Inspection on 11/07/05 for Newland House

This inspection was carried out on 11th July 2005.

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 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

Newland House 30/08/07

Newland House 10/11/06

Newland House 15/12/05

Newland House 11/03/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Newland House 50 Newland Witney Oxon OX28 3JG Lead Inspector Philippa MacMahon Unannounced 11 July 2005 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 H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newland House Address 50 Newland, Witney, Oxon, OX28 3JG 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) 01993 702525 01993 702530 Crispin Homes Limited Elizabeth Bird Care Home 24 Category(ies) of OP; DE(E); LD(E); PH(E) registration, with number of places Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The number of service users accommodated at any one time must not exceed 24. Date of last inspection 11 March 2005 Brief Description of the Service: Newland House is situated on the outskirts of Witney, which is a short walk away. The building is listed, built around 400 years ago and has been sensitively adapted so as to retain many of the original period features. The internal is of a high standard and offers a comfortable environment. There is an attractive garden to the front of the house. The home offers 24-hour care by a well trained and committed staff group, has been awarded the Investor in People Award and has won the Heart of England TEC prize for the best training of a small business. Building work has commenced to provide a new extension to the home, and a programme of refurbishment in the house is underway. Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the registered manager was not available on that day. The inspector examined care plans and records, and spent time talking with residents, staff and visitors, to obtain their views on the service provided at the home. What the service does well: What has improved since the last inspection? This is the first time that the inspector has inspected this home and is therefore unable to pass comment at this time. Newland House H57-H08 S62675 Newland House V238193 110705 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 H57-H08 S62675 Newland House V238193 110705 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 H57-H08 S62675 Newland House V238193 110705 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 All prospective residents have an assessment of their care needs prior to admission to the home. EVIDENCE: The registered manager carries out pre-admission assessments. This assessment forms the basis of the care plans and copies of these were found on examination of the care plans. Newland House H57-H08 S62675 Newland House V238193 110705 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 The staff have a good working knowledge of each of the residents and the care they require. Care planning overall matched the residents’ care needs. However, there is a need for risk assessments to be carried out in relation to self medication and falls in some instances. Also there are no nutritional assessment being made at the present time. Good practice recommendations can be found in the appropriate section of this report. EVIDENCE: The inspector observed a handover of care from the early shift to the evening shift. The information exchanged was clear, concise and showed that the staff have a good understanding of the individual resident’s care needs, and how these were being met. The inspector examined a sample of care plans and, overall, they afford a clear picture of the residents’ care needs and how these will be met. One of the care plans examined had an incomplete assessment sheet, and no “story” of the individual’s life style or experiences. No risk assessments had been completed. There was no assessment of competence in giving his or her own Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 10 medication, nor a list of the medication that the person was having. This individual had recently been admitted for a short stay. It is a recommendation that a thorough assessment should be made of all prospective residents regardless of the length of stay in the home, and that this is documented and gives a complete picture of the individual’s care needs and how they will be met. Another care plan indicated that the person had a history of falls and yet the risk assessment for falls had not been completed. Instructions about changes are written in the daily record rather than changed on the care plans. It is recommended that a review of care planning should be carried out and discussed with the senior care assistants, to ensure that there is clarity and the care plans reflect the care that is given. There is no means of measuring and recording a resident’s nutritional status at the home. It is recommended that the registered manager should look into implementing a system of nutritional assessment in consultation with the community dietician. Examination of the medication system showed that there are safe systems in place and a pharmacist, who visits the home on a regular basis, supports this. Bottles of eye drops had no indication of the date they were commenced. It is a good practice recommendation that the date of opening is written on the bottle, to ensure that they are changed four weeks from that date. Examination of the medicine administration record showed that on a number of occasions the instructions for giving medication were handwritten and not signed by a GP. In one record the medication instruction had been crossed through, and a senior care assistant had written that the doctor had done this and signed it with her own name. It is recommended that the doctors should be asked to sign when they discontinue a medication, or there is a change of medication, before the next printed medicine administration record