Inspection on 20/12/05 for Newholme House

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Newholme House 05/03/09

Newholme House 23/02/07

Newholme House 25/02/05

Newholme House 29/11/04

Newholme House 12/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Newholme House 440 Baddow Road Great Baddow Chelmsford Essex CM2 9RB Lead Inspector Ron Reeves Unannounced Inspection 20th December 2005 09:30 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 Newholme House DS0000017896.V268486.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. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newholme House Address 440 Baddow Road Great Baddow Chelmsford Essex CM2 9RB 01245 476691 01245 478083 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) Mr Tony Appleton Care Home 18 Category(ies) of Dementia – over 65 years of age (6), Old age, registration, with number not falling within any other category (18) of places Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residential care for one person whose details are known to the Commission. Care home only (PC). Old age, not falling into any other category (OP) 18 Both. Date of last inspection 31st August 2005 Brief Description of the Service: Newholme House was built in the 1920’s as a family home. It is a two-storey building. Residents can access each floor by a passenger lift. There are six single and six double rooms. Four of the rooms have en-suite facilities. Communal areas consist of a lounge and dining room. There is a small conservatory which is not currently in use. To the rear of the home is a large garden with areas for residents to sit in. There is an aviary. Parking for approximately 3-4 cars is available to the front of the home. The home is in a residential area. It is close to shops and on a regular bus route. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out on the 20th December and lasted for seven hours. The inspector spoke with the proprietor, acting manager, three staff on duty, five residents and a visiting relative. A tour of the building took place and a random sample of policies and records were examined. The inspector would like to thank the residents, staff, acting manager and proprietor for their assistance and patience throughout the inspection. Please note the email address for the home is: carmelwalsh@hotmail.co.uk Conditions of registration: Only condition 1 will appear on the next report. These amendments will be made when the next report is generated. What the service does well: What has improved since the last inspection? The home continues with its programme of maintenance and decoration. Progress has been made in developing activities suitable for the residents. Care plans are now evidencing representatives where necessary. involvement of residents or their Shortfalls in the medication administration procedures identified at the previous inspection, have been addressed. Newholme House DS0000017896.V268486.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. Newholme House DS0000017896.V268486.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 Newholme House DS0000017896.V268486.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): 1-5 The home’s admission process is well managed and prospective service users are given sufficient verbal and written information to enable them to make an informed choice. EVIDENCE: The home has an appropriate statement of purpose and service users guide, which provides prospective residents and their families with comprehensive information about the home. Discussions took place with the manager regarding developing the service users guide to be more user friendly. Each resident is issued with a contract detailing the terms and conditions of residence. Care plans evidence that pre-admission assessments are carried out by the manager. All residents are admitted on a four week trial period during which residents are continually being assessed to ensure the home can meet their needs. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 9 Residents and their families/representatives are encouraged to visit the home as many times as they like before agreeing to admission. Newholme House DS0000017896.V268486.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): 7-11 Residents’ personal care and health care needs are consistently well met by the home. EVIDENCE: Care plans seen contained clear instructions for staff to meet residents care needs and are signed by residents or their family. Medication administration is well managed by the home and medication securely stored in the office. However, he temperature of the office seemed relatively high and the manager was advised to monitor the temperature to ensure it does not exceed 25°C. Residents’ health needs are well met by the home with a good relationship with the local GP and district nurses. Personal care is provided in residents’ bedrooms or in the home’s bathrooms. Residents spoken with said staff always treat them in a kind and gentle manner. The home has good policies and practices in place for managing terminally ill residents. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 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 the following standard(s): 12-15 Daily routines were flexible with the home promoting residents’ choices and independence. Visiting arrangements were open and relaxed. The home supplied a good quality and quantity of food, which provided a well balanced diet that met individual needs. EVIDENCE: Social history for each resident is compiled by the resident themselves or their families, which provide a good background for staff to develop residents social and leisure activities both inside and outside the home. Since the last inspection the home has contacted the National Association for providers of Activities for Older People, which has provided information for the home to improve its provision of activities for the residents. The manager informed that she is looking at ways to further developing the home’s social activity provision. Residents spoken with said that daily routines are generally flexible and that they had a choice of joining in activities if they wished. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 12 The home operates a four week menu, which is based on resident’s likes and dislikes. Residents spoken with were positive about the meals provided and confirmed that a choice of food was available. Specialist diets are available for example, for people who are diabetic. Menus are displayed in he main lounge and in the dining room. A water dispenser is provided in the dining room so residents can have fresh water whenever they wish. Liquid meals are provided for residents requiring them with foods separately liquidised. The cook asks residents each day what they would prefer for lunch and tea. Family and friends are welcomed at all times with many attending the Christmas party recently held at the home. Some of the residents are regularly taken out by family or friends and some attend local church services. A visiting relatives said “this is one of the nicest homes you could have” and commented that the home always keeps them up-to-date with her relatives welfare and that she enjoys the newsletter that the home issues on a regular basis. Newholme House DS0000017896.V268486.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): 16-18 Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: The home’s complaints policy is displayed and available to residents and their visitors. No complaints have been received by the home since March 1999. All residents are included in the local voters’ register and those wishing to vote normally have postal votes. The home has appropriate policies procedures and practices to protect vulnerable adults. Staff spoken with were aware of the need to report any concerns and were aware of the home’s policies on adult protection. The home provides information on advocacy services to residents who require them. Newholme House DS0000017896.V268486.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): 19.20,23-26 The home provides a safe and well maintained environment, which is accessible to the residents, homely and meets individual’s needs. EVIDENCE: The home has a continuous programme of maintenance and decoration, with windows gradually being replaced and rooms decorated and refurbished when necessary. The manager informed that plans are in place to provide protective covering for doors and doorways that have been damaged by wheelchairs. Bedrooms seen were well decorated, furnished and personalised to individual’s taste. Communal space is sufficient with a large lounge, a dining room and a small conservatory, which is being used for storage. There is a large well maintained garden to the rear with access to a local park. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 15 The home’s laundry is located in the garden and has appropriate equipment to meet the home’s laundry requirements. The manager informed she is waiting for the floor to be appropriately sealed. The home was clean and tidy and free from unpleasant odours. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 16 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): 27-30 The home benefits from an enthusiastic and well trained staff team who have a good understanding of the residents’ support needs. EVIDENCE: The home continues to meet the staffing requirements of three staff on duty throughout the day and one awake and one asleep staff at nights. Staff spoken with felt the current levels are adequate to meet residents’ needs. In addition, the home employs a cook, housekeeper and part-time cleaner. The use of agency staff has been reduced to a minimum with permanent staff covering sickness and holidays. A wide range of training is provided for staff including NVQ training. At present the home has two staff qualified at NVQ Level 2 and a further five undertaking NVQ Level 2 training. The deputy manager will be stating training at NVQ Level 3 in the near future. Examination of the latest member of staff recruited file revealed that appropriate robust recruitment procedures were in place. Staff spoken with felt they had a good team who support each other. All demonstrated a sound knowledge of residents needs. Residents spoken with said the staff were kind and gentle. Newholme House DS0000017896.V268486.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): The home is well managed. Staff within the home are well supervised and supported by the manager. EVIDENCE: The acting manager has worked in the home for over 15 years and was previously the deputy. She is at present training at NVQ Level 4 and has applied to the Commission for registration. Comments from staff and residents regarding the manager were very positive. Staff comments included “good manager, always there when you need her”, “good manager, best manager I’ve ever had”. The home looks after small amounts of money for residents day to day expenditure. Examination of a random sample of records and money evidenced that appropriate recording procedures were in place. Staff receive regular supervision from the manager or deputy. Those staff spoken with said they found supervision very useful. Records sampled during the inspection were generally well maintained and Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 18 securely stored in the office. The manger is aware of her duties for health and safety and all staff have received health and safety training. Safety certificates were in place for services and equipment and regular tests maintained on the home’s fire protection equipment. The manager has issued quality questionnaires to residents and their families and proposes to introduce them for staff and visiting professionals. Positive discussions took place with the manager regarding further development of the home’s quality monitoring systems to involve all aspects of the service provision. There was no evidence to suggest the home is not financially viable. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 19 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X 3 3 3 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 3 3 3 3 3 3 3 Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? NO 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 OP33 Regulation 24 Requirement The home develops the quality monitoring systems to fully meet the regulations. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP28 OP12 OP1 OP9 Good Practice Recommendations A minimum of 50 of trained staff to NVQ Level 2, or equivalent, is achieved by 2006. The home should continue to develop the range of activities available to the residents. The home’s service users guide should be developed into a more user friendly format. The home should monitor the temperature of the room where medication is stored to ensure medication is not stored above 25oC. Newholme House DS0000017896.V268486.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Newholme House DS0000017896.V268486.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. 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