Inspection on 08/07/08 for Newington Court Nursing Home

This inspection was carried out on 8th July 2008.

CSCI found this care home to be providing an Good service.

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

Newington Court Nursing Home 26/07/07

Newington Court Nursing Home 05/02/07

Newington Court Nursing Home 21/10/05

Newington Court Nursing Home 28/04/05

Newington Court Nursing Home 13/09/04

Newington Court Nursing Home 24/05/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Newington Court Nursing Home Keycol Hill Newington Sittingbourne Kent ME9 7LG Lead Inspector Elizabeth Baker Unannounced Inspection 8 July 2008 08:50 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 Newington Court Nursing Home DS0000026184.V367602.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. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newington Court Nursing Home Address Keycol Hill Newington Sittingbourne Kent ME9 7LG 01795 843033 01795 843662 newington@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Ltd 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) Mrs Linda Julie Donovan Care Home 50 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) - maximum number 21 Old age, not falling within any other category (OP) - maximum number 24 2. Physical disability (PD) - maximum number 5. The maximum number of service users to be accommodated is 50. Date of last inspection 26th July 2007 Brief Description of the Service: Newington Court is 50-bedded care home providing 24-hour nursing care to older people some have mental health needs. The home also provides care to one younger adult with physical disabilities, although their registration is for five. The home is an attractive, purpose built property on the main road between Newington and Sittingbourne. Resident accommodation is located over three floors, accessible via a passenger lift, and comprises 46 single bedrooms and two double bedrooms. There is ample communal living space within the home. The home has small attractive gardens and a car park. The home is within easy access of the M2. External entertainment includes music and singing, and for the Memory Lane unit weekly one-hour motivation sessions are held. Please contact the registered manager for further information. The latest inspection report is available in the reception hall. Current fees range from £550.75 to £950.00 per week depending on assessed needs, room occupied and funding arrangements. Additional charges are payable for chiropody, hairdressing and newspapers. A church service takes place every two weeks. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means people who use this service experience good quality outcomes. Link inspector Elizabeth Baker carried out the key unannounced visit to the service on 8 July 2008. The visit lasted just under nine hours. As well as briefly touring the home, the visit consisted of talking with some residents and staff. Four residents, two members of staff and one visitor were interviewed in private. Verbal feedback of the visit was provided to the registered manager during and at the end of the visit. At the time of compiling the report, in support of the visit, we (the Commission) received survey forms about the service from seven residents, two care managers and three healthcare professionals. At our request the home completed and returned the home’s Annual Quality Assurance Assessment (AQAA). Some of the information gathered from these sources has been incorporated into the report. We have not received any complaints about the service. The AQAA records there have been no safeguarding referrals. One staff referral was made to the Protection of Vulnerable Adults List. What the service does well: The new registered manager was receptive to advice given and demonstrated an eagerness to put right any matters needing addressing to improve the service. Staff are enthusiastic about their roles and enjoy working at the home. The atmosphere at the home is relaxed and open with communication between staff, residents and management open and friendly. Residents enjoy appetising and varied meals, which are nutritionally balanced. Compliments and comments received from survey respondents included “staff are lovely, we’re always made welcome, its like home from home, very good and nice manager”; “my [relative] is receiving good care”; “my [relative] is newly admitted and the home has been proactive in acting upon their care needs, care plans are geared to individual’s needs, the home provides feedback as to their action when concerns raised, the home provides a clean, safe environment with caring responsible staff and since my [relative] has been a resident they have improved significantly and I would recommend the home to other people”; “In my opinion this home is of a very good standard, the staff are polite and helpful and the home is welcoming to visitors”; “Good Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 6 staff, plenty of food and a very nice TV”; “Records for our resident are clear and updated. Proactive wound management in dealing with hospital acquired ulcers”; and “Provides quality care and maintains standards of care delivered”. What has improved since the last inspection? 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. The summary of this inspection report can Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 8 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 Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3 and 6. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. New residents move into the home knowing their assessed needs can be met. EVIDENCE: For equality and diversity purposes, all residents, no matter how funded, are now provided with a contract setting out terms and conditions of staying at the home. Where practicably possible the home manager visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their individual needs. Information is also sought from other agencies such as local authorities and or primary care trusts, where a sponsor is involved in the placement. Not all prospective residents are able to visit the home prior to admission. Where this is the case, their relatives or advocates do so on their behalf. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 10 To supplement the home’s Statement of Purpose and Service User Guide, the provider has produced a Welcome to Newington Court document and a booklet on choosing a dementia care home. Information gathered during the pre admission process is then used to generate a plan of care, which all residents are provided with following their admission into the home. The home is not registered for intermediate care. Standard 6 is not applicable. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9, 10 and 11. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. The health and personal care needs of residents are met with evidence of good multi-disciplinary working taking place on a regular basis. EVIDENCE: For case tracking purposes the care records of four residents were inspected. Records contained pre admission assessments, joint assessments, admission assessments, care plans and a range of supporting clinical and safety risk assessments. The assessments included Waterlow (tissue viability), wound and body maps, falls prevention, nutrition, pain, continence, bedrails and moving and handling. Base line observations are taken on admission. This is good practice. All files contained life history information. Three of them provided good information. Daily records are maintained. The quality of detail differed on each unit. All records generally gave a mix of residents’ medical condition and quality of day experiences. Some records included the use of the abbreviation “BO” and Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 12 others contained meaningless phrases such as “settled night”, “safety maintained”, ate and drank well” and “comfort and safety maintained”. During a conversation with a resident they expressed their delight at the “wonderful” breakfast they had that morning. The resident’s records indicated they were nutritionally at risk; there was no mention in their respective daily records of the breakfast consumed. The record in question was seen after 2pm. Registered nurses must ensure they maintain all care records in accordance with their professional body’s guidance on good record keeping. This includes writing up records as soon as possible after an event has occurred. Medication administration record (MAR) charts were inspected. Generally these had been completed as is required by current good practice. Pain assessments are normally used to monitor the effectiveness of treatment plans. Where there are problems for residents taking their medication in tablet form, the home requests the GP to prescribe it in a liquid form, where this is possible. This is good practice. Each unit has a separate room for the secure and hygienic storage of medicines and nursing sundries and aids. All rooms are appropriately equipped, including drug fridges. It is the registered manager’s intention to have an air conditioning unit installed in ground floor room. Medicines have to be kept at temperatures stipulated by their manufacturers to maximise the efficacy of treatment plans. Residents were suitably dressed for the time of day and season, with attention to detail where this is important to them, including make up, jewellery and hairstyles. The home has its own hairdressing salon and this was in full use at the time of the visit. Residents spoken with said staff assist them with their personal hygiene needs in a manner, which protects their privacy and dignity. Some of the care records inspected contained good information on individual preferences. This included support and encouragement with personal hygiene. However where by choice the support or encouragement was declined, the corresponding daily records did not provide this information, giving the impression a number of male residents may have been neglected. A delicate situation was also noted in a lounge due to the resident’s unwitting and continual habit of fiddling with their clothes, at times potentially placing them at risk. Although staff did intervene when they noticed this, if this is a longstanding problem a review of how to maintain and maximise the resident’s dignity and self-esteem should be undertaken. Most of the residents living at the home will do so for the rest of their lives. So that residents’ spiritual and cultural wishes are carried out in the event of death and dying, information is sought. Records seen had brief details. The registered manager has attended an end of life stage course – Liverpool Care Pathway and will be doing an update course in November. A number of registered nurses will be attending a syringe pump driver course facilitated by the Wisdom Hospice shortly. This is good practice for the purposes of pain management. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15. Residents who use the service experience adequate outcomes. This judgement has been made using a range of evidence including a visit to this service. Not all residents are supported in attaining their lifestyle preferences. Residents enjoy a choice of nourishing meals. EVIDENCE: External entertainers provide weekly one-hour motivation sessions to residents on the Memory Lane unit - this inspection visit coincided with such a session. Many of the residents on this unit were observed engaged first in the word game quiz and in the follow on sing-a-along. An external musician/singer is visiting the home shortly. A Church of England service takes place at the home fortnightly. Other faiths and beliefs are catered for on request. Birthdays are celebrated with a special cake and card and a strawberry tea was being arranged for the day after this visit. Up until the beginning of this year arrangements were in place for residents to take part in structured activities and visits out in the home’s mini bus. However because of a protracted employment matter, activities and trips out have been substantially reduced. Although this may not have affected the life Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 14 style choices of all residents, other residents have been inconvenienced. One resident was overheard saying how fed up they felt because “there was not much to do” and another resident said they “felt bored stiff”. The arts and crafts sessions enjoyed by some residents on a weekly basis, ceased from this week, which is likely to exacerbate the situation for residents. The registered manager has advertised within the home for staff to express an interest in taking on the activities role on a temporary basis, but at the time of this inspection this has not proved fruitful. The advert has now been extended to staff in other Barchester Homes. Some residents prefer their own company and have their own hobbies to keep them occupied. A number of residents were seen watching films or reading newspapers in the privacy of their rooms and a younger resident visits a day centre on a weekly basis. The home encourages residents to personalise their rooms and those visited had been individualised to the residents’ own preferences. Each unit has its own dining room for residents to use if that is their wish. Residents spoken with said the meals are good. Choices are always available. However two residents did mention that the portions can be too large and this sometimes puts them off. Meals were not sampled during the visit but the lunchtime meal was presented in an appetising manner. This included the soft diet meals. Special diets are catered for and care records evidenced residents are regularly weighed. The menu is currently displayed on a daily basis in the reception room. Because not all residents can access this, the registered manager is keen to introduce table menus and has invited the organisation’s hospitality manager to visit the home for advice on improving the current arrangements. