Inspection on 20/02/06 for Newhaven Residential Home

This inspection was carried out on 20th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Residential Home 25/01/07

Newhaven Residential Home 04/07/05

Newhaven Residential Home 02/12/04

Newhaven Residential Home 06/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Newhaven Residential Home Mumby Road Huttoft Lincs LN13 9RF Lead Inspector Mr Ken Hague Unannounced Inspection 08.00a 20 February 2006 th X10015.doc Version 1.40 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 Residential Home DS0000002394.V265093.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 Older People. 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 Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newhaven Residential Home Address Mumby Road Huttoft Lincs LN13 9RF 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) 01507 490294 Mr Eric W Brown Mr Stephen Brown, Mrs Christine E Brown Mrs J Brown Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (24), Physical disability (1), Physical disability of places over 65 years of age (1) Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home`s registration for one named person in the category PD is limited to six weeks per calendar year. Date of last inspection Brief Description of the Service: The Newhaven Care Home is situated in the coastal village of Huttoft on the main A52 between the coastal resorts of Skegness and Mablethorpe. There is a car park at the rear of the home and large well-maintained gardens. Newhaven Care Home is registered to provide services for 25 elderly service users - one of whom may have a physical disability. The accommodation is arranged on 2 floors and consists of 19 single bedrooms, 2 double bedrooms and communal space in the form of lounges, dining room and conservatory.The Care Home is a family business owned by Christine and Eric Brown. Their son Stephen is also registered as a Proprietor and their daughter in law Jane is the Registered Manager Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3.5 hours. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted, and care records were inspected. Five residents, two members of staff and the Registered manager were interviewed. What the service does well: What has improved since the last inspection? What they could do better: The home is not completing initial assessment and care plans in accordance with the National Minimum Standards. The recruitment policy of the home is not been followed. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5,& 6 Staff are not ensuring that the initial assessment and Care plans are fully completed. Care plans and risk assessments vary in quality. This could result in a resident’s needs not being met at the time of their admission. Residents are aware of the terms and conditions for their stay at the care home. New residents are encouraged to visit the home prior to making any decision to stay in the home. EVIDENCE: Residents stated that they have been given details of the terms and conditions for their stay at the home. There were copies of these agreements signed dated on their individual files. Staff stated that new residents are encouraged to visit the home prior to making any decision to stay there. A resident interviewed during inspection confirmed staff had encouraged him to visit before they were admitted to the care home. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 9 Three residents were case tracked as part of this inspection. Their individual files did not contain a consistent initial assessment. Risk assessments had not been completed. The registered manager agreed that the residents total needs had not been recorded. The care home does not offer a dedicated intermediate care service. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 &9 Care plans did not identify all areas of needs the home therefore could not demonstrate that it was consistently meeting the needs of residents, and providing appropriate care. Residents’ health needs were being met. The home is not allowing residents the choice to self medicate if a risk assessment should confirm that this is appropriate. EVIDENCE: The registered manager could not produce any evidence to demonstrate that residents had been offered the opportunity to self-medicate if a risk assessment demonstrates that this is appropriate. The care plans viewed did not meet the National Minimum Standards. A care plan for a resident being case tracked contained no initial assessment, the care plan itself was incomplete. A second resident being case track had no signed assessment on their file. The care plan did not contain details of how their care was to be managed. The registered manager agreed that the care plans had not been written and updated in accordance with the National Minimum Standards. Resident’s individual files contained details of the involvement of local health community services. Visits by GPs and district nurses were recorded hospital appointments were recorded. Residents confirmed that they were receiving Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 11 chiropody dental care and eye care. They confirmed that staff assisted them to keep hospital appointments. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The home provides a varied menu which meets the dietary needs of all residents. EVIDENCE: Residents were aware of the menu for the day of the inspection. They were able to state choices being offered. A resident stated we have very good food. Choices always offered. A resident who asked to see the Inspector stated “I just wanted to tell you how happy I am here. The care is wonderful, the food is great. Residents are involved in a group discussion stated the food has improved we have a good chef who cooks us some very good meals. There is often more than two alternatives on the menu. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17&18 The home has robust procedures for handling complaints. No resident had any complaints about the home. EVIDENCE: Two residents confirmed they were aware of the home’s complaints procedure and said we would feel comfortable in raising any concerns with the staff and the management of the care home should this be necessary. There has been no complaints received by the care home in the last three years. There has been no adult protection inquiries carried out by social services in the last three years. The Commission for Social Care Inspection has not received any complaints in respect of this home in the last three years. The home’s policy and procedure manual contains an abuse policy and a copy of the local Lincolnshire county council vulnerable abuse procedure. Staff have been trained in the recognition and management of abuse. Staff were able to discuss the abuse policy and described the appropriate action to take in it the event of them have in any suspicion of abuse. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 The home is well maintained and decorated and is homely and comfortable, odour free, and was found to be cleaned to a high standard throughout. There are appropriate aids and adaptations provided in the home to maintain residents’ independence. EVIDENCE: A tour of the home included two residents’ bedrooms. The residents concerned said that they were very happy with their rooms and had been encouraged to personalise them. The communal lounges were clean, furnishings provided a homely atmosphere. The external garden area of the property is well maintained. Staff stated they found a home a safe environment in which to work. All areas of the home smelt fresh, the infection control policy of the home was being followed. No health and safety issues were identified. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 &30 The home has a stable workforce who provides consistency of care for residents living in the home. The registered manager takes into account the skill mix of her staff and the dependency levels of residents when planning rotas. The registered manager has not followed the recruitment policy of the care home. EVIDENCE: A member of staff was employed at the care home on the day of this inspection without the home having obtained the criminal records bureau (CRB) checked or protection of vulnerable adults first check (POVA 1st). The registered manager must not employ a new member of staff until a POVA 1st check has been completed, clear and then that member of staff must be supervised. It is only after receiving a criminal record bureau check that a member of staff can work unsupervised. In this case the Care Home Regulations were not being followed. The home has in place a yearly training plan which is linked into the supervisions and appraisals of staff. This offers a core and specialised training courses. The staff confirmed the courses on the programme for the last six months had taken place. Staff stated that is always sufficient numbers of staff on duty to meet the needs of residents in a safe manner. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 16 Residents stated that they felt the numbers of staff on duty did enable their individual needs to be met. A resident stated “Staff go out of their way to please you. I would not want to go anywhere else I tried another home in the past and this one is much better. I have recommend this home to a friend’s daughter.” Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 The home is well run, with good leadership and guidance from the registered manager who has worked for many years in the provision of community care. The health and safety and welfare of residents is promoted. EVIDENCE: The registered manager has been awarded the Registered Manager Award in January 2006. Staff stated that she is very supportive and encourages them to obtain NVQ qualifications. Observations made during this inspection provided evidence that she does provides positive leadership to staff. Staff confirmed that they are being provided with supervision and appraisals in accordance with the National Minimum Standards. There were no health and safety issues identified at this inspection. Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 1 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x x 3 x 3 Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 19 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 OP29 Regulation 19 Requirement The registered person must followed the homes recruitment policy and obtain all the information set out in schedule 2 of the Care Home Regulations before a member of staff can commence employment the registered manager must carry out a full assessment before admitting a new resident to the care home the registered person must complete a care plan which sets out the needs of individual residents and how these are to be met by the resources of the care home. the registered person must offer service users the right to self-medicating if a risk assessment demonstrates this to be appropriate. Timescale for action 01/03/06 2 OP3 14 01/03/06 2 OP7 15 01/04/06 3 OP9 13 01/04/06 Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 20 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newhaven Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Home DS0000002394.V265093.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!