Inspection on 02/04/07 for Newby Drive Residential Care Home

This inspection was carried out on 2nd April 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newby Drive Residential Care Home 31/03/09

Newby Drive Residential Care Home 17/01/06

Newby Drive Residential Care Home 02/11/05

Newby Drive Residential Care Home 30/11/04

Newby Drive Residential Care Home 26/04/04

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

CARE HOME ADULTS 18-65 Newby Drive Residential Care Home 63 & 64 Newby Drive Huyton Knowsley Merseyside L36 2QT Lead Inspector Mr John Mullen Key Unannounced Inspection 2nd April 2007 09:00 Newby Drive Residential Care Home DS0000021471.V325647.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 Newby Drive Residential Care Home DS0000021471.V325647.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. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newby Drive Residential Care Home Address 63 & 64 Newby Drive Huyton Knowsley Merseyside L36 2QT 0151-489-3053 0151 290 0632 newbynewby@pss.org.uk 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) PSS Mrs Sharon Cooper Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13) of places Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 13 MD Date of last inspection 17th January 2006 Brief Description of the Service: Newby Drive is managed by the Personal Service Society (PSS), which has a long history of providing social care. The registered manager is Mrs Sharon Cooper. The home is registered to provide personal care and accommodation to a maximum of thirteen adults in the category of mental disorder. The home is a detached house, which is divided into four units. Three of the units are for permanent residents and one provides respite care to a maximum of two residents. Each resident has his or her own bedroom. Although a number of residents have been accommodated in the home for a considerable period of time, the home has recently been successful in rehabilitating residents into different accommodation and is hopeful of continuing this work in the future. The home is based near the centre of Huyton within easy access of local facilities. It is staffed twenty- four hours a day and has full policies to underpin its practices. The occupancy level recently has been very high. The home’s standard charge is £327.46 a week. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of Newby Drive, which took place over two days and included a site visit. All the key standards were assessed, plus others. This inspection encompassed information received since the last inspection. In addition it included information provided by the agency through its preinspection questionnaire and supporting documents. Interviews took place with the registered manager, the deputy manager and three members of the support staff. Comment cards were sent out to a random selection of residents but only one was returned. On the site visit three residents were interviewed plus two parents of a resident. Observations took place of the interactions between staff and other residents The home was inspected and a large amount of documentation examined. What the service does well: Newby Drive provides a good service to adults with mental health illnesses. It has full policies and procedures on which to base its work and it works individually with its residents based on care planning and key worker roles. Its commitment to equality and diversity is contained both in its documents, in its individualised approach to care and its recruitment and selection process. The home has an experienced staff group who have been trained consistently in both mandatory and additional subjects. Vocational training has also been provided to a large proportion of staff to further enhance their skills. Residents were highly complimentary about the staff of the home describing them in one case as “brilliant”. The premises of Newby Drive, although slightly cramped, have been consistently maintained and improved. Living areas are pleasant and comfortable and bedrooms are appropriate. The home is managed positively and responds quickly and effectively to any reports that are made on it. It has developed good systems for listening to Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 6 residents’ views and can show it will respond to complaints in a positive manner. 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. Newby Drive Residential Care Home DS0000021471.V325647.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 Newby Drive Residential Care Home DS0000021471.V325647.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. The home has full information so that it can plan its work effectively with individual residents. EVIDENCE: An examination of three files found full assessment material in each which gave the home a full picture of the needs of residents. Interviews with both the deputy manager and the registered manager confirmed that prior to admission the home now requires full assessment material so that work can be planned. Interviews with other staff and with residents confirmed that their needs were being met resulting in a high level of satisfaction with the home. Comments from residents included “I like it here” and “done a lot for me”. Newby Drive Residential Care Home DS0000021471.V325647.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home bases its work on residents’ wishes within a planned and safe environment so that they are helped to develop. EVIDENCE: An examination of the three files of residents confirmed that each had a detailed care plan that was up to date and had been reviewed regularly; as a result it was an effective working document. The care plans are being updated as required which in some cases is very frequently due to the mental health needs of residents. The individualised plans confirm that the home is committed to the principles of equality and diversity by stressing the different but equal care needs of residents. Not all care plans were signed by residents Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 10 to show their consent. Interviews with managers and staff confirmed that the care plans are well known to all and residents interviewed confirmed that they did attend reviews of their progress showing that they are actively involved in their care. Interviews with residents confirmed that they were encouraged to make