Inspection on 16/11/05 for Newpark

This inspection was carried out on 16th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newpark 16/07/08

Newpark 31/07/07

Newpark 03/10/06

Newpark 18/04/05

Newpark 21/09/04

Newpark 13/08/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Newpark 3 Park Road Southborough Tunbridge Wells Kent TN4 0NN Lead Inspector Maria Tucker Announced Inspection 16th November 2005 09:30 Newpark DS0000041066.V252069.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 Newpark DS0000041066.V252069.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. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newpark Address 3 Park Road Southborough Tunbridge Wells Kent TN4 0NN 01892 537717 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) gem.newpark@tiscali.coi.uk Chistlehurst Care Ltd Miss Gemma Lucy Wanstall Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2005 Brief Description of the Service: Newpark is a residential care home for 10 service users who have a learning disability. Newpark is a large semi detached house in a residential area with accommodation on three floors. It has ten single rooms, none of which have en-suite facilities. Two of the rooms are located in a flatlet adjoining the main building where service users occupying these live more independently. There is a telephone point fitted in two bedrooms and all rooms are fitted with a television point. The home does not have a shaft lift and all the bedrooms in the main house are located on the first and second floors. The nearest shops and other amenities such as church, pub and post office are within walking distance. There is easy access to public transport. The town of Tunbridge Wells is approximately three miles away where there are all the facilities of a large town including a main line railway station. There are gardens to the front and rear of the property, which can be used by service users. There is car parking space to the front of the house. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection conducted on 16th November 2005 from 09.40 am to 14.40 pm. It was the second inspection for the year April 2005 to April 2006. Some judgements about quality of life and choices were taken from direct conversation with service users individually and collectively, as well as direct observation followed by discussion with staff. Information was gained through conducting a case tracking exercise, by reading the files and other documents. Discussions were held with the Manager and staff. A partial tour of the premises was undertaken. 9 comment cards were received from relatives/visitors • “….always appears happy, clean and cared for. We are very pleased has settled & enjoying living at Newpark”. • “The home & care is excellent – thank you so much - is very happy there”. • “….is very happy at Newpark he enjoys coming home but is more than ready to return to Newpark to other family”. • “They are very supportive of residents needs”. 1 comment card from General Practitioner. 1 from health and social care professionals. 3 from Care Manager/placement officer. • “My client has shown good progress in confidence and self help skills since being placed at Newpark”. • “Care adequate to needs”. The pre inspection questionnaire was received by the CSCI. It is recommended that this report be read in conjunction with the last inspection report to enable the reader to gain a full picture of the home, as some of the standards that were inspected and met during the last inspection were not inspected during this inspection. What the service does well: Newpark provides an individually tailored service based on need and personal choice and preferences. The leisure and recreational activities on offer in the home and from trips out are again specific to tastes. Staff are familiar with the service users needs and meet these in a way that encourages service users to be included and involved as much as possible. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 6 Newpark has a very homely atmosphere, where service users take pride and ownership in all aspects of group living, caring for each other’s welfare and joining in with the running of the home. What has improved since the last inspection? What they could do better: The external management support and on call system needs to b e firmed up with identified staff on call clearly identified on the rota. The rota must be accurate. The storage of old files and adherence to data protection act and the new freedom of information act must be considered with policies and procedures updated. The responsible individual must complete and submit monthly to the CSCI the regulation 26 visits reports. The furniture in some of the bedrooms, the office and in the lounge in the semi independent flat is in need of replacing, as they are old, tatty and not matching. This has been identified previously. A copy of the annual business plan to be made available at the inspections conducted by the CSCI. The updated Kent and Medway joint adult protection agency protocols and procedures need to be obtained and relevant policies and procedures amended as appropriate. The environmental health officer and fire officer must be consulted regarding the new build and the reciting of the laundry facilities. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 7 Consulting with the CSCI on issues relating to the home and in progressing action within reasonable / agreed timescales. 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. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 8 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 Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 9 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 Assessments ensure service users move into the home knowing that their needs can be met and that their independence will be maximised and promoted. EVIDENCE: An updated version of the statement of purpose and service user guide was given to the inspector. These documents were not in formats that the service users are able to understand. The manager stated that the home has purchased a widget communication system to convert these. A signed contract was seen and contained all items required. Service users have a comprehensive assessment conducted by the home and other professionals prior to moving into the home. Copies of these were on file and from case tracking and reading formed part of the overall care plan. Introductory visits and overnight stays are planned as part of the transition of moving into the home. The home currently has a vacancy. