Inspection on 08/05/08 for Newton Hall Care Home

This inspection was carried out on 8th May 2008.

CSCI found this care home to be providing an Good service.

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

Newton Hall Care Home 11/07/07

Newton Hall Care Home 06/09/06

Newton Hall Care Home 25/11/05

Newton Hall Care Home 11/07/05

Newton Hall Care Home 15/12/04

Newton Hall Care Home 18/08/04

Newton Hall Care Home 26/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Newton Hall Care Home Kingsley Road Frodsham Cheshire WA6 6YA Lead Inspector Bronwyn Kelly Unannounced Inspection 8 May 2008 09:30 X10015.doc Version 1.40 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 Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Hall Care Home Address Kingsley Road Frodsham Cheshire WA6 6YA 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) 01928 739270 01928 736724 newton.hall@hotmail.co.uk Kingsview Homes Limited vacant post Care Home 34 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (19) of places Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 34 service users to include: • • Up to 19 service users in the category of OP (Old age not falling within any other category) Up to 15 service users in the category of DE(E) (Dementia over the age of 65) 11 July 2007 Date of last inspection Brief Description of the Service: Newton Hall is a registered care home providing accommodation and personal care for up to 34 older people. Up to 15 of the people who live in the home may have a diagnosis of dementia. The home is owned by the Springcare Group, which runs a number of homes in Cheshire and surrounding counties. The home is a detached property in its own grounds, on the outskirts of Frodsham, on the edge of open countryside. There are full community facilities in Frodsham, which is approximately a five-minute car drive away. Bedrooms are located on the ground and first floor. Many of the rooms on the first floor are for people who have been diagnosed with dementia. There is a passenger lift and staircase to the first floor. There is a large dining room and two lounges on the ground floor, with further seating in the large entrance hall. On the first floor there is a smaller lounge and separate dining room, primarily for use of people who have dementia. The home has an enclosed garden with walkways and seating areas. The current fees are from £465 - £555 per week. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing and private chiropody. Visitors and people who live in the home are able to read the latest CSCI inspection report, which is available in the office. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use the service experience good quality outcomes. An unannounced visit by one inspector took place on 8 May 2008 and lasted seven hours. This visit was just one part of the inspection. Before the visit, the acting manager of the home was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live in the home, families, and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI was also reviewed. During the visit, various records and the premises were looked at. A number of people who live in the home and staff were spoken with. They gave their views about the service, and these have been included in the report. There were no visitors to the home during the inspection to find out their views. What the service does well: The people living in Newton Hall are happy with the care they receive and they told us they get the medical care they need so their health is looked after. People we spoke with told us the provision of activities is improving so there is more for them to do during the day and all praised the food and the choices available to them. The care plans are thorough and updated monthly, ensuring that people get the right care. The improvements made by the present management of the home ensure that the needs of the people living there are being met. The acting manager follows proper procedures to ensure only the right people are employed in the home. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Improvements to the care planning process should be made to ensure there is more evidence that people who live in the home and/or their relatives are consulted, so that they can be sure of receiving person centred care. The grounds of the home should be kept tidy so as to provide an attractive environment for people who live in the home to enjoy. The maintenance to the home should continue, with particular attention to the external rotting window frames of some bedrooms. There should be sufficient bathrooms in use with appropriate aids or hoists to meet the assessed needs of all the people that live in the home, so that they have a choice of bathing facilities. People living in the home should all be able to access hot water in their bedrooms for washing and any commodes in use that are rusty, worn or unhygienic should be replaced for the health and safety of the users. The quality assurance systems should be developed further by making the results more open to prospective residents of the home and other interested parties. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. 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. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People who wish to move into the home are given information about the type of care provided and have their needs assessed to ensure they can be met in the home. This means that any diverse needs are identified and planned for before they move in. EVIDENCE: Since the last inspection, the service users guide and statement of purpose has been updated to reflect the type of care and services provided in the home. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 10 Admissions to the home are made after a full needs assessment has taken place. The acting manager visits prospective people in hospital or their own home, and takes into consideration assessments completed by Social Services and the Health Authority. For people who are self funding, the company use their own assessment process, including a behaviour assessment for those who have dementia. This assessment is to ensure that the staff have the skills and qualifications necessary to meet each person’s needs when they move into the home. In paperwork sent to us before the inspection, the area manager wrote, “All prospective service users have a detailed pre-admission assessment before being offered a placement at Newton Hall and we do not offer a place if we cannot meet their assessed needs.” The home must continue to ensure that the people with dementia living in Newton Hall do not have a detrimental effect on the lives of those living there who do not require this specialist form of care. Any changes that may be made in the future must be reflected in the Statement of Purpose for the home so that people have an accurate account of the type of care provided at Newton Hall and their expected lifestyle. People are encouraged to visit the home for as long as possible before making up their mind about moving in and are encouraged to come for a meal and talk with other people who live there. