Inspection on 20/09/05 for Connie Lewcock Resource Centre

This inspection was carried out on 20th September 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 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

Connie Lewcock Resource Centre 04/12/07

Connie Lewcock Resource Centre 26/10/06

Connie Lewcock Resource Centre 28/02/06

Connie Lewcock Resource Centre 28/02/05

Connie Lewcock Resource Centre 05/10/04

Connie Lewcock Resource Centre 01/12/03

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Connie Lewcock House West Denton Road Lemington Newcastle Upon Tyne NE15 7LQ Lead Inspector Elaine Malloy Unannounced 20 September 2005 10:20 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. 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. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Connie Lewcock House Address West Denton Road Lemington Newcastle Upon Tyne NE15 7LQ 0191 264 3439 0191 267 1169 pamela.vickers@newcastle.gov.uk Newcastle Upon Tyne Social Services 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) Pamela Margaret Vickers CRH 24 Category(ies) of DE(E) - Dementia - Over 65 (3) registration, with number OP - Old Age (21) of places Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Up to three beds can be flexibly used to accommodate service users aged 55 to 64 years old. Date of last inspection 28.2.05 Brief Description of the Service: Connie Lewcock is a registered care home for older people, including people with dementia. 3 beds can be used to accommodate people aged 55 to 64 years old. It is operated by Newcastle City Council Social Services. The centre is located at Lemington in Newcastle upon Tyne. It provides short stays for community rehabilitation, respite care and emergencies. The staff team is supplemented by a range of health and social care professionals. Accommodation is provided at ground floor level. The centre is separated into units with their own lounge and kitchen/dining areas. All service users have single bedrooms, and 2 rooms have en-suite facilities. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6 hours. The Inspector spoke with service users and staff. Each area that the home was asked to improve at the last inspection was checked. The building and a range of records were also inspected. The Inspector conducted a separate visit to Newcastle Civic Centre to examine staff recruitment records. What the service does well: What has improved since the last inspection? Staffing has improved through recent recruitment and reduced sickness levels. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 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. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 6. Service users have their needs assessed prior to admission, and updated if they return for further stays. The resource has the capacity to meet service users needs, and people using the service were being well cared for. The community rehabilitation service is successful in assisting many service users to return home. EVIDENCE: The resource follows assessment protocols according to referrals for the different types of services provided. An ‘Admission Checklist’ is completed. Care Management assessments are obtained. There were also assessments by various health care professionals, for example Physiotherapist and Occupational Therapist. Resource centre staff record a comprehensive ‘Baseline Assessment’ for each service user upon admission. Each section of the assessment indicates if a care plan is needed. In one of the three files examined the baseline was incomplete; this was already identified within a file Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 9 audit and was to be rectified. There was evidence of assessments being updated for service users who have regular stays at the resource. Service users spoke positively about the care and support they were receiving. Staff were described as being very kind, nice and polite. Each person spoken with said they were well looked after. One lady said she was very happy here, though was looking forward to going home soon. Service users were appreciative of the input from health care professionals. The centre was described as comfortable and kept clean. Some service users were particularly complimentary about the well-maintained grounds. One lady said the food was very good and there is plenty of choice. Comments were made about flexible routines. Service users were provided with information on the services offered, including the complaints procedure. A gentleman said he gave the resource a 10/10 rating. Intermediate care is provided to service users through the community rehabilitation service. A multi-disciplinary team of health and social care professionals is based within the resource. The resource collates information on the numbers of service users who return to their own homes, or are transferred to hospital or other care settings. In the six-month period to the end of September 2005 there were 54 admissions. 32 service users had returned home, 3 went into care homes, 10 to hospital, and 9 were still with the service. The average length of stay was 22 days. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10. Individual care plans were not always recorded to a satisfactory standard. Service users have access to a range of services to meet their health care needs. Staff respect service users rights to privacy and dignity. EVIDENCE: The Inspector examined a sample of service user care records. Care plans were recorded to a variable standard. The majority were personalised and detailed how care needs were to be met. However some plans did not have specific interventions. There was evidence of care plans being updated and evaluated. Plans for service users receiving respite care were not always evaluated at the end of each stay. Ongoing day and night reports were also variable in that some demonstrated clear links to care plans whilst other entries were bland. The Manager stated that she intended to address issues through provision of in-house training on care planning. Records showed evidence of arrangements to meet health care needs. Service users have access to health care professionals both within, and external to the Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 11 resource. All medical input is documented. There was evidence of assessments by professionals being used to devise appropriate care plans. Service users confirmed that they were treated with respect by staff. Examples were given of how personal care is delivered. They described care being provided in private and said their dignity was maintained. Service users explained they could choose to spend time alone in their bedrooms or in the company of others. One lady said visitors are made welcome. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12. Service users are not being offered regular social activities. EVIDENCE: Service users told the Inspector that they were actively involved in making decisions. They described flexible routines in day-to-day living at the resource. Social needs and interests are assessed and care plans devised. There was no planned programme of daily social activities for service user stimulation. There was also no evidence of forward planned events and outings. In the period since the last inspection there had been occasional outings and a party with a visiting entertainer. Some service users were said to participate in activities within the resource’s day centre. A diary is kept to record activities that have taken place, however this was rarely completed. Service users spoken with were not aware of activities provision. When asked how they spend their days most said they watch television, read or talk to one another. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. Service users are aware of how to make complaints. Complaints are dealt with promptly. There are procedures to prevent abuse and staff receive training. EVIDENCE: A file of complaints and compliments is maintained. This contained numerous ‘thank you’ cards and letters, and details of completed complaint investigations. Two complaints were currently being investigated, under Stages 1 and 2 of the Social Services procedure. Investigating Officers were external to the resource. Service users confirmed they knew how to make a complaint and told the Inspector they did not have any complaints. Service User Meetings had not been held for some time. The Manager reported that meetings are to be re-established to gain feedback from service users. Policies and procedures are in place for the protection of vulnerable adults, including prevention of abuse and whistle blowing (informing on bad practice). All staff have been provided with relevant training. There has been one Protection Of Vulnerable Adults investigation since the last inspection. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23 and 26. The building is clean, comfortable and well maintained. There is a good range of communal space. All service users have a single bedroom. Suitable bathing and toileting facilities are provided. EVIDENCE: An outstanding Requirement for heating arrangements in service user bedrooms to be suitably controlled was discussed. There are no plans to adapt the system to allow heating to be controlled in individual rooms. Staff are instructed to ensure individual’s comfort and examples were given of practices. The Inspector carried out a tour of the building. All areas seen were clean, suitably decorated and furnished/equipped. Service users are accommodated in separate units. There are 4 lounges, including a designated smoking room, and 2 dining areas. Two assisted baths, 2 assisted showers and 8 toilets are provided. All service users have single bedrooms. There had been some redecoration of lounges and bedrooms in the period since the last inspection. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 15 There are plans to provide liquid soap and paper hand towels in all bedrooms to promote infection control. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The resource is suitably staffed to meet the needs for the number and dependency levels of service users. The standard for carers to obtain care qualifications is on target to be met. There is a suitable recruitment process, which is to be further enhanced by ensuring good practice is followed regarding second or additional references. Staff training was being prioritised and organised. EVIDENCE: At the time of the inspection there was 23 service users. The resource was maintaining suitable staffing levels for the numbers and needs of service users. As a minimum there are 4 carers on duty across the waking day, and this is often exceeded. The Manager and Team Leaders hours are additional to these levels. There are 2 waking carers at night. The resource has appropriate weekly domestic and catering hours. The resource’s representatives stated that there had been a period of staffing difficulties due to vacancies and sickness levels. This had now improved through recent recruitment. A new staff rota has been introduced this year. Management ensure good use is made of a weekly staff overlap day for meetings, training etc. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 17 At the last inspection a Recommendation was made for at least 50 of carers to achieve NVQ Level 2 or equivalent qualification by 2005. The resource is on target to meet this standard. Domestic staff have also enrolled to study NVQ’s in Housekeeping. As part of the inspection a separate visit was conducted to examine staff recruitment files held at Newcastle Civic Centre. These contained appropriate information including proof of identification, application form, references, and interview records. A reference is always taken from the last or current employer. Issues regarding the policy for other reference(s) have subsequently been raised with senior management, and are to be reviewed with managers who have recruitment responsibilities. Arrangements are in place for all staff to have Criminal Records Bureau checks carried out. Checklists are used to ensure all necessary documentation has been received/provided. Individual training records had recently been updated and training/updates were being booked. A range of in-house training was also being organised that will be provided by the Manager and other professionals. These included topics of dementia, diabetes, PEG feeding, and care planning. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 37 and 38. An experienced and responsible manager manages the resource. Visits to the resource and reports of findings were not always being carried out on a monthly basis. There were deficits to the recording of fire safety. EVIDENCE: At the last inspection a Requirement was made for the Manager to continue and complete training to achieve NVQ Level 4 qualification or equivalent by 2005. This had been actioned. Ms Vickers was awaiting confirmation of achieving the Registered Manager Award qualification. Visits to the resource and reports by the Registered Provider, or their representative were not being carried out every month. This responsibility has been delegated to managers of other Social Services resource centres. There is Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 19 a suitable reporting format that includes discussion with service users, and examination of records. A Health and Safety audit had been conducted in August 2005. Issues identified were being addressed, for example risk assessments, environmental factors and staff training. Records of fire safety checks, tests and instructions to staff did not provide evidence of these being carried out at the required frequencies. Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x 2 2 Connie Lewcock House B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 7 12 Regulation 15(1) 16(n) Requirement All care plans must have detailed and specific interventions. A varied programme of social activities must be provided, and maintain daily records of provision. All fire safety checks, tests, and instructions must be carried out at the required frequencies and recorded. Timescale for action 20.10.05 20.10.05 3. 38 23(4) Immediate 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. 1. Refer to Standard 7 Good Practice Recommendations Care Records: (a) Care plans for respite service users should be evaluated at the end of each stay (b) Day/night report entries should demonstrate better links to care plans. Good practice should be followed regarding obtaining second/additional references for the recruitment of new staff. The Registered Provider should ensure that Regulation 26 visits are carried out every month. B53-BO3 S32762 Connie Lewcock House V239299 200905 Stage 4.doc Version 1.40 Page 22 2. 3. 29 37 Connie Lewcock House Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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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