Random inspection report
Care homes for older people
Name: Address: Newfield Nursing Home 1 Cat Lane Gleadless Sheffield South Yorkshire S2 3AY two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sue Turner Date: 1 7 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Newfield Nursing Home 1 Cat Lane Gleadless Sheffield South Yorkshire S2 3AY 01142508688 01142585162 None www.palmsrow.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Palms Row Health Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 60 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Newfield Nursing Home is a purpose built two storey home providing nursing care for up to sixty older people. All areas of the home are accessible by a passenger lift. A variety of communal space is available, a large dining room, lounges, library room and kitchenette are provided. There are 50 single and 5 double rooms, all with en-suite toilet facilities. The homes main kitchen and laundry are sited on the ground floor. Sufficient bathing facilities are provided; aids and adaptations are available to aid mobility and independence. The home is situated in the Heeley/Newfield Green area of Sheffield and is close to shops and public transport. The gardens are landscaped and
Care Homes for Older People Page 2 of 11 Brief description of the care home outside patio areas are easily accessible. There is a small car park. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall and peoples bedrooms. The service also had a very detailed Statement of Purpose/Service User Guide, which was available to relatives and anyone considering living at the home. The range of monthly fees can be obtained by contacting the manager at the home. Care Homes for Older People Page 3 of 11 What we found:
This random unannounced inspection was carried out following the serious incident meeting that was held on the 29th July 2009. The serious incident meeting was arranged so that two incidents that were of an adult safeguarding nature could be discussed with all relevant people. Sue Turner, Regulation Inspector and Chris Taylor, Enforcement Inspector carried out the visit.The site visit started at 9:30 am and finished at 4:30 pm. Nicola Richards, Operations Director and Karen Mullins, Business Manager were present for the visit. Verbal feedback was given to Nicola Richards and Karen Mullins at the end of the site visit. The reason for this inspection was to check out peoples well being and the outcome is as follows: Care Plans We looked at three peoples care plans. Care plans showed that people received visits from health care professionals. Care plans seen contained information on aspects of personal, social and health care needs. There was evidence to show that care plans were reviewed monthly. Each month staff had signed and dated a care plan review form. However the care plan had not always been updated to reflect peoples changing needs and current objectives. This meant that it was difficult to understand what the persons present care and support needs were. This could result in people not being cared for according to their preferences and wishes. Care plans consisted of separate sheets of paper, each identifying a care or support need. These identified what staff needed to do to ensure that peoples needs were met. We found that some information was out of date and some information contradicted information in other parts of the care plan. We also found that information regarding peoples health needs was not fully recorded, which could result in peoples health needs not being met. Staff completed daily records at the end of each shift. Those seen related to the care plans. We saw that some relatives had been involved and contributed to care plans, others had chosen not to be involved and this was recorded. Risk Assessments Risk assessments were seen in peoples care plans. These had been completed when an area of concern had been identified for a person. Risk assessments seen did not highlight what precautions had been put in place to reduce or prevent the person being put at risk. One example of this was a person who was known to become anxious and agitated if they were not given a cigarette. The risk assessment did not give details about how this should be managed or when/if the person could be given a cigarette. There were not clear recorded actions to be taken around potential risks associated with the behaviour of a service user smoking. Staff Training We looked at the training records for four members of staff. Each person had their own individual training record, which displayed some certificates and listed the training they had undertaken each year. There was also a training matrix that listed staff and the dates
Care Homes for Older People Page 4 of 11 they had completed training in mandatory topics and other additional subjects. The matrix wasnt very clear and it was difficult to establish if all staff had completed mandatory training. The deputy care manager was responsible for arranging training. When we sat with her and looked at the matrix it was evident that she wasnt able to ascertain which staff had not fully completed their training. On closer inspection we established that some staff had not received updated and refresher training in moving and handling and health and safety. During the site visit we walked around the home, spoke to people and staff and made observations. We saw that people were being moved around the home in wheelchairs, that didnt have footplates in situ, which posed a potential risk to their health and safety. Some staff had undertaken specialised training in topics such as taking blood. We found that staff were not always provided with certificates to confirm that they had completed the training and were deemed competent to carry out