Inspection on 19/08/05 for Newgate Street, 67

This inspection was carried out on 19th August 2005.

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

Newgate Street, 67 21/07/08

Newgate Street, 67 03/07/07

Newgate Street, 67 06/07/06

Newgate Street, 67 23/02/06

Newgate Street, 67 13/12/04

Newgate Street, 67 14/09/04

Newgate Street, 67 25/03/04

Similar services:

Craigmore House

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22 Sandown Road

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Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

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

CARE HOME ADULTS 18-65 67 Newgate Street Morpeth Northumberland NE61 1AY Lead Inspector Karena M. Reed Unannounced 19th August 2005 12:30 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. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 67 Newgate Street Address Morpeth Northumberland NE61 1AY 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) 01670 512482 01670 512482 newgatemorpeth@fsmail.net Northate & Prudhoe NHS Trust Mrs Marilyn Hay CRH 3 Category(ies) of LD Learning Disability (3) registration, with number of places 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13-12-2004 Brief Description of the Service: 67, Newgate Street is a small residential care home offering accommodation for three male adults with learning disabilities. It is registered to provide personal care, it is not registered to provide nursing care. It is a two storey terraced house situated in the centre of Morpeth close to all its facilities and transport networks. Access to the floor is by a staircase , a passenger lift is not available. The home is u The property consists of three single bedrooms plus staff sleep in room, two lounges and a dining kitchen. There is a garden and small patio area to the rear of the house. There are no car parking facilities currently. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one and a half hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 3 care plans, 2 staff files, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records. The manager was spoken to during the inspection. Two carers came in during the inspection. What the service does well: What has improved since the last inspection? What they could do better: To update the care plans three monthly. To make care plans in an accessible format, other than the written word so service users may have ownership of them and understand them more easily. Thought to be given to carrying out risk assessments to further promote the independence of some service users so they may go to bed themselves after the member of staff on duty has retired for the night . To further promote the independence and involvement in their daily living by enabling service user to have access to their own bank accounts by the provision of personal banking facilities eg bank cash cards. To carry out visual checks of the emergency lights and fire extinguishers within the prescribed time scales. To ensure the wires in the identified bedroom are not trailing and are untangled in order to prevent a risk to health and safety. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 6 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. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 The home receives detailed information when a referral is made. The information assists the staff to carry out their detailed assessment prior to agreeing to admit people into the home to ensure that the staff can meet their needs. There is a very detailed training programme to ensure that staff are equipped with the necessary skills in order to meet the needs of the service users. EVIDENCE: Inspection of records for three service users showed that full assessments had been carried out prior to their admission. The records for a recently admitted service user confirmed that they had visited the service before being admitted. Records maintained they were well cared for and supported by staff, they enjoyed going on trips and visits to the town centre. Staffing records showed that staff receive training to assist them to meet the various needs of the service users as individually as possible. New support workers follow the Learning Disability Awareness Framework as part of their induction. Other training includes the necessary statutory training, values and attitudes, communication, feeding and nutrition, team building, risk assessment, record keeping, person centred planning, anger management, challenging behaviour, conflict awareness, etc. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 There are good arrangements in place to ensure that residents’ health and social care needs are met. Health and social care needs are clearly addressed and the staff team are fully informed. Service users are well supported by staff and the necessary levels of support are provided due to the detail of the care plans that show the level of care and support that staff need to provide. Comprehensive risk assessments are carried out to assist service users to lead as fulfilled lives as possible and they are well supported by staff to take calculated risks as necessary. Service users are encouraged to be involved in decision making and they are encouraged to communicate and make their views known other than verbally. EVIDENCE: Records of a recent admission showed that an assessment had been carried out prior to their admission. Information was also received from the care manager’s assessment of the resident’s care needs. The resulting care plan recorded detailed information about the health and medical needs of the service user and the amount of staff intervention required in order to provide support. Service users care and support needs were then reviewed by staff and the service user six monthly in case their care and support needs had changed 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 10 The manager was advised the updating of the care plan should take place at least three monthly or whenever a service user’s needs changed. Care plans were written but were not necessarily in an accessible format for service users to understand and to have any ownership of them. Risk assessments were available on files to promote the independence of service users and to enable them to lead as fulfilled lives as possible. Meetings are held weekly with service users about the running of the home. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 The Home encourages and provides good support to enable service users to use and take part in community facilities wherever possible eg leisure, health, spiritual, social, educational needs. Social activities are managed creatively and provide daily variation and interest for people living in the home. Visitors are made welcome or staff support residents to maintain contact with family and friends as they wish. EVIDENCE: Service users care records showed that, service users, whatever their level of need are assisted to enjoy a more independent lifestyle. Staff assist and support service users to learn skills and become more self sufficient in aspects of every day living. Service users all pursue their own individual hobbies and interests e.g College, sports club, bowling, football, swimming, attending concerts, shopping etc. There was also a wide range of activities and entertainment available to choose from if service users wished to take part. Service users have the opportunity to take holidays or enjoy outings supported by staff as required recent outings included: Eden camp, Berwick tattoo, 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 12 visiting the local coast and country side, service users had enjoyed a holiday at an Oasis centre this summer. Records provided evidence that all service users are consulted and asked their opinion and encouraged to make decisions. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 13 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) 18,19 There are excellent arrangements in place to ensure that residents’ health care needs are met. Care plans outline the needs to ensure that the staff team are fully informed and aware of the support they need to provide. The medication system was not examined at this inspection. EVIDENCE: The care plans and case records inspected contained relevant individual plans of care detailing care and support required for individual needs. Records showed when service users had seen health professionals eg doctors, community nurses, etc. Service users are assisted to access dental and optical services at least annually or as often as required. Staff receive medication training before they administer medication . 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 14 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) 22,23 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. The home’s management team have a sound grasp of Protection of Vulnerable procedures. EVIDENCE: The home has a complaints procedure. There have been no complaints about the home since the last inspection. A procedure for responding to allegations of abuse is available. Staff have received training in Adult Protection. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 15 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) 24,25,26,27,28,30 The building is comfortable and well maintained with good quality furnishings and décor. The building is full of character and homely and there is ample space for service users to enjoy internally and there is a small garden externally. There is an excellent standard of hygiene. EVIDENCE: Service users have their own bedrooms . Service users bedrooms are personalized to their own taste. There are an adequate number of bathrooms and lavatories around the home. There are adequate laundry facilities in place and staff receive training about infection control. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 16 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) 31,32,33,34,35 Good staffing levels are maintained which means that there are enough staff on duty to meet the needs of service users. There is a varied training programme that ensures the staff have understanding of the service users support needs. Staff receive a thorough grounding in the areas they need to know to provide good care to service users and enhance their own personal development . EVIDENCE: The home is staffed as follows: 8.30am- 9.00pm 2 9.00 pm- 8.30am 1 There is a senior staff member on each shift. These staff members also carry out food preparation and cleaning duties. The necessary checks are being carried out prior to the workers being appointed. There is one vacancy currently. Staff receive induction training. Where new inexperienced staff are employed, they work as an extra member of the shift, which is good practice. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 17 Several of the care staff team have now achieved National Vocational Qualifications at level 2 and 3. Staff confirmed that they also receive advice and /or training in other areas, such as efficient communication, basic learning disabilities, epilepsy, diabetes awareness, mental health, risk assessment and statutory training, etc . 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 18 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) 37,38,40,41,42 Service users and staff benefit from a well run home. The manager’s leadership and management approach ensures that service users are fully involved and at the heart of decision making in their own lives and involved in the running of the home. Record keeping showed that service users’ interests are safeguarded. Systems and procedures are in place to ensure the well running of the home and to ensure the safety of residents and staff. EVIDENCE: The manager Mrs Marilyn Hay became manager of the home in June 2005. She has several years experience working with adults with learning disabilities. She expects to complete her Registered Manager’s Award in 2005. Service users meetings and staff meetings take place regularly. There is a system in place to ensure that the staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene. The fire log book indicated that fire safety checks are carried out routinely apart from the visual checks for emergency lights and fire extinguishers were 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 19 not carried out within the prescribed frequency., the last recording was 6-62005. Systems were in place for the maintenance of service users financial records. A discussion took place about them having access to their bank accounts and being enabled to withdraw money themselves with the support of staff as necessary. A service user’s bedroom had a trailing wire leading from the wardrobe and several tangled wires at the back of some electrical appliances. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 20 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 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 4 Standard No 11 12 13 14 15 16 17 3 4 4 4 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 67 Newgate Street Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 2 2 3 B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 21 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. 1. 2. Standard 42 41 Regulation 13(4)c 23(4cv) Requirement To remove the trailing wires and untangle the wires in the identified bedroom. To carry out visual checks of emergency lights and fire extinguishers within prescribed frequency. To update careplans at least at three monthly intervals and make it accessible to the servic e user. Timescale for action 19-8-2005 19-8-2005 3. 6 15(2)(a)( b) 19-102005 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. Refer to Standard 9 Good Practice Recommendations To carry out risk assessments about service users having access to their finances in their bank accounts and about going to bed after member of staff has retired for the night. 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 22 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 67 Newgate Street B53-B03 S562 67 Newgate Street V232180 190805 Stage 4.doc Version 1.30 Page 23 - 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. 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