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 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): 2, 9, standards 7 exceeded during the last inspection, 8 was met Service users have clear plans of care, through which risks are identified and strategies adopted to minimise. EVIDENCE: The care planning formats contain a lot of information, which has been drawn from various sources. They provide a good comprehensive general guide and information for staff to support individual service users. The care plans have not yet been made more service user friendly. It is anticipated that the widget system will assist this. Service users spoken with were enthusiastic about their key home days where they undertake with support independent living skills. One service user busy cleaning their room explained, “I’m doing my thing”. Another service user commented that staff “help me a lot”. The manger has been on a risk assessment course and has introduced new comprehensive formats. The risk assessments viewed on activities were very good, recognising risks and strategies for minimising these that supported service users to be independent. The inspector discussed a risk assessment with a service user, who was able to describe the actions that they took to minimise risks. Newpark DS0000041066.V252069.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): 13 the other Standards were met during the last inspection 11 exceeded Service users continue to have a varied active social life and activities. EVIDENCE: Service users spoke of visits and trips out. A favourite was a planned trip to the pantomime. The home had plenty of in house activities. One service user said, “I go out myself”. A risk assessment was in place to support this. During the inspection service users were wandering freely around occupied by watching television and relaxing, undertaking cleaning of their room or sitting at the dinning room table doing a puzzle. The other service users were out at respective daytime activities. The local shops are used as is the amenities. Due to some service users requiring support some trips are group trips taken with staff. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 12 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): Standards 18, 19, 20, were met during the last inspection Service users can expect to be very well supported with their health care needs by familiar staff. EVIDENCE: Staff were seen and heard to be respectful towards service users during interactions and support being given. One of the service users bedrooms contained personal care items that were stored in view. This provided very little dignity. The homes medication was found to be stored appropriately. The medication is not longer re potted for visits home. It is strongly recommended for identification purposes that at the front of the MAR sheets each service user has a photograph, and space for recording preferred name and any specific details or preferences about the taking of medication. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 13 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): 23, standard 22 was met during the last inspection Service users cannot feel secure that the staff have up to date information and training in relation to adult protection. EVIDENCE: No complaints have been made or received. The comment cards received had been ticked with no complaints having been made. The home did not have the new Kent and Medway joint adult protection policies and procedures. There have been no adult protection alerts raised at the home. A copy of an overview of the mental incapacity act was left at the home. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 14 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, 26, 28, 30 standards 25 was met during the last inspection Overall service users live in a well-maintained environment. Some furniture does need replacing to ensure service users comfort. EVIDENCE: The home has had some major improvements made over the last couple of years including a new fitted kitchen and outside seating area. It is acknowledged that the new provider is committed to ensuring that the home is very well furnished and maintained. There are still some areas and items of furniture i.e. the office and some private bedrooms that need replacing. The inspector had a partial tour of the home. The semi independent flat is still in need of being refurbished and having new living room furniture. During the inspection the coffee table was found to be broken; the table and chairs and dinning room cupboard of poor quality and the chairs not matching; the sofas were old and a service user when asked expressed that they did not like the sofa stating “Sofa low down”. The home has had an extra room built but not yet furnished or decorated that the manager stated would be used as a visitor’s room and quiet lounge. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 15 The laundry room has been recited upstairs. The sink unit was in the process of being fitted. The washing machine was of domestic nature. The washing machine with a sluicing facility was still located in the basement. The service users private rooms viewed had plenty of personal possessions and were individually decorated to reflect the taste and hobbies of the service user. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 16 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,Standard 31 was met during the last inspection. The home has a stable staff team who work closely together and have a clear understanding into the aims and objectives of the home. EVIDENCE: Newpark has a stable small staff team, most of who have worked at the home for a considerable period of time. The manager is in the process of recruiting a new staff member. There is regular training provided for staff. It is recommended that the stafftraining matrix identify when staff training updates are required so that they do no lapse. The manager has two days per week where she is supernumerary on the rota and is able to fulfil her role as manager. During the weekday there is 2 staff on at peek times and 1 staff member on duty during the day when 2 service users are at home. Advice was given to ensure that there are planned times on the rota for 3 staff including the manager to ensure uninterrupted time is available for supervision The Department Of Health residential forum calculations are 287.48 hours total duty times and 7.9 full time staffing (40 hour per week). The home provides 1 full time staff and 6 part time workers. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 17 The home has a part time gardener; handyman and cleaner. The duty rota did not contain the exact hours staff worked The staff training has included specialist training such as risk assessment and dementia training. The home does not have 50 of staff trained to NVQ level 2 Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 18 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. Preventative measures and advice on health and safety issues result in service users and staff not being made safe. EVIDENCE: The manager is experienced and qualified to manager the home. She keeps herself up to date and introduces changes from training to improve the quality of life for service users and the running of the home. The pre inspection questionnaire lists maintenance and associated records The home has built an extra room and laundry room. This has been discussed at previous inspections with the responsible individual and the manager. There was no evidence that the environmental health office or fire officer had been consulted or had plans been submitted to the CSCI as stated in regulation 13 (3) YA 30 inspection report 13th August 2004. The washing machine with the sluicing facility is located in the basement. The lounge had a TV wire that was not made secure. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 19 The responsible individual did not have the annual business plan available to view or discuss. Some of the taps were found not to have restrictors on them. Some of the radiators did not have covers on them. The stairs leading to the basement only has one handrail and no reflectors/indicators on the stairs to aid in safety. The basement contained stored items including combustible material; food; service users old files that were not made secure. The lock to the office door is broken. It is recommended that the on call system be reviewed, so that in case of emergencies staff are available and staff on duty know whom to call. The home has 1 mobile telephone that the staff on duty has. Staff on call provide their own home numbers and mobile numbers if they have them. Service users are regularly consulted about all aspects of the home and their daily living. A carer/relative survey has been undertaken and the findings made into a newsletter. The policies and procedures on lone working and using the washing machine in the basement have been completed. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 20 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 2 3 3 3 3 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X 2 X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newpark Score 2 X 2 X Standard No 37 38 39 40 41 42 43 Score 3 4 2 3 1 1 1 DS0000041066.V252069.R01.S.doc Version 5.0 Page 21 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. Standard YA30 Regulation 13 (3) Timescale for action The registered person shall make 28/12/05 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home in that the laundry floor and finishes are impermeable. The laundry room has been recited. The responsible individual stated the washing machine with sluicing facility in the basement would be used for this. The duty rota must contain a 28/12/05 record pf persons working in the care home, and a record of whether the roster was actually worked. In that all staff hours worked must be included and as well as any other staff i.e. the maintenance / handy person. The registered person shall 28/12/05 ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they perform in that 50 of the care staff hold a NVQ 2. The registered person shall 28/12/05 ensure that the records in the DS0000041066.V252069.R01.S.doc Version 5.0 Page 22 Requirement 2. YA41 17 (2) Sch 4 3 YA32.5 18 (1) (c) 4 YA41.3 17 (1) (a) Newpark 5 YA42.3 13 (4) (a) (c) 6 YA42.4 23 (4) (a) (5) 7 YA43.3 26 (2)(3) (4) (5) care home are kept secure. In that the office door must be lockable and the old storage of files must adhere to the Data protection Act 1998. The registered person shall 28/12/05 ensure that all parts of the home to which service uses have access are so far as reasonably practicable free from hazards to their safety; unnecessary risks to health or safety of service users are identified and so far as possible eliminated. In that restrictors and radiator covers are fitted; the wire made secure leading to the television in the lounge. The registered person shall after 28/12/05 consultation with the fire authority take adequate precautions against the risk of fire. In that the fire authority must be consulted regarding the reciting of the laundry area and the combustible materiel in the basement made safe. The registered person shall undertake appropriate consultation with the authority for environmental health in that they must be consulted regarding the reciting of the washing machine. The registered provider shall visit 28/12/05 the home unannounced at least once a month; interview with consent; inspect the home; prepare a report and supply a copy to the CSCI. Newpark DS0000041066.V252069.R01.S.doc Version 5.0 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. 2. 3. 4. Refer to Standard YA1 YA6 YA18.1 YA20 Good Practice Recommendations It is strongly recommended that the Service users guide is made available in formats suitable for the people for whom the home is intended. It is recommended that the care plans be made more service user friendly, in that they are in a format the service users can understand. It is strongly recommended that personal care items be kept out of view to respect dignity and privacy. It is strongly recommended for identification purposes that at the front of the MAR sheets each service user has a photograph, and space for recording preferred name and any specific details or preferences about the taking of medication It is very strongly recommended that the updated Kent and Medway joint adult protection agency protocols and procedures are to be obtained and relevant policies and procedures amended as appropriate. That staff receive adult protection updates/training It is very strongly recommended that the semiindependent flat lounge be refurbished to the same standard as the rest of the home. This is an on going recommendation from the previous inspection. It is strongly recommended that the home review the current room made available for service users to meet visitors in private. A new room has been built and is in the process of being finished and furnished. This is in the process of being addressed. It is recommended that the staff-training matrix identify when staff training updates are required so that they do no lapse. It is recommended that the on call system be reviewed, so that in case of emergencies staff are available and staff on duty know whom to call. It is strongly recommended that action be progressed within agreed timescales to implement requirements identified in CSCI inspection reports. 5 YA23 6. YA24 7. YA28 8 9. 10. YA35.2 YA39.2 Newpark DS0000041066.V252069.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Newpark DS0000041066.V252069.R01.S.doc Version 5.0 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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