Inspection on 20/07/06 for Newnham Green

This inspection was carried out on 20th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newnham Green 13/12/05

Newnham Green 18/05/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Newnham Green 67 Newnham Green Gorleston on Sea Gt Yarmouth Norfolk NR31 7JS Lead Inspector Linda Wells Unannounced Inspection 20th July 2006 02:30 Newnham Green DS0000062045.V305581.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 Newnham Green DS0000062045.V305581.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. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newnham Green Address 67 Newnham Green Gorleston on Sea Gt Yarmouth Norfolk NR31 7JS 01493 651787 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) colin.g.hallam@tesco.net Mr Colin Graham Hallam Janet Hallam Mr Colin Graham Hallam Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 67 Newnham Green is a semi-detached house situated in a residential housing estate in the coastal town of Gorleston. It is registered as a residential care home that provides accommodation and care for up to six people with a learning disability. Residents have the use of accommodation and facilities on both the ground and first floor of the home and there is no assisted passage to the first floor. The home has four single and one shared bedroom, all containing a washbasin and there is communal use of a shower room with toilet and a bathroom on the first floor, a toilet on the ground floor, lounge, dining area and kitchen. The home has a well-kept garden to the rear of the property, roadside parking at the front and is close to a row of local shops and a pub. There is local public transport available to the larger seaside towns of Great Yarmouth and Lowestoft. The manager said that the current fees were £313 - £700 a week and that there were additional costs for personal items such as toiletries and outings. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgments for each outcome group. What the service does well: What has improved since the last inspection? What they could do better: The requirements and recommendations from the last inspection have been nearly all complied with but there is still more to do to completely ensure that residents are fully protected, consulted and the environment well maintained in all areas. The following five requirements and three recommendations were made to further improve the experience of living and working at the home for residents and staff. • Reviews with residents must be carried out to ensure they are consulted and satisfied with the standard of care they receive. • Risk assessments must be held on a single member of staff taking residents out into the community at the weekend to ensure the safety of residents. • Replacement of the damaged bath is required and redecoration of the bathroom needed to ensure that the health and safety of residents is fully protected. Repeated requirement. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 6 • • • • • Staff members must receive supervision at least six times a year to ensure that they are aware of the needs of residents, are competent and to plan their training needs. The manager must undertake the care component of the NVQ4 Registered Managers award to ensure that he completes the training. Repeated requirement. It is recommended that the weight records held for each resident are complete and up to date to aid in the monitoring of their health. It is recommended that person centred plans be produced to ensure that the personal wishes and choices of each residents are know and recorded. It is recommended that a list of the training each staff member has completed be maintained in their staff file to aid in the planning of their training and updated training. 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. Newnham Green DS0000062045.V305581.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 Newnham Green DS0000062045.V305581.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): 1,2,3,4,5 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. The written information available about the home is complete and enables residents and staff to make a decision on whether the home will meet the needs of anyone wishing to live there. EVIDENCE: The homes Statement of Purpose, Service User Guide and Terms and Conditions contract were seen and found to be one document and to contain relevant information. The manager said that prior to admission as much information as possible was collected from a prospective resident, their family and other professionals. He said residents, their family or friends sometimes visited the home, that he often visited residents in their own environment and that residents were admitted on a one-month trial basis. No resident had been admitted to the home and the records held showed that an assessment was completed prior to admission to the home to ensure that the needs of residents were identified as being able to be met by the home, that the views of residents, their family members and other professionals were sought and that residents and their relatives, friends or advocates visited the home prior to admission. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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): 6,7,8,9,10 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The information held in the individual plans of care ensures that the personal and health care needs of residents are identified and met, however, residents are not fully consulted. EVIDENCE: Residents were seen to be well looked after and examination of four care plans revealed that they contained personal health and social care information, daily reports, medical conditions, assessments, assistance, communication, memory, choice, orientation, motivation, sleep patterns, diet, care needs, activities, religious choice and a photograph of the resident. However monthly reviews had not been carried out with or on behalf of residents, the records of the weight of each resident were not up to date and although risk assessments were held they did not cover one staff member taking a group of residents out into the community at the weekend. Two requirements and one recommendation were made. The manager said that he was in the process of producing person centred plans for each of the residents and records demonstrated that residents were Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 10 consulted on their daily activities, given choice, supported to take risks, were protected and that their confidentiality was maintained by the individual and safe storage of their information. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. Social activities and meals are both well planned, creative and provide daily variation and interest for the people living in the home. EVIDENCE: Residents are stimulated by the program of daily activities and staff spoken to gave examples of taking service users to the pub, for a walk, to local attractions and of table top activities, cooking and gardening at the home. They said that they recorded what service users did in their plans of care and this was recorded in the individual plan of care of each service user. Photographs were seen around the home and in resident’s bedrooms to support this. However the plans of care were not written in a person centred format and the manager said that he would be producing person centred plans of care next. The assistant manager said that residents were encouraged to keep in contact with their families and that community support workers were provided for residents when they were not at the training centre. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 12 Two of the staff spoken to said that residents were supported to take part in appropriate activities by staff accompanying residents to health care appointments and by arranging activities and leisure pursuits that were determined by the interests and personal development plan of each resident. The resident spoken to gave examples of outings he had been on with other residents and staff and how staff at the home informed him of his progress and goals and encouraged him to maintain his interests such as going on a holiday to Kent. The staff members spoken to also gave examples of how they work with residents to support them in their personal development and behavioural management by working with other professionals, encouraging each resident to be independent and to make choices whilst ensuring that the rights of each resident were promoted and protected. The main meal and menus were seen and were balanced and varied. Records showed that residents were given a choice, an alternative offered and that staff members had completed food hygiene training Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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, 21 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. Personal support is given to residents in the way they prefer, their needs are met, they were consulted and records were complete. EVIDENCE: Residents were assisted with decision-making and the three staff spoken to said that they assisted the five residents with limited communication skills by understanding their response to questions and preferred manner of communication, using simple sign language, pictures, observation and as recorded. The resident spoken to said that he received personal and emotional support from staff members who were always willing to listen to him and demonstrated that he knew who to tell if “he was unhappy”. The plans of care seen had been improved, were complete and up to date and contained the arrangements at death for each resident. