Inspection on 06/03/07 for Newland House

This inspection was carried out on 6th March 2007.

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 27/01/06

Newland House 01/08/05

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 Ania Swann Key Unannounced Inspection 6th March 2007 10:30 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 House DS0000000015.V328963.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 House DS0000000015.V328963.R01.S.doc Version 5.2 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 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) 01642 535702 F/P 01642 535702 Mr John Robinson Mrs Pearl Robinson Ms Angela Burgon Care Home 30 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (18) of places Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons shall not exceed 18 elderly frail people and 12 elderly mentally infirm people One named individual who is under the age category is allowed to reside in the home. 27th January 2006 Date of last inspection 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. The weekly fees are currently £353.00 for residents in the older persons unit, and £371.00 for residents living in the unit for older people with dementia. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection lasting a total of seven hours. A tour of the premises formed part of the inspection, and the inspector found the home to be clean and tidy. A range of records and documents were looked at including staff training records and residents care plans. The inspector had discussions with four residents, one visitor, two care staff, the manager and the provider. A visiting health professional also spoke to the inspector. A number of service user surveys and relative/visitor surveys were returned completed to the inspector before the day of inspection. The staff were very welcoming and co-operative, and the inspector observed that there was a warm and friendly atmosphere in the home. What the service does well: What has improved since the last inspection? Residents care plans show that the resident whenever capable, or their representative, now sign the care plan to show they are in agreement with the plan. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 6 The home continues with its programme of maintenance and improvements, and since the last inspection seven of the bedrooms have had en-suite facilities installed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Newland House DS0000000015.V328963.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed choice about where to live. Residents or their representatives receive a written contract from the home. A full assessment of the residents needs is carried out and the residents and their families know that the home will meet their needs. The statement of purpose does need to be developed to include more information that shows how the home meets the needs of residents with dementia. EVIDENCE: The Statement of Purpose is very clearly written and well set out. The document refers to the resident’s rights such as “the right to independence”. It contains details of the staff qualifications and years of experience as a carer. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 9 The residents and their families are confident they are being cared for by trained, experienced staff. The registered persons should ensure that the statement of purpose is developed further to show how the service meets the needs of the residents with dementia. The service user guide sets out clearly what the resident can expect in the home. It highlights the range of activities on offer at Newland House. It includes details of how to make a complaint and, contact details for the local office of the Commission for Social Care Inspection. The resident’s files the inspector looked at contained a full assessment of the residents needs. A care management assessment was evidenced of a prospective resident due to move into the home. The service user surveys confirm that the residents or their representatives have received a written contract from the home. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 10 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 good. This judgement has been made using available evidence including a visit to this service. The personal and health care that a resident receives, is based on their individual needs. There is an individual plan of care in which these needs are set out. Residents are protected by the home’s policy and procedures for medication. There are currently no residents who choose to self-administer their own medication. The residents feel that their privacy and dignity is maintained and they are treated with respect. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 11 EVIDENCE: The inspector looked at four residents care plans. There was evidence that they were reviewed monthly and updated with any changes. The care plans included a risk assessment. The records confirm that the care plans had been signed by the resident or their family to state that they were in agreement with the plan. One of the resident’s visitors commented “the residents are very well looked after – the staff are very thorough in what they do”. A relative told the inspector “the staff look after my mother and her day to day needs which is what I appreciate”. A record for each resident is maintained by the staff, documenting any visits by health professionals such as the dentist, doctor and district nurse. During the inspection, a visiting health professional who has been going into the home for a number of years, spoke to the inspector and confirmed that the staff are very proactive in seeking advice about the residents health. She stated that from her observations of the staff, the residents received good care and were competent in their management of residents. Medications are stored and recorded appropriately in the home. Policies and procedures are clearly written and well set out, and staff who administer medication to the residents are appropriately trained in safe handling and administration of medication. A sample of the residents Medication Administration Records were looked at and show that staff correctly record and sign for medication given. Particular attention is given to ensuring privacy and dignity when delivering personal care. Residents told the inspector that the staff treated them with respect; “they always knock on the door before they come in – they respect me in every kind of way. They are polite, but also very friendly”. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 12 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. Social, cultural and recreational activities meet the resident’s expectations. The residents maintain contact with their family and friends who are made very welcome in the home. The home encourages the residents to maintain their independence and make their own decisions where possible. Residents receive a healthy, varied diet in pleasant surroundings. EVIDENCE: The resident’s likes and dislikes are recorded in their care plan. One of the residents care plans the inspector looked at included details of what time the resident wants to get up in the morning. Discussion with a resident highlighted that her own hairdresser comes into the home to do the residents hair. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 13 The staff are very flexible and will change the routine to meet individual wishes. A resident told the inspector that when she asked if she could have her tea in her own room, the staff arranged this. Residents confirmed to the inspector that there is a range of activities that take place in the home, and that they can choose whether to take part or not. One of the residents told the inspector that there are sing songs, bingo, cards, skittles and soft-ball. The staff told the inspector that there is an entertainer who comes into the home on occasions and families and friends are invited to come along and enjoy the entertainment. Family and friends are made very welcome in the home. A friend of one of the residents told the inspector that the staff are always very friendly and there is always a member of staff around – “they always ask me if I want a cup of tea and a biscuit.” The dining areas in the home are well lit and decorated in a homely way. The inspector observed that the tables are set attractively, and that the meals are of a good quality. There is a blackboard style menu board that shows the menu of the day. Residents confirmed that they are very satisfied with the food: “Very, very palatable food – today I had one of my favourites”. “The food is good and I get a choice. I’ve put on loads of weight since I moved in!” The cook told the inspector that if a resident doesn’t want what is on offer, they are able to choose an alternative. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. Residents have access to an effective complaints procedure, and are protected from abuse. EVIDENCE: Newland House has a complaints procedure that is clearly written and easy to understand. During a tour of the premises, the inspector noted that a copy of the procedure is available on the notice board in the entrance hall of the home. The residents and relatives surveys confirm that the residents and their families have a good understanding of how to make a complaint, but state that they have not had to do so. The record of complaints, concerns and compliments was looked at, and showed that since the last inspection there has been one complaint received by the home that was responded to by the service in an appropriate and timely manner. Residents told the inspector that they are very happy with the home and the care they receive: “I’ve nothing but praise for them”. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 15 “I don’t think there is anything that the home could do better – I’m very happy with the home”. The inspector evidenced many letters and cards of compliment. One of the letters states - “ as soon as you open the door, you know you are entering a safe, warm environment”. Policies and procedures are in place for the protection of the residents including whistle blowing and adult protection guidance. Staff training files show that staff have received ‘No Secrets’ training in adult protection awareness. The staff that spoke to the inspector confirmed they had received the training and were aware of what action to take if they suspected any form of abuse towards a resident. All the residents that spoke to the inspector said they felt safe in the home: “I feel safe in the home. I trust people here – I really, really do”. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at Newland House live in a safe, well-maintained environment. There are safe and comfortable indoor and outdoor communal facilities. The home has toilet, washing and bathing facilities provided to meet the needs of the residents. There is equipment that enables the residents to maximise their independence. The residents own rooms are comfortable and safe, and the residents are able to have their own possessions around them. Newland House is clean, tidy and free from unpleasant odours. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 17 EVIDENCE: A tour of the premises showed that the home is well maintained. The provider confirmed that there was a programme of maintenance and improvement to ensure that the home is safe and comfortable. The rear of the home has a patio area for residents and their families to sit outside. There are raised flower beds that some of the residents help maintain with weeding and planting. Access for wheelchair users is around the side of the building. The home has grab rails fitted and equipment such as hoists available to meet the needs of the residents. There are rails on both sides of the stairs to help the residents walk up and down the stairs safely. There is a lift for the use of residents and visitors, and records show this is maintained regularly. The inspector looked at a sample of the bedrooms. The furniture was clean and intact. Many of the rooms had residents own items of furniture and possessions evident. All the bedrooms have en-suite facilities that were observed to be clean and odour free. A visitor told the inspector that the home was “always immaculate when you come in – it doesn’t matter what time of the day you come”. There are three double rooms that are occupied by residents who have all made a positive choice to share with the other person. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The staff are skilled and sufficient in numbers to meet the needs of the residents. Residents are protected by the services recruitment practices. There is an ongoing and comprehensive programme of training for staff, but the registered persons should ensure that where appropriate, staff receive training in dementia care. EVIDENCE: The inspector looked at the duty rota that showed there are sufficient numbers of staff on duty at any time. This was confirmed in discussions with the care staff, who feel that there are enough staff on duty to meet the needs of the residents. The percentage of staff that have achieved NVQ Level 2 in care, or higher, exceeds the National Minimum Standard. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 19 Staff files that the inspector looked at show that staff have satisfactory checks of the Protection of Vulnerable Adults register and Criminal Records Bureau. The staff training records show that the staff receive detailed induction training at the start of their employment, and continue undergoing training to help them meet the needs of the residents. The staff confirmed that they have had training in several subjects including Fire Prevention, Health and Safety and First Aid. One area of training that the staff do not have, is training in dementia care. The staff that spoke to the inspector said that they feel it would benefit them to have this training, in order to be able to understand the condition more. The inspector does acknowledge that the provider has registered the staff for this training with a college, but the registered persons should ensure that this does take place, particularly for the staff caring for this group of residents. The training should equip the staff with a greater understanding of how to meet the changing needs of these particular residents. Residents told the inspector that “it’s justifiable giving the staff here a really good write up – they are absolutely brilliant”. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. Newland House is run and managed by a person who is fit to be in charge, in the best interests of the residents. Staff are appropriately supervised. The financial interests of the residents are safeguarded and the health, safety and welfare of the residents and the staff are promoted and protected. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 21 EVIDENCE: Records show evidence that the manager has the required qualifications and experience to run the home. The manager and the provider are resident focused, and this is evident in discussions with the staff and the residents. There is a strong commitment from the management to providing a skilled staff team by promoting and developing training opportunities. Discussions with the manager identified quality assurance and quality monitoring systems in place. Questionnaires are given to residents in the form of a customer satisfaction survey. The manager told the inspector that the results are reviewed and any changes or improvements introduced. The inspector looked at a random sample of completed surveys that showed very favourable responses. Residents are consulted as to whether they would like a residents meeting, but at the present time all of the residents have made a choice not to have such a meeting. This is documented in the individual residents file. Feedback is obtained from staff in the supervision sessions and in the staff meetings that take place. The staff that spoke to the inspector confirmed that staff meetings do take place, and that “things do get acted on – the management sort stuff out straight away”. Minutes of the meetings are evident in the staff room. Supervision and appraisal of staff take place at appropriate intervals, and this was confirmed during the discussion with staff. The staff confirmed that they feel supported by the manager and that they can contact her at any time for advice. The personal allowances of the residents are stored and recorded appropriately for safe- keeping. A sample of the records and amounts was checked and all found to be correct. Maintenance records examined by the inspector show that the home is well maintained, and the safety of the residents is safeguarded by the policies and procedures in place. The manager encourages safe working practices through training and regular checks. The policy for the use of bed rails needs developing further, to include more detail about the health and safety risk assessment to be done for each resident that requires bed rails. The manager told the inspector that Newland House provides a homely atmosphere and the staff is its strength: “The staff are long term – the one important point is that the staff know their residents and the residents know their staff”. Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 22 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 2 3 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 17 X 18 3 3 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 4 Requirement The registered persons should ensure that the statement of purpose includes information to show how the home meets the needs of the residents with dementia. The registered persons should ensure that where appropriate, the staff receive specific training in dementia care, so that they have a greater understanding of how to meet the changing needs of this particular group of residents. The policy and procedures in respect of the use of bed rails needs developing further to include specific detail to ensure the health and safety of the residents. Outstanding from the last inspection. Timescale for action 31/05/07 2. OP30 18 30/09/07 3. OP38 13 30/04/07 Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newland House DS0000000015.V328963.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 House DS0000000015.V328963.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!