Inspection on 22/06/05 for Newsome Nursing Home

This inspection was carried out on 22nd June 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

Newsome Nursing Home 25/07/07

Newsome Nursing Home 08/06/06

Newsome Nursing Home 05/12/05

Newsome Nursing Home 07/03/05

Newsome Nursing Home 24/08/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Newsome Nursing Home 1/3 Tunnacliffe Road Newsome Huddersfield HD4 6QQ Lead Inspector Sally McSharry Unannounced 22 June 2005 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 Older People. 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. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newsome Nursing Home Address 1/3 Tunnacliffe Road Newsome Huddersfield HD4 6QQ 01484 429492 01484 519498 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) Huddersfield Nursing Homes Ltd Mrs Jennifer Croft Care Home with Nursing 46 Category(ies) of Older People 46 registration, with number Terminally Ill 8 of places Terminally Ill (Elderly) 8 Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of registration are listed on the registration certificate displayed at the service Date of last inspection 7 March 2005 Brief Description of the Service: Newsome Nursing Home is a care home providing nursing care and accommodation for 46 older people requiring long term and short term care. Within the 46 service users the home is also registered to accommodate up to 8 terminally ill service users who may be under or over 65 years of age. It is owned and managed by Hudderfield Nursing Homes Ltd, a small family owned local company. The home is a combination of a converted stone residence and a modern, purpose built unit constructed in keeping with the original home. Accommodation is provided on three floors, all are accessed via two passenger lifts. The home has 26 single rooms and 10 twin rooms. There is only one shared room with en-suite facilities. The home has a small, well maintained garden area with seating areas for service users to use. Newsome Nursing Home is situated approximately two miles from Huddersfield town centre and is within 150 yards of a small corner shop and half a mile from Newsome Church and the nearest public house. The bus route from the town centre, calls at a stop, which is 250 yards from the home and the home itself has an ample car park. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced visit carried out on the 22 June 2005. The inspector looked at a selection of key National Minimum Standards and followed up on the progress made in the home in addressing the requirements and recommendations made in the last report. During the visit the inspector spoke to some service users, visitors and staff and carried out a short tour of the building. Some care records, medications, and maintenance records were inspected. A sample of staff recruitment and training records were also seen. Three further requirements and one recommendation have been made in this report. What the service does well: What has improved since the last inspection? Since the last inspection improvements have been made in the way in which the staff in the home manage and record medications. At this visit all medications were accounted for and records were clear and accurate. Staff have also worked on the care planning and a new template care plan has been developed which gives clearer information about care plans, risk assessments and evaluation of care. An increased training programme is being offered in the home including first aid training, movement and handling training and training in relation to adult protection. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 6 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. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6. Where possible pre-admission assessments are carried out to ensure the home can meet the needs of prospective service users. Service users receiving intermediate care are assisted to maximise and maintain independence and return home. EVIDENCE: Where possible a suitably qualified member of staff from the home carries out a pre admission assessment prior to the new service user’s admission to the home. A letter is then sent to the prospective service user confirming that their needs can be met at Newsome nursing home. Newsome nursing home accommodates a small number of service users who receive regular respite care. Some intermediate care and emergency respite clients are accommodated. The inspector spoke to two service users receiving respite care and the daughter of one service user on a respite stay at the home. All were happy with the service provided, the warm welcome they receive and the support that all the staff provide. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. Some of the service users’ health and care needs are set out in care plans. Service users’ health care needs are being met. There are good systems in place for the management of medications in the home. Service users in the home feel they are treated with respect. Service users who are terminally ill and their families are cared for sensitively and with respect. EVIDENCE: Following requirements and recommendations made at the last visit, staff have worked hard at developing a new care plan system. A template document has been developed and all care plans are to be transferred onto the new documentation by October 2005. Existing care plans have been improved with clear movement and handling plans in all the care plans sampled. Some health and welfare needs are not currently included in care plans and the manager was made aware of the need to identify all the service users’ needs and then write a plan as to how those needs are to be addressed whilst in the home. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 10 There is evidence that service users needs are being met in the home. Where needed NHS services are accessed to make sure any problems a service user has are addressed. At the time of this visit service users were attending out patients appointments and the optician was visiting some service users and carrying out eye tests and assessment. Those service users asked were clear in their opinion that the staff at Newsome nursing home were meeting their health and welfare needs and respected them as individuals. Staff at Newsome nursing home continue to provide terminal care to some service users. Staff at the home are supported and advised by the local palliative care team. The palliative care nurse has recently commented on the good work carried out at the home. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, and 15 Service users’ social, cultural and religious needs are taken into account in the home and contact with families and friends is encouraged. Service users said they are able to exercise choice within the home. The service users said that the meals provided were good. EVIDENCE: Activity staff are employed at the home and there are plans to provide some activities seven days a week. Activities offered are varied and relatives are encouraged to take part. Information about activities is displayed in the home. Visits out of the home can be arranged and some service users attend local church services. During this visit there were several visitors at the home. Some spoke to the inspector. All said they are made welcome at the home and that they are always offered hospitality when they arrive at the home. Service users were clear that although their circumstances had restricted their options in life, choice was available in the home, such as how service users spend their day, activities and meals. All those service users who were asked, said meals were of a good standard with choice offered. During this visit the lunch being served looked and smelt appetising. Service users are able to choose where they eat their meal. Those requiring assistance were helped by staff in a sensitive manner. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. Service users and relatives were confident that any issues raised with staff are dealt with. Training is underway to ensure all staff are aware how to protect service user from abuse. EVIDENCE: There is a complaints procedure in the home and in the home’s statement of purpose. A record of complaints made is kept and the action taken by the management of the home to address the issue. A relative confirmed that if she commented on anything action was promptly taken by staff. A programme of training has commenced to ensure all staff in the home are trained to recognise and respond to any potential abuse. Mrs Croft said that all staff should have completed the training by November 2005. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The environment of the home is safe and a programme of maintenance is in place. Service users said they found the home to be clean and tidy. EVIDENCE: Requirements and recommendations made in the last report have been addressed. Carpets have been adjusted to ensure they are close fitting to the floor. A programme to replace all the windows in the older part of the building is to commence shortly. A wash hand basin has now been fitted to the sluice room, which did not have a sink. Service users and relatives commented on the cleanliness of the home. During this visit a private company was attending the home to clean the carpet in a vacant room. Mrs Croft said this was standard practice when rooms became vacant to ensure the home was kept as clean as possible and one relative confirmed this was the normal practice. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. Staff in the home are meeting service users’ needs. Staff recruitment practice has improved, however there are shortfalls in some staff records which need to be addressed. Service users said they are confident in the ability of the staff. Staff training has increased and staff are competent to met the needs of the current service users in the home. EVIDENCE: Staffing levels in the home are adequate and service users said that staff are helpful and kind. Some service users said that sometimes they have to wait for a member of staff to help them, but agreed that staff come as soon as is possible. A sample of staff records was audited. The number of shortfalls have reduced, however some staff did not have two written references on file. Full checks must be carried out to help protect service users. Since the last inspection the level of staff training has increased. Staff have attended a variety of training sessions related to the care they provide to service users in the home. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, and 38. Some quality monitoring has taken place, however regular management monitoring visits have not being carried out. Staff are adequately supervised. Health and safety checks and records are maintained in the home to ensure service user and staff safety. EVIDENCE: Some quality monitoring has taken place, with service users and relatives being asked about the service provided by the home and any areas which might be improved. Monthly management visits that should be carried out at the home have ceased due to the ill health of one of the directors of the company. These must recommence, as it is important the company and its directors have a regular objective review of the service and systems in operation at the home. Regular staff supervision has commenced in the home and records show that staff are being supervised to maintain good standards in the home. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 16 Regular maintenance and safety checks are being carried out. Clear records were available at this visit to evidence maintenance work. Requirements made in the last report about movement and handling training and practice have been acted upon. Movement and handling training is ongoing in the home and the inspectors saw service users being transported in wheelchairs in a safe and appropriate manner. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 1 x x 2 x 3 Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 18 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 7 Regulation 15 Requirement Timescale for action 01.10.05 2. 18 13 3. 33 26 Care plans must identify all service users health and welfare needs and clearly state how these are to be met whilst in the home. All staff must be trained to 30.11.05 recognise possible abuse and the steps taken to ensure the protection of vulnerable adults. Monthly management visits must 31.08.05 be carried out and a report produced. A copy of the report must be forwarded to the CSCI and to the manager of the home. 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. Refer to Standard 7 Good Practice Recommendations The daily record should accuratey reflect the actual care given each day and any out comes. Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD4 4AB 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 Newsome Nursing Home CS0000001121.V230802.R01.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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