sheet is obtained. Newland House H57-H08 S62675 Newland House V238193 110705 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, 14 The staff make every endeavour to ensure that the residents have the opportunity to satisfy their social, cultural, religious and recreational interests and needs. Visitors to the home are always made very welcome, and encouraged to visit. Residents are offered choices, and encouraged to maintain control over their lives. EVIDENCE: A programme of activities is posted on a wipe board in the entrance hall. A visiting care manager commented on how good it was to see that the home is making every effort to provide an interesting programme for the residents. Two visiting GPs said that they were always pleased to visit the home, as the staff were so co-operative, and there is a good homely atmosphere. The inspector spoke to a number of residents and, on the whole, they felt that they had choices and that these were respected. One of the residents was pleased to be able to maintain the same independence that she would have had at home. Newland House H57-H08 S62675 Newland House V238193 110705 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 The registered manager takes complaints seriously and the home’s policy and procedure for dealing with complaints is in place. EVIDENCE: The home has a complaints procedure in place, and a copy of this can be found in the Service Users’ Guide and on the wall in the entrance hall. The registered manager had dealt with a recent complaint in an appropriate manner and in accordance with the home’s policy and procedure. Newland House H57-H08 S62675 Newland House V238193 110705 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) 25 The inspector did not inspect the environment on this occasion. However, during the course of the inspection it was apparent that building works were taking place. Appropriate action had not taken place to ensure that the residents and staff could not access the building works and an immediate requirement has been made and is listed in the appropriate section of this report. EVIDENCE: The building works on the first floor of the home in upgrading two of the bedrooms had not been sectioned off to ensure the safety of the residents and staff. Tools and building materials were accessible and windows without restrictors were wide open. There were no builders in the area when the inspector observed this. An immediate requirement was made that the area undergoing building works must be sectioned off at all times to ensure that residents and staff are not able to access the area. The site manager was available and before the end of the inspection the area had been sectioned off. Newland House H57-H08 S62675 Newland House V238193 110705 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) The inspector did not make a judgement about this outcome as none of the outcomes were inspected. EVIDENCE: None of these standards were assessed on this occasion. Newland House H57-H08 S62675 Newland House V238193 110705 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, 38. The home is well managed, and the registered manager has developed a good team of staff who are very clear in the importance of everything being for the benefit of the residents. EVIDENCE: The registered manager was not present at the time of this inspection and the inspector noted very good teamwork and communication between staff, residents and health care professionals visiting the home at this time. Residents and relatives spoken to during this inspection expressed how the staff were always very helpful, caring and cheerful. The inspector examined the fire log, and found that the weekly fire tests were not being consistently carried out each week, and that there had been no test for the last two weeks. It is a requirement that the weekly fire test must be carried out each week as directed by the fire service. Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 16 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 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 3 x x x x x 2 Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 17 No 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 25 Regulation 13(4)9a) Requirement An immediate requirement was made that the area undergoing building works must be sectioned off at all times to ensure that residents and staff are not able to access the area. Timescale for action Immediate 2. 38 23(4)(c)(v It is a requirement that the ) weekly fire test must be carried out each week as directed by the fire service. Immediate Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 18 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 7 Good Practice Recommendations It is a recommendation that a thorough assessment should be made of all prospective residents regardless of the length of stay in the home, and that this is documented and gives a complete picture of the individuals care needs and how they will be met. It is recommended that a review of care planning should be carried out and discussed with the senior care assistants, to ensure that there is clarity and the care plans reflect the care that is given. 2. 8 It is recommended that the registered manager should look into implementing a system of nutritional assessment in consultation with the community dietician. It is recommended that the doctors should be asked to sign when they discontinue a medication, or there is a change of medication, before the next printed medicine administration record sheet is obtained. 3. 9 Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Burgner House, Cascade Way Oxford Business Park South Cowley, Oxford OX4 1SU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Newland House H57-H08 S62675 Newland House V238193 110705 Stage 4.doc Version 1.40 Page 20 - 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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