Inspection on 25/01/07 for Newhaven Residential Home

This inspection was carried out on 25th January 2007.

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 Residential Home 20/02/06

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 Key Unannounced Inspection 25th January 2007 08:30 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.V324934.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 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.V324934.R01.S.doc Version 5.2 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 Learning disability (1), Old age, not falling registration, with number within any other category (25) of places Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within the category of OP to be accommodated at Newhaven when there are 25 persons already accommodated in the home One named service user to be accommodated at Newhaven under the category LD The maximum number of persons to be accommodated at Newhaven is 25 20th February 2006 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.V324934.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. The visit lasted five hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including the homes pre-inspection questionnaire, previous inspection reports, their service history, records of any incidents that had been notified to the CSCI since the last inspection. Prior to the visit 2 service users ‘Have your say about’ questionnaires were received and comments from these will be mentioned throughout this report. The site visit consisted of case tracking a sample of three service users’ records, talking to them, observing staff interaction and assessing their care. A period of observation was undertaken whilst service users were having lunch and a general conversation was held with them. Two care staff, were spoken to during the site visit. The site visit focused on key standards and checking whether the four requirements made during the previous inspection had been addressed. The homes charges £335 to £379 per week for placements according to residents identified needs. What the service does well: What has improved since the last inspection? What they could do better: Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 6 The care records met the National Minimum Standards. There are however some records, which can be improved. The registered manager agreed to review care records with a view to improving the detail recorded. 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. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 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.V324934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed assessment, which includes a risk assessment, is carried out before any new resident is admitted to the care home. An intermediate care service is not offered by the care home EVIDENCE: The registered manager stated that a dedicated intermediate care service is not provided by the care home. The care records for three individual residents were studied. They all contained a comprehensive assessment including risk assessments. There was evidence of the involvement of the resident and other professionals in completing the initial assessment This information was transferred into formal care plans. The assessment identified personal care needs, social needs and Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 9 dietary needs of each resident. The choices, wishes of the residents were recorded in assessment. Discussions with the residents confirmed their involvement in the assessment process. The assessment process was standardised for residents. The assessments were easy to read and allowed the reader to understand the needs of each resident. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans identify all areas of need and provide detailed care instructions for staff; this enables them to provide appropriate care. Residents’ health needs were being met. EVIDENCE: Care records demonstrated that information gathered at the initial assessment had been transferred into a formal care plan. The care plans for each individual resident identified personal care needs and social care needs. The choices, wishes and preferences of the residents were included in their care plan. Health-care needs were recorded and included the details of how these were to be met by the care home and community health care services. The care plans included details of medication, eye care, dental care and chiropody. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 11 The registered manager confirmed that the medication policy of the care home is being followed which includes offering residents the opportunity to selfmedicate if a risk assessment supports this action. Formal discussions with the registered manager regarding the medication policy, the inspection of medical records, training records and staff discussions provided evidence that staff are following the policy. “Have your say documents” observations and discussions with residents provided evidence that staff ensure the dignity and privacy them of the residents is maintained. Individual care plan reinforced the principles of providing care in a sensitive and dignified manner. The registered manager and staff confirmed that the choices and wishes of residents were considered when deciding how to provide personal care. Residents stated in discussions and within “have your say” documents that staff were good and provide care in a sensitive manner. Care records included the wishes of residents in respect of the action to be taken when they passed away. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 13,14,15 & 16 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home reflects the service users choices, preferences and personal dietary needs. EVIDENCE: Staff interviewed stated that activities are organised as stated in the preinspection information. Residents are provided with a range of activity within the home and taken out into the community. A resident gave details of the activities in which she takes part in a organised by the home and confirmed that she regularly goes out into the community. Residents stated friends and family are encouraged to visit the home and made very welcome. The visiting policy of the home is displayed in the foyer. The religion of resident’s is recorded in their individual file. The registered manager and staff confirmed that the opportunities are made available for Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 13 residents to follow their own religion by attending local churches or organised services within the care home. In the pre-inspection information supplied to the Commission for Social Care Inspection the home provided a copy of the menu for residents. This provided evidence that a choice of menu is being offered to residents. The “have your say” documents completed by residents confirmed that residents are happy with the menu being provided. The personal choices, wishes and dietary needs of the residents were found recorded on their individual care plans. Residents stated during the site visit that they are very happy with the quality of food provided by the care home. No negative comments were received in relation to the menu. