Inspection on 25/05/05 for Newhaven

This inspection was carried out on 25th May 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

Newhaven 03/09/08

Newhaven 17/10/07

Newhaven 29/11/06

Newhaven 07/03/06

Newhaven 20/12/04

Newhaven 01/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Newhaven Church Lane Boroughbridge North Yorkshire Postcode Lead Inspector Maggie Coxon Unannounced 25 May 2005 10:00 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. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service New Haven Address New Haven Church Lane Boroughbridge North Yorkshire YO51 9BA 01423 325053 01423 325053 N/A St Annes Community Services 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) Mrs Anne Marie Black Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 Service Users with Learning Disabilities some or all of whom may also have Physical Disabilities Date of last inspection 20/12/04 Brief Description of the Service: Newhaven is a care home registered by St Annes Community Services to provide personal care and accommodation for up to five service users with learning disabilities some or all of whom may also have physical disabilities. The home consists of a two storey detached property home located on a quiet road in the town of Boroughbridge, which offers a wide range of public amenities including shops, churches and pubs. each of the five bedrooms is for single accommodation, none of which has en-suite facilities. The home has a well-maintained garden to the rear and hard standing for parking to the front and there is ramped access. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 25th March 2005, at a time when all of the people living in the home would be present. It took 4.5 hours plus 2 hours preparation time. Discussions were held with the five people currently living in the home, with relatives of one of the residents, with the care staff on duty and with the acting manager. A number of records were looked at and most areas of the home including bedrooms and shared areas were seen. What the service does well: What has improved since the last inspection? More work has been done to improve communication between staff and residents and to assist residents to communicate their views and wishes and to be more independent. This has been done through the introduction of picture boards in various areas of the home and through increased discussions with residents’ families. The environment has been improved in several ways. Recruitment procedures have been improved. Staffing levels have been raised to meet the residents’ increasing needs. The acting manager has been given a job description fitting to her current role. The knowledge and understanding of the staff and manager have been strengthened through all staff having undertaken more training. NVQ students have been given study time. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 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. Newhaven J53 JO4 S7873 Newhaven V227180 250505 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 Newhaven J53 JO4 S7873 Newhaven V227180 250505 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) None. EVIDENCE: Newhaven J53 JO4 S7873 Newhaven V227180 250505 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 and 9. People living in the home make as many decisions and choices as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Every resident has a well-detailed individual life plan which clearly describes his strengths and needs and informs how these needs are to be met. The family of one of the residents explained that they are invited to attend their relative’s reviews and talked of the progress that their relative has made in his personal development since moving to live at Newhaven. A lot of work has been done to consult with residents and to enable them to be as involved in the running of the home as possible. They are also supported to make independent decisions wherever possible and to take responsible risks subject to a risk assessment, which is recorded in their care plan. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 10 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) 12,13,14,15,16 and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. EVIDENCE: Each resident has a weekly programme of varied activities, some organized by the home others accessed through a local day centre and other community based facilities. The staff team is keen to identify new activities that the residents might enjoy and all the residents have active lives within their local community supported by a committed staff team. They can choose from a number of activities and outings organized on a daily basis and are as involved in the running of the home as much as possible. This includes regular food shopping with support from staff. This means that residents have a big say in what meals are made. One of the goals in the home’s mini plan is to get residents more involved in choosing meals. Residents are offered a choice of food at each meal and special diets are catered for. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 11 Staff were seen to communicate well with residents and to respect their rights, they did not go into individuals’ bedrooms without their permission. Residents develop and maintain relationships with families and friends. Some residents visit their families with the assistance of staff and the family members of one resident who visited on the day of the inspection said that they are always made very welcome and are kept informed about the wellbeing of their relative. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 12 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) 18,19,20 and 21. Residents’ personal and health care needs are fully met. EVIDENCE: All of the people living in the home are registered with a local GP through whom specialist health services are accessed as and when needed. The acting manager and staff team work closely with health care professionals to ensure that the residents get any support they might need. Further work has been done with families to make arrangements for residents in the event of the resident’s death. Staff were seen to support residents with their personal care needs in a way that respected the individual’s dignity. A male member of staff had recently been appointed as acting deputy manager, he is the only male staff member. He and the acting manager explained that his appointment gives residents a choice, at certain times, about whether they are supported with personal care tasks by a man or a woman. None of the residents is able to take their own medication. There is a monitored dosage system in operation, which is securely stored. Medication administration records are well maintained. The acting manager explained that several staff have received some medication training, others have had none so far. The acting manager explained that she understands the organization to be arranging appropriate training for all staff. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 13 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. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: There is a comprehensive complaints procedure in operation that is available in various formats and is made available to anyone who wishes to see it. Whilst the residents might not use the formal procedure, they can all make any dissatisfaction known to staff, who attempt to address this promptly and appropriately. Staff have developed very good relationships with the residents and were seen to communicate extremely well with them. One complaint had been made to the home within the last twelve months. The acting manager had addressed this promptly and appropriately. No complaints have been made to the C.S.C.I. within the last twelve months. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 14 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) 24,25,26,27,28,29 and 30. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is generally well maintained. One improvement made in response to the last inspection report is the installation of a new gas boiler in the kitchen. It had been previously identified that a larger radiator was needed in one bedroom; the acting manager explained that this was due to be fitted within the next two weeks. Other improvements recently made include new units and cupboards in the kitchen, a new carpet in one room and new soft furnishings in others. The external doors were in the process of being repainted. All five bedrooms are for single accommodation, three on the ground floor two on the first. All are of a suitable size. There is a bathroom on both floors, one of which has an assisted bath. Appropriate aids and adaptations are fitted throughout the home and there is ramped access to the home. A good standard of cleanliness is maintained throughout. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 15 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 and 35. The residents receive a good standard of care from a highly skilled and motivated staff team. EVIDENCE: Appropriate recruitment procedures were being followed thereby safeguarding the wellbeing of residents. An acting manager has recently been appointed; this appointment gives the staff team a gender mix. The acting manager explained that despite his appointment and the recent appointment of a residential care officer, the home still has a staffing shortfall of 68.5 hours. Vacant posts were being recruited to with resident involvement and the hours were being covered by the staff team working additional hours and by a small, regular group of agency staff. The staffing roster for the week including the inspection shows that, despite staff shortages, staffing levels have been increased since the last inspection. The assistant manager explained that she had increased the number of staff on duty during the day and on evenings where possible, because the needs of the residents had increased substantially. This means that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of the residents are met at all times. The acting manager confirmed that it is Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 16 important that these higher staffing levels be maintained and increased still further should the needs of the residents so demand. A recently appointed residential care officer explained that she had completed the induction, foundation and LDAF training and was soon to undertake further training related to meeting the needs of the residents. After this she is going to enrol to study for a NVQ. Two of the care staff have completed their NVQs in care to level 3 and two more are working hard towards achieving theirs. The acting manager explained that she allocates NVQ students study time whenever possible. Again this has some impact on staffing hours but it is a very positive and practical way of supporting staff to become better qualified. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 17 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) 37,38,39 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The acting manager has been managing the home for several months now and is gaining considerable management experience. She has completed a NVQ to level 3. It was evident that the residents have developed very good relationships with her and several staff and relatives said that she is a very approachable manager. Relatives said that she is very helpful and professional and staff said that she has good management and leadership qualities. They also said that she is very supportive. St Annes Community Services has a quality assurance and monitoring system in place that includes regular unannounced visits by the service manager to check on quality issues. It has previously been recommended that this system be further developed to include ascertaining the views of people who have Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 18 contact with the home. The acting manager explained that that has sent out comment cards to relatives some of which have been completed and returned. She also said that she understood the organization to be looking at various quality assurance models with a view to implementing one of them. Comprehensive systems and procedures to ensure the safety and wellbeing of residents are in place within the home. These include regular health and safety checks of the premises and of equipment. Fire Safety systems and equipment were being regularly tested. All staff had recently been given fire safety training and in the case of the most recently employed residential care officer; she had been given this training during her induction to the home. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 2 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newhaven Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 3 x J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 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 Regulation None. Requirement Timescale for action 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 20 32 33 39 Good Practice Recommendations All staff involved in the administration of medication should be appropriately trained. A minimum of 50 of care staff should be trained to NVQ level 2 or above. Current staffing levels should be maintained and increased should the needs of the residents so demand. The views of health and social care professionals and other individuals involved with the home, as to the quality of services provided within the home, should be ascertained and incorporated into the quality assurance system currently in operation. Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Newhaven J53 JO4 S7873 Newhaven V227180 250505 Stage 4.doc Version 1.30 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. 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