Inspection on 04/12/08 for Newlands Residential Home

This inspection was carried out on 4th December 2008.

CSCI found this care home to be providing an Good 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

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Newlands Residential Home 2 Wellington Parade Walmer Deal Kent CT14 8AA     The quality rating for this care home is:   two star good service 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: 0 4 1 2 2 0 0 8 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. that people have said are important to them: They reflect the things 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 Older People 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. Care Homes for Older People Page 2 of 26 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Newlands Residential Home 2 Wellington Parade Walmer Deal Kent CT14 8AA 02082497909 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Uday Kumar,Mrs Kiranjit Juttla-Kumar Name of registered manager (if applicable) Ms Lisa Anne Scott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 19. 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: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Newlands is a large, detached building, situated in a quiet area of Walmer, Deal, directly overlooking the sea. It is near to local shops in the village of Kingsdown, and is close to Walmer Castle and the town of Deal. The home is privately owned by Mr Uday Kumar and Mrs Kiranjit Juttla Kumar. Accommodation for up to 19 older people is provided over 2 floors. 13 rooms are for single occupancy, and three are large enough Care Homes for Older People Page 4 of 26 care home 19 Over 65 19 0 Brief description of the care home for 2 people to share if specifically requested. A purpose built ground floor extension was added to the original property some years ago. Bedrooms in this part of the home are all fitted with ensuite shower and toilet facilities. A stair lift enables access to the first floor in the main building. Some bedrooms have doors that open on to a first floor veranda, and others have magnificent sea views. There are gardens at the front, side and rear of the building, providing a variety of seating areas for people living in the home. The current weekly fees for the service at the time of the visit range from around 350 to 500 pounds. Information on the homes services and the CSCI reports, for people who are considering moving in, will be detailed in the statement of purpose and service user guide. Care Homes for Older People Page 5 of 26 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report is based on information received about Newlands since the home was purchased and registered by new owners. Mr Uday Kumar and Mrs Kiranjit JuttlaKumar became the registered owners of Newlands residential home in April 2008. Information was gathered before the visit by reading the annual quality assurance assessment (AQAA) and reading any notifications sent in by the home. Surveys were sent out to people including the people living in the home and we had discussions with visiting professionals. We carried out an unannounced visit to the home which lasted around 6 hours. The people living in the home, staff and homeowners did not know that we (the Care Homes for Older People Page 6 of 26 commission for social care inspection - CSCI) were calling. The visit included talking with people living in the home, members of the staff team and the registered manager and deputy. Mr Kumar came to the home during the afternoon so he also participated in discussion and with the feedback at the end of the visit. General observations were made during the day of how people are supported. We walked round and looked at the building and various records were inspected. What the care home does well: What has improved since the last inspection? What they could do better: As it has been decided that people are not able to smoke in the home, a shelter needs to be provided outside for those who wish to smoke. The owner said he is organising this. He said he had been delayed due to the type of building that is needed, as the home is situated by the sea and it gets very windy at times. An additional hoist needs to be provided so that the people living in the home have a choice between a bath and a shower. The manager said this was being organised. The service needs to expand and develop the information in the annual quality assurance assessment (AQAA) next time, to give a better picture on how the service is progressing. They need to tell us their plans for the future and how they are developing and improving the service for the people who live at Newlands. This information also needs to be shared with the people in the home so they know what the plans are and have some say in them. The owner said he would do this. Care Homes for Older People Page 8 of 26 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. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Admissions are not made to the home until a full needs assessment has been carried out and the service is confident it has the skills and facilities to meet the needs of the individual. Evidence: The new owners have designed a new statement of purpose and service user guide. A copy of this was given to us and contains all the information needed. The registered manager carries out an assessment where the person is living. This is to see whether Newlands would be a good place for the person to live. If the person might have nursing needs or need any other support, a joint assessment is carried out to make sure this is the right type of home. The joint assessment would be carried out with a district nurse or mental health nurse and a care manager from social services. Two assessments were looked at and contained clear information to show that their Care Homes for Older People Page 11 of 26 Evidence: needs could be met in this home. The assessments are updated as individual needs change. The information in the assessment is used as a basis for the plan of care and support that is written. Care Homes for Older People Page 12 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare support is responsive to the varied and individual needs and preferences of the people living in the home. Individuals dignity and privacy are respected. Evidence: All the people living