Inspection on 12/05/08 for Newland Care Home (Nursing)

This inspection was carried out on 12th May 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Newland Care Home (Nursing) 04/08/09

Newland Care Home (Nursing) 18/05/09

Newland Care Home (Nursing) 29/04/09

Newland Care Home (Nursing) 08/12/08

Newland Care Home (Nursing) 23/08/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Newland Care Home (Residential) 18 Tetlow Lane Salford Manchester M7 4BU Lead Inspector Adele Berriman Unannounced Inspection 12th May 2008 12:00 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 Newland Care Home (Residential) DS0000069741.V364105.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. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newland Care Home (Residential) Address 18 Tetlow Lane Salford Manchester M7 4BU 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) 0161 792 0993 Angel Care Plc Manager post vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP. The maximum number of service users who can be accommodated is: 30. 23rd August 2007 Date of last inspection Brief Description of the Service: Newlands is a residential home that provides personal care only for up to 30 people over the age of 65 and offers services to meet the needs of Jewish people. The home is owned and operated by Angel Care Plc who purchased the home in March 2007. The home is situated on a main road in a residential area of Salford. The home has no car park but there are generally parking spaces available on the roadside. The home has strong links with the local and extended Jewish community. The cost of the service is between £325.87 and £535.00 per week. Newland Care Home (Residential) DS0000069741.V364105.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 one star. This means that people who use the service experience adequate quality outcomes. An unannounced visit was made to the home between the hours of 12:00 and 9.00pm. During the visit a selection of records, care plans, policies and procedures were examined and a tour of some areas of the building took place. Observations were made of the activity around the home and several residents, the manager and two staff members were spoken to. Prior to the visit taking place a selection of survey forms were sent to the service. Five residents and four staff completed these forms to tell us their thoughts about the service. Some residents had been assisted by a member of staff to complete their survey forms. The service was sent an Annual Quality Assurance Assessment (AQAA) which was returned to us when we asked for it. The AQAA contained only brief information about what the service does well, what they feel they could do better and their plans for improvement in the next 12 months. Some information on the AQAA had not been completed at all. The service had received no complaints or safeguarding concerns since the previous inspection. All residents who completed a survey form and who were spoken to during the visit stated that they knew who to speak to if they were not happy about the service or wished to make a complaint. Positive comments were received from residents about the staff team during the visit and one resident wrote “the staff and carers are very good and very helpful – day and night. The food is very good and plentiful.” Staff stated that they usually had the knowledge, support and experience to meet the different needs of the residents. The majority of residents stated that they always liked the meals served at the home. At the time of the visit a new manager for the service had been in post for six weeks. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: A full assessment of individuals’ needs and wishes must be undertaken and a detailed plan of care devised. Any identified risks must be assessed and actions take to minimise people from experiencing harm. Improvement must be made to the consistency and detail of information recorded in care plans so the documents give clear detailed information about the persons needs and wishes. Hand written Medication Administration Records must contain all of the information required to ensure that a full record of prescribed medication is maintained at all times. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 7 Fire doors around the building must be operational at all times to ensure that they would protect people in the event of a fire. The service needs to improve their recruitment procedures to ensure that they obtain all the relevant information and checks prior people starting employment. Staff should receive regular supervision and training for their role to ensure that they are able to meet all the residents needs safely. A review of policies and procedures and maintenance relating to the health and safety of all must take place and appropriate records maintained. 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. Newland Care Home (Residential) DS0000069741.V364105.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 Newland Care Home (Residential) DS0000069741.V364105.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): 3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. People’s needs should always be assessed and documented to ensure they are confident that the service can meet their needs. EVIDENCE: Staff stated that an experienced member of staff visited people prior to them moving into Newlands to carry out a pre-admission assessment. The purpose of this assessment is to ensure that the home is equipped with the appropriate resources to fully meet the needs of the individual. People and their families are invited to the home to meet the residents, have a look around and stay for a meal prior to making any decision about moving in. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 10 Information gained during the pre-admission was recorded on a set format that gave the assessor the opportunity to record several aspects of the person’s day to day lives. A recommendation has been made in this report that the format for recording pre-admission assessments is reviewed and updated to ensure that all aspects people’s day to day needs and wishes are able to be recorded. Information supplied in the AQAA stated that the home did not have a policy for the referral or admission of residents. The files of two people who had recently moved into the service did not contain any evidence that an assessment of the person’s needs had taken place. Failure to carry out an appropriate assessment of peoples needs may result in people not receiving the care and support they require. Newlands does not offer intermediate care facilities. Newland Care Home (Residential) DS0000069741.V364105.