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Inspection on 19/10/05 for Newmans Care Homes (Pump Piece 41- 45)

Also see our care home review for Newmans Care Homes (Pump Piece 41- 45) for more information

This inspection was carried out on 19th October 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Newman`s care home gives service users the opportunity to mix with and be part of the local community. The house is an ordinary, domestic property on a housing estate near to the shops and facilities of Leominster town. The house is very homely, comfortable, well furnished and decorated and is kept safe. There was a very friendly, relaxed atmosphere and service users and staff were seen to have a good and caring relationship with each other. Service users said they are very happy living there and clearly view it as their real home. They have trust and confidence in staff and so feel able to give their opinions and discuss any issues or concerns, knowing they would be dealt with. Good care planning and Keyworkers allocated to service users from the staff team help to make the care and support given to each person be more individual. Staff know and understand the service users` care needs and their preferences very well. They made sure their personal, health and emotional needs were being met properly. Staff also enabled service users to lead full, active and interesting lives and to be as independent as they can and wish. The staff group is very stable, which helps the care and support to be more consistent. Staff are suitably qualified and experienced and had all received training so they have the skills and knowledge needed to do their job better. The home is well managed and it was clear the staff team are committed to the home and to the service users and worked well together as a team.

What has improved since the last inspection?

There had not been any action needed following the last inspection to make the home better, because it was already providing a very good quality service. Whilst this is so it is very positive that the provider, manager and staff team continue to plan for and to improve and develop aspects of the service, for the benefit of service users. This includes staff training opportunities , reviewing service users` care and improving their living environment.

What the care home could do better:

There were very few aspects that needed improving or action taken to change them at this time. It must be ensured that any gaps in the employment history of new staff employed are explored to help to make sure only suitable staff work at the home, for the protection of service users.

