Inspection on 05/12/05 for Newsome Nursing Home

This inspection was carried out on 5th December 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 22/06/05

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 West Yorkshire HD4 6QQ Lead Inspector Sally McSharry Unannounced Inspection 5th December 2005 09:20 X10015.doc Version 1.40 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 Newsome Nursing Home DS0000001121.V268758.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 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 DS0000001121.V268758.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Newsome Nursing Home Address 1/3 Tunnacliffe Road Newsome Huddersfield West Yorkshire HD4 6QQ 01484 429492 01484 519498 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) Huddersfield Nursing Homes Limited Mrs Susan Elizabeth Johnson Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46), Terminally ill (8), Terminally ill over 65 of places years of age (8) Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named persons under 65 years of age Date of last inspection 22nd June 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 its registration category, the home may also accommodate up to 8 terminally ill service users who may be under or over 65 years of age. It is owned and managed by Huddersfield 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. 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 DS0000001121.V268758.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on 5 December 2005. During the visit the inspector read the files of three service users and checked the recruitment records of four members of staff. Staffing levels and staff training records were also checked. A brief tour of the building was carried out and the inspector spoke with eleven service users, two visiting relatives and some members of staff. Not all the national minimum standards were inspected during this visit. The progress made toward addressing the requirements and recommendations made in the last inspection report were assessed. What the service does well: What has improved since the last inspection? The standard of care planning has improved and service users have individual records held in individual folders. The level of training and the subjects covered in training has improved. A new registered manager has been appointed. Monthly management visits and reports are now carried out. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 DS0000001121.V268758.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: None of the above standards were assessed during this visit. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8. There are individual plans, which identify service users health, personal, and welfare needs. Service users’ health care needs are being met. EVIDENCE: The standard of care records continues to improve. Care plans now contain a lot of information about the service users’ needs and how these are to be met in the home. Some information should be more detailed, such as movement and handling advice, which must be specific and include information about which hoist and sling is to be used. Some more detail is also required in the daily records; for example, when a dressing is renewed the staff should record how the wound is progressing, its size and how it appears. This detail enables the staff to assess the effectiveness of the planned care or treatment regime, making changes where the wound is no longer improving. Records showed that if the staff at the home are unable to meet a service users needs, specialist advise from other health care professional is sought, such as the GP, specialist nurses, chiropodists and opticians. The home is equipped to meet the needs of the current service users. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 12, 13 and 14. People living at the home are supported to maintain contact with family, friends and the wider community. They have opportunities to exercise choice in their daily lives and to engage in social and leisure activities. EVIDENCE: All the service users who spoke with the inspector said that they are able have visitors whenever they liked. Activities are offered in the home, trips out are organised and entertainers visit the home. Service users said they were able to choose whether they took part in activities or not. One service user said they preferred their own company as they had lived alone for many years before coming into the home. However, they also said staff sometimes spent time chatting to service users in their rooms and said this was much appreciated. A varied programme of Christmas activities is planned at the home including community church and school choirs, entertainers and a Christmas party. Many of the service users had attended the Christmas fair held the previous weekend at which £400 had been raised for the service users’ activity fund. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 and 18. Service users and visitors were confident to raise any concerns at the home and that these would be addressed. Service users are protected from abuse and this protection is being expanded with a programme of abuse awareness training for staff. EVIDENCE: There is a complaints procedure and a record is kept of complaints made at the home. The record includes details of the complaint, the outcome of the investigation and the action taken. There is written guidance about the protection of vulnerable adults and a whistle blowing policy. Since the last inspection twenty staff have attended training about abuse and the protection of vulnerable adults. The remainder of staff have been booked to attend a forthcoming session. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19 and 26. The home offers a safe environment for the service users and provides them with suitable accommodation. EVIDENCE: The home is suitable for its stated purpose and is well-maintained offering a safe comfortable environment to the service users. It is clean and tidy throughout with no offensive odours. One visitor commented specifically on the standard of hygiene in the home and stated that it never has an unpleasant odour. Evidence was seen that service users are encouraged and enabled to bring their own possessions with them when they move into the home including furniture. There is a lockable space in each bedroom to make sure service users can store any valuables safely. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 13 There is a control of infection policy in place and a laundry assistant is employed at the home who takes responsibility for all the washing, making sure that everything is washed at the correct temperature. Since the last inspection a member of West Yorkshire Fire Safety and team have carried out a survey of the home. Work is required to ensure fire precautions in the home meet current standards. Please see standard 38 of this report. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Staffing levels in the home are sufficient to meet the needs of the current service users. Staff training and NVQ training is progressing well ensuring that the staff team is skilled. Further work is required to ensure that the recruitment and selection process of new staff is robust and protects service users. EVIDENCE: Staffing levels at the home are unchanged. There are dedicated care staff, activity staff, domestic, laundry and catering staff. Staff training has progressed and 38 of care staff have qualified to NVQ level 2. Work must continue to reach 50 of staff with NVQ level 2 by 31.12.05. The quantity and variety of training has improved. Fifteen staff have attended first aid training, 20 staff have attended training in relation to abuse and the protection of vulnerable adults and six staff have had basic food hygiene training. Other areas covered in training this year have included communication, clinical emergencies, dementia care, stoma care, wound healing, managing swallowing problems and working in a multicultural society. Movement and handling training and fire training have taken place, however care must be taken to ensure all staff attend annual movement and handling training and take part in at least two fire lectures and two fire drills per year. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 31, 33, 35 and 38 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, 33, 35, 36 and 38. There is a new skilled and experienced manager at the home. Quality assurance is carried out to help ensure the home is run in the best interests of the service users. Service users’ finances are safe guarded. Staff supervision is progressing. The health, safety and welfare of service users and staff are not being fully protected. Issues identified in the report produced by West Yorkshire Fire Safety and Rescue team must be addressed. EVIDENCE: The home has a new registered manager, who has obtained the registered manager’s award. Regulation 26 visits now take place as required. Annual quality assurance questionnaires have recently been sent out to service users and relatives. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 16 Staff appraisal and supervision is starting to progress and the registered manager is aiming to achieve six supervision sessions for all care staff with in the next 12 months. The home does not act as appointee or hold money for any service users. Each service user has a lockable facility within their room and a safe is available in which valuables can be stored. Nothing was seen during the inspection that could cause a hazard to service users, visitors or staff. The home is well maintained and decorated. The West Yorkshire Fire and Rescue service visited the home in November 2005 and a report has been issued identifying work that must be completed. An action plan stating how and when the work will be addressed must be forwarded to the CSCI by 17/12/05. Issues about all staff receiving fire safety and movement and handling training have already been identified in standard 30 of this report. Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 1 Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 19 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 OP18 Regulation 13 Requirement Timescale for action 31/03/06 2. OP29 7,9,19 & sch 2. 3. OP38OP30 13,18, & 23 4. OP38 23 All staff must be trained to recognise possible abuse and the steps taken to ensure the protection of vulnerable adults. Not fully met therefore remains a requirement of this report. A robust recruitment procedure 31/01/06 must be implemented. All staff must have two written references on file. These must not be pre-written, “to whom it may concern” references. One reference must be from the most recent employer. Application forms must include a full employment history and any gaps in employment must be investigated at interview. CRB checks are not transferable. The home must take up a new CRB before a new member of staff starts work at the home. All staff must be trained to move 31/03/06 and handle safely. All staff must attend at least two fire lectures and two fire drills per year. An action plan must be 17/12/05 forwarded to the CSCI stating how and when the work identified in West Yorkshire Fire & Rescue Service’s report dated the 14/11/05 will be addressed. DS0000001121.V268758.R01.S.doc Version 5.0 Newsome Nursing Home 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. Refer to Standard OP7 Good Practice Recommendations Care plans should be specific. They should give specific advice how to meet the identified needs. For example how a wound is to be dressed, Specific movement and handling advice including, which hoist and which sling is to be used for each service user. The daily record should accurately reflect the actual care given each day and any out comes. It should refer to the identified needs as stated in the care plan. Daily records should include specific detail about the progress of wound healing such as the size and a description of the wound. A minimum of 50 staff in the home should have NVQ level 2 training. All care staff should receive at least six supervision sessions per year. 2. OP7 3. 4. OP28 OP36 Newsome Nursing Home DS0000001121.V268758.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 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 DS0000001121.V268758.R01.S.doc Version 5.0 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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