Inspection on 13/02/06 for McGowan Court

This inspection was carried out on 13th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

McGowan Court 18/08/09

McGowan Court 18/06/07

McGowan Court 05/07/05

McGowan Court 31/08/04

McGowan Court 04/05/04

McGowan Court 12/01/04

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

CARE HOME ADULTS 18-65 McGowan Court Commercial Road Byker Newcastle Upon Tyne Tyne & Wear NE6 2EH Lead Inspector Ian Armstrong Unannounced Inspection 10:00a 13 February 2006 th DS0000000418.V257947.R01.S.doc Version 5.0 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 DS0000000418.V257947.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000000418.V257947.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service McGowan Court Address Commercial Road Byker Newcastle Upon Tyne Tyne & Wear NE6 2EH 0191 276 5557 0191 276 5535 roblambert@mentalhealthconcern.org 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) Mental Health Concern Mr Rob Lambert Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (7) DS0000000418.V257947.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: McGowan Court is a 12 place care home with nursing. Providing care for adults with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is situated in Byker in the city of Newcastle upon Tyne close to local shops and good public transport links. The building is comprised of two six bedded houses over two floors which are linked by single storey central communal facilities. The philosophy of care in the home is to support the residents in their activities of daily living and to provide for their physical and mental health needs. On the day of the inspection there was 11 residents in occupation 5 male and 6 female with one vacant bed. DS0000000418.V257947.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 3 hours. The inspector looked around some parts of the building and a number of records were inspected. Four residents and three members of staff were spoken to. What the service does well: What has improved since the last inspection? 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. DS0000000418.V257947.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000000418.V257947.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Prospective users’ individual aspirations and needs are assessed. EVIDENCE: Two residents’ pre-admission assessment records were inspected. These were found to be comprehensively documented. There was written evidence to show that residents had been suitably assessed prior to their admission. DS0000000418.V257947.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. Service users know their assessed and changing needs and personal goals are reflected in their individual plan. EVIDENCE: Two residents care plans were inspected. In both of these there was found a good range of care plans written. Evidence of care plans being regularly evaluated was also present. Service users are involved with staff in their care planning. DS0000000418.V257947.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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. Service users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Menus for both houses were seen. These showed a good range of food being provided. Evidence of individual choices, food likes, dislikes, being met was found. Mealtimes in the home are very flexible according to individual need. DS0000000418.V257947.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20. Service users receive personal support in the way they prefer and require. Service users retain, administer and control their own medication where appropriate, and are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Records in the home show that gender of staff for personal care tasks are identified and met. The systems for the management of medications were checked and were found to be satisfactory. DS0000000418.V257947.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Service users feel their views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: There has been no new complaints since the last inspection. No POVA incidents have been reported. The homes Complaints and POVA policies are satisfactory. DS0000000418.V257947.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30. Service users live in a homely, comfortable and generally safe environment. Service users’ bedrooms suit their needs and lifestyles. The home is generally clean and hygienic. EVIDENCE: A tour of the premises was carried out and most parts of the home were seen. The West house kitchen area has had new flooring fitted, which enhanced this room. Three residents bedrooms were having new carpets fitted on the day of the visit. Toilet and bathrooms have been made more homely since the last inspection. Three tiles behind the bath taps in the East house are loose from the wall and need re-fixing. Tiles to the wall in the West house shower room, some of these were found to be in need of re-fixing to the wall. The East house corridoor and laundry room are scheduled to be soon redecorated. The lounge carpet in the East house is badly stained and needs to be renewed. The sofas and chairs in this room are in poor condition and need to be renewed or refurbished. In all those parts of the home visited everywhere was clean and hygienic. DS0000000418.V257947.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,36. Service users are supported by competent and qualified staff. Service users benefit from well supported and supervised staff. EVIDENCE: Staff records and duty rosters were checked. The home employs 8 Registered Mental Nurses and 4 Care staff. The average staffing in the home each day is as follows; Am, 2 Qualified, or 1 Qualified and 1 Care staff, Pm, 2 Qualified or 1 Qualified and 1 Care staff, Nights, 1Sleep-in Qualified and 1 awake Care staff. These levels of staffing are in line with the assessed needs of the residents. Supervision and appraisal systems for all staff members are in place and are carried out satisfactorily. DS0000000418.V257947.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The homes Fire Log book was read and checks and training for this was found to be satisfactory. The homes recent Fire risk assessment was viewed by the Fire Brigade as being completed to a good standard. Accident records were also satisfactory. DS0000000418.V257947.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000000418.V257947.R01.S.doc Version 5.0 Page 16 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. Standard YA27 Regulation 23.2(j) Requirement The wall tiles in the East house bathroom and West house shower room, which are loose, need to be repaired. The East house lounge carpet needs to be renewed. Sofas and armchairs in this room need to be renewed or re-furbished. Timescale for action 31/03/06 2. YA24 23.2(g) 31/05/06 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 DS0000000418.V257947.R01.S.doc Version 5.0 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000000418.V257947.R01.S.doc Version 5.0 Page 18 - 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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