Inspection on 04/01/06 for Neale Court

This inspection was carried out on 4th January 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 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

Neale Court 16/05/07

Neale Court 20/09/05

Neale Court 17/03/05

Neale Court 26/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Neale Court Neale Road North Hykeham Lincs LN6 9UA Lead Inspector Roger Harrison Unannounced Inspection 4th January 2006 10:30 X10015.doc Version 1.40 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 Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 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 Older People. 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. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Neale Court Address Neale Road North Hykeham Lincs LN6 9UA 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) 01522 682201 enquiries@lacehousing.org LACE Housing Limited Mrs L M Smith Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: Neale Court is a care home providing personal care and accommodation for up to twenty-three older people. The home is owned and operated by LACE Housing Ltd, which is a voluntary organisation. The home also has a day centre facility attached to it, which is operated by the North Hykeham Day Centre group. The dining area within the home is used and shared with the day centre for five days a week. Residents at the home are able to attend the day centre if they choose to. The home is located in a quiet cul-de-sac in a residential area of North Hykeham. There are local shops and community facilities close by. Neale Court was registered in nineteen ninety-three and is a purpose built two story building. The accommodation comprises of a communal lounge area, a sunroom, communal dining room and two assisted bathrooms. All of the private accommodation consists of self-contained bed-sits, which comprise of a kitchenette, ensuite bath or shower room with toilet. The home has a lift, which serves both floors of the home. The home is set in well-maintained secure gardens. There is open parking for fifteen cars at the front of the home. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a four-hour period, with the inspector using a method of inspection called “case tracking”. This involved selecting three residents who currently live at the home and tracking their experience of the care and support they have received during the time they have lived at the home. This was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. The aim of the inspection was to establish whether the care provided to a sample of residents is consistent with the care given to all residents who choose to live at Neale Court. 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. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 20/09/05. EVIDENCE: Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 20/09/05. EVIDENCE: Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. The manager and care team support the right for residents to maintain control over their lives through encouraging family and community contact. Food in the home is varied and of high quality offering a wholesome diet for residents. Residents are able to use the dining area within the home as they choose. EVIDENCE: The home operates an open door policy, which is being reviewed further to consider the use of a keypad to the main front and fire doors to provide additional security and safety for residents. There is a visitor’s book in reception, which is used to record activity along with other useful information about the organisation available if needed. Each resident has a single room, which has a small kitchen area. Most rooms have their own en suite bathroom or shower facilities. Locks have been fitted to all doors, which allow privacy for residents and access for staff in an emergency. Rooms were seen by the inspector to be personalised to a high standard. There is a telephone point in all rooms so that residents have a choice about using a phone of their own. Where this is not required there is a communal telephone in the reception area. The whole staff team take responsibility for day-to-day activities within the home and wider community, which are organised around resident’s individual needs. Trips are organised through discussions between staff and residents. Residents told the inspector they were happy with arrangements for activities and that their own personal and religious needs are supported. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 10 During this inspection staff were observed providing sensitive support and care in a way, which residents responded to positively. The Inspector found evidence of the development of a detailed social history on the care plan file of three residents, the Manager confirmed that this system is used, and included on all residents files in order to understand history, culture and social needs more clearly so that these can be met in the way residents wish them to be. Meals within the home are planned on a five-week rotating basis. The kitchen area is clean and hygiene standards followed appropriately. The menus are varied, offering alternatives, including a vegetarian option. Menu plans are put together using feedback from residents. Meals are usually taken in the communal dining area but residents told the inspector they could have meals in the room of their choice. During the last inspection it was evident that the home was sharing the communal dining area with the adjoining day centre at lunchtime only. This involved providing meals from the homes kitchen using two sittings. During the inspection residents confirmed they had been fully consulted about the issue and as a result an agreement has been reached to cease sharing this facility in order to promote more choice for residents to take meals as they wish in this room. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The manager takes complaints seriously. Support is given to resolve concerns at source. There is a complaints policy and procedure for dealing with formal complaints. Residents are safe guarded from abuse by the manager and current staff team. EVIDENCE: The manager has a complaints procedure and policy available. There is a record of who to contact for residents and family, which includes the manager and senior, care contact details. The home manager attempts to resolve any concerns informally. When this cannot be achieved further information and support is given to residents and their carers to access formal procedures. The manager’s complaints log confirmed there had only been one complaint during the last year and that this had been resolved with support from the manager and the homeowners. Staff disciplinary matters are dealt with by the Manager direct, with support provided by the organisation as needed. During the inspection the manager provided information, which confirmed good two way communication is occurring between management and staff, this information demonstrated that staff feel able to approach the Manager regarding any concerns or practice issues, and that these are dealt with in the right way to protect residents and staff needs. The home has a copy of the adult protection procedures and policy for Lincolnshire and the home has used an external trainer to provide updates on adult protection for staff. Three residents told the Inspector that they felt confident to raise any issue of concern with the manager and staff team, and the manager and four staff members gave a Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 12 good account of correct action that they would take in order to protect residents from abuse. