Inspection on 06/07/06 for Newgate Street, 67

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Newgate Street, 67 21/07/08

Newgate Street, 67 03/07/07

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 09/07/2008.

CARE HOME ADULTS 18-65 Newgate Street, 67 67 Newgate Street Morpeth Northumberland NE61 1AY Lead Inspector Anne Brown Key Unannounced Inspection 6 and 12th July 2006 13:30 th DS0000000562.V295082.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 DS0000000562.V295082.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. DS0000000562.V295082.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 newgate@newgate70.wanadoo.co.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) Northumberland, Tyne & Wear NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000562.V295082.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 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 £823.23p to £908.81p. Inspection reports and information about the home are readily available. DS0000000562.V295082.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over five hours. A tour of the premises was carried out and the care records were inspected along with the fire logbook, accident book, complaints records and minutes of meetings held in the home. Discussions were held with the manager and two members of staff. A further visit was made to speak with the service users. Staff files were examined at the Trust’s headquarters. What the service does well: What has improved since the last inspection? The system for ordering medications has been reviewed. Staffing levels have increased to enable service users to access activities of their choice. Formal staff supervision sessions have been brought up to date. DS0000000562.V295082.R01.S.doc Version 5.2 Page 6 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. DS0000000562.V295082.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 DS0000000562.V295082.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are fully assessed prior to moving into the home to ensure their needs will be met. EVIDENCE: Assessments are carried out prior to moving into the home. These are completed by care managers and staff in the home. Service users are visited in their own home or hospital in order to assess their needs. These are also discussed when the service user visits the home. All service users’ files were checked and each included a full needs assessment. DS0000000562.V295082.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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Service users are well supported by staff and the necessary levels of support are provided. Service users are consulted on all aspects of life. Service users are encouraged to lead fulfilled lives and they are well supported by staff to take calculated risks. EVIDENCE: Detailed care plans show the level of care and support that staff need to provide. However they were not written in an accessible format for service users to understand and to have any ownership of them. The manager and staff are in the process of reviewing and updating all care plans. DS0000000562.V295082.R01.S.doc Version 5.2 Page 10 Service users are encouraged to be involved in decision-making and they are encouraged to communicate and make their views known. Meetings are held regularly and their minutes recorded. Risk assessments are carried out and there was evidence to show that the staff support the service users to take risks to encourage independence in their everyday lives. DS0000000562.V295082.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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Staff assist and encourage service users to participate in appropriate activities. Links with the community and opportunities to participate in social and personal development activities are good. Service users are encouraged to keep in touch with family and friends. Service users’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. EVIDENCE: The service users attend a range of activities to suit their individual needs and interests. These include attendance at adult training centre, college courses and Hepscott Park. The staff confirmed that service users are regularly consulted about how they spend their time. DS0000000562.V295082.R01.S.doc Version 5.2 Page 12 The service users confirmed that they are encouraged to choose their own activities. They gave examples of a wide range of activities including Gateway Club, football matches, shopping, meals out and visiting friends and relatives. Until recently one of the service users had access to a car but this is no longer available. One service user has made a complaint to the Trust that there is no car available. He stated he missed going out in the car and did not like getting the bus. The Trust is currently looking into this matter. The staff sometimes hire a car to ensure the service users are able to visit places of their choice. Holidays have been booked for all service users this year. One service user said he was looking forward to going to the Edinburgh Tattoo. Service users are asked their choice of evening meal every morning. The service users confirmed that the food was very good and mealtimes were flexible. They accompany the staff on shopping trips and enjoy ‘take away’ meals of their choice on a regular basis. Records are kept of the food that is served. DS0000000562.V295082.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are given personal support according to their individual needs and preferences. Their physical and emotional health needs are met. An appropriate system is in place for dealing with medications. EVIDENCE: The case records contained relevant individual plans detailing care and support required for individual needs. Records were in place to confirm that service users had seen health professionals when required. Service users are assisted to access dental and optical services at least annually or as often as required. An audit of the system for administering medications was carried out and found to be satisfactory. However the key to the medication cupboard was not held on the person in charge of the home in order to meet the pharmacy guidelines. DS0000000562.V295082.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users feel their views are listened to and acted on. Service users are protected from abuse. EVIDENCE: The home has a complaints procedure in place and a copy is available on each care plan. A service user has been assisted to make a written complaint to the Trust. A procedure for responding to allegations of abuse is available. Staff have received training in Adult Protection and were aware of the whistle blowing policy. DS0000000562.V295082.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The building is comfortable and generally well maintained with good quality furnishings and décor. There is an excellent standard of hygiene. EVIDENCE: The building is full of character and homely. There is ample space for service users to enjoy internally and there is a small garden at the rear. Service users have their own bedrooms that are personalised to their own taste. The stair carpet is threadbare in places which could be a safety hazard. Estimates to replace the carpet are currently being sought. There are adequate laundry facilities in place and staff receive training about infection control. DS0000000562.V295082.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The staff team are competent and well trained to meet the needs of the service users. The staff are well supported and supervised. Service users are protected by the home’s recruitment policy. EVIDENCE: Two members of staff are on duty during the day to ensure service users can access activities of their choice. Three members of staff have achieved NVQ Level 2 or above. Mandatory health and safety training is updated on a regular basis. The staff confirmed that training is readily available to ensure they are competent to carry out their jobs. DS0000000562.V295082.R01.S.doc Version 5.2 Page 17 The manager has produced a programme to ensure staff receive supervision on a regular basis. The staff on duty confirmed that they receive formal supervision sessions. The staff files examined confirmed that Criminal Records Bureau checks had been carried out and two written references obtained. DS0000000562.V295082.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Service users are fully involved and at the heart of decision making in their own lives and involved in the running of the home. Systems and procedures are in place to ensure the well running of the home and to ensure the safety of service users and staff. EVIDENCE: Service users meetings take place on a regular basis. Minutes were available for inspection. The service users confirmed that they are asked their opinions on the running of the home. There is a system in place to ensure that the staff are trained in moving and handling skills, fire safety, first aid, infection control and food hygiene. The fire logbook indicated that tests are carried out at the correct intervals. DS0000000562.V295082.R01.S.doc Version 5.2 Page 19 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 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 X 23 X ENVIRONMENT Standard No Score 24 2 25 X 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 2 3 X 3 3 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 2 X 3 X 3 X X 3 X DS0000000562.V295082.R01.S.doc Version 5.2 Page 20 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 YA20 Regulation 13(2) Requirement The key to the medication cupboard must be kept on the person in charge of the home at all times. New stair carpet must be provided. Timescale for action 12/07/06 2. YA24 23(2)(b) 31/08/06 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 YA6 Good Practice Recommendations Care plans to be in an accessible format for all service users to understand. DS0000000562.V295082.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000562.V295082.R01.S.doc Version 5.2 Page 22 - 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. 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