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Inspection on 07/07/06 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 7th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

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 (43-45 Pump Piece) is clearly felt to be home by service users and there is a very warm, relaxed and welcoming atmosphere. The home is in a good location, close to the shops and other amenities in the town and is very much part of the local community. The houses are kept clean, tidy and safe and are well decorated, furnished and in a good state of repair. Service users have made the sitting rooms and their bedrooms nice and personal. Staff and service users get on well with each other and service users are able to make choices about what they want to do, where they wish to go and to eat etc. They are supported to lead active and interesting lives and to go out into the wider community and mix with other people. Those able to attend various classes and have work placements to help develop their life and social skills. Staff also make sure all service users` personal and health care needs are met properly and that they have meals they like and are good for them. They also support them to keep in contact with their families and have friendships. Staff all have a qualification in social care and have undertaken training to help them know and understand service users` special needs and meet them better, and keep staff, service users and the home safe.

What has improved since the last inspection?

Whilst there are no particular improvements since the last inspection there had been nothing the home had been required to do as it was already providing a good quality service.

What the care home could do better:

It will be better for staff and service users when recently appointed staff start work at the home, as this will mean that the staffing situation should become more settled. The acting manager should also then have more time to make sure the home is being well run and to become more familiar with the role and responsibilities required of the registered manager of a care home. There should be an annual plan, made by the provider, to show how the home will develop and so will improve for service users. This should be based on what service users and other relevant people want and there should be a copy of this report available to service users and other interested people, and also supplied to the Commission.

CARE HOME ADULTS 18-65 Newmans Care Homes (Pump Piece 43/45) 43/45 Pump Piece Leominster Herefordshire HR6 8HR Lead Inspector Christina Lavelle : Unannounced Inspection (& additional visit 12 July) 7th July 2006 11:15 th Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 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.V303170.R01.S.doc Version 5.2 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.V303170.R01.S.doc Version 5.2 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 F/P 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 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.V303170.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One space is for short-term respite care only. 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. 17TH February 2006 Date of last inspection Brief Description of the Service: Newman’s care home (43-45 Pump Piece) is registered to provide personal care and accommodation for five adults (men and women) who may be aged over sixty-five. Service users must require care due to learning disabilities and the stated aims of the home are to provide a comfortable, secure and homely environment, which helps service users to maintain and when possible increase their independence. Four service users had lived at the home for over twenty years and there is a place for one other service user for planned respite care. The two ladies are both aged over sixty-five and have bedrooms in house 45 and the men are under sixty-five and have bedrooms in house 43. The home is situated in a quiet residential cul-de-sac less than a mile from the centre of Leominster, which is a market town. The town’s shops and facilities and service users’ day services are all within walking distance. The home also has a vehicle to provide transport further afield. The property consists of two houses joined together, one is a mid terrace and the other is an end of terrace. There is also a small care home at 41 Pump Piece that is registered separately and can accommodate two service users. This home is also adjoined to the property and the homes are run together by the same provider and staff team. The home has very pleasant, reasonably sized and private gardens at the back, with some parking spaces at the front. House 45 has two bedrooms on the first floor for long-term service users (one is shared) and there are three single bedrooms upstairs in 43, one of which is used to provide respite care. House 45 has a stair lift and an office upstairs. Each house has a lounge, dining room or dining area, a kitchen, bathroom and separate toilet for everyone to use. The current fee charged for the home ranges between £410.02 and £646.25. Items not covered by the fee (as specified in the home’s statement of purpose) include personal items and clothing, excessive long distance telephone calls, dry cleaning, sweets, newspapers and snacks. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. These inspection visits are part of a key inspection of this home and the home next door at 41 Pump Piece. Both homes are inspected because they are run together by the same provider and staff. The main purpose of the inspection is to assess the service provided against some key National Minimum Standards. The first visit was made unannounced on a Friday and took about four hours (an hour and a half spent assessing aspects specific 41). Service users talked about their lives in the home and what was going on and interactions between service users and staff were observed. The second visit was arranged at the first visit and was five days later. During three and a half hours at the home two staff were interviewed individually; other service users were spoken with and issues relevant to both homes were discussed with the acting manager. Evidence obtained during these visits and all other information received from or about the home since the last inspection has been taken into consideration. This includes contacts between the Commission, the home and provider e.g. notifications of events that had affected the service users and copies of reports made following the provider’s required monthly visits to the home to check how it is being run and to obtain staff and service users’ views of the home. Two anonymous complaints had recently been brought to the Commission’s attention about the homes. Most of the concerns raised were looked at during this inspection and the findings are reflected in the inspection reports. Various records kept by the home were also checked and most areas of the houses looked at. Survey forms were sent after the inspection visits to two service users’ relatives and a few health or social care professionals who all have regular contact with some service users and/or the home. Three surveys were returned and their feedback is referred to in these reports. What the service does well: Newman’s Care Home (43-45 Pump Piece) is clearly felt to be home by service users and there is a very warm, relaxed and welcoming atmosphere. The home is in a good location, close to the shops and other amenities in the town and is very much part of the local community. The houses are kept clean, tidy and safe and are well decorated, furnished and in a good state of repair. Service users have made the sitting rooms and their bedrooms nice and personal. Staff and service users get on well with each other and service users are able to make choices about what they want to do, where they wish to go and to eat etc. They are supported to lead active and interesting lives and to go out into the wider community and mix with other people. Those able to attend various classes and have work placements to help develop their life and social skills. Staff also make sure all service users’ personal and health care needs are met properly and that they have meals they like and are good for them. They also support them to keep in contact with their families and have friendships. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 6 Staff all have a qualification in social care and have undertaken training to help them know and understand service users’ special needs and meet them better, and keep staff, service users and the home safe. 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.V303170.R01.S.doc Version 5.2 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.V303170.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence, including these visits to the service. 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: There had not been any new service users admitted for long-term care at the home for years. However appropriate documents about the home are provided for current and prospective service users, including a statement of purpose, a 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 would be more likely to understand it. It was found in previous inspections that a prospective respite service user’s care needs had been fully assessed, in line with the home’s written assessment & admission procedures. This person had introductory visits to the home and overnight stays as part of this process before they had their first respite stay. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 9 In the event of anyone being referred for a long-term placement at the home the procedures also state that a three-month trial stay would be arranged. Also that the placement would not be confirmed until the home, the service user and relevant other people (e.g. their family and social worker) decide that the home could suitably meet their needs and they wish to live there. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 10 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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence, including these visits to the service. A care planning system helps staff to know service users’ assessed needs and how to meet them. Risks are also assessed to minimise any that could affect the safety and welfare of service users and others. However plans should also fully reflect service users’ wishes and goals and all personal information about service users should be confidential and accessible to them. Service users are enabled by staff to make choices and decisions in their daily lives and routines. EVIDENCE: A sample of service users’ care records was looked at. They include their photograph, wishes when they die, an activities schedule and a record of any health care input they have received. Each also has an appropriately “person centred” plan showing their care needs called “My Plan”, which should also focus on their wishes and goals. The acting manager had recently completed informal summaries of service users’ preferred routines to provide information for new staff, which should also be included as part of their plan. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 11 Plans had been reviewed by the home within the last six months and an annual review is always arranged by service users’ day services, when home staff service users’ families and other relevant people are also invited. One service user recently attended their review and appropriately had a copy of their plan. Particular staff are allocated to each service user as their keyworker and are expected to take a lead role in aspects of their care such as helping them with personal toiletries, shopping for clothes and reviewing their plans. They also spend more time with them and so feel they know their needs and preferences well. This can helps to make the support given to service users more personal. Risk assessments had also been carried out in respect of relevant areas such as falls, seizures and when service users go out into the wider community. Risk assessments should also cover when service users are away from the home on holiday when this may be necessary. It was noticed that some personal information about service users’ was being recorded in a communal book. This is not in line with access to records and means that this information does not form part of an ongoing record of their care and progress. This was discussed with the acting manager and it was advised individual record sheets could be kept in one folder, to be transferred to service users’ care files, rather than staff having to record in each care file. Staff and service users confirmed service users’ daily routines are flexible and they were observed to make choices about what to have for lunch and whether to go out. The home also normally arranges service user meetings at least two monthly although the frequency had slipped due to the staffing situation. These meetings have an agenda and are minuted and records showed that at a recent meeting issues such as the menu, the forthcoming holiday, staff arrangements and keyworker role were discussed. This all reflects positively on service users being encouraged to be involved in decisions and choices about their lives and their daily routines. It was not discussed whether they are also involved in such matters as staff recruitment and wider decisions about the running and development of the service. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15, 16 & 17 Quality in these outcome areas is good. This judgement has been made using available evidence, including these visits to the service. Service users are encouraged by staff to lead active and interesting lives and to mix within the wider community. Their individuality and life choices are also respected and they are supported to maintain links with their families. It is ensured wholesome and varied meals are provided, which service users choose and that promote healthy eating. EVIDENCE: Each service user has a schedule of activities that they regularly take part in, including their day services. One person has a work placement and is doing a basic skills business course. Those able to go out and about alone do so and staff also help them to find and take up new opportunities, such as a walking club. Other activities include a literacy group and pottery and drama classes, bowling and using a sports club. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 13 Service users often go out shopping or for meals out and were looking forward to the holiday four of them were going on soon. Several service users also go to Church every Sunday. The acting manager discussed how staff aim to encourage service users to build up their confidence and do more outside the home. Staff interviewed are clear about their role in supporting service users with activities to encourage the development of their social and life skills and are deployed flexibly to facilitate activities within the local community. Staff support service users to maintain links with their families and friends. One service user’s friend was to go on holiday with them. Staff discussed how they support service users they are keyworkers for to regularly telephone and send greetings cards to their families who live away. Relatives are also invited to attend care reviews and socials at the home, such as barbecues and parties. Meals were seen to be prepared flexibly, especially at lunchtime. Service users were able to choose what they wanted to have and mealtimes are clearly a relaxed and social occasion when staff and service users are able to choose to eat together or alone if they wish. Menus are chosen from day to day and the food service users receive is recorded, indicating a variety of wholesome meals. There was evidence of fresh fruit and more healthy food options. Some service users often help staff with shopping and are encouraged to make their own drinks and snack and help to prepare meals, if they want to Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence, including these visits to the service. Service users are appropriately supported by staff to ensure their personal, emotional and health care needs are being met. Medicines kept in the home for service users are being managed safely. EVIDENCE: Service users’ care records and discussion with staff showed that staff ensure service users’ health and emotional needs are closely monitored and their good health and well-being is promoted. It is now advised that service users should each have an annual Health Action Plan and records showed keyworkers are already supporting them to have regular health care checks, including appointments with a dentist, chiropodist, optician and “well person” clinics. There was also evidence that specialist health care input is obtained, such as with a continence advisor and psychologist. Service users’ medication is stored securely and medicines kept for them in the home are managed safely, in accordance with policies & procedures. Whilst none of the service users are able to self-medicate, whenever possible their Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 15 consent for staff to administer their medication had been sought. All staff designated to deal with medicines are expected by the home to undertake training on safe medicines handling and some staff had completed a more detailed distance-learning college course. Records relating to medication were being maintained appropriately and the home keeps Patient information Leaflets and has an up to date BNF guidance book for reference, as expected. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 16 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 Quality in these outcome areas is good. This judgement has been made using available evidence, including these visits to the service. Systems are in place to manage complaints and for the protection of service users. Service users are enabled by staff to express their views EVIDENCE: It was previously confirmed the home provides a written complaints procedure, which is also available in a suitable format for service users. There are also policies & procedures relating to the protection of vulnerable adults, including how to identify possible indicators of abuse, whistle blowing and a copy of the Herefordshire multi-agency Protection of Vulnerable Adults procedures. No complaints had been raised with the home, however a record is available to report details should any concerns be raised and of the investigation and any action taken in response, with outcomes. Two complaints had been brought to the attention of the Commission since the last inspection and most of the concerns raised were reviewed as part of this inspection. Whilst some aspects are substantiated in part it is not considered there has been negative outcomes for service users and they are now being resolved in any event. The concerns have been brought to the provider’s attention since these visits, with a request for some aspects to be investigated and action taken if found to be necessary. Staff said there is an open atmosphere in the home and they would feel able to express their concerns (if they had any). They are aware of their responsibility to whistle blow and had received training about the multi-agency procedures for the Protection of Vulnerable Adults procedures from the Herefordshire Adult Protection co-ordinator. It is advised that all new staff receive this training and the acting manager said they go through the procedures in their induction. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including these visits to the service. Newman’s Care Home (43-45 Pump Piece) provides accommodation for service users that suitably meets their needs and offers them a very comfortable and secure home. The premises are kept clean and tidy which ensures good hygiene and infection control, for the welfare of service users. EVIDENCE: Both houses are very comfortable and the home has been made very homely and personal by the service users, with their photographs and possessions in their bedrooms and communal rooms. All areas visited were seen to be very clean and tidy and kept to a good standard of repair, décor and furnishings. Work to upgrade the accommodation is ongoing and recently new back doors had been fitted, allowing easier access for wheelchairs One bedroom has been shared by two service users for years, which they are happy about but hence the condition of registration as Standards now specify that service users must always have the opportunity to have a single room Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 18 when living in care homes. The office is currently in house 45 and staff had been sleeping in with a service user who has needed additional support. This is not really a satisfactory long term arrangement and it is good it is planned to move the office into house 41 and so there will also be an extra staff room The home provides policies & procedures for staff in respect of infection control and there are suitable laundry facilities with a new washing machine. Disposable gloves and aprons are available for staff for their protection. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 19 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence, including these visits to the service. Appropriate staffing levels are maintained and staff are suitably qualified. The staff team receive relevant training to help them fulfil their role to meet service users’ needs and keep them safe. If staff training records were more detailed they would clearly show the training each staff member had undertaken and be used to plan their individual and the staff team training & development needs. Thorough recruitment procedures are in place to ensure that only suitable staff are employed to work with service users, for their protection. EVIDENCE: There were two staff on duty when the inspector arrived for the first visit and the acting manager arrived soon after. Rotas show there is always at least two staff on duty during the day, three on occasions, and during the night one staff member sleeps in on call. The staff team also cover the care home next door at 41, where they make regular visits throughout the day to check the service user and to make them drinks and take meals. Clearly they also provide any personal care they need, such as with getting up, going to bed, bathing etc. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 20 The acting manager and staff interviewed consider there are sufficient staff to meet the needs of service users in both homes. However they acknowledged there had been staffing difficulties when the care of service users next door had to be managed due to a crisis and more recently the registered manager and several staff had left. Existing staff, including the acting manager had covered care duties at the home. It is good therefore that new staff have now been appointed and the staffing situation is becoming more stable. Staff had undertaken all mandatory health & safety training topics and training related to service users’ care and special needs e.g epilepsy. Staff interviewed feel they have sufficient knowledge and training to do their jobs properly. They have all also achieved an NVQ in social care, which is the qualification expected of care staff in homes. The acting manager was unclear if new staff must complete a LDAF induction programme if they had an NVQ qualification. It was confirmed they do as NVQ is a general social care qualification and LDAF is specifically for staff caring for people with learning disabilities. Records of staff training are kept and the acting manager had started to go through all the individual records to update them. It is advised they should be in more detail however to show the duration and type of training received. This would help to check and make sure that each staff member staff receives the specified five days training a year. They would also form the basis of an individual training & development plan for each staff member and for the team as a whole as part of the home’s annual development plan. It was confirmed thorough recruitment procedures are in place and operated. Including necessary checks taken up by the home before staff are appointed i.e. two written references and a CRB/POVA check. Guidance was sent to the home in respect of POVA First checks as the acting manager was unclear about if, and in what circumstances, staff would be able work at the home before a full CRB/POVA check is obtained for them. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 21 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, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence, including these visits to the service. There should be more effective management of the home when there is a registered manager who has dedicated time to undertake and fulfil all aspects of the management role and responsibilities required of a care home manager. The home’s quality assurance system should result in an annual development plan to reflect the aims and outcomes for service users Arrangements are in place to ensure that service users’ health and welfare is promoted and that they and staff are safeguarded. EVIDENCE: The registered manager left the home in February and an application has been submitted to the Commission from a long-standing senior staff member, who is currently acting as manager. However during this time two more staff had left Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 22 and so the acting manager has been covering care whilst also trying to get to grips with the management role and responsibilities expected of a care home manager, in respect of two registered services. It is appreciated therefore why some management tasks have not been carried out as regularly as they might have. Although the provider has been giving additional support e.g. carrying out individual staff supervision, some service users’ plans and risk assessments are in need of review and update. It should be a priority now the staffing situation is more stable that the acting manager has the dedicated time to focus on management tasks. There is also to be a delegation of management responsibilities to senior staff, which is good and will also ensure the home is overseen in the manager’s absence. Staff interviewed are positive about the commitment of the acting manager to the home and service users. They commented she is open and approachable and so their views are listened to and they feel well supported. They consider her management skills will improve, especially when she has more time. There is a system in place to monitor and audit relevant aspects of the service and evaluation sheets had been sent to families and service users asking for their views of the home. The provider is also intending to help the acting manager review and update all the homes’ policies & procedures. Information from all these sources (including the providers’ reports and from service users’ meetings) should result in an annual development plan for the service, which is based on the views of service users and other stakeholders. A copy of this report to be supplied to the Commission and made available to service users. Staff are required by the home to undertake all the mandatory health & safety training topics i.e. fire safety, first aid, food hygiene, moving & handling and infection control. Other ways that health & safety in the home is checked includes the following:• The fire log showed all the required tests and checks were recorded as having been carried out on the fire alarm system and safety equipment at the specified intervals. • Fire drills are arranged regularly and an annual service of the whole fire system is undertaken by a maintenance engineer. • Annual Servicing/testing of the gas installations and portable electricity appliances are carried out. • COSHH and other general risk assessments are in place. • Records are kept of various weekly and monthly health & safety checks, such as water temperatures. • Accident records are being maintained. There were also no safety hazards identified during these inspection visits and altogether all this evidence indicates that due attention is paid to maintaining and promoting safety in the home. Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider to consider carrying out. No. 1 2 3 Refer to Standard YA6 YA10 YA35 Good Practice Recommendations All personal information recorded by staff about service users should be made so that it can be kept confidentially on their care records and be accessible to them on request. Each staff member should have a training & development and assessment profile, which also shows that they are receiving at least five days training a year The home’s quality & assurance monitoring system should ensure that the quality of the service is reviewed and results in an annual development plan for the home that reflects the aims and outcomes for service users. Copies of these reports to be supplied to the Commission and made available to service users. YA39 Newmans Care Homes (Pump Piece 43/45) DS0000024726.V303170.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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.V303170.R01.S.doc Version 5.2 Page 26 - 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!