Inspection on 21/07/08 for Newgate Street, 67

This inspection was carried out on 21st July 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newgate Street, 67 03/07/07

Newgate Street, 67 06/07/06

Newgate Street, 67 23/02/06

Newgate Street, 67 19/08/05

Newgate Street, 67 13/12/04

Newgate Street, 67 14/09/04

Newgate Street, 67 25/03/04

Similar services:

Craigmore House

1 Lanark Close

22 Sandown Road

The Highlands

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 08/11/2008.

CARE HOME ADULTS 18-65 Newgate Street, 67 67 Newgate Street Morpeth Northumberland NE61 1AY Lead Inspector Anne Brown Key Unannounced Inspection 21st July 2008 10:30 Newgate Street, 67 DS0000000562.V368781.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 Newgate Street, 67 DS0000000562.V368781.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. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newgate Street, 67 Address 67 Newgate Street Morpeth Northumberland NE61 1AY 01670 512482 01670 512482 gm.e.ntawnt.newgate@nhs.net 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) Northumberland, Tyne & Wear NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd July 2007 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, but not nursing care. It is a two-storey terraced house in the centre of Morpeth, close to all facilities and transport networks. There are three single bedrooms on the first floor and two lounges and a dining kitchen downstairs. There is no lift available to the first floor. There is a small garden and patio area to the rear of the premises. The fees range from £949.17p to £1037.66p. Inspection reports and information about the home are readily available. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 3rd July 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives. The visit • An unannounced visit was made on 21st July 2008. During the visit we: • • • • • • • • Talked to the manager and the staff member on duty. Talked to one person using the service. Observed the interaction between the staff and the people using the service. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure they were clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the manager of the home what we found. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager has updated the statement of purpose to include pictures so the people using the service find it easier to understand. One person living in the Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 7 home who was present during the inspection said he had been helping to choose the pictures to include in this document. The manager has now submitted an application to become registered with the Commission. 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. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 8 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 Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 9 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): 1 and 2. Quality in this outcome area is good. The needs and wishes of each person who lives in the home have been assessed. This helps to ensure that staff can provide the people with the care and support they require. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has updated the statement of purpose to include pictures so the people using the service find it easier to understand. One person living in the home who was present during the inspection said he had been helping to choose the pictures to include in this document. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 10 The home conducts a thorough pre-admission assessment. This includes obtaining the Care Management Assessment and information is sought from carers/relatives and relevant health care professionals. The assessments address all aspects of the people’s lives. No admissions have been made to the home since the last inspection. Assessments are reviewed on a regular basis. Care managers and other interested parties are involved in this process. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 11 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. The care plans give information to staff to help ensure that individual needs are met. The people who live at the home get personal support and staff make sure that their privacy, dignity and independence are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans contain detailed information to help ensure needs are met and look at all areas of the person’s life. Comprehensive guidelines, completed by relevant professionals, are in place to deal with the individual needs of the people who live in the home. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 12 The manager said that a care manager was visiting the home the following day to review one person’s care plan. The staff understand the importance of the people living in the home making decisions in their lives and encourage them to make personal choices. Risk assessments are in place to address safety issues and also enable people to have a better quality of life. Where limitations are in place, the decision has been discussed and is recorded. The manager has knowledge of equality and diversity issues and these are carefully considered when writing the care plans. Staff have monthly meetings with the people living in the home to discuss any issues they may have. They are consulted daily about the day-to-day running of the home. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 13 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. The people living in the home are encouraged to mix with people in the local community and are well supported to participate in activities of their choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the people living in the home attend day placements for part of the week. One person was present during the inspection as it was his day off. He said he had been helping to clean his bedroom and change his bed linen. He also said he had been shopping earlier that morning. The people living in the home enjoy a variety of activities, which include visiting shopping centres, cinema, concerts, watching football, ten-pin bowling and meals out. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 14 One person has a season ticket for Newcastle United Football Team. Another person has their name on the waiting list and was hoping to get a ticket soon. Two people are able to visit the local shops on their own. The other person said they preferred to go with a staff member. One person had recently enjoyed a holiday in the Lake District. He said it had been good fun even though it had rained some of the time. He had also enjoyed visiting Blackpool. The other two people are booked on a holiday to Spain later in the year. All the people living in the home are going to Sunderland Air Show next weekend. The manager was hoping for good weather so they could have a picnic. The staff assist the people living in the home to keep in touch with their friends and families. The person who was present said he liked his mother and father to visit and enjoyed spending time with them. Menus are varied and alternatives are always available. The people living in the home are able to choose what they would like to eat. Choice was being offered during the inspection. One person requires a gluten free diet. The manager and staff have tried hard to find alternative products, which this person finds tasty. They have now discovered a mail order company who produces foods this person enjoys. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 15 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. The staff monitor and promote the health of the people who live in the home to maintain their well-being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and staff member on duty were aware of the health needs of the people who live at the home. Records showed that their health and well-being is discussed and monitored. If there are concerns about a person’s health, appropriate action is taken. Details of health checks, visits to their GP and hospital appointments are recorded in each individuals file. The staff member on duty and the manager were able to describe how people are provided with personal support when they need it. This is fully recorded and the records showed that staff have had training in how to care for people with specific needs. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 16 The people living in the home are encouraged to attend to their own personal care needs as much as possible. They also choose their own clothes and hairstyles so their appearance reflects their individuality. A random sample of medication records and the system for storage and handling medications were looked at and found to be appropriate. The manager duty confirmed that all but one member of staff had received adequate training. This person is to attend the training as soon as possible. Risk assessments are carried out to decide whether people can control their own medication. If possible this is encouraged. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 17 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. Complaints are properly dealt with and training in adult protection has been provided for the staff, which helps to protect people from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A satisfactory complaints procedure is in place and is clearly displayed. A copy has been given to all the people living in the home and explained to them. The procedure in also available in a CD format. Complaints are recorded along with the outcome of the investigation. This ensures complaints are dealt with effectively and to the satisfaction of the person making the complaint. No complaints have been received since the last inspection. The manager said the people living in the home had been assisted to make a complaint to the Trust. This was about a car not being available for their use. Transport has now been provided. The manager stated that the staff had undergone training on the protection of vulnerable adults and were soon to be attending a refresher course. The staff member on duty confirmed the training they had received and was well aware Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 18 of the procedure to follow if they suspected abuse. They were also aware of the whistle blowing policy and how to report any concerns about poor practice in the home. A sample of records was examined for money kept on behalf of the people living in the home. Appropriate records, receipts and signatures are retained. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 19 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, 25 and 30. Quality in this outcome area is good. The home is safe and clean and provides a pleasant, comfortable environment for people to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was carried out and all areas of the home were clean and comfortable. All the people who live in the home have their own bedroom. Each room reflects the individual’s personality. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 20 The hall, stairs and landing carpet was showing some signs of wear and tear. The wallpaper was also coming loose and in need of redecorating. The manager was hoping to get some funding for this in the near future. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 21 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): 32, 34, 35 and 36. Quality in this outcome area is good. There are enough staff, who have been properly recruited, trained and supported, to meet the needs of the people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff at the home continue to demonstrate that they have good knowledge of each person’s individual needs and how they should be met. The manager and staff member on duty displayed respect for people living in the home and demonstrated good values and attitudes. There is a staff training programme that includes all statutory training, as well as training in subjects that relate directly to the needs of individuals. The staff on duty confirmed that they felt their training needs were met and discussed on a regular basis. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 22 The manager confirmed that staffing levels are flexible to help ensure that people living in the home can enjoy preferred activities on an individual basis. One member of staff is currently undergoing training to achieve a National Vocational Qualification (NVQ) Level 2. All the other staff employed in the home have achieved this qualification. An appropriate recruitment and selection process is in place. No new staff have been employed since the last inspection. A programme is in place to ensure all staff receive formal supervision. The staff member on duty confirmed they are supervised on a regular basis. Good relationships were observed between the people living in the home, the manager and the staff member on duty. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 23 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. The culture and systems in the home help to ensure that the service is led by the needs and wishes of the people living there, and protects them from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has experience in working with adults with learning disabilities and has applied to become registered with the Commission. The application is currently being processed. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 24 The staff on duty confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the people living there. Minutes of the meetings were available for inspection. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the people living in the home. The staff on duty stated that monitoring visits are made by a senior manager on a monthly basis. This is to check that the people who live there get the care they need and their health, safety and welfare is promoted. The latest reports were not available in the home for inspection. The fire logbook indicated that tests are carried out at the correct intervals. Charts are maintained to record water and fridge/freezer temperatures. The staff on duty confirmed that they receive health and safety training to help protect the safety of themselves and the people living in the home. No unsafe practices were noted during the inspection. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 25 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 3 2 3 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 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 26 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. Standard YA39 Regulation 26 (5) Requirement The registered person must make sure that all copies of the reports from the monitoring visits are available at the home. Timescale for action 30/09/08 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 YA24 Good Practice Recommendations The hall, stairs and landing should be redecorated and provided with new carpet to give people a more pleasant place to live. Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Newgate Street, 67 DS0000000562.V368781.R01.S.doc Version 5.2 Page 28 - 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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