Inspection on 31/05/05 for Newlands Nursing Home

This inspection was carried out on 31st May 2005.

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

The inspector 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 Nursing Home 11/12/06

Newlands Nursing Home 23/11/05

Newlands Nursing Home 11/11/04

Newlands Nursing Home 10/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Newlands Nursing Care Centre Evesham Road Stow-on-the-Wold Gloucestershire GL54 1EJ Lead Inspector Eleanor Fox Announced 31 May 2005 09:30 a.m. 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. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newlands Nursing Care Centre Address Evesham Road Stow-on-the-Wold Gloucestershire GL54 1EJ 01451 870077 01451 870055 info@newlandscare.org Berkeley Health Care Ltd 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) Mrs Fatima Parker Care Home 25 Category(ies) of OP Old Age (25) registration, with number of places Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 November 2004 Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Newlands is a most attractive substantial house situated on the outskirts of Stow-on-the-Wold, within walking distance of the local shops. It has been sympathetically converted to provide comfortable accommodation for 22 elderly residents who require nursing care. All the bedrooms offer single accommodation for the service users; three may be converted into double rooms if required by couples. Each well proportioned room has en suite facilities and has been decorated and furnished to a very good standard. A shaft lift provides access to the upper floors. The communal areas on the ground floor consist of a spacious lounge, dining room and conservatory. The property is surrounded by extensive well-maintained gardens and has the benefit of delightful views of the surrounding countryside. Fifteen freehold properties have been built on land adjoining the Home. Residents living in these houses do not require nursing care from the home but may use the dining facilities by prior arrangement. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this announced inspection over a period of 7.5 hours. It consisted of a tour of the property; inspection of the written care records, personnel files and other available documents; plus discussions with the Manager of the Home, the Administrator and members of staff working at Newlands Nursing Care Centre. The inspector also had the opportunity to speak privately to five of the residents during her visit. The Nurse Manager of Newlands has recently been registered with the Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? Members of staff at the Home are to be commended for addressing and rectifying all nine requirements identified at the previous inspection; they have also chosen to adopt the majority of the recommendations suggested to promote good practice. Significant improvements have been made in the recruitment, training and the development of employees at Newlands. Quality assurance and Health and safety processes are also now addressed well. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 7 Progress has been achieved in providing appropriate stimulation and diversion for those residents with special care needs; further developments are now required to incorporate all the residents living in the Home. 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 Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 8 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 Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 9 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) 1,3 and 6 A thorough assessment process plus the provision of comprehensive literature about the Home, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: A fully detailed Statement of Purpose and Service User Guide have been prepared. These have recently been reviewed. Updated copies have been provided to each of the residents and to the Commission for Social Care Inspection. Some very minor additions are required; these details are now being provided. Comprehensive assessment documentation is completed for each prospective resident; this covers all areas of their care needs and is maintained on file to assist with the admission processes. Other healthcare professionals and family members are also involved in these processes. Intermediate care is not provided in this Home. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The care planning systems in place adequately provide the staff with the information they require to care for all the residents’ needs. Residents are treated with respect by staff in the Home. EVIDENCE: Full care plans are prepared for each resident based on a comprehensive assessment of their care needs. Each is reviewed in a timely fashion and countersigned by the resident to signify knowledge and agreement with the content. Appropriate risk assessments are also completed for each person and, where necessary specific care plans are prepared to address any identified issues. Residents are referred to other healthcare professionals for advice and treatment, as necessary. A dietician and a stoma care nurse have recently been consulted. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 11 Weights and blood pressure recordings are assessed and recorded on alternate months or more frequently if necessary. Any anomalies are addressed. All care and any treatments are undertaken in the privacy of the resident’s bedroom or in the closed bathroom. Members of staff were observed addressing the residents in a polite but friendly manner. Each person knocked on the door before entering any bedroom. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14 and 15 Despite some improvements, as yet not all the residents’ recreational needs are met. However, residents are enabled to exercise freedom of choice in their daily lives. An excellent choice and variety of meals ensures residents receive a nutritious and balanced diet. EVIDENCE: Residents with special care needs now receive one to one stimulation from the care staff; this is documented in the records. A recent survey indicates that the majority of the residents are satisfied with the activities arranged at the Home. However, this was not the experience of three of the people who spoke privately to the inspector. One person complained that there ‘is nothing for us to do’ and another felt that the staff were too busy to spend time with them. Some ideas to stimulate the residents and to help them feel more involved in the Home were discussed with the management. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 13 Residents confirmed that they were able to get up and retire when they wished and that they were free to eat their meals and spend their days where they preferred. The written menus for the Home show that the residents are offered a very good variety and choice of meals to suit individual tastes. Each person who was questioned was complimentary about most of the food served. