Inspection on 28/02/06 for Connie Lewcock Resource Centre

This inspection was carried out on 28th February 2006.

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

Connie Lewcock Resource Centre 04/12/07

Connie Lewcock Resource Centre 26/10/06

Connie Lewcock Resource Centre 20/09/05

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 Resource Centre West Denton Road Lemington Newcastle upon Tyne Tyne & Wear NE15 7LQ Lead Inspector Elaine Malloy Unannounced Inspection 28th February 2006 10:00 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 DS0000032762.V267339.R01.S.doc Version 5.0 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. DS0000032762.V267339.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Connie Lewcock Resource Centre Address West Denton Road Lemington Newcastle upon Tyne Tyne & Wear NE15 7LQ 0191 264 3439 0191 267 1169 pamela.vickers@newcastle.gov.uk 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) Newcastle upon Tyne Social Services Mrs Pamela Margaret Vickers Care Home 24 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (21) of places DS0000032762.V267339.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 3 beds can be flexibly used to accommodate service users aged 55 to 64 years old, or service users over pensionable age. 20th September 2005 Date of last inspection 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. DS0000032762.V267339.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. Standards were inspected through discussion with management, staff and service users, and examining records. The building was also inspected. Each area that the home was asked to improve at the last inspection was checked. Surveys were made available to service users and their relatives/visitors to ask their opinions of the service. What the service does well: What has improved since the last inspection? Action had been taken on some of the previously required/recommended improvements concerning care plans and the staff recruitment process. DS0000032762.V267339.R01.S.doc Version 5.0 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. DS0000032762.V267339.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection DS0000032762.V267339.R01.S.doc Version 5.0 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 the following standard(s): Standards 3 & 6 were inspected at the previous inspection and both standards were met. EVIDENCE: DS0000032762.V267339.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7 and 9. Plans are recorded to a good standard for service user care and support needs. Medication practices and recording require improvement. DS0000032762.V267339.R01.S.doc Version 5.0 Page 10 EVIDENCE: At the last inspection a Requirement and Recommendation were made regarding care plans to have specific interventions; to evaluate care plans at the end of each respite stay; and demonstrate better links to care plans in day/night report entries. Each of these issues had been addressed. A sample of service user care plans was examined. These demonstrated good standard care plans for identified health and personal and social care needs and included input from the Community Rehabilitation Team. All staff that deal with medication have completed relevant training. Examination of medication records found the following deficits: • Gaps were evident to signatures to verify medication given, or codes to state reason why not given • Medication was signed for and then the code for ‘refused’ was written over the signatures • There was a discrepancy between the amount received and amount signed as administered for a course of antibiotic medication • There was lack of a clear audit trail for some Controlled Drugs, including medication not being signed out on service user discharge The Inspector advised review of practices and more frequent auditing of medication records. DS0000032762.V267339.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 13, 14, and 15. Provision of daily social activities continues to require improvement. Contact with family, friends and the local community is encouraged. Service users are supported to make choices and decisions in daily living. Service users are provided with a good variety and choice of meals. EVIDENCE: At the last inspection a Requirement was made to provide a varied programme of social activities and maintain daily records of provision. This was unable to be evidenced from records. The social diary indicated infrequent activities and no entries were made on some days. The records also contained other details of how service users had spent their days though these did not relate to activities. The Manager reported that regular service user meetings were being planned and programmes of activities would be devised according to individual/small groups requests. Service users spoken with were not aware of any planned social activities that day. A relative commented he visited regularly and there was ‘nothing going on’, that service users just sit and watch television. DS0000032762.V267339.R01.S.doc Version 5.0 Page 12 The resource welcomes visitors at any reasonable time, though they are advised to avoid mealtimes. Staff respect service users wishes regarding whom they wish see. Family and friends involvement is encouraged. They are routinely invited to care reviews and planned social events. Consideration was being given to recommencing a Carers Forum. Use is made of some local amenities. Clergy and lay people visit individuals. There is seasonal contact with local schools. Service users are encouraged to maintain control of personal finances where they have capacity to do so. Advocacy information is available in the resource. In practice relatives advocate on the service user’s behalf if this is needed. Service users are involved throughout the process of assessment, care planning, reviews and discharge. Access to personal care records is facilitated. The resource benefits from the input of a Dietician. Nutritional needs are assessed in the ‘Baseline Assessment’. Where necessary service users have nutritional care plans. Weights are monitored. A communication book is kept in the kitchen for care staff to inform catering staff of special diets and any service users who are nutritionally at risk. There is a 3-week cycle of menus with good variety of food and choice of meals. A review was taking place of dietary and menu planning and portion sizes, taking into account nutritional guidance and standards. Preference sheets are recorded daily for each service user’s choice of meals. Support with feeding is provided on an individual basis, and aids to assist independent eating are used where necessary. Service users spoken with confirmed they are offered choice and said the food is nice. DS0000032762.V267339.