Inspection on 17/01/09 for Newlands

This inspection was carried out on 17th January 2009.

CSCI found this care home to be providing an Excellent service.

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 25/01/07

Newlands 10/01/06

Newlands 04/07/05

Newlands 30/11/04

Newlands 28/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Newlands 4 Church Lane Westbere Canterbury Kent CT2 0HA three star excellent service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Sumner Date: 1 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Newlands 4 Church Lane Westbere Canterbury Kent CT2 0HA 01227713883 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The White Rose Care Organisation Name of registered manager (if applicable) Miss Lucy Jane Fenton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 20 21 2 0 care home 21 learning disability physical disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Physical disability (PD) The maximum number of service users who can be accommodated is: 21 Date of last inspection A bit about the care home Newlands is a large modern house in the village of Westbere near Canterbury. Up to 21 people live at Newlands. Part of the home is suitable for people who use wheelchairs. There are 3 double bedrooms and 15 single bedrooms. The home has a sensory room and a conservatory with equipment for activities. The home has 2 large cars for the people who live there to use. There is a large garden at the back. There is a car park at the front of the house. It costs about £750 to live here but it would depend what the persons needs are. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We said hello and talked to the people that were in the home. We talked to the staff and the registered manager. We walked around the home and had a look to see what it is like. We looked at some care plans and health records. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. We also read the surveys that all the people had filled in. They all said nice things about the home. What the care home does well People are supported well to make choices and say what they like. People said that staff listen to them. People are supported well with their health and personal care. When someone needs help with their health care the staff also ask for other professionals to help like Doctors, nurses and therapists. The other professionals say that the staff are good and listen to what they say. People have lots to do. The home looks really nice and is warm and comfortable. People have been involved in choosing what they want in their bedrooms and how they want them to look. People said they really like the staff. Staff have had good training to help them understand what the people living in the home need. This includes learning about communication and activities. The home is well managed. People said they like the manager, she listens to them. What has got better from the last inspection Each person has a care plan and these have got better. They are working with their key workers on their own person centred plan that is easier to understand and shows what is important to them. If a person needs support with a health condition the staff receive training so that they understand it better. Staff have helped people make communication passports this has helped them when they have needed to go to hospital and other places where people do not know them. One of the staff has had training in activities. There is a conservatory and new equipment has been bought for activities. What the care home could do better The communication passports are helpful and the staff are helping each person who needs one to make their own. All the key workers are going to help each person make their own part of the care plan in the way they like it. It will be good when everyone has one of these. Another part of the plan is the health action plan which is all about a persons health. Everyone needs one of these too to help them understand how to keep healthy and any special support they need. A lot of the rooms in the home are locked this is to safeguard the people in the home. The manager is going to look at different ways to safeguard people to see if some parts of the home do not need to be locked. It would be good to have the homes development plan written down in a way that the people in the home can understand. This would mean that when improvements to the service have been decided, everyone can see what is going to happen and when. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Sumner 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a clear assessment process. People do not move into the home until the service makes sure it can meet their needs. Evidence: We looked at three assessments including the newest people to move into the home and care plan information. People have trial visits before moving in to make sure they think they will get on with everyone. Some people said they came for lunch before moving in. Some people said they took books and photos home. They said their families and care manager helped them to choose. They said they decided this was a nice place to live. One person said its the best at Newlands, I dont live with my dad anymore I got my own home now Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service recognises the right of individuals to make their own decisions and supports people in a positive way. People are helped to stay safe carrying out their day to day activities. Evidence: We looked at three peoples care plans. They contain clear information for the staff to support each person in the way that they need. We saw that people are being supported to create another part of the plan, a person centred plan, which has pictures and shows clearly who and what is important to the person. The manager said that all the key workers are working through this with each person. So at the time of the visit not everyone had their own designed version of the plan but all had a care plan. Some of the people in the home also have a communication passport. Two people showed us theirs. They are similar to the person centred plan, showing what is important to the person and what their interests are. They also explain how to understand when they are expressing something important when they have communication difficulties. The communication passports do not have anything in them that is confidential and can be taken out with them and given to other people to assist in understanding the persons needs. The care plan contains all the identified needs and the guidelines for support. Risk assessments were in the care plans. There are clear guidelines for staff to minimise risk and include assessments