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There are clearly detailed procedures in place to ensure that any complaints are addressed promptly and appropriate remedial action taken. There are policies and procedures in place to ensure that residents are safeguarded from all forms of abuse. EVIDENCE: There is a fully detailed Complaints Policy written in clear language, which has been given to each of the residents. All the complaints received since the last inspection have been addressed appropriately and in a timely fashion; these are recorded in a complaints log. There are written policies for dealing with all types of abuse; these are readily available for members of staff to read. Eleven members of staff have just attended formal training on ‘Adult Abuse’. The new POVA (Protection Of Vulnerable Adults) legislation is addressed correctly. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 15 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) 19, 23, 24 and 25 A safe and well maintained environment provides residents with a high standard of accommodation. EVIDENCE: Two more bedrooms and en-suite facilities have recently been decorated; one of which was about to be occupied by a new resident. Residents are welcome to bring in possessions and small items of furniture to personalise their bedrooms; there was clearly evident throughout the building. Work is progressing well to ensure that the remaining radiators in the Home are fully protected. Records show that water is stored in the Home at a temperature of at least 60 degrees centigrade to prevent risks from Legionella; this was dated 14th May 2005. A recent certificate (dated 25th May 2005) confirmed that there was no Legionella in the storage tanks. Water temperatures are also routinely checked Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 16 at outlets on a monthly basis. Records of these processes were supplied for inspection. The home was clean and there were no offensive odours in any area. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 17 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) 27,28,29 and 30 Skill mix and staffing numbers are adequate to meet the majority of the needs of the residents living in the Home. Recruitment processes are in place to ensure the protection of residents living at Newland Nursing Care Centre. Excellent training opportunities ensure that staff are competent to undertake their duties and therefore meet the service users’ needs. EVIDENCE: There were eighteen residents living in the Home. In the morning, the Manager, an additional nurse and 3 carers were on duty to look after the people living there; one nurse and three carers were due to be on duty in the evening; with a nurse and one carer working at Newlands overnight. On the whole, residents were receiving the personal care they required although four people living at the home did feel that staff were extremely busy and one lady complained that she sometimes had to wait ‘up to three quarters of an hour’ to have her bell answered. Personnel records show that careful recruitment procedures are followed when employing new members of staff. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 18 Five of the eleven carers currently employed at the Home, are now working towards NVQ, level 2 qualifications. Members of staff have not only attended recent mandatory training, but are also attending courses on ‘Infection Control’, ‘Abuse’, ‘Deafness in the Elderly’, ‘Catheter Care’, and ‘ Vision’. The nurses are also facilitated to undertake their mandatory ‘prep’ training, which is necessary to remain registered as a trained professional. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 19 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, 33, 35 36 and 38 The Home now has the benefit of firm committed management. There is a good programme of self-review and consultations in place at the Home; these include seeking the views of residents, relatives and members of staff, and acting on the results. Systems are also in place to ensure that the financial interests, health, safety and welfare of people using the service are safeguarded. EVIDENCE: The Nurse Manager of the Home has recently been registered with the Commission for Social Care Inspection. She is about to commence the Registered Manager’s Award training. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 20 There is a good focus on quality assurance at this Home. Visitors and residents’ families completed an ‘Improvement Questionnaire’ in early May. Once the results have been collated, an action plan to address any identified issues will be prepared. A Residents’ Survey was also circulated in early spring. The senior members of staff take responsibility for the personal monies for some of the residents; three were randomly selected for inspection. There was evidence that individual secure storage is provided but the records for one person were incorrect; these will now be audited on a monthly basis. Formal staff supervision arrangements are now in place; records are maintained of the processes. Health and safety issues are addressed well in this Home. Members of staff have access to all mandatory training. All necessary maintenance of equipment is undertaken in a timely fashion. The Fire Officer inspected the Home recently and provided a report to confirm that all issues identified last September have now been rectified. The Environmental Health Officer inspected the Home towards the end of 2004; the majority of the requirements arising are now being addressed. Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 21 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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x 4 3 3 x STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 2 3 x 3 Newlands Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 22 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 1 Regulation Sch1.16,4 (1b)5(1d) 6 Requirement Timescale for action 31.08.05 2. 12 16(2n) 3. 35 16(1) The Statement of Purpose and Service User Guide must be revised to include full details about the physical environmental standards in the Home. and information on how to access the most recent inspection report. A copy must be provided to the Commission The Registered person must 31.08.05 provide facilities for recreation, having regard for the needs of all the residents living in the Home Accurate records must be 30.06.05 maintained of any residents personal monies retained by the Home for safekeeping 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 OP27 Good Practice Recommendations Line managers should be given formal training so that supervision will be practical value to the staff and to the home v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 23 Newlands Nursing Care Centre Commission for Social Care Inspection Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Nursing Care Centre v225918 d51_d03_s16509_newlands_v225918_310505_stage 4.doc Version 1.30 Page 24 - 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!