Inspection on 05/07/05 for McGowan Court

This inspection was carried out on 5th July 2005.

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 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

McGowan Court 18/08/09

McGowan Court 18/06/07

McGowan Court 13/02/06

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 NE6 2EH Lead Inspector Ian Armstrong Announced 05 July 2005 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service McGowan Court Address Commercial Road Byker Newcastle upon Tyne NE6 2EH 0191 276 5557 0191 276 5535 RobLambert@mentalhealthconcern.org Mental Health Concern 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) Mr R Lambert CRH 12 Category(ies) of MD Mental Disorder (5) registration, with number ME(E) Mental Disorder - over 65 (7) of places McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 31/8/04 Brief Description of the Service: Mcgowan Court is a 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 owned and managed by Mental Health Concern a local organisation that specialises in providing services for people with mental health needs. The building is situated in Byker in the city of Newcastle upon Tyne close to local shops and good public transport links. The home is comprised of two six bedroom houses linked by some shared central facilities. Each house has six single bedrooms with seperate toilet, bathroom and shower facilities. There is also a large lounge/dining room and kitchen. The philosophy of care is to support the residents in their activities of daily living and to provide for their physical and mental health needs. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection of the home and took place over 3 hours. Some parts of the building were inspected and a number of the homes records. Six of the twelve residents and three of the 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. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 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 standard(s) 2. Service users individual aspirations and needs are assessed. EVIDENCE: Pre-admission assessment records were inspected the standard of these was good. Comprehensive information on the residents needs and aspirations was recorded to a good standard. Residents spoken to said staff were meeting their needs. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 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 standard(s) 6,7,9. 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. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Two residents care records were inspected. These showed a good range and variety of care plans with evidence of regular evaluations of these taking place. Records showed that the residents were actively involved in discussions about their care. Risk assessment formats were found to be of a good standard. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 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 standard(s) 12,13,15,16,17. 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 are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Records in the home provided the following information. A number of the residents go out each week to do their food shopping. One resident goes regularly to the local Social club. Two female residents attend a Womans group at Whickham. Two residents recently enjoyed a weekend break to Centre Parks. One resident went on a day trip to York. A further trip to Blackpool for some of the residents has been organised. Each service user has their own key to their bedrooms and the front door to the home. Gender of staff for personal care tasks is identified for all of the residents and met. Three of the residents spoken to said they regularly go out to access community facilities. One resident showed the inspector an overcoat they had purchased that morning and were pleased with the purchase. Menus showed that a good range and choice of food was being provided. Residents said that the food was good. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 10 McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 18,19,20. 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 homes policies and procedures for dealing with medicines. EVIDENCE: Gender of staff for personal care tasks is identified in care records and met. Care plans for physical and emotional health care needs seen were found to be appropriate. Two residents are fully self medicating. A further five residents manage their daily medicines. Five residents medicines are supervised by staff. The systems for the management of these were checked and found to be correct. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 12 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 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. Some work is needed to further develop the homes POVA policy. EVIDENCE: Residents said that staff were responsive to their needs. Resident meeting minutes showed evidence of staff acting on resident issues. The homes Complaint policy was read and is of a good standard. There have been no new complaints since the last inspection visit. The Pova policy needs to be ammended to state the lead role of the local authority Social services department and their point of contact. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24,25,30. Service users live in a homely, comfortable and safe environment. Service users bedrooms suit their needs and lifestyles. The home is clean and hygeinic. EVIDENCE: Since the last inspection the following work has been carried out in the home. The West house lounge has been redecorated, refurbished and carpetted to a good standard. Two resident bedrooms have also been decorated and new carpets fitted, again these have been nicely done. Bathroom and toilet areas have been made more homely. Those parts of the home that were inspected were found to be clean and hygenic. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,35. Service users are supported by competent and qualified staff. Service users individual and joint needs are met by appropriately trained staff. EVIDENCE: Duty rosters were inspected staffing levels are in line with the assessed needs of the residents. The home is fully established for all grades of staff. The following daily staffing levels are achieved on an average day in the home and are satisfactory; 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. Staff training information was seen and good levels of professional and statutory training is being achieved. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42. Service users are confident their views underpin all self monitoring review and development by the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Residents are members of Mental Health Concern’s Constitutional Board which looks at homes services and future developments this is good practise. Evidence was seen of residents actively influencing new developments in the home. The homes Fire log book and accident book both of these were being maintained to a good standard. Safety certificates and audit records were checked and all found to be satisfactory. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 16 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 McGowan Court Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x 3 x B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 17 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 Regulation Requirement Timescale for 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 23 Good Practice Recommendations The homes POVA policy to be ammended to show the lead role of Social Services and their point of contact. McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI McGowan Court B53-B03 S418 McGowan Court V226176 050705 Stage 4.doc Version 1.40 Page 19 - 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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