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 15 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): 16 and 18. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. Residents and their advocates can be satisfied their concerns and complaints are listened to and acted upon. EVIDENCE: The home has a procedure, which sets out how to make a complaint, suggestion or comment. This includes contact details of the provider and CSCI. An audio version of the provider’s policy is available on request. The visitor and residents spoken with knew what to do if they had a concern or were unhappy about any aspect of their care. Comments included “When I have had some issues the manager has quickly put them right” and “there have been a couple of things not quite right but I’ve brought them to staff’s attention and the matters were quickly resolved”. The training schedule provided in support of this visit indicates that staff have received training in safeguarding adults. Staff members interviewed described appropriately the action they would take if they suspected abuse had taken place. Residents indicated during interviews that they feel safe living at the home. The returned AQAA indicates the home has received six complaints in the last 12 months all of which were resolved within 28 days. It also records that there have been no safeguarding referrals and that there has been one staff referral to the Protection of Vulnerable Adults List. We have not received any Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 16 complaints about the service, although a survey respondent brought to our attention their concerns about staffing levels on a particular occasion. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 17 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): 19, 20, 22, 23, 24 and 26. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. The standard of the home’s environment is good providing residents with an attractive, comfortable and homely place to live. EVIDENCE: Areas visited were fresh, clean, warm and odour free. Bedrooms and communal rooms are furnished and decorated to a good standard. The new registered manager has ideas to further improve the environment, both inside and outside, and is making budgetary plans to achieve this. Following the completion of the adjoining but separate building, the home’s gardens have been made good. One resident said they enjoy sitting out in the patio area in good weather and on occasions chooses to eat their meals outside. Last year the home achieved ‘The Clean Kitchen Award’ from the local council’s Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 18 environmental health department. The home expects to be visited again by the environmental health department later this year. In the meantime the provider has arranged for the home’s kitchen to be inspected by an independent environmental company as part of the organisation’s quality assurance programme. The visit is imminent. As is expected of homes providing nursing care, there are a number of sluice rooms around the home for the storage and disposal of clinical waste and bodily fluids. As is good practice the doors are fitted with locks to prevent unauthorised access. However on this visit doors were seen left unlocked, presenting a potential risk to residents and visitors. Residents were complimentary about the laundry service with one resident saying the service is brilliant in that items taken away for washing in the morning are generally returned in the afternoon. The home has a range of moving and transferring equipment so staff can assist residents in a safe manner. During the visit a resident was seen transferring from a hoist to a wheelchair. Throughout the manoeuvre staff explained to the resident what was happening in a re-assuring and non-patronising manner. This is good practice, as some residents experience anxieties when being transferred. The home has a range of pressure relieving/preventative equipment and the registered manager endeavours to have this in place for residents on an assessed needs basis. Corridors are wide and enable wheelchair users to self-propel themselves around the home if they wish to. The home tries to accommodate all residents’ lifestyle wishes and preferences, and this includes propping open bedroom doors. Chairs, an upholstered footrest, a wedge and a purposely acquired object were seen in use to achieve these wishes. While not wishing to deny residents their choice, for the protection of all residents living at the home, as well as staff working there, the provider must ensure that only approved devices are in place. Specialist fire advice must be sought. According to the AQAA environmental improvements made to the home in the last 12 months include purchasing a number of high profiling beds as part of the bedroom upgrade; refurbishing the Memory Lane lounge with new carpets and furniture; refurbishing the ground floor lounge with new carpets and refurbishing a designated activity room in the Memory Lane unit. This demonstrates the provider’s commitment in maintaining the home to a good standard for the benefit of residents. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 19 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): 27, 28, 29 and 30. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. Staff morale is good resulting in an enthusiastic workforce that works positively with residents to help to improve their quality of life. EVIDENCE: As well as care staff, staff are employed for administration, cooking, cleaning, laundry, maintenance and activities. Staff were seen carrying out their duties in an unhurried manner. The home is staffed 24-hours a day. Currently daytime staffing levels are allocated as to one registered nurse and two carers on the ground floor, one registered nurse and three carers on the first floor and one registered nurse and two carers on the second floor. Night cover for the whole site consists of two registered nurses and three carers. The night staff allocation is currently under review, as the registered manager would like to improve the current provision. This is timely as a survey respondent contacted us expressing their concerns about night cover provision. To cover staff sickness agency or relief staff are used. Although the rotas indicate when such staff have been used the actual names of agency workers are not always stated making it difficult to do an audit if an investigation were required. Adding the time the agency person began the shift to the rota would also prove helpful. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 20 Disappointingly the AQAA records that only 15 of unregistered care staff are trained to NVQ level 2 care. While acknowledging another three members of staff are now working towards this qualification, there is an expectation that 50 of staff would now be qualified. New staff are required to complete an induction programme. They then complete the provider’s apprenticeship course. This precedes the Skills for Care foundation course. When completed staff would normally commence their NVQ level 2 training course. A review of the training schedules records staff having received training in various subjects including fire, food safety, infection control, moving and handling, diabetes, challenging behaviours, first aid and continence. In addition four members of staff have completed the provider’s Yesterday, Today and Tomorrow training. This interlinks with that of the Alzheimer’s Society. So more staff receive this training a member of staff has just completed the facilitators course. Having an in-house trainer should enable more staff to undergo the training and enhance their knowledge and skills in providing appropriate care for residents with dementia. The registered manager has just received training and policy guidance on the Mental Capacity Act. Training is now being arranged for all care staff to attend. The personnel files of two members of staff were inspected. As part of the home’s vetting practices, references are sought and obtained, POVAFirst is accessed and Criminal Record Bureau checks undertaken. Although both files contained two references as is required, in one file the reference obtained from the last care employer was provided by a senior nurse as opposed to the provider or manager. The reference had not come from the care home address either. In the second file there was no recorded evidence employment gaps had been investigated. Regulation 19(4) Schedule 2, paragraph 6 requires full employment history, together with satisfactory written explanations of any gaps in employment, is obtained. During 2006 we published guidance to assist providers and managers in the development of their recruitment procedures and practices. The publications in question are called Safe and Sound? Checking the suitability of new care staff in regulated social care services and Better safe than sorry – Improving the system that safeguards adults living in care homes. Both publications are available from our website – www.csci.org.uk. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 21 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): 31, 32, 33, 35, 37 and 38. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a visit to this service. The manager has a clear development plan and vision for the home, which she has effectively communicated to residents, relatives, staff and other stakeholders. EVIDENCE: Following a period of instability, the home now has a new registered manager. The manager is a registered nurse, has a diploma in dementia care, is experienced in working with elderly residents and was the registered manager of an associated care home for four years. The registered manager was open and frank about her aspirations for the home and the “mountain” she is now climbing to achieve this. Residents and staff spoke openly during the visit about their experience of living and working at the home. Comments about Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 22 the new registered manager included “[manager] has made a lot of difference already, she always takes an interest and listens to what you want to say”; “very good manager – we all speak well of her”; “running of the home is good”; I’m impressed by the manager, she intervenes when I have issues and she is a good listener” and “manager is lovely and very approachable”. The registered manager promotes an open door policy for residents, visitors and staff. Since taking over the management of the home, meetings have been held with staff and relatives/residents to inform them of her intentions. As the provision of activities needs addressing, a survey was undertaken, as the registered manager is keen to ensure the range of activities is what current residents actually want. This has already resulted in the commencement of a library service. Indeed one resident said how glad she is as she enjoys reading. The home is subject to an annual satisfaction survey conducted by an external company on behalf of the provider. When the information is collated, the home is provided with an analysis of the findings. Staff receive regular supervision and records are kept of matters discussed, in accordance with good practice. The home is not responsible for residents’ personal allowances. If a purchase is made or an item acquired on behalf of a resident, the home invoices the resident and or their advocate for settlement. Records for residents and staff are kept with due regard to confidentiality. However as stated previously, some care records are not maintained as recommended by the registered nurses’ professional body. This could cause a problem if an investigation into allegations of poor care needed to be carried out. The returned AQAA indicates the home has current policies and procedures for staff to refer to when carrying out particular duties. The AQAA also records the home’s equipment is serviced and or tested as recommended by the manufacturer or other regulatory body. However it was identified on this visit that it has not been the home’s practice to calibrate the sit on scales, which residents use to be weighed. To ensure residents weights are effectively monitored the scales should be calibrated in accordance with the manufacturers instructions. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 23 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 2 3 Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP12 OP19 OP37 Good Practice Recommendations A full range of activities and occupation should be available to all residents. When residents require their bedroom doors to be left open or ajar, only approved devices should be used to do this. Residents’ records should be maintained in accordance with the registered nurses’ professional body. Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Newington Court Nursing Home DS0000026184.V367602.R01.S.doc Version 5.2 Page 26 - 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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