in the home have a written plan of care that contains information of what their needs are and how they want to be supported. Staff refer to these when supporting and caring for each person. If a persons needs change this is written in the plan with new guidelines for staff. The plan also contains risk assessments for health care, appointments and records of what activities the person has participated in. It also includes any other relevant information relating to their personal and health care, like notes from visits from the district nurse or chiropodist. Two plans were looked at and discussed with the registered manager. We saw that the plans are clearly written and reviewed monthly. The families are invited to be involved with the review if they wish. Care Homes for Older People Page 13 of 26 Evidence: People in the home said the district nurses come to the home when needed and the chiropodist also comes regularly. The chiropodist came to the home to see some of the people living there on the day of the visit. If hospital visits are arranged then the staff in the home will accompany the person if their family is unable to do this. Each person has a key worker who is a member of staff who gets to know them and makes sure they have everything they need including toiletries and clean clothes. We saw that staff were polite to the people in the home. Staff do not go into individual bedrooms without gaining permission first. All personal care and treatments by visiting professionals are carried out in privacy. Only trained staff administer medication and all staff have to read the procedures and the information stored in the medication file. Medication is pre-packed with the doses required for each time and kept in a locked cupboard and administered from a trolley. We looked at the medication file. There are clear instructions for all medication including additional information for medication that is only given when needed. A list of staff competent to administer medication is kept and there is a list of sample signatures. We observed some of the lunchtime medication being given. The people living in the home have an assessment to see if they can manage their own medication. One of the people spoke about this assessment and said she has her medication given to her by the staff which she is quite happy about. Care Homes for Older People Page 14 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. People living in the home are given the opportunity to participate in a variety of activities. Mealtimes are flexible and relaxed. Evidence: The people in the home spoke about their lifestyle. People said some activities are arranged in the home and they do sometimes go out. Some of the regular activities that are arranged include: music therapy, bingo, monthly singers, gentle exercises, occasional quizzes and pat dogs where specially trained dogs visit with their owners to be petted and give some company. One of the carers is taking responsibility for the coordination of activities including board games, connect4 and dominoes. Staff go shopping in town with individuals and have lunch out. There are plans to celebrate one persons birthday with two of her friends out for lunch. The hairdresser comes into the home and one person likes to go out to have her hair done. People can also have a manicure in the home. Holy communion is arranged for those who wish to participate. There is a photo board of staff so people visiting and new people moving in can see Care Homes for Older People Page 15 of 26 Evidence: who everyone is. A coffee table in the lounge has a newsletter which is produced every month highlighting what has happened, peoples news and what events are planned. People commented that they liked this and that their relatives found it useful and interesting to keep up with what is happening in the home. Seasonal entertainment is arranged. There are photos on display of recent events. There was a Halloween party in the home and Father Christmas is visiting on Christmas day. There is a menu board in the dining room with the meals planned for the day. Alternatives are provided. We had lunch with the people living in the home. The meal was well prepared and people said the food is of a good standard. The dessert is served from a trolley and people choose what they want at the time. Specialist diets are catered for. Individual likes and dislikes are written in the kitchen and in the individual care plans. Care Homes for Older People Page 16 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 an open culture that allows people to express their views and concerns in a safe and understanding environment. People in the home are protected by the policies and procedures in place. Evidence: There is a comments and compliments folder kept in the main entrance. The folder was looked at and people have been complimentary of the home. There is also a complaints log where complaints can be written confidentially. There have been no complaints. The manager said when people have concerns they are usually discussed and dealt with straight away. People said they know if they have a concern they can talk to someone in the home, either their key worker or the manager. The complaints procedure is on view in the home and copy is provided to all new service users and their relatives Staff have had training in safeguarding and protection of vulnerable adults. There is a procedure for staff to follow if they suspect abuse or in the event of an incident where a vulnerable person might be at risk. Care Homes for Older People Page 17 of 26 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, 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. 