specialised procedures. The operations director said that they had employed a person who had the sole responsibility of keeping staff training and staff training records up to date. The person would work with the home and its two sister homes to ensure that staff training was not being missed. The person employed was in the home on the day of the site visit and the deputy manager was handing over training information to her. Policies and Procedures We asked to see the homes policies and procedures. There was a policy manual that had a significant number of policies and procedures relating to different situations. There was no policy or procedure that gave details about staff taking blood. This meant that staff who were trained to take blood did not know, for example, when they should have updated and refresher training. General Observations During the day of the site visit we walked around the home, spoke to people and staff and made observations. We saw that people were left to sit in wheelchairs in the lounges, rather than being transferred to an easy chair. Two people told us they were uncomfortable. At lunchtime 30 people were in the dining room. Only 3 people were sitting in dining room chairs. One person was in a comfortable mobile chair, however the majority of people remained in their wheelchairs. We saw two people sitting in their wheelchairs in a lounge that had the door closed. They were out of sight of the staff, as there were no windows or glass in the door that looked out onto the corridor. When we asked staff about this we were told that the door to the lounge was normally wedged open. A notice on the door stated Fire door must be kept shut. The operations director said that they had spoken to the fire officer who had said that the door could be wedged open when people were inside. We advised the operations director to confirm this with the fire officer and ask if the sign could then be removed from the door. Alternatively we suggested that a door closure could be fitted to the door that would close automatically when the fire alarm sounds. The bathroom on the ground floor had a door with a lock that could be used from either side. Also on the inside of the door was a bolt. We advised that the bolt should be removed so that no one would be able to lock themselves in the bathroom and staff not being able to get to them, in an emergency. The operations director said they would remove the bolt straight away.
Care Homes for Older People Page 5 of 11 Throughout the morning of the visit there was an unpleasant odour around the home. At times this lifted but never completely went away. The business manager acknowledged that there were problems with odour at some points of the day, but they were trying to ensure that the home was kept fresh smelling. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 33 26 Copies of the monthly report 21/04/2008 completed by the providers representative must be kept in the home. This requirement was not checked at this inspection. New timescale 30/10/09. Care Homes for Older People Page 7 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 When peoples care needs change, as soon as practicable, their care plan must be reviewed and updated. So that peoples changing needs and current objectives are met. 30/10/2009 2 7 15 Care plans must contain sufficient detail to ensure that people receive a consistent high standard of care. So that peoples health, emotional, personal and social care needs are maintained and promoted. 30/10/2009 3 30 18 Staff must be provided with training appropriate to the work they are to perform, with particular regard given to moving and handling and health and safety. So that staff are competent and confident to carry out their work role. 30/10/2009 Care Homes for Older People Page 8 of 11 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 4 37 17 Records maintained in the home must be accurate and kept up to date. Particular regard must be given to risk assessments, care plans, policies and procedures and staff training records. So that people are protected by the homes effective and efficient record keeping. 30/10/2009 5 38 13 The lock on the inside of the 30/10/2009 ground floor bathroom must be removed. This will prevent anyone from locking themselves in the bathroom and staff not being able to get to them if necessary, in an emergency. So that peoples health, safety and welfare is not put at risk. 6 38 13 Contact must be made with the fire officer to establish if it is safe to wedge open the lounge door, whilst people are sitting in there. The advice given by the fire officer must then be actioned. So that peoples health, safety and welfare is not put at risk. 30/10/2009 7 38 13 Where a risk has been 30/10/2009 identified, there must be an up to date risk assessment that has given particular attention to how the risk can be reduced or eliminated.
Page 9 of 11 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action So that people are protected from harm. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 10 People should be transferred into more comfortable seating, whilst they are sitting in lounges, their bedrooms and the dining room. The cause of the unpleasent odour in the home should be investigated and then action taken to eliminate this. So that people can benefit from living in an odour free environment. Staff should be provided with certificates/evidence that confirms they have completed training and are competent to carry out specialised procedures. There should be an easy to understand training record, which details the training that each member of staff has completed. This should also clearly show what training each member of staff needs to complete. 2 19 3 30 4 37 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
