Inspection on 02/11/05 for McNulty Court

This inspection was carried out on 2nd November 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

McNulty Court 06/11/07

McNulty Court 20/12/06

McNulty Court 09/08/05

McNulty Court 27/10/04

McNulty Court 29/04/04

McNulty Court 17/09/03

McNulty Court 25/04/03

McNulty Court 14/08/02

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

CARE HOME ADULTS 18-65 McNulty Court 16 McNulty Court Dudley Northumberland NE23 7HX Lead Inspector Bill Middlemist Announced Inspection 2nd November 2005 10:00 McNulty Court DS0000000377.V249443.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 McNulty Court DS0000000377.V249443.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. McNulty Court DS0000000377.V249443.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service McNulty Court Address 16 McNulty Court Dudley Northumberland NE23 7HX 0191 2500946 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) Northgate & Prudhoe NHS Trust Mrs Janine Sarah Fish Care Home 5 Category(ies) of Learning disability (5) registration, with number of places McNulty Court DS0000000377.V249443.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons for whom residential accommodation with board and care is provided at any one time shall not exceed 5 men or women One Resident with dementia (DE), may be admitted, however no further admissions outside category LD to be admitted without consultation with CSCI. 9th August 2005 Date of last inspection Brief Description of the Service: McNulty Court is a purpose built home in Dudley that provides care and support for five ladies who have a learning disability; three ladies also have physical disabilities. The home is set in its’ own grounds and offers lots of space for the residents. Dudley is on the outskirts of North Tyneside and is conveniently placed for good road links to all parts of the area; this enables the residents to enjoy a good range of social leisure and educational opportunities. McNulty Court DS0000000377.V249443.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that lasted for 4 hours. There were 3 residents at home during this inspection, and staff were observed supporting them in a number of different tasks. The parents of one person were visiting and some of their views are included in this report. The care records for 3 people were examined, a tour was made of shared areas such as kitchen, bathrooms and living areas. Documents that deal with health and safety and the efficient running of the home were also inspected. 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. McNulty Court DS0000000377.V249443.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 McNulty Court DS0000000377.V249443.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 Each person’s needs have been assessed. EVIDENCE: Each file inspected included a range of assessments that have been carried out different professionals according to the needs of the people who live here. Reassessments have done as a result of changing needs. McNulty Court DS0000000377.V249443.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, 9 Each person has a number of individual support plans that detail assessed and changing needs. People living at McNulty Court are supported to take risks as part of their lifestyle. EVIDENCE: All files that were inspected included detailed support plans: the plans record what skills people have, the support they need, and instruct staff on how to deliver care and support. Each person has a communication plan that has recently been reviewed and updated: this promotes staff awareness of how people make their feelings and choices known. Basic routines are recorded and include an activities timetable. Each activity is supported by detailed risk assessments and risk management plans that promote inclusion and outline the benefits to people, and promotes the home’s philosophy that people should not be limited by disability. McNulty Court DS0000000377.V249443.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): 12, 13, 15 Each person is able to take part in activities that suit them, these activities offer people the opportunity to be part of the local community. EVIDENCE: Each person has a timetable of activities that combine leisure with learning, and with the chance to be part of the local community, including keep fit, swimming, line dancing, arts and crafts, aromatherapy and shopping. On the day of this inspection 2 people went out for lunch and 1 person was going out shopping. The parents of one person came to the home during this inspection and expressed how satisfied they were with the standards of care provided. McNulty Court DS0000000377.V249443.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, 19, 20 People receive personal support in a way that suits them. People’s physical health needs are being met. This home’s medication procedures protect the people who live here. EVIDENCE: Each person is offered personal support in a way that promotes independence and skills; there are detailed moving and handling plans that ensure people are comfortable while receiving personal care. This home’s works very well to ensure that people’s physical health is constantly monitored and that any possible complications are dealt with very quickly. Each person has full access to the proper range of healthcare services, and the outcomes of each appointment are well recorded. Each member of staff is trained to work in line with the Trust’s medication procedures; records of medication received, given and disposed of were all well kept. There was evidence that procedures have been followed if a medication mistake has been made. McNulty Court DS0000000377.V249443.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): These standards were assessed and met at the previous inspection. EVIDENCE: McNulty Court DS0000000377.V249443.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, 29, 30 McNulty Court provides a homely, comfortable and safe place to live, and is clean and hygienic. EVIDENCE: This home has lots of space and further efforts have been made to make it more homely: the lounge now has a fireplace and there are more plans to develop a more domestic feel to the building. Specialist equipment has been provided for moving and handling and there are plans to provide further tracking in one room, to ensure that people are moved safely. Everywhere that was inspected was very clean, and staff were observed following the expected hygiene procedures. McNulty Court DS0000000377.V249443.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, 35 People living at McNulty Court benefit from the support of a competent staff team. Well-trained staff are meeting people’s needs. EVIDENCE: The members of staff on duty displayed their competencies and values throughout the inspection; staff were observed supporting people in a respectful and helpful manner. The rota indicated that there are sufficient members of staff on duty to meet the current needs of the people living here. Staff training records were well kept and provided evidence that training is ongoing and related to the needs of the people who live here: training includes The Protection Of Vulnerable Adults, peg feeding, Disability Discrimination Act, medication induction, as well as subjects required by law such as First Aid, Fire Safety and Moving and Handling. McNulty Court DS0000000377.V249443.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): 37, 42 The people who live here benefit from a well run home. The health, safety and welfare of people is promoted. EVIDENCE: The Manager is qualified and experienced to do her job: she has provided evidence that she continually updates her skills and reflects on care practices within the home. There is a focus on good outcomes for the people who live here. All matters regarding Health, Safety and welfare that were inspected were satisfactory, including Fire Log, maintenance of moving and handling equipment, gas and electricity safety, repairs and people’s personal finances. McNulty Court DS0000000377.V249443.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 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 McNulty Court Score 4 4 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000000377.V249443.R01.S.doc Version 5.0 Page 16 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. 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. Refer to Standard Good Practice Recommendations McNulty Court DS0000000377.V249443.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. 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