incorporates details to enable an informed choice to be made regarding the suitability of the home for prospective service users. Included within this document is a copy of the most recent inspection report form CSCI. Each gentleman has a service users guide. This was seen at inspection and was not produced in a format that can be understood by the individual gentleman. This reduces the ability of prospective service users to make an informed choice regarding the suitability 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 9 of the home. The manager discussed that she was exploring various methods of producing the service users guide that would meet the comprehension abilities of the gentlemen. This standard will be reviewed at the next inspection. Within the individual service users guides are copies of the Residential Care Agreement between CIC and the service user. This is signed by a corporate appointee for the service user but not by a representative for CIC. The statement includes details regarding the contribution to be paid by the service user and details regarding the gentleman’s personal allowance. It is still required that a representative of CIC signs these agreements. There have been no admissions to the home as the present service user group have lived there since the opening of the home. At the time of the inspection there was a vacancy at the home. The manager and staff were able to discuss with the inspector issues around the importance of matching a prospective service user with the present service users at the home and the pre admission information that would be required to ensure that all needs of the prospective service user would be able to be met at the home. The home has had the vacancy for several months suggesting that there is no urgency to admit a new service user and that care is being taken to ensure a new service user will gel with the present service user group. The home does not accommodate persons requiring intermediate care, thus this standard is not required to be assessed. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) are: 7. 8. 9. 10. 11. • • • • • • The service user’s health, personal and social care needs are set out in an individual plan of care. Including their physical and emotional health needs. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7 & 8 The care planning system in place allows all who work at the home meet the gentlemen’s holistic needs. Evidence is available of good links with the multidisciplinary health care team. EVIDENCE: The inspector viewed all the gentlemen’s care planning documents. Details are available regarding the health, personal, social and emotional needs of the 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 11 gentlemen. Documentary evidence was available evidencing that the gentlemen have regular contact with the multidisciplinary health care team and such contacts are recorded comprehensively. All service users have comprehensive care plans and risk assessments that clearly define their holistic needs and what action must be taken to meet these needs. Daily, monthly and six monthly evaluation and review of these plans are actioned. Comprehensive moving and handling assessments are available for each gentleman that give the care staff detailed information on how each gentleman likes and needs to be handled. Whilst reviewing the care planning documents it, the inspector evidenced that not all reviews and entries are dated and signed for; this must be done. The home is in the process of developing personal centred plans for the gentlemen in a pictorial or tactile form detailing the personal aspirations and dreams of each gentleman and the action to be taken to help them realise these dreams. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13 The social and recreational needs of the gentlemen are well managed, enabling the gentlemen to experience new activities and exercise choice. The gentlemen are supported to maintain links with their families. EVIDENCE: Care plan documents detail the social, religious and leisure interests of the gentlemen. Each gentleman has a planned activity programme that incorporates his interests. Discussion with staff evidenced that the gentlemen are encouraged to experience new activities but ultimately it is their choice whether to partake in an activity or not. This was evidenced during the inspection process when the gentlemen made the decision whether to access the community with support or stay in the home and interact with the staff and the inspector. The developing personal centred plans should support the gentlemen achieve their dreams and aspirations with regard to leisure, social or educational activities. Discussion with staff and one of the gentlemen evidenced that family contact is encouraged. Visitors are welcome to the home at any time and the gentlemen 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 13 are supported to exercise their choice whether to receive visitors or not. One gentleman has family photographs displayed in his bedroom. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The welfare of the gentlemen is enhanced with an effective complaints procedure. The gentlemen at the home are protected form the effects of abuse with effectively trained staff. EVIDENCE: An appropriate complaints procedure is displayed in the entrance hall. Discussion with staff suggest that they are aware of the action to be taken if a complaint is received by the home. Staff are aware of the location of the complaints record book. Relative feedback suggested that one relative, although having had no need to complain, was unaware of the home’s complaint procedure. This was discussed with the manager who agreed to forward a complaints procedure to all representatives of the gentlemen. Robust polices and procedures are in place regarding the protection of vulnerable adults. Training records indicate that all staff receive training with regard to this topic. Discussions with staff suggest that they are aware of the issues around the subject of adult protection and that they would act appropriately if there were any concerns regarding any of the gentlemen in the home. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The gentlemen live in a homely and comfortable environment. Uneven paving flags in the garden area and concerns regarding emergency escape routes compromise the safety of the gentlemen. EVIDENCE: A tour of the home evidenced that furnishings and décor are of a homely nature. Level access is available throughout all areas of the home with the exception of the staff area upstairs. Suitable adaptations and aids are in a place to enable the gentlemen’s needs be met. Discussion with one gentlemen evidenced that his bedroom is decorated to meet his personal tastes and interests. Concerns were noted with the paving flags on the patio area and the walkways of the garden being uneven thus causing a trip hazard. Concerns were also raised regarding the evacuation plan and fire exits. At the present time the evacuation route is through the lounge patio doors into the rear garden and this is the only exit area for one of the service users that has 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 16 limited mobility. A risk assessment of this situation is required and if appropriate action to be taken accordingly. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 The gentlemen’s wellbeing is protected by robust recruitment practices. The gentlemen’s well being and safety are protected by appropriate staffing levels and well trained and competent staff. EVIDENCE: Inspecting the rota evidenced that there are always two members of staff on duty during the day and a member of staff sleeping in at night. Discussions with staff suggested that the staffing levels are meeting the needs of the three gentlemen presently living at the home. Bank and agency staff are used to fill vacant shifts, the rota suggested that these shifts are filled by regular bank and agency staff allowing for continuity in the care and support to the gentlemen. Robust recruitment procedures are in a place. Viewing staff files evidenced that this procedure is adhered to. Training records evidence that all staff receive the legally required training and training specific to meeting the gentlemen’s needs. Discussion with staff suggest that they believe they receive the training to equip them with the skills to enable them meet the needs of the gentlemen. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 18 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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. Service users benefit from a well run home and from competent and accountable management of the service. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 & 38 The gentlemen’s well being is enhanced by the presence of a competent manager. The financial well being of the gentlemen is protected by practices within the home. Health and safety practices within the home are not of a robust nature to ensure the well being and safety of the gentlemen are totally protected. EVIDENCE: Mrs Lin Cowdry, who has been manager at the home for the past five years, manages the home. She is registered with CIC and is in the process of completing her registered managers award. Discussion with the manager illustrated that she receives support to enable her discharge her managerial duties from her manager and from her peers, other managers of CIC homes. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 20 Following a requirement made after the last inspection the gentlemen no longer fund staff or their own meals if taken out side the home. The manager informed the inspector that there is not a clear CIC policy regarding the procedure for funding meals taken by service users outside the home. A recommendation has been made regarding this. All staff at the home receive training with regard to health and safety issues, including fire safety, moving and handling, and food hygiene. Policies and procedures are in place for all heath and safety issues. Weekly health and safety audits for all areas of the home are carried out and action taken accordingly. COSHH information is available with in the home. On inspection it was noted that cleaning substances were being stored in an unlocked cupboard in the kitchen. The staff promptly dealt this with, with the substances being removed to a safe storage area in the laundry. It was noted that a block of sharp knives are left out on the kitchen surface. Discussion with the manager and staff suggested that none of the gentlemen enter the kitchen unaided thus placing them at minimal risk from the knives. However this is not documented. It is required that a risk assessment of the kitchen area is performed to take into account hazards to the gentlemen. The storage of foods was deemed to be of a safe practice. 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 2 2 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x x x x x x x Score Standard No 7 8 9 10 11 Score 3 3 x x x Standard No 27 28 29 30 3 x 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 x 34 x 35 x 36 x 37 x 38 2 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 22 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. 1. Standard OP1 Regulation 5 Requirement The registered person must ensure a service users guide is produced in a format that the service users can understand. this is a previous requirement from 25/01/05 & 12/08/04 The registered person must ensure that all persons making an entry in the service users documents date and sign the entry. The registered person must ensure that the paving flags on the patio and walkways of the garden are made level. The registered person must ensure a risk assessment is made regarding the emergency exits from the home and that action is taken according to the results of the risk assessment. The registered person must ensure that a risk assessment is completed regarding the kitchen area taking into account hazards posed to the gentlemen. Results of the risk assessment must be acted upon. The registered person must ensure that service users terms Timescale for action September 30th 2005 2. OP7 15 August 30th 2005 3. OP19 13(4) & 13(2) 13(4) & 23(4c) August 30th 2005 August 30th 2005 4. OP19 5. OP38 13(4c) August 30th 2005 6. OP2 5 September 30th 2005 Page 23 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 and conditions of residency at the home are signed by a representative of Community Integrated Care. 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 Good Practice Recommendations 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 Page 24 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 7 Newgate Lane H54 S12363 7 Newgate Lane V231917 080605.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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