Inspection on 08/06/06 for Newsome Nursing Home

This inspection was carried out on 8th June 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Newsome Nursing Home 25/07/07

Newsome Nursing Home 05/12/05

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 Key Unannounced Inspection 8th June 2006 09:30 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.V292042.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V292042.R02.S.doc Version 5.2 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 huddersfieldnh@aindale.net 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.V292042.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named persons under 65 years of age Date of last inspection 5th December 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. The home 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. The provider informed the Commission for Social Care Inspection on 08/06/06 that fees range from £474.50 to £536.50 per week. Additional charges include hairdressing, private chiropody, newspapers and aromatherapy. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced site visit carried out by one inspector. The inspector arrived at the home at 9:30 am and left the home at 4:50pm. The last main inspection was carried out on the 5th December 2005. During this visit the inspector spoke to some of the service users, visiting relatives, some of the staff and the home’s management. The inspector read care records, audited a sample of medications, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection twelve service user questionnaires were sent to Newsome Nursing Home to obtain service users’ views about living at the home. Four completed questionnaires were returned. Some service users in the home are very frail and would not be able to complete a questionnaire. There were forty three service users resident in the home on the day of this visit. Relative surveys were sent out to twelve of the service users’ relatives or friends. Three GPs and four social workers that have placed service users at the home were also sent a questionnaire. When the inspector wrote this report 50 of the relatives had responded. All three GPs had responded and two social workers. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider, information about one complaint investigated by the provider and a pre inspection questionnaire completed by the provider and manager. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager and staff in the home have begun to consider equality and diversity issues but these can be developed further. The manager and staff need to offer greater flexibility around routines in the home and mealtimes to ensure all individual service users’ preferences are taken into account and accommodated. The introduction of a key worker system has also been recommended. More nurse call leads must be provided to ensure all service users and staff have access to one. The registered provider should also consider providing a lockable drawer in all rooms to enable service users to store their personal items safely. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 7 Although training has taken place, ongoing training must be provided to ensure all staff have received adult protection training, movement and handling training and fire training, with regular updates. 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.V292042.R02.S.doc Version 5.2 Page 8 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.V292042.R02.S.doc Version 5.2 Page 9 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): 3. No service user moves into the home with out having had their needs assessed and been assured their needs can be met. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users confirmed when spoken to and in questionnaires that they had information about the home before they came to live there and that their needs had been assessed. The sample of case records audited showed that service users admitted to the home recently had been assessed prior to admission. One service user confirmed that they had had opportunity to visit the home before they made the decision to stay at the home. The home has admitted service users with a diverse range of needs. Whilst the home welcomes service users from differing cultural backgrounds at the moment only one service user from an ethnic minority uses the service. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 10 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, 8, 9, and 10. Service users health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and monitored. Service users are able to make decisions about their lives with the support of staff. Medications are managed safely. Service users are treated with respect, their privacy and dignity is maintained by the staff in the home. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The standard of care planning and risk assessment is good. All service users have an individual care plan, which meet their diverse needs. During the site visit the inspector audited three care plans in detail. The plans outlined the service users health, welfare, social and spiritual needs and advise staff how service users’ needs are to be met in the home. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 11 Risks to the individual are identified and risk assessments advise what steps are to be taken to minimise the risk. Care plans and risk assessments are reviewed monthly. There is evidence in some care records that relatives and service users have been informed about the care provided and any issues that have arisen. Feedback from health care professionals was positive. One respondent felt the home provided good care and support to service users and their relatives. The inspector audited the medications of three service users. These were found to be correct and the standard of medications management is of a satisfactory standard. Service users were complimentary about the staff and felt that staff, although busy at times, were helpful and respected service users. One service user said. “ I can do more or less what I want. The staff are lovely”. There are some very frail service users in the home who are not able to communicate. The inspector observed staff caring for some service users who were in bed, in a very caring and tender manner. The service users responded well to the staff and were confident and relaxed in their company. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 12 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): 12,13,14 and 15. Service users’ social, cultural, religious and recreational needs are being met; they are helped to maintain contact with their families and the local community. Service users are able to exercise some choice and control over their lives. Meals provided are varied. Meals are served in a pleasant environment and service users who need support receive the assistance they require. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Activities are offered in the home and entertainers visit regularly. Some service users and relatives commented that activities have dwindled recently. The manager advised that a very valued member of the activities team has recently left. The home is making efforts to recruit a new member of staff. Service users said they enjoyed the activities provided. At the time of the visit staff and service users were preparing for the home’s summer fayre, due to take place at the weekend. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 13 Service users confirmed they are able to choose whether to take part in activities or not. Diversity in activities is being explored and expanded and the home is planning a “West Indies” day. Two service users who prefer to spend time in their rooms confirmed that they have access to a regular supply of library books. Relatives confirmed in questionnaires that they are made welcome when visiting the home and service users confirmed that they are able to maintain links not only with relatives but also with friends and local community members. Ministers from local churches visit the home and some service users are able to attend church from the home. Service users confirmed they are able to make some choices about their lives in the home, however, one service user raised the change of meal times as an issue. It is recommended that the manager encourage the staff to take into account individual service user’s preferences around the times meals are served. The home should be flexible in its routines to enable individual service users to have their meals at times they prefer. One relative commented that the introduction of a key worker system would help service users and relatives identify who is most appropriate to communicate with when visiting the home. This was recommended to the manager during the visit. Comments from service users and relatives relating to meals varied. Some were very complimentary; other said that the standard varied. Comments made included, “we always get mashed potato”, “they put too much gravy on” and “I’m not keen on mince”. These comments were discussed with the manager. It is recommended that meals be discussed with all the service users. Menus and the way meals are served should be reviewed if necessary. For example some service users may be able to put their own gravy on their meals. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 14 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 their relatives and friends are confident to make complaints and that these will be listened to and taken seriously. Service users are protected from abuse. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The majority of service users and relatives confirmed that they were confident to raise concerns and make complaints. The home maintains a record of complaints and the action taken. On the day of the site visit the manager had completed an investigation into concerns raised via the Commission. The concerns relate to movement and handling practice and to staffing levels in an afternoon. The concerns were partially up held. Since the inspection in December 2005, a further nine staff have received adult protection training. Not all staff have had this training, however, the remaining seventeen members of staff have been booked on courses and the inspector saw evidence of the confirmation of training forms whilst on this visit. Staff interviewed by the inspectors at the time of the visit had a clear view of adult protection and the actions they would take if they had any concerns or suspicions that any service user was being abused. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 15 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. Service users live in a safe, well-maintained environment. The home is clean pleasant and hygienic. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Questionnaires from both service users and relatives confirmed that the home is clean, tidy and well maintained. On the day of the inspection service users and relatives also said the domestic staff are always cheerful, polite and helpful. Planned maintenance continues in the home and a “ handyman” has been employed. The manager advised of plans to refurbish bathrooms. The work to replace some of the window frames in the home has been completed. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 16 During this visit the inspector noted that not all service users had access to a nurse call lead in their bedrooms. The inspector understands that not all service users are able to use a nurse call lead, however one must be available at each point in case of emergency and so staff can call for assistance. The home has aids and adaptations fitted to meet the diverse needs of service users. Service users rooms are personalised to meet their needs and preferences. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 17 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. Suitable numbers of staff are employed. The staff receive induction and foundation training and are competent to work in the home. Staff recruitment policies and records protect service users. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Staffing levels are generally sufficient to meet the current service users’ needs. However two returned questionnaires from relatives stated that they felt at times there are insufficient staff on duty. Some service users said at times they have to wait for staff to assist them, but that staff are very helpful. The recent complaint investigated by the provider indicated that during the afternoon, there are few staff in and around the lounge areas. The manager advised that the home is recruiting staff. How staff are deployed during the afternoon period is also being reviewed. Members of staff interviewed at the time of the visit confirmed that induction and ongoing training is provided. Training records support this. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 18 Staff felt that there is a good team spirit at the home. Service users and relatives were generally complimentary about the staff and particular mention was made about the senior staff team. Staff are recruited from diverse and varied cultural backgrounds. The company has tried to accommodate cultural differences and respect individual staff member’s spiritual beliefs. The standard of recruitment records has improved. The recruitment files of four members of staff were audited in detail and found to contain the required information and recruitment checks. NVQ (National Vocational Qualification) training is progressing and there is currently 32 of care staff that have NVQ level 2 in care. Further staff are wait for verification of their course work. If these members of staff are successful in achieving the NVQ award the home will have 50 of staff with NVQ level 2 or above. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 19 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. The home has an experienced and competent manager. The home is run in the best interest of service users. The home does not deal with service users’ financial interests. Staff are being formally supervised. The health, safety and welfare of service users and staff are protected. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Mrs Johnson, the manager, is an experienced first level nurse. She has achieved the registered manager’s award and continues to attend training sessions to further her professional education. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 20 The home operates a quality assurance system. Questionnaires are due to be sent out to service users and relatives to ask their views about the service provided. The results of questionnaires are summarised by the home and a report produced. The home does not act as appointee for any service users and does not hold money on their behalf. Small lockable cash boxes are provided to service users, to enable them to keep some valuables. Some service users have a lockable drawer in their room. It is recommended all service users have a lockable drawer in their room in which they could safely store valuables. Formal staff supervision has commenced in the home. Staff confirmed this when interviewed and a note of supervision dates is now recorded. Individual staff supervision notes are held in staff files. Regular fire safety checks are carried out and recorded. The manager advised that the work identified in the West Yorkshire Fire Safety Officer’s report has been completed. Movement and handling training has been provided to the majority of staff. Staff confirmed this when interviewed. Further training sessions are planned and the inspector saw evidence of the planned dates and the names of the staff that are to attend. Poor movement and handling practice has been an issue and a concern was recently raised and investigated by the provider. The provider has taken specific advice about the matter and has purchased movement and handling belts for use with service users. Generally, on this occasion, staff were seen to move and handle service users appropriately. Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 3 X 2 Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES 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 All staff must be trained to recognise possible abuse and the steps taken to ensure the protection of vulnerable adults. Timescale of 31/03/06 not fully met. It therefore remains as a requirement of this report. All staff are booked on future training courses. A nurse call lead must be available to all service users and staff. All staff must be trained to move and handle safely. All staff must attend at least two fire lectures and two fire drills per year. Time scale of 31/03/06 not met, however, staff are booked on future training courses. Timescale for action 31/10/06 2. 3. OP19 OP38 23 (2) (n) 13,18, & 23 31/07/06 31/10/06 Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP14 Good Practice Recommendations It is recommended that the manager encourage the staff to take into account individual service user’s preferences around the times meals are served. The home should be flexible in its routines to enable individual service users to have their meals at times they prefer. It is recommended a key worker system be introduced in the home to help service users and relatives to communicate with the home. It is recommended that meals be discussed with all the service users. Menus should be reviewed if necessary and the way meals are served. For example some service users may be able to pour their own gravy on their meals. The manager should monitor the number of staff on duty in the afternoon and ensure staff are deployed throughout the building to meet the service users’ needs. A minimum of 50 staff in the home should have NVQ level 2 training. It is recommended all service users have a lockable drawer in their room in which they could safely store valuables. 2. 3. OP14 OP15 4. 5. 6. OP27 OP28 OP35 Newsome Nursing Home DS0000001121.V292042.R02.S.doc Version 5.2 Page 24 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. 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