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 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. 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. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The people who live in the home receive good health and personal care. This means that care is based on their individual need and provided with dignity. EVIDENCE: During 2007 and the early part of 2008, a number of concerns came to light about the care provided to some people living in the home whose needs were clearly nursing, but they had not been referred for nursing care. The company has worked closely with Social Services and the Health Authority to rectify this, and the management of the home has changed. People living in the home now receive health and personal care according to their individual assessed needs and preferences. Four care plans were seen as part of the inspection and all were well written, reviewed monthly and had risk assessments in place. Various other documents were also in place to monitor the health needs of people including a falls risk assessment and falls diary. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 12 In paperwork sent to us before the inspection, the area manager wrote, “The care plans include personal information, risk assessments and complete information on the resident’s care and social needs. Action plans are developed for all identified potential or actual risks in order to remove or reduce these risks, balanced against the individual’s right to independence and choice. All care plans are reviewed and updated at least monthly, more often if condition dictates or needs change.” These care plans enable staff to know what care is needed by each person living in the home and are written from information gathered from assessments, the person themselves and their family. Only one care plan actually showed that the resident or their family had been involved in the development of the plan and ways of encouraging involvement could be developed. The group of residents spoken with also said they were not involved in reviews of care and one person told us, “No–one has sat and gone over the care plan with us”. Staff spoken with showed that they had a good understanding of the importance of privacy and dignity in the way they provide care to the people living in the home. During late 2007 and early 2008 some errors in the administration of medication occurred, and the company has taken action to ensure these do not happen again with further staff training for senior staff and competency assessments for all staff who administer medication. No concerns were highlighted regarding medication systems during this inspection. Medicine administration was observed and the systems for receiving, storing, administering and disposal of medication were found to be in good order. This means that people that live in the home now receive their medication safely and as prescribed by their GP. The medication policy document was not very detailed and should be cross-referenced with ‘The Handling of Medicines in Social care’ document produced by Royal Pharmaceutical Society. Controlled drugs are stored, handled and recorded appropriately. Each person who lives in the home now has a key worker and this role is developing. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 13 We spoke with a number of people who live in the home. Some of their comments include: “Things have improved since the dementia care people are upstairs – much better. The activities co-ordinator took some of us out to a T dance at Helsby. The new manager is very nice. I am happy here. I would speak to the manager if I was concerned about anything. I speak my word. Things are getting better”. Another person told us “Food is good. Care we get is good. Some improvement in care. Better now not having people wandering into my room. No complaints – all the carers are good but some are more adaptable than others.” A group discussion took place with five people who live in the home whilst sitting in the garden with a glass each of white wine spritzer. The following are a number of comments they made to us: “Food very nice here. Staff are nice – good to us. We need a shower in the home. Meals are improving – more choice now. Activities co-ordinator comes in 2-3 days a week. We have quizzes, ball games and dominoes and an entertainer visits once a month. A man comes in fortnightly and gives us physiotherapy and exercises. We can get up and go to bed when we like. Staff are very good. We can have a laugh and a joke with them. We have never seen anyone in the home being treated unkindly. Just like home here. We get the daily papers. A chiropodist, hairdresser and the dentist all visit. We get medical care when we need it.” The following are direct quotes taken from a survey of relatives that was recently undertaken by the home as part of their quality assurance system: • It feels friendly and kind and safe and welcoming. • It seems rooted in the belief that dignity and respect are paramount. • The attention to detail seems high ie my relative is always in matching clothes and jewellery. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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. Service users maintain contact with family/ friends/ representatives and the local community as they wish. 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. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Good food and recreational activities are provided enabling people who live in the home to make choices about their lifestyle and the food they eat. EVIDENCE: In paperwork sent to us before the inspection, the area manager wrote, “An activities plan is displayed in the front hallway and on the dementia unit and is written in large type for those with impaired eyesight. Menus are displayed in reception and service users are asked each day for their choices from the menu. Social care plans are in place and participation in activities and events, together with visits from family and friends is recorded on the social activities sheet within the care plan. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 15 We have a new activities co-ordinator who works 20 hours over four days and who has introduced a range of activities to further enhance the quality of life experienced within Newton Hall.” At the previous inspection, it was found that opportunities for people who live in Newton Hall to take part in activities and have full choices about how they spend their day were limited, as there was no activities co-ordinator. The menu also had no choices available. Since then there has been good improvement. The new activities co-ordinator is developing ideas for the future with people who live in the home. She is collecting information about people’s previous lifestyles and interests as part of the care planning process. There are a number of in-house activities and the home has use of a mini-bus to visit places of interest. A cheese and wine party is planned and a musical entertainer comes in monthly. People spoken with said the food was good and they enjoyed mealtimes. On the day of the visit people were having lamb chops or shepherd pie, potatoes and fresh vegetables followed by homemade lemon meringue pie or chocolate sponge. Fruit, yogurt, or ice cream are also available. The menus seen provide a good range of food with choices at each meal. Some people have a cooked breakfast. The cook confirmed there is flexibility to meet individual needs. She showed the food choice list for the day before the visit – someone requested a corned beef salad, even though this was not on the menu, and it was provided. Staff were seen helping some people with their lunch and is was done in a way to ensure dignity – they sat with the person, did not rush and smiled and spoke with them. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 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. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Arrangements for making complaints and protecting people who live in the home from abuse are now satisfactory, so they are not at risk from harm or poor practice. EVIDENCE: In paperwork sent to us before the inspection, the area manger wrote, “Newton Hall has a clear complaints procedure which is prominently displayed in the Home and also included within the Service User guide. This has been updated to include the new contact details for CSCI. Complaints are viewed in a positive light as they give us an opportunity to review our practices and to effect improvements where needed and all complaints receive a written response within 5 working days, are dealt with within 28 days and all records kept. A number of safeguarding issues came to light a few months ago due to delays in obtaining advise or help by the home. Management changes were made and policies and procedures at the home were reviewed. Since then, no further concerns have been raised and staff have all received further training in safeguarding adults, including whistle blowing. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 17 A copy of the complaints procedure was seen on a notice board in the hall. The acting manager said she encourages families to discuss any issues or concerns they have with her and the staff, so that these can be put right immediately. A number of people who live in the home told us they would quite happily speak with the acting manager if they had any concerns. The acting manager said she had not received any complaints since she had been in post. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 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. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 People who use services experience adequate care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The facilities and equipment available for people living in Newton Hall provide a satisfactory place in which to live and the current plans to improve the facilities will provide a better environment for people. EVIDENCE: At the previous inspection, it was found that the way that people with differing needs are mixed together, due to the layout of communal and shared rooms, means that some people were living in an environment in which they were not comfortable. The company has worked to try and resolve this, and all people with a diagnosis of dementia now live upstairs. There are a number of empty beds at present so this is manageable. When the home fills up, then more problems may arise. The company must decide how they are going to manage Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 19 the mix of people with different needs. The lounge and dining room on the first floor has chairs and space for approximately ten people. The environment has greatly improved since the last inspection. The driveway has been re-surfaced, removing the trip hazard. There is evidence of new carpets in the corridors and redecoration. The home is looking much brighter and cleaner, creating a more homely environment for people living there. The call bells for ensuite toilets have arrived and are waiting to be fitted. Some bedrooms were better furnished than others – all had evidence that residents could personalise them and bring in own belongings. The home was clean with no smells. TV reception seems to be a cause of concern for some people – reception of signal is still poor even with digital boxes. There is only one bathroom in use at present. One is under repair waiting for a part and the other two/three are never used due to their small size and lack of any equipment. The majority were also in need of some refurbishment. No shower is available in the home and one resident suggested she would like this. Some work should be carried out so that people have a choice of bathing facilities. Some commodes seen looked old and very unhygienic and needed replacing. There are some hot water problems and one person told us hot water does not always reach the bedroom basins at the far end of the building. The acting manager said this was being looked at. Some window frames are rotting externally and require work. The grounds were in need of some maintenance all round the home. The enclosed garden area for residents leading from the dining room was overgrown and could be improved to make a more pleasant outside sitting area for residents. There is no gardener at present and the vacancy is going to be advertised. