Inspection on 14/12/05 for Highbury New Park Care Home

This inspection was carried out on 14th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Highbury New Park Care Home 14/09/07

Highbury New Park Care Home 10/04/06

Highbury New Park Care Home 19/10/05

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highbury New Park Care Home 127 Highbury New Park London N5 2DS Lead Inspector Ms Franki Solomon Unannounced Inspection 14th December 2005 10:30 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 Highbury New Park Care Home DS0000063987.V273171.R02.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. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highbury New Park Care Home Address 127 Highbury New Park London N5 2DS 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) 08452010822 02077049926 manager.highburynewpark@careuk.com Care UK Community Partnerships Ltd Donald John Macleod Care Home 53 Category(ies) of Dementia - over 65 years of age (53) registration, with number of places Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1st Floor - Dementia - Over 65 DE(E), Personal Care Only (18Service Users) 2nd Floor - Dementia - Over 65 DE (E), Nursing Care (17- Service Users) 3rd Floor - Dementia - Over 65 DE (E), Nursing Care (18 - Service Users) 19th October 2005. Date of last inspection Brief Description of the Service: 127 Highbury New Park is a modern purpose-built care home providing care and support for older people with a form of dementia. The home was built and registered in June 2005 and is owned by the company Care UK Community Partnerships Ltd. The service provision is in partnership with Islington Council and Islington Primary Care Trust (PCT). The home is built over four floors. Offices and a day centre are on the ground floor – the day centre is not subject to regulation under the Care Standards Act. Accommodation for service users is as follows: 1st Floor for 18 people needing personal care (residential care unit) 2nd Floor for 17 people needing nursing care 3rd Floor for 18 people needing higher nursing care The home is fully wheelchair accessible with a lift to the upper floors and has up to date equipment and facilities. There are 53 spacious single bedrooms each with en-suite shower, toilet and washbasin. Each floor has a wellappointed dining room and a choice of relaxing sitting areas and quiet room. In addition the home has a fully equipped hairdressing salon, activities centre and garden room. There are landscaped gardens and patio areas. The home deploys a staff team comprising administrative staff, domestic staff, laundry staff, maintenance staff, care staff, nurses, team leaders and the Registered Manager. The home is situated in a residential area in North London, between Arsenal Underground and Highbury & Islington, British Rail and London Underground. A number 393 bus stops right outside the home and runs between Highbury and Islington & Stoke Newington. There is limited parking. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the year April 2005 – March 2006. The inspection was unannounced and was over 4 hours. The inspection was to check on the requirements of the last inspection of 19th October 2005, to discuss recommendations made at the last inspection, to inspect those key standards not inspected at the last inspection, and to meet and speak with residents and service users. Although the manager had not received the report of the last inspection and was unable to respond to the report, the requirement made at the last inspection was nevertheless acted upon The inspector would like to thank residents, management and staff for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? The registered manager informed the inspector that the previous inspection report had not been received to enable him to respond and draw up an action plan. However, having had feedback at the time of the inspection about the proposed requirements and recommendations, the home has responded promptly to the requirement made at the last inspection to have the specified training on Protection of Vulnerable Adults for staff. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 6 A recommendation made at the last inspection concerning the comfort of a resident in terms of their pain control was also swiftly attended to. 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. Highbury New Park Care Home DS0000063987.V273171.R02.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 Highbury New Park Care Home DS0000063987.V273171.R02.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): These standards were not inspected on this occasion. EVIDENCE: Highbury New Park Care Home DS0000063987.V273171.R02.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): 8 & 10. The home is responsive to recommendations to ensure the health and comfort of residents. The residents have a form of dementia and are not always aware of their actions. This means staff have to be alert and proactive to ensure residents’ dignity. Staffing levels have to be adequate to ensure residents’ dignity, and that their needs are met. EVIDENCE: At the last inspection a recommendation was made in terms of a particular resident who appeared to be in discomfort. The home contacted the G.P. to discuss and review the resident’s pain control needs and appropriate action has since been undertaken to ensure their comfort. After lunch, when most residents were relaxing and dozing in their chairs, all staff appeared to be engrossed in recording duties. One female resident, who had been to the toilet was walking along the corridor in a partial state of undress and calling for assistance. Because staff were engrossed in their administration tasks and music was playing loudly, no staff could hear or Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 10 respond to calls for assistance. The situation left the resident in an undignified situation and vulnerable to falls. A requirement has been made in relation to of the dignity and needs of residents. The deployment of staff is noted under standard 27 and a relevant requirement made. Highbury New Park Care Home DS0000063987.V273171.R02.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 & 15. The home is still establishing itself and still developing activities. At present the residents’ religious needs are being met. Mealtimes could be more pleasant and calmer at the home , particularly so for people who have any form of dementia. EVIDENCE: At present the home has arranged to meet the religious needs of Catholic residents and Anglican residents. Services are conducted monthly at the Day Centre on the ground floor and are well attended by residents. One resident from another religious denomination attends a Day Centre of their culture and attends church services there. A Drama Therapy Group comes monthly to do theatre sketches. The mobile library services bring videos. The home has a part-time ‘Bank’ Activies staff member who accompanies residents on walks. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 12 The home has also had children from the local Highbury Quadrant School to sing. The home accommodates people with forms of dementia. People with dementia become agitated by loud thumping noise (music). During lunch, music in the dining room was not related to the age of residents and the volume was too high for any conversation to be heard so that residents’ mealtime was not pleasant and calm. A requirement has been made. Highbury New Park Care Home DS0000063987.V273171.R02.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): 17. Residents’ legal rights are protected. EVIDENCE: Where appropriate, some residents have been provided with a Power of Attorney or an Enduring Power of Attorney either with their relative or the Local Authority. Highbury New Park Care Home DS0000063987.V273171.R02.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): 24. Although the manager is making efforts to encourage relatives to help personalise residents’ rooms, some rooms remain without any personal touches. EVIDENCE: Following a recommendation made at the last inspection, the home has had a residents / relatives meeting and asked relatives to help residents personalise their room as they wished. However, there has been little change in those rooms identified. Highbury New Park Care Home DS0000063987.V273171.R02.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 & 30. There is a risk that staffing levels are inadequate, which could place residents at risk. When staff have specific training they are able to give appropriate and professional support. However, as identified during the last inspection, additional training for staff on dementia is necessary. EVIDENCE: After lunch, staff were undertaking administrative tasks in the lounge. A resident was calling for help but no one could hear, or be available, being involved in their administrative tasks. A requirement has been made in terms of staffing levels and the efficient deployment of staff. Separate requirements have been made in terms of training for dementia, and appropriate music. Some staff were interviewed on action to be taken in terms of Protection of Vulnerable Adults. Since the last inspection they have had Adult Protection Training and were clear about the action to take in the even of witnessing or suspecting any abuse. However, the home accommodates people with a form of dementia. People with dementia are agitated by loud noises / music. There was loud, inappropriate music in the dining room during lunch and at other times in the lounge. A requirement has been made in terms of training. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 16 Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 17 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): 35 & 37. Residents can feel confident that their personal monies are diligently recorded and book keeping systems are safe. The home’s internal inspection reports under Regulation 26 give a very clear and transparent picture of the home’s progress or deficiencies. Improvement is required in terms of certain record keeping such as reports to the Commission on incidents or accidents which occur at the home so that residents may feel assured their support and care will be in safe hands and any incidents or accidents will be dealt with appropriately and professionally. Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 18 EVIDENCE: The home’s accounting system for residents’ monies was examined, monies and books reconciled and residents can feel confident that the system is safe and appropriately audited. Provider’s of Registered home’s are required to undertake monthly visits/ inspections under Regulation 26 and send the reports to the Commission. The reports received from 127 Highbury New Park are very clear, and note not only the positives but also any deficiencies. Residents can feel confident that all their support and care will be properly monitored to ensure their safety. The most recent Regulation 37 reports need to be more detailed of the incident and more detail of the action taken by the home/staff for the welfare and comfort of the resident. The format of the form could be reviewed and staff given training on the necessity for details of information to be recorded and provided to the Commission for Social Care Inspection. Highbury New Park Care Home DS0000063987.V273171.R02.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 X 8 3 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X 3 X X STAFFING Standard No Score 27 2 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X 2 X Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 20 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 OP10 Regulation 12(4) (a) Requirement The Registered Person must ensure • staff are pro-active in the support of residents, for example with continence plans of service users so that their dignity is maintained with regard to being attended to when using the toilet. The Registered Person must ensure that that mealtimes are relaxing and pleasant and music is turned off or very soft • that noise / sound from televisions or music is not overbearing • that music is age related to residents and soothing. The Registered Person must ensure; • staffing levels are adequate to meet the needs of service users • staff are efficiently and effectively deployed to DS0000063987.V273171.R02.S.doc Timescale for action 24/12/05 2 OP15 12(4) (b) 24/12/05 • 3 OP27 18(1)(a) 24/12/05 Highbury New Park Care Home Version 5.0 Page 21 4 OP30 18(1)(a)& (c) 5 OP37 37(1)(a) to (g) meet the needs of service users safely The Registered Person must ensure key members of staff from each floor undertake a recognised training course on caring for people with dementia. The Registered Person must ensure that matters reported to the Commission in accordance with Regulation 37 : a) contain clear and sufficient information to describe such matters in detail b) contain actions taken and outcomes. 01/04/06 30/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Highbury New Park Care Home DS0000063987.V273171.R02.S.doc Version 5.0 Page 23 - 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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