CARE HOME ADULTS 18-65 Newmans Care Homes (Pump Piece 43/45) 43/45 Pump Piece Leominster Herefordshire HR6 8HR Lead Inspector Christina Lavelle Announced Inspection 19th October 2005 1.30 Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newmans Care Homes (Pump Piece 43/45) Address 43/45 Pump Piece Leominster Herefordshire HR6 8HR 01568 612304 01568 612304 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dr Leslie Howard Newman Mrs Veronica Elizabeth Newman Mrs Rita Anning Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One space is for short-term respite care only. Vacancy When a vacancy occurs in the shared bedroom in house 45, the providers must contact the registration authority to review the conditions of registration. Service users accommodated on a permanent basis will be expected to have a bedroom that meets size detailed in the National Minimum Standards. 5th January 2005 Date of last inspection Brief Description of the Service: Newman’s care home provides accommodation with personal care for adults (men and women), who may be over sixty-five years of age. Service users require care because of learning disabilities. The stated aim of the home is to provide a comfortable, secure and homely environment, which helps service users maintain and, when possible, increase their independence. Four service users have all lived at the home for over twenty years and there is a place for one other person for planned respite stays. The home is situated in a quiet residential cul-de-sac less than a mile from the centre of Leominster town. The GP surgery, shops, facilities and day services can therefore be reached easily. The home also has its own vehicle for transport further afield. The premises consist of two houses that are joined together, one of which is a terrace and the other at the end of the terrace. There are pleasant gardens to the rear of the property. Each house has two bedrooms for service users and there is another bedroom used to provide respite care in house no. 43. There is an office upstairs in house no. 45. Each house has a lounge, dining room or area, kitchen, bathroom and separate toilet. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place in under four hours on a Wednesday afternoon in the autumn. The main aims were to check the home was still meeting it’s stated aims and so offering good quality care to service users. The following ways were used to assess the service provided. Service users were spoken with about their lives and to obtain their views of the home. Time was also spent with the manager discussing how the service is run, staffing issues and the service users and their care. One new staff member was interviewed and discussed how she was recruited, training and her experience of working at the home so far. Various records about service users’ care, staffing and which show how the premises, service users and staff are kept safe were checked. The houses and accommodation available were looked around. Other relevant information, such as the notifications made to the Commission about events at the home and reports made about the conduct of the home by the provider, was also considered. What the service does well: Newman’s care home gives service users the opportunity to mix with and be part of the local community. The house is an ordinary, domestic property on a housing estate near to the shops and facilities of Leominster town. The house is very homely, comfortable, well furnished and decorated and is kept safe. There was a very friendly, relaxed atmosphere and service users and staff were seen to have a good and caring relationship with each other. Service users said they are very happy living there and clearly view it as their real home. They have trust and confidence in staff and so feel able to give their opinions and discuss any issues or concerns, knowing they would be dealt with. Good care planning and Keyworkers allocated to service users from the staff team help to make the care and support given to each person be more individual. Staff know and understand the service users’ care needs and their preferences very well. They made sure their personal, health and emotional needs were being met properly. Staff also enabled service users to lead full, active and interesting lives and to be as independent as they can and wish. The staff group is very stable, which helps the care and support to be more consistent. Staff are suitably qualified and experienced and had all received training so they have the skills and knowledge needed to do their job better. The home is well managed and it was clear the staff team are committed to the home and to the service users and worked well together as a team. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Suitable information is available for prospective users and/or their families and representatives, to help them decide whether they might want to live (or stay on respite) at Newman’s care home and if the home could meet their needs. Thorough assessment and admission procedures are in place to make sure that service users needs would be appropriately met by the home. EVIDENCE: Appropriate documents are provided for current and prospective service users, including a statement of purpose, service users’ guide and a placement agreement (contract). The guide is in a suitable format with pictures, a photograph of the home and simple language so that people with learning disabilities are more likely to understand it. It was previously confirmed that prospective service users’ care needs would be fully assessed by the home and a copy of their community care assessment obtained as part of the placement process. The manager described how a person due to start having respite care had introductory visits and overnight stays before a stay was agreed. In the event of someone referred for a longterm home a three-month trial stay would then be arranged. A placement would not be confirmed until the home, service user and relevant other people (e.g. families and social workers) had decided it would be suitable. This would take into account their compatibility and the views of current service users. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, & 9 Thorough care planning and assessment processes maKe sure staff know all the service users’ needs, wishes and goals and how to meet them better. Service users had been fully involved in planning their own care and were able to make choices and decisions in their daily lives and routines to promote their independence and to develop life skills. They were also appropriately included in decisions and any plans for the home and how it is run and develops. Relevant risk assessments had been carried out by the home to minimise any risks to service users’, whilst allowing them to take some acceptable risks. EVIDENCE: A sample of service users’ care records was looked at. Each person’s care file included their photograph, their background and history, family contacts and a plan of their care needs and how staff should help to meet these needs. Staff also made ongoing reports of their progress and any events in their lives. The plans are appropriately person centred, called “My Plan”, and so focus on the service users’ wishes and goals and on the support they feel they need to meet their individual needs. Plans covered all relevant areas of care needs and Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 10 relevant risk assessments detailing the action staff should take to meet the needs identified and minimise any risks to service users’ safety. All the staff had undertaken training on person centred care planning. Keyworkers allocated to service users from the staff team, take a lead role in care planning and review their care needs weekly, recording any changes. This helps to make the care and support given be more personal and also ensures that staff know and understand individual service users better Service users’ care needs and plans had been reviewed at least six monthly as the Standards specify. Formal review meetings were arranged annually with service users, their families and day services staff appropriately involved. The home’s service users’ guide states that service users are expected to help with household tasks and they were all had allotted various duties. These had been risk assessed to ensure their health and safety, whilst encouraging them to be independent and to develop their life skills. Service users meetings were held quarterly, minuted and service users were then given their own copy. They were involved in all decisions made about the home and plans for such as holidays, food, social events etc. Service users were seen to express their views openly and confidently and staff clearly had and made time to spend talking and interacting with them. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 & 16 Service users were enabled by staff to lead fulfilled, active and interesting lives and to integrate within the wider community. Their rights, responsibilities and goals were also recognised and their independence promoted. Staff supported service users to maintain links with their families and friends. EVIDENCE: Service users themselves, staff and care records confirmed they participate in a wide range of activities within the community, based on their wishes, goals and individual interests. Activities included day placements i.e. recycling and gardening projects. For leisure some liked to go out to pubs, football, a drama group and horse riding. Although service users are older and had previously attended life skills type courses at college one person continued with literacy training to develop their social skills. Those wanting to attended social clubs for people with learning disabilities as well as being part of more mainstream life such as the Church. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 12 It was evident a lot of effort was made by staff to ensure service users lead full and active lives, which is commended. Reports were made on their activities, how they were progressing and new opportunities were sought. A weekly activities plan was kept and staffing arranged flexibly to provide any support. Care records included a family tree made by staff showing all significant family events, visits to and from family members, letters and telephone calls to the service users. The manager said they all had family good links, which staff facilitated. Service users’ ability to manage their own finances had been assessed and this was recorded. They each took as much responsibility for their own money as they were able to. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Appropriate arrangements were in place to ensure the personal, emotional, social and health care needs of service users were fully met. This included the home obtaining input from relevant health care and other professionals. EVIDENCE: Service users’ plans showed the support and guidance each needed for their personal care and records were kept when staff provided this. Current service users were relatively able and their plans reiterated their independence should be encouraged and upheld. It was confirmed that service users choose their own clothes, in accordance with their personal style. Plans included details of service users’ medical history and any behavioural issues. When necessary specific individual plans had been drawn up e.g. for eating and drinking. Keyworkers made monthly reports on each service users’ health. Regular checks and/or input from health care specialists, dentists etc were arranged appropriately and the outcomes recorded. This included annual “well person” checks. Whilst Standard 20 on medicines was not fully reviewed it was confirmed that staff had completed training on the safe handling of medicines in care homes. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 There was an effective approach to the management of complaints in the home and suitable arrangements were made for the protection of service users. EVIDENCE: The home provides a complaints procedure, which is in a suitable format for the service users. Although the home had not received any complaints the manager was aware a record should be kept should any concerns be raised, with details of the home’s investigation and outcome. The Commission had also not received any complaints about the home. Service users clearly had trust and confidence in the manager and staff and so should feel able to discuss any concerns and know they would be listened to and dealt with properly. The home provides policies & procedures for staff relating to adult protection; including abuse, whistle blowing and a copy of the Herefordshire multi-agency procedures for the Protection of Vulnerable Adults. These procedures and the open climate in the home should ensure that staff are aware of the possible indicators of abuse or neglect of service users and be clear about their responsibility to report any suspicion or incidence and how and whom to refer. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 29 The home provides suitable accommodation in a convenient location for service users. The houses were very homely and comfortable and maintained to a high standard of repair, decoration and furnishings, with due regard to safety. EVIDENCE: Newmans’ care home is well situated within a reasonable walking distance of the shops, services and facilities of Leominster. The property comprises of two ordinary houses built in the mid 50s in a quiet cul-de-sac on a residential estate. Those service users able to walk alone to visit their families and to their weekday placements and social activities. The home also has a vehicle. The home was seen to be very clean and tidy and to be furnished, fitted and equipped (as would a domestic house) to a high standard. The environment is very homely and comfortable. The manager confirmed she had the authority to affect any urgent repairs needed and replace equipment. It was evident upgrading and redecoration was ongoing and both houses had in recent years had new kitchens, central heating, some recarpeting, redecoration and fencing. Although the home does have six bedrooms two service users share by choice. The available rooms are smaller than the Standards specify and one is used for respite care and the other by staff sleeping in. Hence a condition of the Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 16 home’s registration is that the Commission would have to be consulted should a place in the shared room become vacant. Bedrooms were well personalised and service users could have a key to lock their door if they wish. None have en-suite facilities. The houses are adjoined and can be accessed internally. Each has a kitchen, lounge and dining area. There are bathrooms on both first floors and separate ground floor toilets. A stair lift and call bell system are provided for those people who need this assistance, or may do in future. Appropriate specialist advice had been obtained for service users becoming more physically frail and so who may need aids and equipment. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Service users benefited from an appropriately staffed home with a stable and suitably qualified and experienced staff team. Staff promoted the stated aims of the service and clearly understood their role in providing good quality care. Recruitment procedures were in place to protect service users from unsuitable people working at the home. Whilst thorough overall one aspect should be addressed to ensure they are as robust as they need to be. EVIDENCE: Staffing levels were appropriate to meet service users’ care needs and were arranged flexibly to facilitate service users’ activities etc. The home was fully staffed and had a very stable staff team. A new staff member was due to start work soon and this would increase the staffing complement. Staff had undertaken all the mandatory health & safety training and attended training sessions relating to care and service users’ special needs i.e. person centred planning, autism, epilepsy, sexuality and the management of challenging behaviour. They had all achieved a Certificate in Care Skills and had an NVQ care qualification. Three of the staff were NVQ assessors. This commitment to staff training is commended and reflects positively on the competence of the staff team and so the quality of the service provided. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 18 One senior was currently doing the mentor’s Learning Disabilities accredited Framework (LDAF) induction training course so that new staff members could be supported to undertake the specified induction programme. The home also had its own induction checklist for new staff to familiarise them with the home. The most recent staff member confirmed she had been through a thorough recruitment process, including an interview, shadow shifts, induction and a three-month probationary period. Her records were checked and a satisfactory CRB/POVA checks and two written references had appropriately been obtained. She had also been given a job description and a code of conduct and practice. It must be ensured however that any gaps in the employment history of newly appointed staff are always explored. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, & 42 Sound management systems were in place to promote effective management of the home. The management approach was open and positive with clear lines of accountability, which helps to create a good environment and also quality care for service users. Although health and safety matters in care homes are very wide ranging it was evident overall that service users and staff were protected by the maintenance of a safe environment and good working practices. EVIDENCE: It was previously confirmed the manager (Rita Anning) is suitably experienced and qualified for the role. The management approach and style was clear and efficient, underpinned by sound and accountable record keeping. There was clearly open communication within the staff team and meetings were held regularly. The role of the provider was understood and until recently reports had been made about the conduct of the home and reported on monthly, which must recommence. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 20 Staff training was arranged for all mandatory health & safety training topics and all staff had also achieved an ASET safety training certificate through the local college. The home provides a comprehensive health and safety policy for staff covering fire, accident, food safety, moving & handling, infection control and bathing policies and procedures. Relevant risk assessments had been carried out and accidents and incidents recorded and reported appropriately. Other aspects of health and safety checked during this inspection included: • The fire log showed that all the specified tests and checks on the fire safety system and equipment were recorded as having been carried out at the specified intervals. An evacuation plan was available. • An engineer serviced the fire safety system annually as required. • Fire drills were arranged regularly, also involving the service users. • Checks were made of water temperatures and storage to prevent risks from scalding and Legionella. • Various weekly and monthly health and safety checks were undertaken. • Fridge temperatures were checked. • Tests were made of portable electrical appliances. • COSHH risk assessments were kept. There were no issues of concern identified during the inspection that could adversely affect safety in the home. it was evident overall that due attention was taken to promote the health, welfare and safety of staff and service users. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X 4 3 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 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 YA34 Regulation 19 Requirement When recruiting new staff any gaps in their employment history must be explored and this be recorded. Timescale for action 14/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hereford Office 178 Widemarsh St Hereford Herefordshire HR4 9HN 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 Newmans Care Homes (Pump Piece 43/45) DS0000024726.V259927.R01.S.doc Version 5.0 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. 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