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 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Inconsistent information contained in care plans and risk assessments may result in residents’ needs not being met. The care plan documentation does not reflect the service delivered to residents. EVIDENCE: A care planning and recording system was in place to record individuals’ needs and wishes relating to their care, their long term needs, personal information details and personal history. Information contained on the care files of five residents was assessed. Three people had a care plan that gave information about their identified needs. The care plans were not person centred and on occasions contained contradictory information, for example, the personal care section of one care plan stated that the resident requires the help of one staff member to dress, undress and manage personal hygiene, whilst another section of the care plan stated that the resident was ‘self caring.’ There were no care plans available for two Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 12 people living at the home. It is essential that a record of peoples needs and how their needs are to be met is available at all times. Failure to do so may result in a person’s needs not being met. One staff member wrote in their survey form “new care plans have been brought in and when staff are trained there should be an improvement.” The care plans available contained pre-printed record sheets for staff to record what care and support had been offered and delivered to people. The information in these records was not up to date and therefore did not give an accurate record of what care and support had been delivered. For example, one resident’s care plans stated that they preferred a bath in the morning. The care plan had been reviewed on 03.04.08 and it was recorded that the resident ‘still requires help with a bath.’ However, a record in the care plan stated that the last recorded bath was 21.03.08 and all other entries indicated that the resident had received a ‘daily body wash.’ The record also demonstrated that the resident’s bed linen had not been changed since 23.03.08. It is essential that all care delivered to residents is recorded to ensure that a consistent service is being delivered and residents’ needs are being met. Individual risk assessments for activities including moving and handling, nutrition and pressure care were present on some residents’ care plans. It was of concern that there was no moving and handling assessment for one resident with specific, possibly specialist moving and handling requirements. Detailed, accurate risk assessments must be carried out on all identified risks to minimise the risk of harm to individuals at all times. Records demonstrated that residents had regular access to their GP and other local healthcare professionals. Residents spoken to during the visit stated that they were able to ask to see their GP at any time. The majority of residents who completed a survey form stated that they always received the medical support they needed. A policy for the administration of medication was seen during the visit. The information contained in the policy did not reflect the practices of the home. For example, the policy referred to “trained nurses” and gave little information about the administration of medication that is not administered on a regular basis. The policy must give detailed information about procedures within the home to ensure that people receive their medication appropriately. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 13 Medication was stored securely in a locked trolley and fridge. The room in which the trolley was being stored was very warm at the time of the visit. It is recommended that the temperature of the room is monitored to ensure that the room is suitable for the storage of medication. Staff recorded what medication they had administered on a pre-printed Medication Administration Record (MAR). These records had been completed appropriately. A small number of handwritten MAR sheets were in use, some of which did not contain information relating to the date and quantity of the medication received. Accurate records of all medication received at the home need to be maintained to ensure there is a clear audit trail of all medication. The member of staff on duty responsible for the administration of medication demonstrated a good knowledge of the resident’s medication needs. Controlled drugs must be stored in a cabinet that is compliant with the recent legislative changes in the storage of this medication. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Regular planned cultural and social activities provide residents with entertainment and stimulation. EVIDENCE: A part time activities co-ordinator is employed at the home to facilitate entertainment and activities for the residents five afternoons a week. A monthly programme that details what entertainers are scheduled to visit the service is produced. Copies of the programme are readily available around the building and in resident’s bedrooms. Residents spoken to during the visit said they had a choice of whether they participated in the entertainment. Festivals and activities around the Jewish culture are included in the activities schedule and are supported by the Shomer and the activities co-ordinator. Residents confirmed during the visit that they are able to receive visitors at any time. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 15 Meals are served in a pleasantly decorated dining room on the ground floor. Prior to the meal being served all the tables are set with cutlery, condiments and jugs of water, creating a pleasant and comfortable environment for people to enjoy their meal. The Shomer visits the service on a regular basis to light the ovens and oversee food preparations in the kitchen. All food is suitable for the kosher diet and is prepared and cooked in a kitchen with both dairy and non-dairy facilities. A varied four weekly menu was available that offered residents a choice of foods. The majority of the people who completed survey forms stated that they always liked the meals at the home. All of the residents spoken to on the day of the visit stated that they enjoyed the food served. However, two residents were unable to recall what they had eaten for their lunch. It is recommended in the report that the menus are displayed to inform and remind residents of the menu available. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Residents were confident in how to make a complaint. However, policies and procedures relating to complaints and protection should be reviewed to ensure people have access to up to date information. EVIDENCE: The service’s complaints policy and procedure was readily available around the home. The document had recently been reviewed. The procedure gave information about to whom in the company complaints should be directed to however, the procedure did not contain the address of where to direct complaints to. It also referred to the Health Authority. The procedure should contain information relevant to the service at all times. Residents spoken to during the visit indicated that they would speak to the manager if they had a concern. All residents who completed a survey form stated that they knew how to make a complaint about the service. A copy of Salford Social Services safeguarding adults policy was readily available at the home. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 17 The services internal safeguarding procedure was in need of reviewing and updating. Since the previous inspection the contact details for Salford Social Services had been added to the procedure. However, information was still available at the home that informed staff that if a resident abused another resident “the manager may feel it necessary in certain cases to refer the matter to the police.” The procedures should refer directly to Salford Social Services Safeguarding procedures to ensure that all concerns and allegation are dealt with appropriately. The manager stated that she had recently met with a safeguarding representative from Salford Social Services and was in the process of arranging training for staff in safeguarding procedures and Mental Capacity Act awareness. The AQAA stated that the home did not have a policy for the management of service users money, valuables and financial affairs. It is essential that these policies are developed to protect the interest of residents. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home offers a comfortable, safe and clean environment for residents to live. EVIDENCE: The home is full accessible via a ramped entrance at the front of the building. A passenger lift accesses both floors of the building. A part-time handy person is employed to carry out general maintenance around the home. Records demonstrated that regular testing of equipment and fire detection systems were taking place on a regular basis. Redecoration and refurbishment of bedrooms and communal areas continued to take place around the home. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 19 Communal areas were comfortably furnished to meet the needs of the residents creating a pleasant environment for people to spend time. A tour of some areas of the home took place. Several bathrooms and bedrooms were fitted with aids to support people’s independence. One bathroom on the ground floor was being used as a storeroom for wheelchairs and walking aids. The manager stated that she would arrange for the equipment to be moved to enable the bathroom to be fully operational for residents. Several bedrooms were visited, all were personalised with resident’s own personal effects. Bedrooms were pleasantly decorated with a mixture of personal furnishings and those supplied by the home. Equipment was in place to enable some fire doors around the building to remain open safely. However, the doors to the kitchen and the laundry were ‘wedged’ open. Both doors were clearly marked with signs for them to be kept closed. It is essential that all fire doors are operational at all times for the protection of all. The environment was clean and tidy. Hand wash, gloves and aprons were readily available around the building to maintain good hygiene practices. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence, including a visit to this service. Residents spoke positively about the staff team. Failings in the service’s recruitment procedures may put people at risk from unnecessary harm. EVIDENCE: At the time of the visit there were two carers, a senior carer and the manager on duty to meet the care and support needs of the 22 residents. Catering and ancillary staff were also on duty. Throughout the visit staff demonstrated a good awareness of the needs and wishes of individuals. Three residents stated in their survey forms that they always received the care and support they needed, one person stated they usually did and another stated they sometimes did. Two staff stated that they thought there were enough staff available to meet the needs of the residents, one person thought there usually was and one staff member stated there sometimes was. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 21 Two waking night staff were on duty between the hours of 8pm and 8am. On the day of the visit an observation was made that at 8.45pm, eight residents were in the lounge area watching TV and in conversation and the night staff were arranging drinks and toast for people. The staff on duty were observed being extremely busy at this time. A recommendation has been made in the report that a continual review of staff levels throughout the 24 hour period takes place to ensure that sufficient staff are available at all times to meet the needs of the residents. A selection of staff files were assessed, including those of the most recently recruited staff. The recruitment practices of the service were inappropriate as the majority of staff files did not contain all of the information required. For example, information contained on four staff files demonstrated that staff had started their employment prior to appropriate Criminal Records Bureau checks or the Protection of Vulnerable Adults (POVA) register being checked. One staff file contained only a POVA check and another staff file contained no evidence that the service had applied for a CRB or POVA check. Several files did not contain proof of identification. It is essential that all appropriate recruitment checks are carried out prior to a person starting employment. This is to ensure that only people suitable for the role are employed. During the visit the manager stated that two staff had completed their NVQ level 2 award and two staff had completed their level 3 award. There was evidence on some staff files that they had completed a basic induction into their role. It is recommended that the service develop their induction process to include the national induction standards to give staff access to a detailed induction into their role. Three staff who completed survey forms stated that their induction covered their role very well and one person said it mostly did. Two staff stated that they always had the right support, experience and knowledge to meet the different needs of individuals and two staff stated that they usually did. The majority of staff had received fire awareness training in January 2008 however, there was little evidence to demonstrate that any other training had been made available since the previous inspection. The manager had created a matrix of training that had been identified for the staff team. This included moving and handling, food hygiene, safeguarding people and dementia awareness. It is essential that staff have the opportunity to receive up to date training and awareness relevant to their role to enable them to support residents with their needs and wishes safely. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 22 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, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Regular maintenance and servicing of equipment together with robust policies and procedures are needed to ensure that risks to people’s health, safety and wellbeing are minimised. EVIDENCE: Since the last inspection the previous manager had resigned and a new manager had been in post for six weeks. The newly recruited manager has several years experience in working in a social care environment. At the time of the visit the manager was in the process of completing her application form for registered manager with the commission. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 23 A procedure was in place for the safekeeping of resident’s personal monies. An account sheet was available for residents whose monies are kept at the home. The balances of three residents monies were checked and all three were correct. The manager stated that residents were asked periodically to complete questionnaires with their views on the service and that she intended to introduce regular meetings with the residents to ascertain their opinions on the service. Regulation 26 visits were taking place by a representative of the organisation. Records of these visits were available. The most recent visit was dated 05.03.08. Accidents were being recorded in appropriately. However, there was evidence of accidents that were recorded that should had been notified to the Commission under Regulation 37 of the Care Homes Regulations. Information supplied in the AQAA did not give any indication as to when the most recent testing or servicing, as recommended by the manufacturer or other regulatory body, of electrical circuits, lifts and hoist operations, fire detection equipment or the heating system had taken place. It is essential that all equipment is tested or serviced on a regular basis to ensure that it is fully operational at all times. Records of the servicing and testing must be maintained. A selection of policies and procedures were available to promote the health, safety and wellbeing of staff. However, there was no policy available for the prevention and management of infection control or health and safety. A review of policies and procedures relating to health and safety must take place to ensure they reflect the service offered and minimise the risk from harm to people. There was no evidence that staff were receiving regular supervision. Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 24 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 2 Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement A full assessment of individual needs and wishes must be undertaken to ensure that people receive the service they require. Care plans and risk assessments must be devised for all people resident at the home to ensure that all their needs and any identified risks are managed appropriately. Timescale for action 17/06/08 2 OP7 15 17/06/08 3 OP9 13 4 OP19 23(4)(c) (i) Residents’ care plans must contain consistent, up to date information and all care offered and delivered needs to be recorded appropriately to ensure that that residents receive the care and support they need at all times. Timescale of 20/09/07 not met. Controlled drugs must be stored 17/06/08 in a cabinet that is compliant with the recent legislative changes in the storage of this medication. All fire doors must be operational 07/06/08 at all times to ensure that they would protect people in the DS0000069741.V364105.R01.S.doc Version 5.2 Page 26 Newland Care Home (Residential) 5 OP29 17 6 OP30 18(1)(c) 7 OP31 8 8 OP36 18 9 OP38 23 event of a fire. Timescale of 23/08/07 not met. Appropriate references, proof of identification and Criminal Record Bureau checks must be undertaken and be recorded to ensure that residents are being cared for by staff suitable for the role. All staff files must contain the information detailed in schedule 2 of the Care Homes Regulations 2001. Timescale of 20/09/07 not met. To ensure that residents receive the care they require all care staff must receive regular up to date training in all aspects of their role. Timescale of 27/09/07 not met. The person managing the home must be registered with the Commission for Social Care Inspection. Staff must receive regular supervision for their role to ensure that residents receive the care and support they require. Timescale of 20/09/07 not met. Regular maintenance of electrical circuits, passenger lifts, hoists, the heating and fire detection system must take place on a regular basis and records maintained. 17/06/08 17/06/08 30/06/08 17/06/08 17/06/08 Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 27 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 OP3 Good Practice Recommendations A referral and admission policy should be developed to ensure that people are aware at all times of the appropriate actions to take when a person is considering to or moving into the home. It is recommended that pre-admission assessments consider and give the opportunity to document peoples needs relating to dietary requirements, history of falls, family and carer involvement and social contacts and relationships. The temperature of the room in which the medication trolley is stored should be monitored to ensure that the medication is stored in line with the manufacturers guidelines. A medication policy and procedure needs to be developed and implemented that reflects the needs of all the residents and implemented to ensure that all residents receive their medication as prescribed at all times. It is recommended that the daily menu is displayed to inform and remind residents of their mealtimes and menu. The service’s complaints procedure should contain up to date information relevant to the service and the contact details of the whom complaints should be directed to. In order to protect residents from abuse, a policy, procedure and awareness training needs to be developed to advise staff on what actions to take in the event of a concern being raised. A regular review should take place of the number of staff on duty to ensure that there are always sufficient staff available to meet the needs of the residents. A policy, procedure and recording system for the management of finances needs to be developed to ensure that residents’ monies are safeguarded. Residents and staff must be protected by clear, up to date policies and procedures relating to their health, safety and wellbeing. 2 OP9 3 4 6 OP15 OP16 OP18 5 7 8 OP27 OP35 OP38 Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Newland Care Home (Residential) DS0000069741.V364105.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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