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 walked around the home with one of the staff. We saw that the home was warm and clean. People looked comfortable and said they were. People choose whether to spend time in their rooms or in the lounge during the day. The lounge and dining room are spacious and seating is arranged so that people can socialise with each other if they wish. There is a stair lift to the upper floors. The bedrooms are all single although some of them have previously been shared rooms and can be double if this is preferred by people moving in. People can bring in their own furniture and belongings to personalise their rooms. Some of the rooms, that are now not used as bedrooms, are difficult to get to due to a few stairs joining slightly different levels of floor. These are currently used as store rooms. Some people showed us their rooms and they looked individual and comfortable. People who had rooms to the front of the building said that they really enjoyed the sea views. People living in the home usually have showers. Some of the bedrooms have ensuite Care Homes for Older People Page 18 of 26 Evidence: showers. There is a bathroom with an ordinary bath. There is no hoist for people with mobility difficulties to have a bath so they are only able to have showers. A hoist needs to be provided so that people have the choice. The manager has requested this from the owner. The owner has made sure that all the toilets are in working order following an ongoing problem with one of them. There is a small, ornate garden to the front of the home and further garden space to the back of the home that can be used in the summer. Two people living in the home are cigarette smokers and sit outside to smoke because it is a non smoking building. We talked to them about having a shelter. They said that there were plans for this but nothing had happened so far. The owner said that he is having a shelter built. He said it needs to be substantial because of the sea winds so it has taken longer to arrange. The owner has bought a new washing machine with a sluice facility and a tumble drier. Care Homes for Older People Page 19 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. People living in the home have confidence in the staff that care for and support them. Evidence: There is a well established team of staff based in the home. We talked about the overall care needs of the people living in the home to determine how many care staff are needed during the day and night. There are three care staff during the day and two during the night. The manager works during the day and there is a deputy who supports the manager or works as the third carer on the shift depending on what is needed. There is a cook who also does some housekeeping, an evening cook and a maintenance man. The manager has recently recruited another cleaner so there are now two cleaners. Staff said they have enough time to carry out their work and the people living in the home said the staff are kind and they are unhurried. We saw that this is a good level of staffing in the home to meet peoples needs. The home has a thorough recruitment process to make sure the people applying for the job are who they say they are and will work in the right manner. The manager asks for identification like a passport and 2 references from people who know the person, including their previous employer. The manager requests a Criminal records bureau (CRB) check and protection of vulnerable adults list (POVA) check to make sure they have not done anything in the past that will indicate that they are unsuitable or Care Homes for Older People Page 20 of 26 Evidence: cannot be trusted. Staff work for a trial period of time while everyone gets to know each other and the member of staff decides whether this is the right job for them. Each new member of staff has some initial training using the Skills for Care Induction training to make sure they will work safely and respectfully. Staff talked about the training they have attended. This includes training for health and safety and looking at individual needs. They have most recently attended insulin training and one of the staff has just finished medication training. A copy of the training matrix was given to us and shows that training is ongoing. National vocational training (NVQ) is provided and the staff spoken to had completed NVQ level 2 and one staff is studying level 3. They said the NVQ training covers all the aspects of their role and they have enjoyed considering the different aspects of caring. The manager has one-to-one meetings with the staff and also supervises their work to make sure they understand and follow the procedures in the home. Staff meetings are held monthly to discuss planned events and any changes that are being introduced. Care Homes for Older People Page 21 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 well run and in the best interest of the people who live there. The health and safety of the people is promoted and protected. Evidence: The manager, Lisa Scott, became the registered manager with CSCI in February 2008. 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. The manager has completed the Registered Managers Award and has started to study the NVA 4 in management. At the time of the visit the manager was pregnant and planning to go on maternity leave in January 2009. She will be taking a break from studying until she returns to work. We saw that the people in the home are able to talk with the manager and she listens to what they say. The manager said that she has continued to monitor the quality of the service. Care Homes for Older People Page 22 of 26 Evidence: Surveys are given to the people living in the home. Surveys are also sent out to families, staff, GPs, nurses and other visiting professionals. The manager takes the comments received from people into account with planning improvements to the home. In the annual quality assurance assessment (AQAA) received by the commission some of the planned improvements are written. There needs to be more detail in the AQAA and this was discussed with the manager. Having a development plan in the home was also discussed with the manager who said she would do this. All the staff have attended essential training for health and safety law. 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 fire safety officer made requirements for some improvements to the building and for all staff to participate in at least one fire drill each 12 months. The fire safety officer visited in November 2008 and all requirements have been met. All staff have received updated fire training. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 24 of 26 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 Requirement 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 Requirement 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 Care Homes for Older People Page 25 of 26 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. 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