This inspection was carried out on 8th December 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Newland Care Home (Residential) 18 Tetlow Lane Salford Manchester M7 4BU The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: John Oliver Date: 0 8 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Newland Care Home (Residential) 18 Tetlow Lane Salford Manchester M7 4BU 01617920993 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Angel Care Plc care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 30 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N To people 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 - OP The maximum number of people who can be accommodated is: 30 Date of last inspection Brief description of the care home Newlands is a residential care home with nursing 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. Care Homes for Older People Page 2 of 10 What we found:
At the end of November 2008, we (the Commission), received a copy of a letter sent to Angel Care Plc by a relative of a person living in Newland Care Home. A copy of this letter had also been sent to various other people and agencies. In this letter, the writer raises various concerns including the apparent decision by the home to no longer supply kosher prepared food. Such a decision could have a major impact on meeting the specific cultural and spiritual needs of people already living in the home. As a result of this concern it was decided to carry out a random (unannounced) inspection to focus on the following issues: Has the home stopped preparing/supplying kosher foods? Are the services of the Shomer (Kosher Supervisor) no longer being used? Has the licence to prepare kosher foods been revoked by the Beth Din and if so, why? How were people living in the home and their relatives told about any decisions taken? Issues such as these are covered by the requirements of the Regulations and National Minimum Standards for Care Homes. We did not look at any previous requirements made during this visit. We visited the home on 08 December 2008 and time was spent talking with the person currently managing the service, and the Director of Care. In addition to this, we also spoke with the cook on duty and looked at various information displayed on notice boards about meals being provided in the home. Using such processes enabled us to gain evidence to make a judgement on the issues identified above. At the time of our visit, on the 08 December 2008, the manager who was in day-today charge of the home had only been in post for the past two weeks and was still familiarising herself with the services being provided by the home. In the two weeks that the manager has been in post she had not received any concerns or complaints herself about the food being non kosher from either a person living in the home or a relative. The manager told us that the Director of Care, was meeting with the Rabbi from the Manchester Beth Din on the same morning as our visit to the service. We took the opportunity to speak with the cook on duty and to look at the menus displayed on the notice boards. The details of the meals being offered on the day of our visit was: Lunch: Soup/melon, poached eggs, baked beans, toast and a selection of deserts. Dinner: Plaice, potatoes, vegetables and a selection of deserts. Care Homes for Older People Page 3 of 10 In discussion with the cook we were informed that it was the owner of the home who had made the decision to change the suppliers of bread and milk to non kosher. The cook said that she did inform them that the new supplies would be non kosher but the change still went ahead. The cook also said that apart from the bread and milk all other food produce was still being purchased from the same suppliers of kosher foods as before and that there had been no changes in the way that meals were being prepared e.g. use of two kitchen areas, one for meat and the other for dairy produce. The cook stated that she was on leave when the Shomer (Kosher Supervisor) had found non kosher bread was now being supplied to the home. We later met with the Director of Care who arrived at the home following his meeting with the Rabbi at Manchester Beth Din. Again, we explained the purpose of our visit and the concerns that had been raised. We were told that it was early in November 2008 when he found out that the Shomer had found non kosher bread being used in the kitchen although he was aware that the decision had been made to use a new non kosher supplier to provide bread and milk. Two weeks previously the Shomer had found non kosher biscuits and raised this with the Director of Care. It was found that the biscuits belonged to staff and so were removed to the staff room. The Director of Care said he was surprised that on finding the bread the Shomer reported this to the Manchester Beth Din instead of discussing the matter with him first. Following this the licence to provide kosher meals by the home was revoked. A meeting was then arranged for people living in the home and their relatives to attend on the 20 November 2008. The Director of Care chaired the meeting and there were several items on the agenda. He said that he had assured people at the meeting that there would always be kosher meat and fish but that some other foods may not be kosher. He said that this led to a very heated discussion taking place and that several relatives were very upset with the decision. One of the relatives at the meeting said that he would be removing his mother from the home and subsequently, this has happened. During our visit we saw that notices had been displayed in the home informing relatives of the Director of Cares availability to meet with them on at least four different occasions should they wish to. He told us that following his initial meeting on the 20 November he was then contacted about the situation regarding meals by the Jewish press. We were told us that the Shomer has since offered to come back to supervise the kitchen but as the Beth Din have revoked their licence he did not see the point to this and declined the offer. Following the meeting the Director of Care had with the Rabbi on 08 December 2008 he stated the following has been agreed: Care Homes for Older People Page 4 of 10 That the licence would be reinstated to the kitchen. That the Rabbi would discuss the process of reinstating the licence as the kitchen areas would have to be ritually cleansed first. That the Director of Care expected all the actions needed to allow the kitchen areas to be used to prepare kosher meals would be completed within 7 days. That the Rabbi had agreed to help with providing all staff at the home with training and awareness of kosher issues. That a separate lounge would be set aside as a non kosher area (not for eating food). That non-Jewish residents can eat non kosher food in their private bedrooms. That any food staff bring onto the premises will be stored and eaten in the staff room. That no pork products will be allowed into the home. The Director of Care told us that he was going to have a further meeting with people living in the home and/or their relatives on the 11 December. The outcomes of all meetings will then be written up and placed on the notice board for all to have access to. We discussed the importance of health and safety should people bring food into the home to be consumed in bedrooms. For example, meat and fish products if not stored at correct temperatures could place people at risk. The Director of Care said that he would ensure that this was fully discussed with the relevant people and, where necessary, risk assessments would be put in place. The Director of Care confirmed that the Statement of Purpose, Service Users Guide and other policies and procedures would be reviewed and updated to reflect the changes being made. Consideration should also be given as to where non kosher foods can be consumed within the home. Restricting non-Jewish residents already living in the home to eating food of their choice (non kosher) only in their private bedrooms could infringe their rights to freedom of choice as to which parts of the home they can use. People should be informed of this before they move into the home. We were told by the Director of Care that he had received written confirmation of a number of complaints raised by a relative to the Customer Care Manager at Salford Local Authority. He said that he would be addressing all the issues raised in the complaint under the homes complaints procedure including the allegation raised that staff have been told not to tell people living in the home or relatives that there is non kosher food being used. The Director of Care and the manager will keep the Commission informed as to the progress of getting the licence reinstated and any other issues that arise as a result of the meetings with relatives. Care Homes for Older People Page 5 of 10 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14 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. 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. 17/06/2008 2 7 15 17/06/2008 3 9 13 Controlled drugs must be stored in a cabinet that is compliant with the recent legislative changes in the storage of this medication. 17/06/2008 4 19 23(4)(c) (i) All fire doors must be 07/06/2008 operational at all times to ensure that they would protect people in the event of a fire. Timescale of 23/08/07
Page 7 of 10 Care Homes for Older People not met. 5 29 17 Appropriate references, proof 17/06/2008 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 17/06/2008 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. 30/06/2008 6 30 18(1)(c) 7 31 8 8 36 18 Staff must receive regular 17/06/2008 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 17/06/2008 electrical circuits, passenger lifts, hoists, the heating and fire detection system must take place on a regular basis and records maintained. 9 38 23 Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 1 4 Information about the agreed 02/02/2009 services provided by the home must be up to date at all times and be available to all prospective users of the service. Information in the Service Users Guide must reflect the actual service being offered. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