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Residents live in a safe, clean enviroment, which suits each individual need and is regarded by individuals as “Their home”. Rooms are personalised in the way residents choose them to be. EVIDENCE: The building is clean and well maintained. The gardens at the rear of the building are well maintained and provide safe access for residents. Indoor communal areas were open and free from clutter. A high standard of hygiene practice was seen to be operating within the home by care staff during inspection and residents told the inspector that they felt safe and well supported by the Manager and care team. Each resident has a single room, which has a small kitchen area. Most rooms have their own en suite bathroom or shower facilities. The door locks fitted to resident’s room doors allow privacy for residents and access for staff in an emergency. There are call bells in all rooms, which include an intercom system. The Inspector checked this during this inspection to confirm that residents could access support when needed in a timely way. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 14 There are communal bathing areas, which are used regularly when specialisthoisting equipment is required. This equipment has been serviced appropriately and is kept in the bathing areas for staff use. Since the last inspection the home has commenced a programme of decoration and update. During this inspection communal bathrooms and corridors were being prepared for painting and the Manager confirmed that all carpets in communal corridors were to be replaced during the next two weeks as part of the annual work plan. Separate communal toilet facilities have recently been redecorated. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. There is a well established care team at the home who know resident’s needs and how to meet them in a safe and professional way. The home retains good staff numbers through robust recruitment practice; positive training opportunities, and a range of policies and procedures that care staff have access to. EVIDENCE: The manager confirmed that no new staff member commences work until all checks and references have been received. Induction is undertaken by new staff and a checklist is used by the manager to ensure that each individual understands their role within the care team. Informal day-to-day supervision is undertaken by a team of three senior supervisors and the deputy manager. The manager has a formal supervision system in place, which ensures regular supervision occurs and is recorded and signed by staff. All staff have a comprehensive training folder in place. During this Inspection the Inspector met with three team members and their supervisor as part of the shift hand over. During the meeting team members were able to describe the action they would take in order to support and protect residents, and related practice outcomes to policy and procedures that the home uses. There is an ongoing training programme in place and training continues to be used by the home to increase NVQ qualifications for staff, one team member is also an NVQ assessor, this role helps to further develop the good practice observed. The manager uses a rota system to ensure appropriate cover is maintained throughout each twenty-four hour shift period. Whenever a team member is absent the manager ensures agency cover is used to provide cover. Residents told the inspector that the staff are always available when needed. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 and 38. The manager ensures each residents social and health care needs are safeguarded and seen as central to service provision. Consultation and communication is undertaken with residents to ensure that their financial interests are protected and that the home is run in the resident’s best interests. EVIDENCE: There is an appropriately qualified, well-established registered manager in post. The inspector spoke to three residents who said that they trusted the manager and senior care team and that they were consulted regularly regarding the service they receive and any developments. The manager demonstrated a good working knowledge of each resident and confirmed that consultation with residents takes place using residents meetings, reviews and written consultation questionnaires. The Manager ensures that regular reviews of care plans are undertaken which involve residents and incorporate the use of risk assessments as part of the care plan review to ensure that residents are aware of their right to take risks with support when required. The use of risk assessments was discussed with the manager during the inspection. The Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 17 manager confirmed that she was commencing a process to further update the current system in place to enable risk assessments to be used more fully to identify all risks that may be evident for each individual, to include outcomes which fully reflect the good practice observed on the day of inspection. The manager confirmed that residents are encouraged to manage their own finances wherever possible, but that some residents needed support to maintain their weekly personal allowances safely. The Manager has a system in place for supporting some residents with their finances as they wish. The records and finances of three residents were checked and found to be maintained appropriately and were accurate on the day of inspection. The manager confirmed that she regards the staff team as important and recognises the need to create a strong culture within the team. The manager maintains an open culture by ensuring she is available to discuss issues with staff and team meetings are used to talk about ideas for development or any concerns they may have. Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 19 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. 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 Neale Court DS0000002390.V274341.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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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