Inspection on 07/03/06 for Newhaven

This inspection was carried out on 7th March 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 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 25/05/05

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 YO51 9BA Lead Inspector Mrs Maggie Coxon Unannounced Inspection 7th March 2006 2.30 Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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 Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newhaven Address Church Lane Boroughbridge North Yorkshire YO51 9BA 01423 325053 01423 325053 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) St Anne`s Community Services Mrs Anne Marie Black Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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 25th May 2005 Date of last inspection 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 who 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 wellmaintained garden to the rear, hard standing for parking to the front and there is ramped access. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second to be undertaken between April 2005 and March 2006. It was done on 7th March 2006, at a time when all of the people living in the home would be present. It took 1.5 hours plus 1 hour’s preparation time. Any key standards not assessed during this inspection have been assessed at the last inspection and reported on in the subsequently published report. Some discussion was held with all five people currently living in the home. Discussions were also held with the deputy manager and with care staff on duty who assisted with the inspection. A number of records 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? The sensory room and one of the bedrooms have been redecorated and new equipment has been acquired for one of the residents. A new, easy access vehicle has been purchased for the home. The quality assurance and monitoring system has been extended to include the gathering of views of groups of people who have links with the home. Staff have increased medication training. their knowledge through completing certificated Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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 DS0000007873.V264731.R01.S.doc Version 5.0 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 Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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. Any prospective resident can be assured, prior to admission, that the home is able to meet his or her needs. EVIDENCE: No admissions have been made to the home for a number of years. The deputy manager explained however that should a vacancy arise, the organization’s admissions procedure would be followed. This would include a full assessment of any prospective resident from which it would be decided whether or not the placement would be appropriate and in the best interest of the individual and of the existing residents of the home. A gradual programme of introduction would then follow prior to a decision being made as to whether or not the placement should be made permanent. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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): None. EVIDENCE: Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 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 the following standard(s): 14 Residents are as involved as much as possible in their local community and take part in a range of social and leisure opportunities. EVIDENCE: Four of the five residents attend weekly, organized activities within their local community. The fifth does not attend any of these but has regular trips out with staff into the local town and beyond. During the inspection two of the residents returned from a seaside holiday where they had been supported on a 1 to 1 basis by staff from Newhaven. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 11 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. Residents’ personal and health care needs are fully met. EVIDENCE: Each person living in the home is registered with a GP through whom specialist health services are accessed as required. They have regular health checks along with checks with their dentist, chiropodist and optician. Staff are particularly closely monitoring the health of one of the residents who has recently been off colour. They are monitoring the individual’s food and fluid intake and clearly recording their findings. They have supported the resident to access services from his GP, from the district nurse team and from a dietician. Staff were seen to support residents with their personal care needs in a way that respected their right to privacy and promoted their dignity. 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 and all staff have undertaken appropriate medication training through Thomas Danby College. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 12 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. 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. No complaints have been made to the home or to the C.S.C.I. since the last inspection. Comprehensive adult protection policies are in place and all staff have adult protection training initially as part of their induction and foundation training then as part of their NVQ training and St Annes Community Services provide a rolling in-house training programme. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 13 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): 24,25,27,28 29 and 30. The standard of the environment is good and provides residents with a comfortable and clean home in which to live. EVIDENCE: The home is well maintained and pleasantly decorated and furnished throughout. All five bedrooms are for single accommodation and are of a suitable size. They are all pleasantly decorated and furnished and are situated on both ground and first floors. One bedroom has been redecorated since the last inspection and the deputy manager explained that the carpets in two bedrooms are soon to be renewed. 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. Shared areas consist of a kitchen, a dining room/lounge and a sensory room that is in a converted garage. This space has been decorated and the deputy manager said that new equipment and furniture for this area are to soon to be purchased. A good standard of cleanliness is maintained throughout the home. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 14 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 and 33. The residents receive a good standard of care from a highly skilled and experienced staff team. EVIDENCE: The deputy manager explained that the home currently has four full time and one part time residential care officer posts vacant amounting to a shortfall of 170 hours. These posts are being recruited to and the vacant hours are being covered by the staff team working additional hours and by a small, regular group of agency staff. The current duty roster shows 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. Two of the eleven care staff have completed their NVQs in care to level 3 and a further two are due to have their awards signed off with the next week. The deputy manager is also working hard towards achieving his. St Annes Community Services provides a rolling programme of training for all its employees on a variety of topics. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 15 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): 39 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: Since the last inspection the registered manager has returned to work on a part time basis. She is supported by the deputy manager who works full time. 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 contact with the home. The deputy manager explained that the organization has surveyed the views of residents’ relatives, friends and advocates along with those of health care professionals and is analysing the findings. He said that the results of the survey would then be shared with staff at the home. Comprehensive systems and procedures to ensure the safety and well being of residents are in place within the home. These include regular health and Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 16 safety checks of the premises and of equipment. Fire Safety systems and equipment are regularly tested. Accident records are well maintained. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 17 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 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newhaven Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000007873.V264731.R01.S.doc Version 5.0 Page 18 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. Standard Regulation 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. Refer to Standard YA32 Good Practice Recommendations A minimum of 50 of care staff should be trained to NVQ level 2 or above. Newhaven DS0000007873.V264731.R01.S.doc Version 5.0 Page 19 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. 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