for activities inside the home like having a bath and cooking and for activities outside like swimming and going into town. This is so that if people want to do something they are not stopped because it is thought to be unsafe. Instead staff work out what support is needed to make it as safe as possible. Evidence: People who need assistance with communication have their own communication aid. One persons aid is electronic and we had a conversation using this. The key workers spend time getting to know individuals and how they communicate. The community speech and language therapist has given the staff team advice and training to increase individual communication skills. They have been involved in developing the communication aids like the communication passports. People are supported to express their views. They said they talk to the staff about what they think. There are meetings every week for the people living in the home. Key workers have one to one meetings with individuals. Peoples views are then taken into account when making decisions around the home. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in the home are able to enjoy a full a stimulating lifestyle with a variety of options to choose from. Evidence: We talked to the people living in the home and they told us what they like to do. They told us about the football league they are in, the football teams they support, about going out to the clubs and college and about playing games on the computer in the home. Some people are supported in work placements. There are lots of activities that they can do. Not everybody joins in everything but each person is encouraged and enabled to do what suits them or what they wish. Staff members clearly know what individuals enjoy doing. One of the staff takes responsibility for the activities and has attended training in this. She organises them and makes sure they have the equipment they need. Some of the records were looked at and there were also lots of activities out in the community using local facilities. One of the staff showed us the new conservatory. This is where people can come and do different activities like arts and crafts, games and writing. There are tables and chairs and lots of equipment. Next to the conservatory there is a sensory room. This can be darkened and there is different lighting with effects and various types of comfortable seating. Music and sounds can be played and people can relax in there or be more active with the various items of equipment. Evidence: People are supported to keep in touch with the people who are important to them. Some people go for visits to their families. One of the comments in a survey from a visiting professional said The carers are willing and responsive to any queries or concerns families have. This particularly helps older parents of adult residents ie. collecting parents for visits and family events and celebrations. The family caring approach is particularly welcome for those residents who have no family contacts of next of kin ie arranging funerals or seeking contact with lost relatives. The people in the home said they meet their friends at the clubs they go to. Many of the rooms in the home are locked. The people living in the home are able to go into the different rooms like the kitchen but need to ask staff first. We saw people in the kitchen helping with the meal preparation in the afternoon and people moving freely around the home with the staff. People have keys to their bedrooms. We spoke to the manager about reviewing the need to lock the doors in the home and to consider other ways to safeguard the people living there without restricting access. The manager said that there was a need to safeguard individuals in this way but she would look at this with regard to good practice guidelines. The home has a good size kitchen that the people living in the home can cook in too. Menus are planned but are flexible. There are two dining rooms and we saw that meals are relaxed and unhurried. People said they like the food in the home and also like to help prepare it. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in the home are given the support they need to keep them healthy. Evidence: Each person has information in their care plan about any medical condition they have and guidelines for staff for how to support this and their personal care. Some of the records for health care appointments are also in an individual section in a large folder. Health action plans have been developed for each person to focus on supporting them to become more aware of their health care and keep all their health care information in one place. The manager is making sure everyone has one of these and that they are up to date. We saw that people are able to access community health care services. People have received support from the occupational therapist, speech and language therapist, community nurses and psychologist. The advice and equipment given has been incorporated into individuals care plans. People are supported to access advocacy services. A health professional stated that the manager acts quickly when there is a change in health needs. They also said that the manager would explore all areas of health treatment needs and pursue equipment that they may require. We looked at the medication information in the care plans and talked to the manager about medication procedures. People are assessed to see if they would be able to manage all or part of their medication themselves. The people who currently live in the home have their medication given to them by staff. There is information for the staff about the medication that each person is taking. There is also information about the possible side effects to look out for and what to do. None of the people in the home are currently prescribed controlled medication. We saw in the training records that staff are trained to give medication. The manager checks the records and the stocks to Evidence: make sure there have been no errors. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people in the home are protected from abuse and their views are listened to and acted on. Evidence: The company has produced an easy to follow complaints procedure. The complaints procedure is located at the front of the home for all to see. All the people living in the home, their families and advocates, are given a copy when they move into the home. Staff are also given a copy when they start employment in the home. The people living in the home spoke about what they do if they have a worry or problem. They said they talk to their key worker or the manager. They said they have meetings together to talk about things. The home has a procedure for reporting suspected abuse. This policy gives step by step guidelines on how to report incidents and the details of the appropriate professionals who may need to be informed for both suspected abuse and complaints. Staff are also made aware of the whistle blowing policy. We saw that staff sign the policies when they have read and understood them. The company makes sure that a protection of vulnerable adults (POVA) check is carried out and a criminal records bureau disclosure (CRB) is requested before staff start employment in the home. This is to make sure that staff who are not suitable to work with the people living in the home do not work there. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is clean and comfortable and suitable for the needs of the people living there. Evidence: We looked around the home with one of the staff. The home is spacious and there are lots of different areas in the home where people can spend time sitting and chatting or doing activities. There are two dining rooms and two sitting rooms and also another seating area near one of the sitting rooms. A new conservatory has been built which has lots of equipment for arts and crafts, games and some educational equipment. There is a sensory room that has various pieces of equipment for sound, light effects and tactile activities. There is comfortable bean bag style seating and people can just relax with calm music and smells. All the bedrooms have been decorated and furnished to suit the individual and with their involvement. One of the people living in the home showed us her bedroom. She said she chose decoration and colour scheme. One person is in consultation with other professionals to provide adaptive equipment in her room so that she can do more independently. The kitchen is spacious and designed so that people with wheelchairs have enough space to participate in meal preparation. It looked clean and smart. There is also a small kitchen downstairs for people to make snacks and drinks. They have plans for further improvement including a new wet room and development of the garden area. We saw that the home looked clean and well organised. The laundry is suitable for the home. All staff have attended infection control training and protective equipment, Evidence: including gloves and aprons are provided. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in the home have confidence that the staff will support them to meet their needs. Evidence: The company have a recruitment procedure, which includes all safety and identity checks required by law for care homes. We looked at three staff files and saw that all the checks were in place and the information in the folder was well organised. New staff have induction training that has been designed by the company. This is good but needs to include the Skills for Care common standards as advised before. This to make sure the home is complying with latest guidance for good practice set out from the government. And is designed to tie in with the national vocational qualification (NVQ) training. The manager said they are in the process of updating the induction pack. They are now including Skills for Care DVDs for each new employee to watch and have easier understanding. Staff do not work alone and unsupervised until their criminal records bureau check has been processed and they have had essential training for health and safety. Each new staff member has a 3 month probationary period this time allows the manager to see how they work and how they interact with the people living in the home. We looked at the training matrix. We saw a reasonable range of training including all the areas required for health and safety law and who has NVQ and who is currently studying NVQ. Specialist training is also provided to meet the needs of individuals. One staff said she has received training so that she can provide the occupational activities in the home. This includes sensory activities to develop individual recognition and communication. Staff have also received training from other professionals like dementia training as some of the people in the home are developing signs of dementia. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The manager has a clear understanding of the key principles and focus of the service. She has good people skills and understands the importance of person centred care and effective outcomes for the people living in the home. Evidence: The manager Lucy Fenton has been registered for three years. She has worked in the care sector for a number of years having worked up from being a care assistant through to a deputy manager and into her current role. The interview she had with the commission showed she has skills and experience to run the home. She was asked to gain a management qualification, as a condition of the registration as having this qualification is necessary for all registered managers. She is currently studying for the NVA 4 in management having had a few delays with difficulties with the training providers. We talked about the quality monitoring in the home. We looked at the folder which contained the companys policy and plans for monitoring the quality of the service. The manager said they talk to the people living in the home to see what they want. What people have said they want and ideas they have had need to be written down. The owners and manager are currently designing surveys for the people in the home which will help this. The owners have an office in the grounds of the home and visit most days to make sure everything is alright. The manager said the owners make monthly visits to the home and they now write a report to comply with the care homes regulations. The home does have plans for development. There is a business plan but we discussed Evidence: with the manager about having a development plan in the home so that everyone can see what is being planned for. And if people have had an idea or want something to happen they can see how this is going to be done and when it is going to happen. The staff have attended fire training and other training required by law for health, safety and wellbeing. The training matrix is on the office wall and was looked at and showed that the necessary training is up to date and ongoing. The home has regular servicing for its heating, water and equipment. All substances hazardous to health are kept locked away. The manager and staff know who to and when they need to report incidents and accidents. The environmental health officer gave the home 4 stars at the most recent food hygiene inspection. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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