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. The home has an active procedure on the protection of vulnerable adults that protects residents and supports the investigation of any cause for concern. EVIDENCE: No complaints have been received by the home and the resident spoken to said that if he was unhappy he would tell his key worker or the manager and he agreed that he would be listened to and the appropriate action taken to resolve the problem to the satisfaction of all concerned. Records showed that an issue of safeguarding a service user, who had been involved in a possible assault whilst at the training centre, had been dealt with in a sensitive and appropriate manner by the home. Residents are protected from abuse, neglect and self-harm by the objectives, policies and procedures of the home and staff have undertaken training in Adult Abuse to help them recognise, prevent and deal with any potential abuse. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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): 24,25,26,27,28,29,30 The quality in this outcome area is adequate. This judgement has been made using the available evidence and including a visit to this service. The standard of the environment within this home has improved and is mainly good providing residents with an attractive, safe and homely place to live. EVIDENCE: Residents live in a home that is decorated and maintained to a good standard and improvements have been made to by the redecoration of the hall, stairwells and two bedrooms. However, a requirement was repeated that the bath, which was damaged, must be replaced. The home was clean, tidy, odour free and is comfortable. Since the new owners took over they have redecorated all internal areas of the home and the manager said that he planned to completely redecorate and refurbish the bathroom and would re carpet the hall once the bathroom is finished. Residents do not require adapted equipment to maximise their independence because all are mobile. There are adequate numbers of toilets and residents have the use of a shower. As the final stage of the homes own improvement plan the bathroom will be Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 16 refurbished. Service users have access to and the use of the bath in it’s current condition but the repair is unsightly. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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): 31,32,33,34,35,36 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. Staff members are competent and the procedure for the recruitment of staff provides safeguards to offer protection for the people living at the home. EVIDENCE: The three staff members spoken to felt supported by the senior carer, assistant manager and manager, handover, staff meetings and were aware of their role and responsibilities. Records showed that residents were protected and that all staff recruitment checks were carried out and CRB, proof of identity, references and personal details were held on each member of staff. However, staff had not received supervision at least six times a year and although the assistant manager said that all issues and problems were discussed as they happened a requirement was made. Since the home has been under new ownership increased training opportunities have been available to staff to ensure that all staff are trained, competent, updated and fully equipped to meet the needs of residents living in the home. Staff changes have occurred and the three staff members spoken to who had been in post for four to six months gave examples of completing basic induction and foundation, adult abuse, food hygiene, moving and handling, challenging behaviour, infection control and in one case NVQ3 training. The manager said that over 50 of staff had completed NVQ2 Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 18 training and that two staff members were waiting to commence NVQ level 2. A list of the training completed by each staff member was not held and a recommendation was made to ensure updated training could be planned. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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): 37,38,39,40,41,42,43 The quality in this outcome area is good. This judgement has been made using the available evidence and including a visit to this service. The manager is supported by the assistant manager, in providing leadership, guidance and direction to staff to ensure that residents receive a good standard of care and support. EVIDENCE: Residents are protected by the management and administration procedures carried out in the home and the proprietor has past experience of running and managing a small residential care home for people with learning disabilities. He has completed the management part of the NVQ 4 Registered Managers award and is in the process of commencing the care component of the NVQ4 Registered Manager award. A requirement was repeated. Policies and procedures have been produced on all aspects of the home and service provided and the records held promote and protect the rights and best interests of each service user. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 20 A Quality Assurance system has been produced and carried out and demonstrated that it included the feedback and views of residents, relatives, visitors, other professionals and staff members on the standard of care, service, facilities and lifestyle provided for residents. A summary of results and an action plan of improvements have been produced from the information gathered. To ensure that the health and safety of residents is protected the servicing and testing of all equipment had been carried out, relevant and timely certificates were held and records were stored securely. The manager successfully monitored identified financial budgets for the home and said that there was no reason to doubt that the financial security of the home was not sound. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 26 3 27 2 28 2 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 2 3 LIFESTYLES Standard No Score 11 3 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 3 2 3 3 3 3 3 3 Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 22 YES 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. 2. Standard YA6 YA9 Regulation 15.2 13.4.b Requirement The registered person must ensure that reviews are carried out with residents. The registered person must ensure that risk assessments are held on a single member of staff taking residents out into the community at the weekend. The registered person must ensure that the damaged bath is replaced. (Previous timescales of 31st July 2005 and 30th June 2006 not met) The registered person must ensure that staff members receive supervision at least six times a year and that records are held. The registered person must ensure that he commence the care component of the NVQ4 Registered Managers award. Timescale for action 01/11/06 31/10/06 3. YA28 13.4 01/12/06 4. YA36 18.2 01/10/06 5. YA37 9.2.b 31/12/06 Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. YA6 2. 3. YA6 YA35 Refer to Standard Good Practice Recommendations It is recommended that the weight records held for each resident are complete and up to date to aid in the monitoring of their health. It is recommended that person centred plans be produced to ensure that the personal wishes and choices of each residents are know and recorded. It is recommended that a list of the training each staff member has completed be maintained in their staff file to aid in the planning of their training and updated training. Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Newnham Green DS0000062045.V305581.R01.S.doc Version 5.2 Page 25 - 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. 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