Inspection on 14/02/07 for Newsome Road

This inspection was carried out on 14th February 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newsome Road 15/10/08

Newsome Road 08/10/07

Newsome Road 31/01/06

Newsome Road 23/08/05

Newsome Road 02/11/04

Newsome Road 27/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Newsome Road 35&37 Newsome Road Newsome Huddersfield West Yorkshire HD4 6NH Lead Inspector Karen Summers Key Unannounced Inspection 14th February 2007 09:30 Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 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 Road DS0000026325.V296162.R01.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newsome Road Address 35&37 Newsome Road Newsome Huddersfield West Yorkshire HD4 6NH 01484 430509 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) Bridgewood Trust Limited Mr George Lockwood Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: 35/37 Newsome Road is a care home providing accommodation and personal care for up to five younger adults with learning disabilities. It is run by the Bridgewood Trust, a voluntary organisation specialising in the care of people with learning disabilities. Yorkshire Housing Association owns the premises. The home is located in a residential area close to the centre of Huddersfield. It consists of two adjoining house of the same style as those in the area. The houses provide accommodation for two residents and staff sleeping in room in one house and accommodation for three residents in the adjoining house. Accommodation is provided on two floors in both houses. The premises have enclosed well-maintained gardens to the rear. Fees at the home start at £286 to £373.41 per week. Items not covered by fees include: Toiletries, outings and holidays. Information about the home and the services provided are available from the home in the Service User’s Guide. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced site visit on the 14th February 2007, and the length of the inspection was 5 hours. There was 1 resident at the home, however, he had an appointment and soon left with a member of staff. Mr George Lockwood manager was present throughout the inspection. The following areas were looked at and have been used in the production of this report; a sample of records, care plans, medication, tour of the premises and document reading. Mr Lockwood also completed a pre-inspection questionnaire, which was returned to the Commission before the inspection as requested. Information from this questionnaire was also used for this report. In writing this report, information and evidence was not only obtained when visiting the home, but also from notifications of events sent by the company to the Commission for Social Care Inspection, the last inspection report, and a pre inspection questionnaire that was completed by Mr Lockwood. To reflect the views of those who use the service, satisfaction questionnaires were sent to all five residents, and they were completed with support. None of the residents wanted to speak with the inspector. The questionnaires were also sent to 5-relatives/ advocate/ friends, 3 were returned, and GP’s and district nurses, none were returned. The inspector would like to thank those who contributed to the inspection process, and also thank Mr George Lockwood for their time and hospitality on the day of inspection. What the service does well: Prospective residents have an opportunity to visit and assess the quality, facilities and suitability of the home. One of the questionnaires received from a resident stated; “I came for tea to get to know everyone and then for a few nights before I decided.” All of the questionnaires stated that the resident received enough information before deciding it was the right place for them. Care documentation contained detailed information about the needs of each resident, and they provide information to staff about the level of support residents require in order that their needs will be met. One relative’s questionnaires said that they were satisfied with the overall care provided; one said that the care was excellent, and one relative said, “Newsome Road is run brilliantly which shows through the residents.” Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No resident moves into the home without having had his/ her needs assessed. Prospective residents have an opportunity to visit and assess the quality, facilities and suitability of the home. Each resident has a contract of terms and conditions with the home. EVIDENCE: The home has not had a new admission since 1996 however, the manager Mr Lockwood said that a pre admission assessment would be done, and the prospective resident would be invited to tea and then an overnight stay before making any decisions to live there. One of the questionnaires received from a resident stated; “I came for tea to get to know everyone and then for a few nights before I decided.” All of the questionnaires stated that the resident received enough information before deciding it was the right place for them. Once the manager was satisfied that they could meet the residents needs then they would be offered a place at the home. Each resident has an individual contract of terms and conditions with the home. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6–9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents personal and social care needs are set out in an individual plan, and they make decisions about their lives with assistance as needed. However, until the residents risk assessments are written to enable staff to see at a glance the separate risks, then there is the potential staff may not be aware of the risks and residents may be restricted in living an independent lifestyle. EVIDENCE: The care documentation was a comprehensive assessment of the resident’s goals/ needs, and their likes, dislikes and wishes had also been recorded. There was evidence that the documentation had been reviewed, and that the resident had helped to write the information. Apart from nutritional, medication and movement and handling assessments, risk assessments had been combined with the behavioural guidelines of the resident, and they were comprehensive. However the information needs to be separated into the different areas of risk to enable the person caring for the Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 10 resident to see at a glance what those risks are, and what steps should be taken to minimise the risks and the outcomes/ implications. There was evidence in the care records and minutes from the residents meetings, that residents make decisions about their lives, and this includes choosing where to go on holiday, choosing meals and activities. Two residents questionnaires stated that they always make decisions about what they do each day, two said that they usually make the decision, and one said that they like to follow a routine. Information about advocacy services was also available in the home. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents take part in appropriate activities, and are part of the local community. Residents are encouraged to maintain contact with their family and friends. Residents receive a varied diet that takes into account their likes/ dislikes and dietary needs. EVIDENCE: Residents attend a range of educational facilities, work placements and day services. This is in addition to a busy leisure and social schedule, and they are also encouraged to develop and maintain independent living skills. Residents are encouraged to maintain contact with their relatives, and three residents go home to stay with their relatives on a regular basis. One relative’s questionnaires said that they were satisfied with the overall care provided; one Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 12 said that the care was excellent, and one relative said, “Newsome Road is run brilliantly which shows through the residents.” The menu was varied and took into consideration special diets and the likes and dislikes of residents. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Until staff record the outcome of the care/ support given to the residents there is no evidence to suggest that their needs have been met. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The care records were of a good standard, and where appropriate the residents have their own guidelines to assist them in their daily activities, and this was recorded in the care documentation and referred to by number in the daily record. The daily records should be written in greater detail to show what care/ behaviour management/ support has been given each day. The manager has recently had training in the writing of the care records, and is in the process of passing that information onto the staff. Medication housekeeping was of a good standard; should a resident wish to self- administer their medication, there is a risk assessment and documentation. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: There is a complaints procedure in the service users guide and the document is produced in both “widget” and written word format. There have not been any complaints recorded since the last inspection. All staff has abuse awareness training, and further up date training had been arranged for May 2007. There was an adult protection procedure, which included whistle blowing, and the home also has a copy of the Kirklees Protection of Vulnerable Adults Policy. Two out of three relatives/ advocates questionnaires stated that they were aware of the complaints procedure. All five residents questionnaires stated that they knew who to speak with if they were not happy, and four out of five said that they knew how to make a complaint. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is in a good state of repair and decorative condition, and residents’ individual needs are met in a comfortable and homely setting. The premises are clean and systems are in place to control the spread of infection. EVIDENCE: The home is in a good state of repair and decorative condition, with bedrooms individualised to reflect the interests and personalities of the residents. The premises were clean and systems are in place to control the spread of infection. The service user satisfaction questionnaires commented that the home was always clean. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported by a stable staff team, although a review of the staffing levels is necessary. Residents are supported and protected by the home’s recruitment practices. EVIDENCE: 60 of care staff has achieved an NVQ level 2 or equivalent. Two out of three relative’s questionnaires stated that there are always sufficient numbers of staff on duty. Five residents’ questionnaires stated that they can do what they want to do in the evening, and four out of five said that they could do what they want to do during the day and weekends. There is always one member of staff on duty and the manager is on call. Due to the busy schedules of the residents, there are potentially occasions when they may be at home unsupervised. Should this be the case, the registered provider is requested to carry out individual resident risk assessments to ensure that residents are appropriately supervised. Staffing levels in relation to the Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 17 schedules of the residents must also be reassessed to ensure there are sufficient staff on duty at all times to care for the residents. In relation to recruitment, the staff files contained the relevant information and documentation. There was evidence that all staff had supervision six times a year, and that all staff had had mandatory training, and training in specialist areas to meet the needs of the residents. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is of good character and competent to manage the home. In relation to the views of the residents, they can be confident that the home is run in their best interest. EVIDENCE: Mr Lockwood the manager has a number of year experiences in the care of people who have learning disabilities, and he continues to work towards the Registered Managers’ Award and NVQ level 4. Prior to the residents six monthly review, they are assisted by a member of staff, a manager from another home, or an advocate to complete a satisfaction questionnaire. The questionnaire is then discussed at the residents care review meeting and any appropriate action taken. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 19 The company has attained a quality of assurance certificate of registration for ISOQ001. One of the questionnaires received by the Commission from a relative commented that the home is brilliantly run. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 2 X 3 X X 3 X Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 21 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. YA9 Standard Regulation 13.-(4)(c) Requirement Risk assessments needs to be separated (from behavioural guidelines, and) into the different areas of risk. The person caring for the resident must be able to see at a glance what those risks are, and what steps are to be taken to minimise the risks, and the outcomes/ implications. Unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. Ensure that there are sufficient staff to care for the health and welfare of residents. Timescale for action 19/03/07 2. YA33 13.-(4)(c) 19/03/07 3. YA33 18-(1)(a) 19/03/07 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 YA19 YA18 Good Practice Recommendations The daily record should be written in greater detail to show what care/behavioural management/ support etc. has DS0000026325.V296162.R01.S.doc Version 5.2 Page 22 Newsome Road been given, and how the carer has honoured their duty of care. 2. 3. YA33 YA37 A review of staffing levels should be conducted considering the current needs of the residents. Standard 37.2 - The manager should have an NVQ level 4 in management and care or equivalent. Newsome Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Road DS0000026325.V296162.R01.S.doc Version 5.2 Page 24 - 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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