Inspection on 18/06/07 for McGowan Court

This inspection was carried out on 18th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 4 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 13/02/06

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 18th June 2007 09:30 McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 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 McGowan Court DS0000000418.V338098.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 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. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service McGowan Court Address Commercial Road Byker Newcastle Upon Tyne Tyne & Wear NE6 2EH 0191 276 5557 0191 224 5985 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) McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2006 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 12 residents in occupation 6 male and 6 female. Fees in the home are £817 this does not include toiletries or hairdressing. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit on (date). • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 16/06/07. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: Assessments of residents care needs and care plans in full consultation with the residents. This ensures residents needs and aspirations are being fully met. Residents access of the local community is achieved to a high degree residents are empowered to lead full and meaningful lifestyles. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 7 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 McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before and after admission to ensure that peoples needs can be planned and properly met. Detailed information is available to help people make choices about the service before moving into the home. EVIDENCE: Two residents assessment records were read in both of these good levels of information had been recorded about the residents needs and wishes, Assessments are regularly updated and evaluated. New residents are given copies of the homes statement of purpose, philosophy of care and Complaints procedure which they keep in their rooms. A resident spoken to said staff in the home had fully involved him in discussions about meeting his care needs. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of care planning continues to be very good it provides good levels of information to staff to support meeting residents needs. Residents are encouraged to rebuild skills and retain independence and are well supported to make life choices within a risk assessment framework. EVIDENCE: Two residents care records were read. Care plans were written and agreed with the residents active involvement residents sign these records. The plans are regularly updated and evaluated. Assessments are well completed and evaluated. Reviews of residents care needs involving a Consultant Psychiatrist are regularly held. Risk assessments are well written and updated where necessary. Residents are actively involved in the day to day running of the home having responsibilities for buying food, cooking, deciding on menus, household McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 10 cleaning, doing their own laundry. A resident spoken to chose the wallpaper and decoration for their bedroom. All of the residents have a key to their own bedroom and the front door of the home McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have good opportunities to take part in a variety of leisure pursuits and interests which help them maintain links with the local community and keep and develop social skills. Mealtimes are flexible to suit individual preferences and lifestyles. Residents are given plenty of choice and sensitively supported to eat meals where they have specific needs. EVIDENCE: Three female residents attend a Woman’s Group every other week at Whickham Thorns activity centre a range of activities is offered there. On the inspection day a resident spoken to said they were going out to have their hair cut at a local hairdressers. A female resident said she was going out to nearby McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 12 shops. A male resident at lunchtime went out to the local social club for a pint of beer. Another resident goes out to the cinema twice each month. Two residents with a member of staff went to visit an exhibition of old classic buses recently. A male resident whose relative was an artist who painted seascapes went to see an exhibition of seascapes, a seascape painting of this residents relative is on display in the homes lounge. The home has a car for the residents use a number of homes staff are approved drivers and many trips out are organised to places of interest. Another resident spoken to said he goes out each weekend to stay with friends which he enjoyed. The home recently was awarded a grant by the city council to develop the garden area for the residents. The monies for this work have been placed in a bank account for which one of the homes residents is signatory. Work on improvements to the garden which includes a water feature has commenced. Since the last inspection one resident has been on holiday in Spain with her sister. Other residents have had short break holidays. Mealtimes in the home are very flexible according to each residents individual needs. Residents and staff decide on the menus and residents go out to do their weekly food shopping. Menus were seen and these provided a good range and choice of food. A local dietician has met with residents and staff and provided advice on healthy eating. Residents cook the food with staff assistance where necessary. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Healthcare needs are well met by using a multi-agency approach. This helps the residents to stay healthy. Adequate medication systems are in place to make sure that residents are not put at risk. EVIDENCE: Residents are allocated a member of staff who is their key worker records in the home show that personal care and support is agreed between the resident and the member of staff. Gender of staff for personal care tasks is identified and met. All of the residents in the home have a Consultant Psychiatrist involved in their care and treatment and records show that reviews of their care needs are regularly held. Residents are registered with a local General Practitioner and visit the surgery if they need to see their doctor. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 14 Records in the home show that a podiatrist visits every eight weeks to provide foot care for the residents. Dental and Optical services are provided by local practitioners and annual reviews of these needs are carried out. The systems for the administration, receipt, storage and disposal of medications were all checked all of these were being carried out to a good standard. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, & 23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place and clearly displayed to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Clear protection procedures are in place to protect residents from risk of harm. EVIDENCE: All residents have a copy of the complaints procedure given to them. A resident spoken to said if they had any complaints they would take them to the manager and was confident that he would deal with them. There has been no complaints made since the last inspection visit or POVA issues. All staff in the home have received POVA training staff spoken to are knowledgeable of the procedures to follow. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The building is generally clean and well maintained some restructuring has resulted in a more comfortable environment for the residents. EVIDENCE: A small lounge to the front of the home has been achieved and is designated for residents who smoke, the room is nicely furnished and decorated. Two residents showed me their bedrooms one if which was nicely decorated and full of personal effects and possessions. The other bedroom seen was in need of decoration. Toilets and bathrooms were clean and tidy a bathwater temperature was tested and was satisfactory. The east house kitchen and lounge areas are quite shabby and deteriorated, work has been agreed for the kitchen to be newly re-fitted and a new carpet to the lounge but it was not known when this work would be carried out. Sofas and lounge chairs here are also badly deteriorated. A new dining table and chairs has been purchased McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 17 since the last visit. A number of lights in corridor areas were quite gloomy light covers need to be taken off and cleaned. The laundry room was clean and tidy COSHH information was displayed here. The majority of the areas seen in the home were clean and tidy and there were no obvious smells or odours. Staff spoken to are aware of the procedures to follow for the control of infection. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good numbers of staff are in post to meet the diverse needs of the residents. Robust recruitment procedures are in place which help to prevent risk of harm to residents. Opportunities for training are good. This enables staff to learn new skills to better support residents in all aspects of their lives. EVIDENCE: The home is fully established for all care staff. Duty rosters were seen these show eight qualified staff members and four nurse support workers are employed. The following staffing levels are being maintained in the home each day; Am, 2 or 3 staff, one of these is qualified. Pm, 2 staff, one of these is qualified. Nights, 1 sleep-in qualified, 1 awake care staff. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 19 Two recently recruited staff files were read both of these had all checks completed to a very good standard. Staff training files were seen and very good levels of statutory and client centred training is being achieved for all staff. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has an open style and is clearly present in the home to give support and direction to the staff. The culture in the home ensures that the service is led by the needs and wishes of the residents. Quality assurance systems are in place to help shape the quality of the service and ensure it is run in the best interest of the residents. Generally good systems and practises are in place that help to ensure that residents and staff are safe from risk of harm. EVIDENCE: McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 21 The manager of the home is a very experienced Registered Mental Nurse who prior to becoming the homes manager was the deputy manager he has many years of experience of working with the client group. He has completed the Registered Managers Award and is currently pursuing a degree in mental health. The deputy manager also has the RMA qualification. Residents and staff meeting minutes were read these showed actions taken by the manager on issues raised at the meetings to address concerns, problems, or initiate good practise. Audits of the homes care plans are regularly carried out to ensure good standards are being maintained. Health and safety audit records were being satisfactorily carried out. The homes accident book records and fire log book were seen and are generally well completed with one exception fire instructions to staff need to take place four times each year as all staff in the home work periods of night duty. Utility records for the home were checked all of which were up to date and satisfactory. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 4 3 X 4 x 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 2 25 2 26 x 27 x 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 4 X X 2 X McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 23 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 YA24 YA24 Regulation 23.2(j) 23.2(g) Requirement The refittment of the east house kitchen must be achieved. The East house lounge carpet must be renewed. Sofas and armchairs in this room must be renewed or re-furbished. The bedroom identified in the east house must be decorated. In-house fire instructions must be given to all staff four times each year. Timescale for action 31/08/07 31/08/07 3. 4. YA25 YA42 23.2(f) 23.4(d&e) 31/08/07 25/06/07 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 YA24 Good Practice Recommendations A number of light covers in the home need to be removed and cleaned. McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 McGowan Court DS0000000418.V338098.R01.S.doc Version 5.2 Page 25 - 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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