Inspection on 10/01/06 for Newlands

This inspection was carried out on 10th January 2006.

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 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

Newlands 17/01/09

Newlands 25/01/07

Newlands 04/07/05

Newlands 30/11/04

Newlands 28/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Newlands 4 Church Lane Westbere Canterbury Kent CT2 0HA Lead Inspector Wendy Gabriel Unannounced Inspection 10th January 2006 10:20 Newlands DS0000023487.V250495.R01.S.doc Version 5.0 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 Newlands DS0000023487.V250495.R01.S.doc Version 5.0 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 Adults 18-65. 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. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newlands Address 4 Church Lane Westbere Canterbury Kent CT2 0HA 01227 710684 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) The White Rose Care Organisation Miss Lucy Jane Fenton Care Home 21 Category(ies) of Learning disability (20), Learning disability over registration, with number 65 years of age (2), Physical disability (1) of places Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residential care for people with physical and learning disabilities is restricted to 2 residents whose dates of birth are 27.07.1973 and 12.12.1980 LD (E) is restricted to two (2) persons whose dates of birth are 09.09.1938 and 15.02.1936 04/07/05 Date of last inspection Brief Description of the Service: Newlands is a home for younger adults with learning difficulties and is registered to care for 21 residents, including two residents who are over 65 years of age and one resident who has a physical disability. Newlands is within ½ hour driving distance from Canterbury and the seaside towns of Whitstable, Herne Bay and Margate. The home has its own Mini bus. There is some parking to the front of the home. Newlands is a well maintained, detached property that sets well with other properties in the village. There are three double bedrooms and fifteen single bedrooms. Communal space includes two lounges and a dining room. There is a conservatory area that contains a spa and sensory room. There is a well-maintained garden to the rear of the premises that is used extensively for activities. The home has been successful in gaining an ‘Investors in People’ award. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the unannounced inspection, the home was seen to be clean, hygienic and tidy. Residents in the house at that time were engaged in various activities, two residents were at their club and one was on holiday in India. There were nine members of staff in the house including support workers, chef, domestic cleaner, laundry assistant and administrator. In addition to these were the two Registered Providers and the Registered Manager. The Registered Manager, who was new in post at the previous inspection, has made a number of administrative changes to enhance communication of appropriate information to staff. The Registered Manager has also updated risk assessments to increase information for staff input. Staff training has been ongoing and despite two new members of staff who are still undergoing basic training, the home has attained 50 of staff with or in the process of undertaking NVQ. A requirement for an assessment by an Occupational Therapist of moving and handling for one identified resident has been met and appropriate equipment has been identified and organised. Several residents showed the Inspector their rooms and two residents who share a room told the Inspector that they enjoyed each others company and liked sharing. The Inspector would like to thank the residents for the welcome given to her during her visit to their home. What the service does well: Activities for individuals are identified and arranged to meet individual choices and capabilities. The residents seen at the time were wearing suitable clothes for the time of year and of a good quality and individual style specific for their age group. Community awareness is good and the Registered Manager said that local groups would involve the home where appropriate and one local group had purchased a ‘talk board’ for one resident. Staff have previously confirmed that the Registered Manager and Registered Provider will seek suitable training if staff express a particular interest in anything to do with the well being of the residents. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not inspected at this time. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 9. 10. Residents know their preferred choices will be considered and enabled as appropriate. Residents know that support will be given to meet assessed risks. Residents know their views are listened to and that their records will be kept securely, maintaining confidentiality. EVIDENCE: Individual risk assessments have been recorded and the Registered Manager has identified staff strategies for the assessments. This reflects the homes commitment to enabling independence according to individual abilities. The Registered Manager has also formatted a convenient and simple procedure for recording individuals’ health care needs including appointments, the outcome of these and further any input required. Key workers and families are involved with reviews as well as appropriate Health care professionals. Residents are enabled to make decisions regarding their daily lifestyle and this is recorded and regularly reviewed. Residents meetings are held. Two residents who spoke to the inspector and showed her their room were clearly able to express to the Inspector their favoured daily routine as well as some of the activities they enjoy. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 10 Confidential information is secured and available on a ‘need to know’ basis. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11.12.13.15.17. Social and educational activities are encouraged. Residents know that community links are maintained. Leisure activities are varied to meet residents’ different abilities and choices. Residents know they may be encouraged to have family, friends and personal friendships. The meals in this home are good offering both choice and variety. EVIDENCE: The residents have opportunities to attend a variety of establishments to undertake social and learning activities. One resident has been assessed as being able to travel independently and works in a nearby town. As the Inspector was previously informed, the Registered Manager held discussions with the management of the work placement and assessed the work environment for this particular resident. The Registered Manager said that the local community were supportive of the residents and invited them to various functions and that the residents enjoyed being part of village life. The local Rotary club has purchased a ‘talk board’ for a resident and this has enabled improved communication for that resident. The home has a mini bus and two vehicles for residents. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 12 The home also benefits from a conservatory where there is a spa and a sensory room. There was evidence of sensory items in some rooms, including lights and tactile materials. Support plans evidenced the encouragement given to enhancing social and communication skills. Religious and cultural needs and choices are also recorded. Families and friends are welcomed into the home and there was photographic evidence of the residents’ visitors sharing social events in the home. The Registered Provider has another home in the area where residents who prefer a slower pace of life live. Both homes are involved with each other and friendships between residents are encouraged and maintained. The kitchen is locked and residents may access it to practice life skills only if accompanied and supported by staff. There is a kitchenette with an electric kettle and tea and coffee supplies where some residents are able to make hot drinks for themselves as required. The larder is well stocked and was clean and tidy at the time of the inspection; one of the staff has responsibility for ensuring stock rotation. Special diets are catered for and the chef has previously informed the inspector that the Registered Provider will allow him to purchase food other than that on the menu, for example seasonal produce. The Registered Manager confirmed that the budget for food was ample. Staff who work longer shifts during the day are provided with meals on duty. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. The home has policies and procedures for the safe administration of medication. EVIDENCE: Residents have access to a range of Health care professional input including Psychologist, Psychiatrist, Dietician, Speech therapist, Physiotherapist, Occupational therapist and Gp and District nurses. This is recorded for individual residents. Medication is secured in a locked facility and administration recording met the standards on the day of the inspection. Senior staff only administers medication and have received training from the pharmacist. Further medication training has been arranged. The Registered Manager records medical appointments with details of the practitioner, condition, whether a check up is required and what treatment is to be undertaken. These provide useful and quick access to the ongoing condition of any resident with a health care need. The District Nurse will assess staff for a week who may have to administer insulin, this follows a training session for staff at the William Harvey Hospital. Staff also have training in understanding epilepsy and diabetes. Training has been arranged for staff to attend a session on pressure sore prevention. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. A complaints policy is maintained. EVIDENCE: A complaints procedure is in place and a complaint book is maintained where details of any investigation, action taken and outcomes may be recorded. The Registered Manager confirmed that there had been no complaints since the previous inspection. The complaint procedure indicates various bodies that may also be contacted including Mencap and the Commission for Social Care Inspection. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24.25.30. Residents live in a homely and comfortable environment. A wedge holding it open may compromise the efficacy of a fire door. EVIDENCE: The home was clean and hygienic at the time of the inspection. The laundry has a dedicated assistant and the laundry was clean and well organised at that time. A fire door to the laundry was wedged open whilst the room was occupied. The Inspector recommended that advice be sought from the Fire Officer regarding the best practice for holding the door open when the laundry is in use by staff. COSHH items are stored and secured appropriately. The home is very comfortably furnished and decorated. All the bedrooms are individual according to the different tastes of residents who, with help from families if necessary, choose their own décor. Some residents showed the Inspector their rooms and said how much they liked them, two told the Inspector about their cleaning routines for their shared bedroom and that this suited them both as they shared this equally. Staff have identified that some residents enjoy sensory equipment and have provided this in the form of lights and tactile items in individual bedrooms. Decorating is ongoing and since the previous inspection, some outside repair to a window frame has been undertaken. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 16 Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33. 35. Residents know high staff moral enhances their quality of life. Staff training is identified and well underway. EVIDENCE: Most staff have receive training as indicated in the National Minimum Standards. There are two new members of staff who have not yet received all the required training but this has been organised. Some more established staff are also awaiting dates to update their training. 50 of staff have either completed their NVQ training or are currently undertaking it. Specialist courses in addition to the mandatory courses of Fire Training, First Aid, Moving and Handling, Infection Control and Food Hygiene, includes Diabetes, Epilepsy, challenging behaviour, Maketon, deaf/blind awareness and health and safety. The Inspector observed enthusiastic and appropriate communication between staff towards residents. Staff have previously informed the Inspector that the Registered Providers and Registered Manager were supportive to both residents and staff. Staff receive supervision. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37.41. Residents know their rights are respected through reviews and care planning. The Registered Manager has a good understanding of roles and responsibilities of staff and health safety and welfare of the residents. EVIDENCE: The Registered Manager has almost completed NVQ4 but has been let down because the training providers have gone into solvency. A suitable training company is currently being sought to allow her to complete her training. Residents support plans and risk assessments are regularly reviewed by interested parties including Health care professionals, key worker, a representative of the home and resident and families as appropriate. Equal opportunities are supported by various policies. Individual records are secure and in accordance with the Data Protection Act 1998. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 X X X X 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 4 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newlands Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 X X DS0000023487.V250495.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement Timescale for action 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 24 Good Practice Recommendations Seek advice regarding suitable method to hold open a fire door to laundry. Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Newlands DS0000023487.V250495.R01.S.doc Version 5.0 Page 22 - 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. 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