Inspection on 04/07/05 for Newhaven Residential Home

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 20/02/06

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 Ken Hague Unannounced 4 July 2005 @ 9am 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 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 C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newhaven Residential Home Address Mumby Road Huttoft LINCS LN13 9RF 01507 490294 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) Mr E W Brown, Mrs C E Brown and Mr J E Brown Mrs J Brown PC Care Home Only 25 Category(ies) of OP - Older Persons - 24 registration, with number PD(E) - Physical Disabilty (over 65 years) - 1 of places PD - Physical Disabilty - 1 Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home`s registration for one named person in the category PD is limited to six weeks per calendar year. Date of last inspection 2 December 2004 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 C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a 6.5 hour period. A tour was made of the care home with the registered manager. A sample of care records were inspected. There were two members of staff interviewed. Discussions were held with three service users and a interview and discussions were held with the registered manager and proprietor. What the service does well: What has improved since the last inspection? What they could do better: The registered manager must ensure that the care home’s recruitment policy is consistently followed to ensure the information required by the care home regulations is always obtained before the new member of staff is offered employment. The managers of the home must not allow pets into the kitchen area. Care staff do not know what actions to take in respect of the loss of electrical power, gas or water supply. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 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 C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,&5 There is a well structured process of assessment before a service user is admitted to the home. Service users are given information about the home so they can make an informed choice and home confirms it is able to meet the needs before any admission is made. EVIDENCE: The home’s statement of purpose was available in the reception area of the care home. This document meets the National Minimum Standards. The register manager stated that no service user is admitted to the home until a complete assessment has been carried out. The sample of care plans seen during this inspection all contained detailed initial assessments including risk assessments. These were signed by the service user and the assessor. The service users confirmed in discussions that they have been involved in the assessment process. The individual sampled files all contained a copy of the statement of the terms and conditions for the individual’s stay at the care home. A service user spoken to stated that she was aware of the terms and conditions for her stay at the home and was able to state her own financial contribution. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7&8 Detailed assessments and care plans mean that the staff can provide appropriate care. Service users health care needs are met by the home who are supported by community health care services and the service users GPs. EVIDENCE: Three care records sampled contained an initial assessment including a risk assessment. These had been completed prior to the admission date. Care plans also give information to staff about how the needs can be met for example, one of service user was at risk of falls caused by low blood pressure. The risk management of this problem was for care staff to stay with the service user while she was mobilising and accompany her the to the toilet. They were to encourage her to ring the bell before attempting to stand to ensure that falls were reduced or prevented. The details of individual service users health needs including medication were found to be recorded on their care plans. A service users file stated that they had angina, arthritis in the right knee and cataracts in both eyes. There were records of GP visits, appointments to see consultants at hospitals and district nurse visits to the home. All service users files contained detail of eyecare, dental care and foot care. Chiropody visits were recorded and take place every six weeks. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 10 Service users spoken to during this inspection gave details of health care services being provided to them and stated that in their opinion these needs were being met by the home. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 11 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 standard(s) 13&15 Service users are encouraged 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. Service users with a special diet are provided with a menu which takes their personal needs into account. EVIDENCE: The home has a visiting policy displayed in the reception area. The visitors book shows that many visitors come to the home on a daily basis. Visitors came into the home during this inspection and staff made them welcome. They were asked who they were visiting and shown to the service users room. The service users involved in discussions stated “the food is very good ”one lady stated “ it is fish today I was asked what I wanted for dinner yesterday.” She confirmed that a choice had been offered. The dietary needs of individual service users were recorded on their file. A special diet was recorded for one service user who is a diabetic. Another service user did not like nuts or any food items which contained seeds. The likes and dislikes including dietary requirements are recorded on individual service users care plans. The choice of individual service users in respect of activities were recorded on their care plans. Service users confirmed this activity is to take place. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16&18 Service users are protected and are able to voice opinions by procedures in place for handling complaints and any allegations of adult abuse. The staff are clear on what action to take in event of this occurring ensuring that the service users are safe. Service users are confident in being able to raise any concerns with members of staff or through service user meetings. EVIDENCE: A complaints policy which meets the National Minimum Standards is displayed in the care home. Service users stated they were confident to raise any concerns with a member of staff or the registered manager. They held service users meetings where the opinions of people using the service was sought by the members of staff. One service user confirmed that they were aware of a formal complaints procedure and stated that they would feel confident to access it. A member of staff stated that the home had its own adult protection policy which she had studied. Training in the identification and prevention of abuse had been given to her by the home. A copy of the Lincolnshire County Council’s Adult Abuse Policy was seen in the home’s policy and procedures manual. All service users spoken to as part of this inspection stated the home is a safe place in which to stay. There have been no complaints made to the home since the last inspection in December 2004. The Commission for Social Care Inspection has not carried out any investigation or received any complaint in respect of this home during the period since last inspection. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19,20,23&26 Service users live at the care home in a clean, comfortable and homely environment. However, service users were being placed at potential risk by concerns raised by the Environmental Health Officer about the operations of the kitchen. EVIDENCE: A tour was made of the care home and all areas were found to be clean and free from any offensive odour. The proprietor is a registered builder and has a rolling maintenance program. There was evidence seen of changes within the home to provide a hairdressing room and maintenance had been carried out in some bedrooms. There is a well maintained garden at the front of the home and a pond at the rear with seats for service users to sit when the weather is appropriate. The sampled rooms inspected were fitted with equipment which met the National Minimum Standards. These rooms have been personalised by the individual service users, for example to obtain one room inspected contain personal furniture photographs and ornaments and the service user had their own phone in the room. The service users involved in discussions confirmed their satisfaction with their own personal room. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 14 The East Lindsey District Council Environmental Health Section visited this home in June 2005. There were issues identified. There was evidence of a dog been allowed in the extension to the kitchen, there was an issue relating to the cleaning of kitchen equipment, ie the can opener which was found not to have been cleaned and disposal piping bags were advised to be obtained. The floor area in the kitchen extension, food storage areas and kitchen were not clean. The kitchen extension area were generally untidy and required cleaning. The light in the storage cupboard was inadequate. The environmental health officer requested the home to take action by carrying out cleaning of the areas identified. The dog was to be excluded from the kitchen and the kitchen extension area and the store cupboard light was to be repaired. The return visit was to be made in August 2005 to ensure that this work had been carried out. On the day of inspection the proprietor and registered manager stated that action had been taken to address all these issues. An inspection of the kitchen and its extension area made during this visit confirmed the areas were clean and tidy. There was, however a dog dish and food in the extension area of the kitchen, these were removed before completion of the inspection. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 There are sufficient staff on duty to meet the needs of service users. The failure to seek adequate checks on those could put service users at risk. EVIDENCE: Staff said that they felt there always sufficient staff on duty to be able to meet the needs of service users. The registered manager stated that if a need for additional staff in is identified on a service users care plan, staffing levels are increased. The staffing levels have remained unchanged since April 2002. Service users told the Inspector that staff respond quickly if they press the call bell. The recruitment records for two new members of staff provided evidence that the home had not followed its own recruitment policy. One member of staff had only one written reference on their file instead of two written references as required by the Care Home Regulations. A second member of staff working in the kitchen had a standard CRB check not an enhanced CRB as required by the Care Home Regulations. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36,38 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 failure to ensure that the structure of the kitchen and that pets are excluded from the kitchen may have placed service users at risk. EVIDENCE: The staff informal interviews stated that the registered manager is supportive and very approachable. They stated that she provides good leadership and ensures that staff meetings and held at a set frequency. They stated she has further developed the staff team since the last inspection which is given carers a sense of being valued and they have been encouraged to take responsibility for their own work. The registered manager stated that she encourages them to take an active part in contributing to the care records. All staff interviewed confirmed that supervision and appraisals have been carried out in accordance with the National Minimum Standards. The registered manager stated this to be the case. Staff. Records were viewed by the Inspector this confirmed the statement to be accurate. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 17 The visit in June by the Environmental Health Department identified problems relating to issues to the kitchen. On the day of the visit the Inspector found evidence of pets being allowed in the food storage area adjacent to the kitchen. The proprietor stated that the pets had not been allowed in the kitchen since the Environmental Health Departments visit in June 2005. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 x 2 Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 19 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 29 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 person must ensure that all parts of the home to which service users have access I so far as reasonably practical free from hazardous to their safety. Timescale for action 12tht August 2. 38 13-4 12th August 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 19 Good Practice Recommendations It is recommended that the register manager ensures that all staff know the appropriate action to take in event of the loss of electrical supply, the gas supply or water. Newhaven Residential Home C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 C53 C04 S2394 Newhaven V236502 4-7-05 Stage 4.doc Version 1.40 Page 21 - 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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