Inspection on 09/08/05 for McNulty Court

This inspection was carried out on 9th August 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 02/11/05

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 Unannounced 09 August 2005 13:00 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. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service McNulty Court Address 16 McNulty Court Dudley Northumberland NE23 7HX 0191 2500946 NA NA Northgate & Prudhoe NHS Trust 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) Mrs Janine Sarah Fish CRH 5 Category(ies) of LD Learning Disablity - 5 registration, with number of places McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2. One resident with dementia (DE), may be admitted, however no further admissions outside category LD to be admitted without consultation with CSCI. Date of last inspection 27/10/04 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 v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and lasted for 3 hours. 3 of the 5 residents were observed during this inspection and 4 members of staff were consulted about their care and support. The views of 2 visiting relatives are included in this report. Assessments and care planning for 3 residents were inspected. The kitchen, laundry and bathrooms were inspected. Documents relating to the Health and Safety of residents 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 v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 Each person’s individual needs are assessed EVIDENCE: Although the resident group at McNulty Court is stable and there are unlikely to be any new admissions, each person living there is having their needs reassessed by the home’s Acting Manager. Specialist assessments have been carried out by other professionals as a result of people’s changing needs. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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, 9 Residents have detailed care and support plans that address their individual needs. Communication plans should be revised. Any identified risks for people are properly supported by risk assessments and risk management plans; however, risk assessment for one identified person should be developed. EVIDENCE: Each resident has detailed care plans that address current needs and goals; the Acting Manager is currently revising these plans. Each person also has a communication plan, but it was felt that these should be revised as staff are now much more familiar with each person’s individual methods of communication. All residents have fluctuating care needs; one person identified during this inspection should have risk assessments developed as a result of changing needs. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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, 17 There are some limits for people to take part in appropriate activities and be part of the local community. People are offered healthy diets. EVIDENCE: There was evidence that each person has a regular schedule of activities that they enjoy; schedules for some people demonstrate that there are days when no activities take place. Further discussion with staff revealed what documents and observations suggested – that some people need much greater structure and consistent diversions during the day to meet their needs; the employment of enablers have been suggested and this is strongly supported by the Inspector. Each person’s diet needs and requirements are properly documented; staff are familiar with each person’s diet. People are offered a good variety of meals that are well prepared. The kitchen is well stocked to provide a range of choices, and there was ample evidence that Food Hygiene procedures are followed as a matter of routine. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 standard(s) 18, 21 People receive the personal support they require. When people are ill staff ensure that care and support is carried out with sensitivity and respect. EVIDENCE: Each person has very specific moving and handling guidelines that detail exactly what staff should do when carrying out personal care and transfers; these are reviewed regularly and revised as necessary. One person received visitors during this inspection; the visitors were full of praise for the care and support provided by staff. There was very good evidence that when people are ill that they receive good support from staff and are referred to the right organisation or professionals. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 standard(s) 23 Each person is protected from potential abuse, neglect and self-harm EVIDENCE: Staff are aware of matters relating to abuse; training has been provided for all staff except two, who are due to take part in training in the near future. The home has a whistle blowing policy and staff are also aware of this and how to use it. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 standard(s) 24, 30 McNulty Court is a comfortable and safe place for people to live. The home is clean and hygienic. EVIDENCE: McNulty Court is a purpose built home and was designed for people who have physical disabilities; all rooms are spacious to allow for safe moving and handling of the people who live there. All room sizes exceed the space requirements set out in National Minimum Standards. One bedroom was inspected; the wall needs to be repaired and redecorated due to cracked and scuffed plasterwork. During this inspection, the kitchen and bathrooms were also inspected. Everywhere was clean and hygienic. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 All staff on duty demonstrated competence and good values. The staff training programme covers statutory training as well as training related to each person’s individual needs. There are sufficient members of staff on duty to meet each person’s care needs. EVIDENCE: The staff on duty during this inspection were observed treating each person with respect. Discussions with staff revealed a good value base that acknowledges each person’s individuality; each person’s care needs were well understood by the staff group. New members of staff are scheduled to undertake the Learning Disability Award Framework induction. All mandatory staff training is kept up to date, and the Trust offers further training related to individual needs. 6 members of staff are currently working towards NVQ level 2. The staffing rota indicated that there are enough staff on duty to meet each person’s individual care needs; however, as noted in Standards 11 – 17, the use of enablers would greatly improve certain aspects of the quality of support provided. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 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) 42 People’s Health and Safety is promoted. EVIDENCE: The following documents relating to Health and safety were inspected and all were satisfactory: Fire Log, Accident book, Maintenance Records, menus, water and freezer temperatures, and resident’s finances. McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 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 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 McNulty Court Score 4 x x 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 16 N0 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. 2. 3. Refer to Standard 6 9 14 Good Practice Recommendations Communication plans for all residents should be revised Risk assessments should be devised for the resident identified during thhe inspection The employment of enablers is urgently recommended to offer structured activities McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 17 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 McNulty Court v234466 b53 b03 s377 mcnulty court v234466 090805 stage4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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