decisions on their lives including in the areas of shopping, cooking and activities. They were positive about the latter, quoting fishing and visits to the Lake District as particular activities they had enjoyed. The pre-inspection questionnaire confirmed that two residents had been provided with advocates to assist them in promoting their wishes and an interview with the deputy manager revealed that the Knowsley Advocacy Service is publicised within the home so the residents have an additional voice if they require it. An interview with two parents visiting the home confirmed that their daughter is being supported in a manner which is positive and beneficial. They stated that they were “very happy with the care”. An examination of the files of three residents found up to date risk assessments in each so that staff are aware of potential difficulties. These risk assessments were detailed and relevant so that an overall picture of the resident was available to staff. An interview with the deputy manager, confirmed by documentation seen in the home, showed that Newby Drive is arranging for extra risk assessment training for staff to further improve this process. Incidents since the last inspection, reported to the Commission, showed that unexplained absences are dealt with appropriately. Interviews with residents confirmed that they are not unnecessarily restricted in activities but, to the contrary, are encouraged to take responsible risks for example through adventure holidays where appropriate, so that risks are managed correctly. Newby Drive Residential Care Home DS0000021471.V325647.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home cares for residents, including in the area of meals, in a positive manner with few rules so that they are encouraged to develop within the restrictions imposed by their illness. EVIDENCE: A number of the residents have an enduring illness which restricts their capacity in terms of education and training. However, one of the residents interviewed confirmed that he has done voluntary work with the encouragement of the home and stated that Newby Drive had “taught me a lot”. The deputy manager said that one resident was attending college for computer studies. In addition, two other residents attend adventure holidays as a specific interest. On the other hand, observations during the inspection Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 12 showed a number of residents not engaging in any meaningful activities and one, in interview, said she preferred to spend all her time in the bedroom. Activities do continue to be provided for residents who are prepared to participate, which in interviews included meals out, fishing and visits to the Lake District. An interview with the deputy manager, confirmed by other staff and residents, showed that the home does use local facilities like supermarkets, pubs and church clubs to integrate residents into the community. Residents were happy with the use of such facilities and all interviewed confirmed that they enjoyed participating in shopping in particular. Minutes from team meetings confirmed that, due to their illness, some residents can be very noisy at times but this does not appear to have a detrimental effect on the neighbourhood. The deputy manager stated that neighbours often give gifts to the home and are generally supportive so that residents would not feel isolated within the home. The parents of one of the residents being interviewed were visiting the home and they were very complimentary about the care being given to their daughter. The parents confirmed that they were welcomed in the home and no restrictions were placed on them. Other residents interviewed visit their families rather than the reverse and they confirmed that they were encouraged to do that so that relationships are maintained with their families. The home has no unreasonable rules about limiting relationships and residents interviewed had no difficulties in this area reflecting their positive approach to the home. Observations during the inspection showed that there were no unnecessary restrictions on residents in the home. All residents have keys to their bedrooms and observed interaction between staff and residents was friendly and appropriate. The major issue in this area at present is smoking. The home has designated the conservatory as a smoking area but it is difficult to enforce this as confirmed by the registered manager, deputy manager and other staff. Residents did not raise it as a major problem but the registered manager has decided to provide a questionnaire for all residents as a means of advancing this matter. Residents interviewed confirmed that they are not restricted in the home and that there are a minimum of house rules, which was confirmed by residents’ meetings and showed that the home is attempting to provide a homely and relaxed environment. The pre-inspection questionnaire confirmed that there was a choice of menu and that food served is recorded so that the home could demonstrate that it is providing a proper nutritional diet. Interviews with residents confirmed that they are encouraged to participate in the preparation of meals and mealtimes to the extent that they are able so that they become more experienced in this area. One resident commented that, “once a week we go through the menu, there is choice and the food is good.” An examination of residents’ files Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 13 confirmed that generally food consumed is recorded but this is not always done which is necessary to confirm that a nutritious diet is provided. The home has one diabetic resident and interviews with the deputy manager confirmed that he is being correctly supported in this via advice through the district nurse and clinic. The home does not provide personal care at present, including in the area of meals. meaning that residents do not need actively to be assisted with meals. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides appropriate support for residents in terms of their health care needs but the medication policy needs to be developed to conform to best practice. EVIDENCE: The home at present does not provide personal support. However, one area in terms of individualised care that needs attention is that of the key worker. Although the home has a key worker system and has a documented method of informing residents about this, those interviewed during the inspection did not know who their key worker was which indicates deficiencies in the arrangements. Documents seen both prior to and during the inspection and interviews with residents and staff confirmed that appropriate polices and procedures are in place to support the health care needs of residents. Three community Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 15 psychiatric nurses visit the home to provide support and residents regularly attend clinics to review their mental health needs so that this is kept under supervision. All residents have individual General Practitioners which further promotes their health care needs. One resident is diabetic and he is being supported appropriately with this condition so that it is not restricting life unnecessarily. The home accesses ancillary health care professionals as required although the residents do not attend an annual health check through their own choice. Interviews with staff, residents and family members all confirmed that there is no difficulty in residents accessing appropriate health care facilities. An inspection on 11th July 2006 by Knowsley Primary Care Trust’s Medicines Management Team resulted in a critical report in a number of areas particularly in respect of the completion of medication sheets, the use of dosette boxes and the lack of information to General Practitioners of changes to medication by consultant staff. Interviews with the registered manager and the deputy manager confirmed that a great deal of this has been addressed so that the problems are not now acute. There has been extensive recent staff training in medicines to update practices. There is now a form to inform General Practitioners of changes to medication and this was seen during the inspection in practice to confirm the improvement. There is an individual medical assessment form for each resident which details the medicine profile to provide full information to staff. Interviews with staff also confirmed that secondary dispensing is no longer used, thereby eliminating the risk this involves. An examination of the medication sheets revealed them generally well completed although there was some exception to this with one crossing out and lack of organisation within them meaning that it was difficult to identify some sheets. The registered manager is in the process of writing a policy document on medication for Newby Drive with the assistance of the Primary Care Trust which needs to be completed so that best practice is promoted within the home. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust procedures in respect of complaints and protection so that residents are safe. EVIDENCE: The home has a full complaints’ procedure, which is known to the residents of the home showing that Newby Drive is open about its practices. The preinspection questionnaire revealed that since the last inspection there have been three complaints, which have been dealt with thoroughly and recorded in the complaints’ book. Two of the three complaints were fully recorded; the third not so that the outcome could not be fully confirmed nor the timescale involved. Interviews with residents and family members revealed no complaint during the inspection which, again, reflected the positive views collected during the inspection. An interview with the registered manager confirmed that the home is using Knowsley Council’s policy on the protection of vulnerable adults which is good practice as it ensures a consistency of approach to any such incident. An examination of training records and interviews with staff confirmed that they are being trained in procedures through the local authority so that staff will be equipped to deal with any such incident. The home has not had any recent issues of this nature but the registered manager appeared confident about the Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 17 home’s ability to manage any such situation. The home does have full policies to protect residents’ money and personal property so that they can have confidence in the safety of their possessions. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Newby Drive is an appropriate facility for the care of residents in a comfortable and hygienic environment. EVIDENCE: The pre-inspection questionnaire confirmed that since the last inspection the premises have been improved by the decoration of all rooms and by the installation of new showers so that standards of the premises are maintained. Residents spoken to were happy with these developments and indeed with the premises as a whole so that they felt comfortable in their surroundings. A tour of the premises found them suitable for their purpose and appropriate for the care of residents. Family members interviewed were happy with the accommodation for their daughter, which they found of a good standard. Residents were prepared to show their bedrooms and, although one was very Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 19 untidy, overall they were well furnished and comfortable. The premises are protected by appropriate security to enhance the safety of residents. The outside grounds are well kept and there are good areas for the use of residents so that they can have individual space. The home has a specialist respite facility which is separate from other parts of the home and, again, it is well furnished and decorated and provides individual space for residents. The home is well sited to provide access to local facilities and is unobtrusive in appearance so that it does not attract unnecessary attention to itself. A tour of the premises found them clean and hygienic for the care of residents. The home has laminated floors throughout which assists in maintaining cleanliness and has had a significant effect in improving the appearance of the home. Laundry facilities are appropriately sited throughout the building as are appropriate washing machines although the home does not have specialist cleaning staff. Resource workers are maintaining a good standard of hygiene, although the effect of smoking by residents is particularly noticeable in the conservatory so that this area is less attractive than other parts of the building. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 20 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): 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home recruits, trains and supports its staff to a good level so that they are confident in their work. EVIDENCE: An examination of staff files confirmed that thorough recruitment procedures are in place to ensure the safety of residents. Files showed full application forms, written references and police checks confirming a robust process. One file only had one reference but the member of staff had been recruited prior to the introduction of these standards and an interview with the registered manager confirmed that two references are now taken in all cases. The files included verification of identity, job descriptions and job specifications, which further confirmed the appropriate approach to recruitment. The home has an Equal Opportunities and Diversity Report, dated 2006, which shows that these issues are considered in the area of recruitment as well as in other matters. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 21 Personal Service Society has a full training plan, details of which were sent with the pre-inspection questionnaire and confirmed a thorough programme of training for staff. During the site visit, documentary evidence was seen of a monthly programme of training events for staff, which again, showed that training is being promoted extensively within the service. An examination of the induction programme undertaken by staff found it extensive and appropriate and included shadowing of staff, an instance of which was taking place during the inspection and confirmed the appropriateness of the procedure. An examination of staff training records showed that staff are being regularly trained in mandatory subjects as well as other subjects. Interviews with staff found they thought themselves well trained both in mandatory and additional courses so that they had the skills necessary for their work. All staff have taken recent medication training and training in risk assessments is being arranged to further enhance staff skills. The home currently has 65 of its staff vocationally trained which, again, means that training is being actively promoted. Residents interviewed were highly complimentary about staff and comments included, “staff are brilliant” and “staff are great, all of them”. An interview with the deputy manager confirmed that the home has a standard of formally supervising staff at a six to eight week interval. An examination of supervision records showed that this did happen in the majority of cases but not in all. An interview with staff members showed they felt themselves well supported in the home so that they could seek held where required. Documents showed that all staff receive an annual appraisal to review progress and to identify developmental areas. The home has very regular meetings of seniors, of staff and at unit level, confirmed by minutes seen, which means that the levels of communication are good. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, consults residents regularly and is a safe environment so that it is an appropriate facility for the care of its residents. EVIDENCE: An interview with the registered manager confirmed that she is undertaking her role well and is continuing to seek to improve the performance of the home. She has proved active in responding to requirements of reports on Newby Drive and welcomes external monitoring to improve performance. Evidence from minutes of staff meetings showed that information is being imparted regularly and that the home is being directed positively. Interviews Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 23 with staff members confirmed that they are clear about the direction of Newby Drive so that the home continues to maintain its standards of care. An interview with the registered manager showed that the home is using elements of a quality assurance system. The home has questionnaires dating from 2005 of residents’ views although these need to be updated so that current residents’ views are known. Newby Drive has an Annual Development Plan dated 2006, which is detailed in setting goals and reviewing the progress of the home. Minutes of residents’ meetings seen showed that they take place regularly and are focused on getting residents’ views to reinforce the work. In addition the registered manager could show that she has been positive in the response to reports on the home. A tour of the premises found it a safe environment for staff and residents alike. The home has full policies and procedures for the protection of both. The home has full certificates for utilities including water to further protect users of the premises. Documents seen include monthly risk assessments of the premises to reduce hazards. Records showed that staff regularly check fridge and water temperatures although there were some gaps. A check of the water temperatures found them correct and the fire book was correctly completed which both reinforced safe working practices. A check of the induction programme for staff showed it included health and safety matters, as does the mandatory training undertaken regularly by staff so that health and safety remains a priority in the home. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 24 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 4 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A 3 2 X 3 X 2 X X 4 X Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 YA20 Regulation 13(2) Requirement The registered manager to ensure there is a policy document for the administration of medicines so that there is a consistent approach to good practice in this area. The registered manager to review the formal supervision arrangements to ensure there is uniformity of support for staff. Timescale for action 01/06/07 2. YA36 18(2) 01/06/07 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. 2. 3. 4. Refer to Standard YA6 YA17 YA18 YA39 Good Practice Recommendations The registered manager to ensure that all care plans are signed by residents where possible. The registered manager to ensure that all food consumed by residents is recorded. The registered manager to remind residents of their key worker. The registered manager to arrange another questionnaire of residents’ views. Newby Drive Residential Care Home DS0000021471.V325647.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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