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. Appropriate action is taken to address any complaints received. The resource has procedures and trains staff to protect service users from abuse. EVIDENCE: Social Services provide the resource with a summary of all comments and complaints about the service. One complaint had been received in the period since the last inspection. This was investigated at Stage 2 of the Directorate’s Complaints Procedure and was partly upheld. There are policies and procedures for the protection of vulnerable adults, prevention of abuse and whistle blowing (informing on bad practice). All staff attend briefing sessions on Protection of Vulnerable Adults. One allegation of suspected abuse was made in recent months that had invoked the Local Authority Protection of Vulnerable Adults Procedure. This was unsubstantiated and subsequently dealt with through the hospital’s complaint process. DS0000032762.V267339.R01.S.doc Version 5.0 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 the following standard(s): 19. The building was clean, comfortable and well maintained. EVIDENCE: The Inspector toured the building. In the period since the last inspection four bedrooms had been redecorated. There were plans to create a ‘Therapy Room’ and to redecorate and fit new carpets to the reception and main corridors. DS0000032762.V267339.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29. The resource has good staffing levels to meet the needs of the number of service users. The recruitment process has improved by following good practice when obtaining references. EVIDENCE: At the time of the inspection there was 17 service users. A standardised 3week rota and a sleep-in ‘on-call’ system with other resource centres are operated. A minimum of 4 carers is provided across the waking day, plus the Manager or a Team Leader, and 2 carers at night. Good weekly catering and domestic staffing hours are provided. There was currently one staff vacancy for a part-time Senior Worker. At the last inspection a Recommendation was made for good practice to be followed regarding obtaining second/additional references for the recruitment of new staff. This had been addressed. DS0000032762.V267339.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 37 and 38. The range of methods used to monitor the quality of the service should be drawn together in an annual development plan. The Registered Person, or their representative was not conducting monthly visits to the resource and reporting on findings. Service user personal finances are safeguarded. Fire safety continues to require improvement. DS0000032762.V267339.R01.S.doc Version 5.0 Page 17 EVIDENCE: Methods for monitoring the quality of the service were discussed. There are plans to have regular service user unit meetings and surveys with service users and professionals. Questionnaires are given to service users upon discharge. Daily task sheets are completed. Audits of care records are carried out. The Inspector recommended that an annual development plan be drawn up that incorporates all methods of quality assurance. Service users spoken with during the inspection said they were happy here and that staff are very kind. One service user recently admitted described being very well looked after and receiving attention from carers and medical professionals. A relative queried plans for his father to have physiotherapy and likely discharge date; this was relayed to a staff member who provided explanations. CSCI comment cards were made available to service users and their relatives/visitors to obtain their views on the quality of the service. 7 service users completed comment cards. Each said they liked staying here, feel well cared for, staff treat them well, and their privacy is respected. 1 said they wished to be more involved in decision-making within the home. 6 said the home provides suitable activities and 1 said sometimes. Each said they like the food. 5 said they feel safe here, 1 said sometimes (1 did not answer). 6 said they know who to speak to if they were unhappy with their care (1 did not answer). Additional comments were made as follows: “Very clean and comfortable. All of the staff are very helpful, pleasant, caring, always there to advise”. “The staff are very nice and very organised. They take great trouble to make sure everyone is safe, happy and well fed. This centre is very clean and is a happy environment”. “If they give 5 star awards for hotels then Connie Lewcock is a 6 star plus. Everyone is so kind. I have never known such good food”. “I have personal experience of social care and I am more than satisfied with this resource centre. As a rehab user this centre has been a lifeline to me. I broke my ankle in two places and was non-weight bearing for 7 weeks. With arthritic knees, it was impossible to cope at home as I live alone. With care and support here my ankle has healed and I am partial weight bearing. I’m eventually going home. More centres like this are needed! No relatives comment cards were returned to date. DS0000032762.V267339.R01.S.doc Version 5.0 Page 18 Service user cash held for safekeeping is checked each day. Transactions of personal finances were suitably recorded, and where possible signed by the service user. A spot check of balances, cash and receipts was correct. At the last inspection a Recommendation was made for the Registered Provider to ensure Regulation 26 visits are carried out each month. The Provider or their representative is required to visit monthly and report on findings. This had not been addressed. The last visit conducted was dated July 2005. At the last inspection a Requirement was made for all fire safety checks, tests and instructions to be carried out at the required frequencies and recorded. This had not been fully implemented. Fire alarms were tested weekly. Checks of fire equipment and emergency lighting were not carried out monthly. Fire instructions to staff were not up to date. A range of records relating to fire safety was kept. The recording system should be made clearer, and crossreferenced made where necessary. DS0000032762.V267339.R01.S.doc Version 5.0 Page 19 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X 2 2 DS0000032762.V267339.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP9 OP12 Regulation 13(2) 16(n) Requirement Deficits to medication recording must be rectified, as detailed in this report. (Outstanding Requirement) A varied programme of social activities must be provided, and maintain daily records of provision. (a) The Registered Person, or their representative must visit the home at least monthly and prepare reports on the conduct of the home. (b) Copies of reports must be submitted to the CSCI monthly. (Outstanding Requirement) All fire safety checks, tests, and instructions must be carried out at the required frequencies and recorded. Timescale for action 28/02/06 28/02/06 3. OP37 26 28/03/06 4. OP38 23(4) 28/02/06 DS0000032762.V267339.R01.S.doc Version 5.0 Page 21 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 OP33 Good Practice Recommendations An annual development plan should be devised that incorporates methods of monitoring the quality of the service. DS0000032762.V267339.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Cramlington Area Office 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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