Inspection on 01/08/05 for Newland House

This inspection was carried out on 1st August 2005.

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

The inspector 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 House 06/03/07

Newland House 27/01/06

Newland House 01/12/04

Newland House 06/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Newland House 304 - 308 Norton Road Stockton-on-Tees TS20 2PU Lead Inspector Brenda Grant Unannounced 1 August 2005 09:30 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newland House Address 304 - 308 Norton Road Stockton-on-Tees TS20 2PU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01642 535702 Mr John Robinson Ms Angela Burgon Care Home 30 Category(ies) of DE(E) Dementia - over 65 (12) registration, with number OP Old age (18) of places Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One named individual who is under the age category is allowed to reside in the home. Date of last inspection 1st December 2004 Brief Description of the Service: Newland House Care Home provides residential care for 30 older people. The home comprises two units, one with 12 places for older people with dementia, the second with 18 places for frail older people. The property comprises three terraced houses combined internally into one establishment. Single storey extensions have been added to the rear of the home over the years since it was originally registered. The two units operate separately, but not independently, and access between the units is by keypad locked internal doors. The home is situated in an urban area on a main road into Stockton, with access to frequent public transport to the local town and amenities. There are gardens and seating areas to the front and rear of the property. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours five minutes, the inspector looked around the building and the grounds of the home as well as inspecting a number of records. Five residents, one staff and the provider were spoken to on the day of the inspection. The home’s environment, on the day of the inspection, it was observed being kept clean, tidy and well maintained. The garden areas were very attractive, with flowering pots, raised gardens and hanging baskets around the seating areas. What the service does well: What has improved since the last inspection? The results, from last year’s quality assurance survey have been reported upon. Most of the results complimented the home for the services they provide. The manager has attained a National Vocational Qualification Level 4 in care. The home has a record of all the activities that take place. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Most but not all residents move into the home after having his/her needs assessed. The home does not have a statement, to assure residents, that their needs will be met. EVIDENCE: The home has assessments, completed by care managers, for most residents at the home. However three of the four newly admitted residents did not have an up to date assessment of all their needs. For those three residents the home had their previous home’s Care Plans from which management and staff is to ascertain the resident’s needs. The provider said he verbally assures new residents that their needs will be met by the home but there is no written confirmation that is the case. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 9 Resident’s health, personal and social care needs are set out in an individual Care Plan but residents, or their representative, do not confirm that they agree with the reviews of their Plans. Resident’s healthcare needs are fully met. The home follows the policies and procedures for dealing with medicines and residents are assessed on their ability to look after their own medication. EVIDENCE: Care Plans detailed all health, personal and social care needs of residents. Reviews of the Plans take place monthly. For the local authority funded residents, Social Services Department carry out a yearly formal review but the home did not have documentation that those yearly reviews take place for the residents who are self-funding. Residents had agreed to their original Care Plans but there was no confirmation that residents had agreed to the reviews of the Plans. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 10 The home has a record of all healthcare needs and of how those needs will be met. Three residents said they were very satisfied with the arrangements made by the home; they organise chiropodist, dentist and an optician to carry out domiciliary visits to the residents. Residents also said the home asks for GPs and District Nurses to call to the home when they are needed. The home’s storage of medication was satisfactory. Medication that needed to be kept cool was stored in a ‘fridge and temperatures of the fridge were recorded on a daily basis. The records of medicine’s administration and disposal of was satisfactory. The provider said, in the past residents have sometimes been in control of their medication but presently none of the residents look after their medication. The home has Risk Assessment documentation for such cases. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13 Residents are satisfied with their lifestyle and the home provides recreational activities. Residents are assisted to maintain contacts with families and friends. Residents have little contact with the local community but some residents go out with their visitors. EVIDENCE: Residents said, they are satisfied with how they spend their days. They can sit in the communal areas, in their rooms or the garden as they wish. The home provides recreational activities on a daily basis and residents have a choice to join in if they want to. The home has a record of the activities that take place. The provider said, visitors are welcome to come to the home at any time. Residents said, the home assists them to keep in contact with families and friends and residents sometimes go out with their visitors. The provider said, there is no resident who has cultural needs but should that arise the home would help residents to meet those needs. In recent years there has been less contact with the local community. The provider said, the home is making plans for small numbers of residents to be assisted to go out for short walks. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents are confident their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Residents said, they know the home has a Complaints Procedure. The procedure informs how to make a complaint and to whom. There are also set timescales for when complaints will be responded to. The home has a recording system for complaints but no complaints have been received from residents during the past twelve months. The procedure gives information about the Commission for Social Care Inspection. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 & 26 Residents live in a safe, well-maintained environment but wheelchair users are not offered a large bedroom. The home is clean, pleasant and hygienic but sanitary bins are not kept locked. EVIDENCE: The inspector toured the premises and found it is homely and well maintained. Residents said, they were comfortable and felt safe at the home. The garden areas are well maintained, having attractive pot plants, raised flower-beds and there are hanging baskets. Seating is provided to the front and rear gardens. Residents spoken to said, they were satisfied with their living arrangements but the provider said, he has not yet had the opportunity to offer residents who are wheelchair users a bedroom that is at least 12 sq m. On the day of the inspection, the home was clean and hygienic. The home has a laundry with industrial washer and drying machines. The home’s bins are kept in a discrete location but the bins with sanitary waste were not kept locked. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Residents are supported and protected by the home’s recruitment policy but not all of the required documentation is held in staff’s files. EVIDENCE: The home follows its recruitment policy and procedure for employing new staff. Staff records included; application forms, references and Criminal Records Bureau checks. Not all staff’s files had copies of a Birth Certificate or passport. Staff’s records also include the qualifications and training that staff have completed. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 & 33 The home is run and managed by a person who is fit to be in charge, she is of good character and able to satisfactorily manage the home. Residents do not wholly benefit from an inclusive leadership and management approach. The home is run in the best interests of the residents but there is no annual development plan. EVIDENCE: Since the last inspection the manager has gained the required management and care qualifications. She has completed training in National Vocation Qualifications Level 4 in management and care. The manager has many years of experience, in a senior role and as manager of the home. The home had staff and resident meetings more than eight months ago but has not consulted residents and staff on the running of the home since then. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 16 Last year the home carried out a quality assurance survey, to gain views of residents and their representatives, on the running of the home. The home has reported upon the findings of the survey. Most of the results complimented the home’s service provision. The provider said, another survey is soon being carried out for this year. The home has not produced an annual plan giving details of how the services are to be developed. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x 2 x x 2 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 2 3 x x x x x Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 14 Requirement Timescale for action 15th September 2005 2. 3. 4. 7 29 32 15 17 21 The registered person must obtain a copy of a prospective residents assessment of needs. The registered person must confirm, in writing to the resident, that the home will meet their health and welfare needs. Reviews of Care Plans must be 30th with the agreement of residents. September 2005 Staffs files must include copies 30th of Birth Certificates and September passports. 2005 The home must seek the views 30th of staff as to the conduct of the September care home. (Previous timescale 2005 st of 31 January 2005 not met) 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. Refer to Standard 23 26 Good Practice Recommendations Residents, who are wheelchair users, should be offered a bedroom at least 12 sq m. Bins, that are kept outside of the home, containing sanitary waste should be kept locked. B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 19 Newland House 3. 33 The home should produce an annual development plan. Newland House B51-B01 S15 Newland House V241663 010805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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