Inspection on 18/04/05 for Newpark

This inspection was carried out on 18th April 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 but made no statutory requirements on the home.

Other inspections for this house

Newpark 16/07/08

Newpark 31/07/07

Newpark 03/10/06

Newpark 16/11/05

Newpark 21/09/04

Newpark 13/08/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

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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 Unannounced 18 April 2005 09:00 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 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 Stationary 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 H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service New Park Address 3 Park Road Southborough Tunbridge Wells Kent TN4 0NN 0208 4672781 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Chistlehurst Care Ltd Miss Gemma Lucy Wanstall Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21 September 2004 Brief Description of the Service: New park 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 shopts and other amenities such as church, pub and post office are witihin 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 H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The inspection lasted from 9.11am until 11.50am. Time was spent meeting the manager and going through various records and documentation. About one hour thirty minutes was spent meeting service users with three being seen individually. Due to the nature of the service, it is difficult to gain a full picture of the quality of life for service users, this was made through judgements from observations, speaking with staff and looking at records. A partial tour of the premises was made which included two service users rooms and communal areas. What the service does well: What has improved since the last inspection? What they could do better: Service users would be able to take more of an active part in maintaining their own cloths and soft furnishings if they had access to a washing machine and tumble dryer. Whilst the manager works alongside staff as part of the team it would be of benefit for her to have dedicated time each week where she is able to catch up on the office work and take an overview of the home. The office is available for service users to meet visitors in private this room needs to be made more comfortable with storage space and facilities should be provided. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 6 Service users would be more included if information in relation to the running of the home and on service uses were in formats that service users could understand i.e. pictorial, video. 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 H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 1, Service users would be able to understand fully the service provided if documents were presented in a format that they could better understand. EVIDENCE: An updated version of the Statement of Purpose and Service Users guide was given to the inspector; these documents are combined into one comprehensive document. It was not in a format that service users are able to understand. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 Although the care planning recordings were not in a format that service users understood, all of the service users knew what they wanted; what they were doing and that staff supported them with their personal choices and preferences. EVIDENCE: The care planning formats have been amended following the manager attending a course on care planning. From records shared the current service users would benefit from an easily understood format to encourage their personal interest and involvement. They however do contain a lot of information, which has been drawn from various sources including a care manager’s assessment giving staff good information to support individual service users. A service user spoken with confirmed that they would like to go to day services; a date is set to review this with the care manager. The visitor’s book contained dates when the community learning disability nurse visited to re assess a service user. All of the service users spoken with were relaxed and happy to discuss what they were doing during the day and what they had been doing. A service user Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 10 was being supported on a key day with cleaning and was busy hovering with staff support. Another was unpacking the dishwasher. Service users enthusiastically spoke about what they liked, their hobbies and interests, their contact with their family and the staff who supported them. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 14, 16, 17 Service users take pride in looking after the home and in being part of an extended family where staff and service users all work together on equal terms. EVIDENCE: A service user stated that it was “alright living here, nice food, people”. A service users suggestion recorded at a service users meeting for bowling had taken place. All of the service users have individual daytime activities. One day a week each service user has a home day where they have 1 to 1 time to work on personal development. A service user on a home day was being supported with their tidying and stated that they were “polish and hoover”. Service uses and staff talked about current affairs, television programmes and the news. Staff were able to communicate effectively to service users as they knew them well and had a good built up trust, mutual respect and a good rapport. Provision for meals is good, meeting personal preferences and dietary needs. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 18, 19, Service users are very well supported with health care needs and any specialist services are sought. Service users personal support is given sensitively from staff who understand and respect service users individual choice, needs and personal preferences. EVIDENCE: Service users get up and go to bed at a time that suites them, one service user was just getting up after having a lie in. Service users were pleased to show off their rooms, which were decorated to personal taste and had plenty of personal effects in them. Service users wear their own cloths that they feel comfortable in and they choose, for example a service user who did not want anything restricting their stomach wore loose trousers. Records of visits from specialist health professionals were seen and a service user spoken with had recently visited the doctor’s surgery. The sending home of medication has been firmed up so that the nomad system is sent home complete as is the awareness of recording bath oils etc if they are prescribed. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 22 It is difficult to fully ascertain if a service users has a complaint, the staff manage possible complaints by being pro active in ensuring that the service users are given opportunities and choice and by the reactions of service users i.e. facial expressions. EVIDENCE: While staff were working with service users they were heard to ask service users their views and opinions and encourage them to express how they feel, what they wanted to do. Staff knew the service users preferences and provided options for them. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 30 Service users have access to most parts of the home with the exception of the laundry. Most areas are very well maintained reflecting personal choice and individuality. The home is very well maintained except for some furnishings that are not up to the same standard as the rest of the home. EVIDENCE: Newpark is very homely with the emphasis on personal choice, group living and individually tailored bedrooms. Service users invited the inspector to see their room and proudly showed their private possessions. The semi independent flat is not furnished to the same standard as the rest of the house. The office is available for service users to meet visitors in private, due to the limited space and the lack of storage facilities compounded with the office being in frequent use i.e. access for medication and files it is not always possible to use this without interruption. The laundry room is in the basement; the laundry floor and finishes are not impermeable. Discussions have been held with the provider and manager about a new laundry room being built, no further communication or action has been taken. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 15 Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, Service users needs are met by a regular staff team who support each other work closely together and have a clear understanding into the aims and objectives of the home. The manager does not have identified time to enable an overview of the home. EVIDENCE: Staff on duty during the inspection were familiar with the service users needs and their role and function as a key worker. Staff spoken with detailed training that they had received and had a good understanding into areas where they felt they would benefit from extra support or training. The duty rota gives a staff ratio of 2 staff am and 1 staff pm with an extra staff coming in from 10 to 4 pm to work with service users on their key worker days. Staff cover for each other for leave and sickness. The manager did not have any identified time on the rota where she was supernumerary. Staff training identified for dementia care is still on going. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 40, 41 The priority of the manager and the staff is in the delivery of care and support. To ensure that staff continue to provide this safely the manager needs to spend time developing the necessary policies and procedures and have time to complete her management duties. EVIDENCE: The manager has obtained the NVQ level 4 registered managers award. The home do not have a policy on lone working, stress or a policy and procedure for safe practice for staff using the laundry room. The rota did not contain all of the hours worked or the handy man. Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 18 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 1 x x x 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 4 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x 2 x 2 Standard No 11 12 13 14 15 16 17 4 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 x 2 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newpark Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 2 2 x x H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 19 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 YA 30.4 Regulation 13 (3) Timescale for action The registered perosn shall make The suitable arrangements to prevent responsible infection, toxic conditions and individual the spread of infection at the to write to care home in that the laundry the CSCI floor and finishes are by 18th impermeable. May 2005 to confirm this has been completed or a definate date and plan for the laundry room to be re sited. The duty rota must contain a 18th April record pf persons working in the 2005 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. Requirement 2. YA 41 17 (2) Schedule 4 Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 20 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. Refer to Standard YA 1 YA 5 Good Practice Recommendations It is strongly recommended that the Service users guide is made available in formats suitale for the people for whom the home is intended. It is recommended that the contracts include the room to be occupied; personal support; facilities including any specialist services/theraputic intervention and any policies or rules which may limit personal freedom. It is recommended that the care plans are made more service user friendly, in that they are in a format the service users can understand. It is strongly recommended that the laundry room is re sited so that service users can access this. It is recommended that the flat is refurbished to the same standard as the rest of the home. It is strongly recommended that the home review the current room made available for service users to meet visitors in private. It is very strongly recommended that a review be made of the staffing levles so that the manager has time for the administration and management tasks. It is recommended that training for dementia be undertaken given the age and possible future needs of the service users. It is strongly recommended that the home develop a lone working policy; a policy on stress; a policy and procedure for staff using the laundry room in the basement i.e. following a risk assessment. 3. 4. 5. 6. 7. 8. 9. YA 6 YA 24.1 YA 24.10 YA 28.2 YA 33.2 YA 35 YA 40 Newpark H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent 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 H56-H06 S41066 New Park V220103 180405 Stage 4.doc Version 1.30 Page 22 - 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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