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. 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. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The improvement in staffing and staff training is providing better outcomes for people that live in the home. EVIDENCE: The rotas show that there are sufficient people on duty to care for the people who live in the home. As occupancy numbers rise, the acting manager said the staffing levels would also increase. There is always one or two care staff working on the first floor. The activities coordinator splits her time between the two groups of residents, who do join together for some activities and entertainment. The night shifts commence at 8.00pm with one senior plus one care assistant, which is relatively early in the evening. The issue of people needing help to bed between 8.00pm and 10.00pm, when fewer staff are on duty, was discussed, but the acting manager said it was not a problem. If there was some indication that more staff were needed between these times, then another member of staff would need be deployed. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 21 Staff training has shown improvement over the last six months and more than 50 of the care staff have now hold a minimum of NVQ2 qualification in care. The company has its own training department, and a lot of training is available for staff to help them deliver better care for people that live in the home. Staff have also received further training and development in caring for people with dementia, which has improved the quality of life for those people. Thorough recruitment processes for new staff are used at the home and this protects people who live in the home from possible harm. Four staff files were seen and all contained an application form, two written references, and evidence of an interview. Staff training files were seen and all were up to date with statutory training. Equality and diversity is explored during inductions that are carried out by head office. Staff spoken with said they had seen considerable improvement in the home over the last few months. One staff member said “The changes that have recently taken place in the home have improved outcomes for people that live here.” Another staff member said, “Communication is better, they have staff supervisions and meetings.” Some very good interaction was observed between staff and people who live in the home and staff were seen to take the time to sit and talk with people in the lounges and dining room. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 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. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The quality of the service is improving under the current management arrangements so that the needs of people who live in the home are being met. EVIDENCE: A new acting manger has been in place for the past three months, and she has embarked on a gradual agreed programme of change and improvement in the home. She already holds the Registered Managers Award. The company now needs to have a registered manager in place to provide security for people who live in the home and some stability, as the home has been without a registered manager for well over 12 months. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 23 There is evidence that staff supervisions have started and annual appraisals are arranged. Meetings for care staff, residents and ancillary staff are all planned. Staff spoken with during the day all indicated that the acting manager was well liked and they feel they can talk to her. They also described her as being very supportive and good at communication. One staff member said in a survey “The acting manager has been very supportive and I have been able to discuss my work with her – she has taken the time to listen.” The paperwork in the home is improving with good capacity for continued improvement. A quality assurance survey has recently been done at the home – responses are pinned on the wall in the hall. Ways in which the responses could be improved were discussed, as they only show what the home does well. They should indicate what is not so good and how that will be improved to provide better outcomes for people that live in the home. There is no handyperson at present and adverts are out for this. Meanwhile, a health and safety maintenance co–coordinator will be coming twice weekly from head office to check things such as hot water temperatures and ensure a safe environment for people who live in the home and staff. Any money kept safely in the home on behalf of people living there was subject to good records, with receipts and two signatures for any transactions. Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 24 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 26 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 OP7 Good Practice Recommendations The care planning process should include more evidence of input from people that live in their home and/or their relatives, so that they can be sure of receiving person centred care. The grounds of the home should be kept tidy so as to provide an attractive environment for people who live there to enjoy. The maintenance to the home should continue, with particular attention to the external rotting window frames of some bedrooms. There should be sufficient bathrooms in use with appropriate aids or hoists to meet the assessed needs of all the people that live in the home, so that they have a choice of bathing facilities People living in the home should all be able to access hot water in their bedrooms for washing. Any commodes in use that are rusty, worn or unhygienic should be replaced for the health and safety of the users. The quality assurance systems should be enlarged upon, making the results more open to prospective residents of the home and other interested parties. 2 3 4 OP19 OP19 OP21 5 6 7 OP21 OP26 OP33 Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Newton Hall Care Home DS0000018745.V361733.R01.S.doc Version 5.2 Page 28 - 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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