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home listens to resident’s views and wishes and acts on them. There are procedures in place to protect residents from any possible abuse. Staff have received appropriate training to protect residents from being harmed EVIDENCE: The home’s adult protection policy is in line with current local guidelines. A copy of the Lincolnshire County Council adult protection procedure was included in the homes policy and procedures manual. Staff interviewed stated that they had read and understood both documents. Staff were able to describe the different types of abuse that could occur and the actions they must take if they had any concerns. The registered manager and staff were able to give details of how they would report any suspected abuse to the Commission for Social Care Inspection and Social Services. Staff comments and training records demonstrated that staff had received appropriate training in this subject which would help them to recognise and take appropriate action should the need arise. The homes complaints procedure was discussed in the formal interviews. Staff are familiar with this policy and stated it is displayed in the foyer of the care home. The home and Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 15 the Commission for Social Care Inspection have received no complaints in the last three years. Residents spoken to your site visit confirmed that they were aware of the homes complaints procedure. One resident stated “I do know how to make a complaint but I don’t think this will ever be necessary. A second resident said “we raise any concerns we might have with staff or at the residents meetings. Staff and the manager always listened to our opinions. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and decorated. It 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 was made of the care home. All areas were clean and smelt fresh. Ongoing maintenance has been carried out in the care home since the last inspection. A number of bedrooms had been decorated. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 17 Residents stated their satisfaction with the environment of the care home. A resident commented, “ The home itself is nice I like my bedroom, the lounges are comfortable.” There were no health and safety issues identified at this inspection. Staff stated that they felt safe working in the care home. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28.29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed with appropriate numbers of care staff who are sufficiently trained to be able to answer the needs of service users. The manager of the care home are following the home’s recruitment policy consistently to ensure service users are protected. EVIDENCE: Staff interviewed confirmed that they feel there is always sufficient staff on duty to meet the needs of residents. They stated that the staffing rota is always met. A resident stated, “ staff here are excellent you are looked after very well.” The recruitment records for two members of staff were examined. Their files contained all of the information set out in the Care Home Regulations, which must be obtained before a new member of staff commences employment. The home has a training plan in place for the next 12 months. Staff confirmed in their formal interviews that training is being offered this is linked into supervision and appraisals. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 19 The registered manager stated “I feel the management team are working well together and as a result residents benefit from the positive leadership of the management team. Staff stated they felt very supported by the management team. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an experienced and supportive registered manager. Staff have been provided with training, supervision and appraisals as required by the Care Home Regulations. The recruitment policy of the home is being followed. The staffing rota ensures that there are always sufficient numbers of staff with appropriate training on duty at all times. The management team is promoting the safety and welfare of residents. EVIDENCE: The home has a registered manager who has worked in the field of community care for all many years. She demonstrated throughout the site visit a Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 21 professional understanding and knowledge of the requirements to run the care home and ensure the Care Home Regulations are met. There is a clear management structure understood by all staff. All staff spoken to during the inspection stated the registered manager is a supportive professional person. The registered manager stated that she carries out quality assurance monitoring and produced evidence of positive comments from residents and families. All residents spoken to as part of the site visit confirmed that the manager is supportive and approachable. Staff stated they talk with residents to obtain their opinions relating to the service provided by the care home. “Have your say “ documents contained only positive comments from residents. Residents living in the home manage their own finances including personal allowance. If they are not able to do this family, advocates or social services department manage the money on their behalf. Staff are supervised in accordance with the National Minimum standard. The evidence for making this statement was found in care records, discussion with staff and discussion with the registered manager. Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Newhaven Residential Home DS0000002394.V324934.R01.S.doc Version 5.2 Page 25 - 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!