Inspection on 15/10/08 for Newsome Road

This inspection was carried out on 15th October 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Newsome Road 08/10/07

Newsome Road 14/02/07

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Newsome Road 35&37 Newsome Road Newsome Huddersfield West Yorkshire HD4 6NH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tony Brindle     Date: 1 5 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Newsome Road 35&37 Newsome Road Newsome Huddersfield West Yorkshire HD4 6NH 01484430509 Telephone number: Fax number: Email address: Provider web address: jwestwell@bridgewoodtrust.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Peter Damian Foy Type of registration: Number of places registered: Bridgewood Trust Limited care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 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 houses 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, and the first floor is accessed by a flight of stairs. No passenger or stair lift is available. The premises have enclosed, well maintained gardens to the rear. Fees at the home start at #403.30 to #494.19 per week. Items not covered by fees include toiletries, outings 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home and holidays. Information about the home and the services provided are available from the home in the Service User Guide. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit that was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home as well as the operations manager and care staff. The registered manager was unavailable as he was on annual leave. The files of two people living at the home were seen and they included assessments, risk assessments, care plans, daily and medical records and a record of activities. Staff records were also seen and included, application forms, references, police checks, training and supervision records. A sample of peoples medications and finances were checked and a look around the home was undertaken. Other information considered was the homes returned Annual Quality Assurance document and surveys that were returned Commission for Social Care Inspection. Feedback contained within the surveys that were sent to people linked to the service was positive. We would like to Care Homes for Adults (18-65 years) Page 6 of 27 take the opportunity to thank the people living at the home, the operations manager and the staff team for their hospitality and patient co-operation throughout the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are appropriately assessed before they move into the home. Evidence: The operations manager explained that no new admissions to the home have taken place for some time, but added that admissions would not made until a full needs assessment had been undertaken by the registered manager. He explained that assessments would be conducted with the individual interested in moving into the home, and their family or representative, where appropriate. The records show that where assessments had been undertaken through the local authority, the service had obtained a copy. Feedback from people who completed our survey indicated that they were happy about the way admission to the home had taken place. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples wellbeing is promoted by way of the assessment and minimising of risks and good care planning. Evidence: A staff member working at the home explained that the staff help to develop with people living in the home a personal plan that details their needs and preferences and sets out how they will be met in a way that they themselves find acceptable. The plans were found to include information and decisions about: what people like to be called; what people like to eat and drink; how people spend their time and what people like doing; any equipment and adaptations people may need; who should be involved in reviews of their care; any communication needs people may have. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The records show that the personal plans are reviewed on a regular basis. A staff member explained that people are encouraged to get involved in the development of their personal plan and in its review. Evidence on this was seen within the records. Information contained within the records shows that people are supported to make choices and decisions about day-to-day aspects of their life and about how they spend their time. People are encouraged to keep up relationships with friends, relatives and carers and links with their own community. If people want, the staff will support individuals to do this. The personal plans give details of the daytime opportunities and activities that people are engaged with. People are supported to access to college courses, community education, voluntary work and other learning. Detailed daily records were found and the operations manager explained that these help the manager to audit the care being provided to people and are a way of ensuring that staff are following the guidelines in the care plans. The information contained within the daily records helped to demonstrate how individual choices have been made with people, and record instances when others have made decisions, and why. For example, the types of activities people get involved in and a daily basis such as going to a local day centre, or going shopping, and the amount of contact people had with their parents or relatives. Staff were seen to provide people with the information about what was going on inside and outside the home, and were seen to do this in a person centred way, taking into account peopls communication abilities. Feedback from people who completed our survey indicated that they were satisfied with the way peoples needs are met by the staff team. At the last inspection in October 2007, a requirement was made that the risk assessments must clearly identify the nature of the identified risks and give clear instructions about what steps should be taken to minimise the risks. Improvements in this area have been made. The operations manager explained that a sensible balance is offered to people in everyday events and activities, between reasonable risks and the safety of themselves, and others. Information contained peoples plans shows that this results from individual risk assessments. It was noted that on the documentation used by the service the phrase person centred planned is used. A discussion took place with the operations manager as to what extent the service used recognised person centred planning tools. The operations manager said that at the present time, recognised person centred planning tools are not yet used, but he agreed that the addition of such tools could be of potential benefit to the people living at the home. He added that the use of recognised tools would help to broaden the opportunities of people living at the home as this would mean that people are at the centre of planning process, which includes them having the opportunity to lead the planning of their plan of care. A recommendation that the Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: service explore the opportunities of using recognized person centered planning tools has been made at the end of this report. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides good opportunities for people to get involved in a range of activities both inside and outside of the home within the wider community. Evidence: The operations manager explained how people are supported to participate in a range of fulfilling, valued activities appropriate to their needs and wishes both in and outside of the home. The records show that these activities include attending day centres, voluntary work, visiting friends and family, shopping and socializing. Feedback from people who completed our survey indicated that they were happy with the activities on offer. And one person living at the home said that they enjoy going out on trips, and going to the day centre. One staff member said that family and friends are welcomed, and their involvement in Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: daily routines and activities is encouraged, with the persons agreement. The operations manager said that in order to support people to keep in touch with their family or friends, the arrangements for this are recorded in peoples care plans. He added that if the agreement is not kept to, the reasons for this are recorded. Information held with the records confirmed this. People were seen to be offered a choice of suitable meals. Staff at the home explained that since the last inspection, some changes have been made to the way that meals are organised. People are now encouraged to get more involved in meal planning and preparation. Information held within the records supported this. Also, instead of everyone sitting down to eat together in one house, people can now choose to eat in their own house with staff support. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are met, and identified needs or potential changes in health are followed up appropriately. Medicine management is good. Evidence: The operations manager explained that people living at the home require varying degrees of support with their personal care. Good information about peoples preferred routines and what support they require was found within the personal support plans. Examples of staff providing discreet and sensitive support to people was observed. Good levels of information were found within peoples care plans to show that people are supported to have their healthcare needs met. The records show that people attend regular healthcare appointments with support. There was evidence that the expertise and guidance of healthcare professionals is sought. Medication administration records were examined along with medication stored at the home. The operations manager was advised to revisit the organizations guidelines on sending medication home to relatives as a slight administrative recording error was found, however, everything else found to be satisfactory.. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: Feedback from people who completed our survey indicated that they were satisfied with the way the service supported people with their healthcare needs. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home are protected by clear complaints and safeguarding procedures. Evidence: The service has an up to date complaints procedure that is available to people in the home. Discussions with the staff at the home demonstrated that they take peoples comments, concerns and complaints about the quality of the service they provide and their experiences of it seriously. One staff member spoke about how people at the home had expressed an interest in doing more personal shopping and getting more involved in meal preparation, and as a result of this, the records show that people are more involved in these aspects of daily living. The service has an appropriate adult protection and whistle blowing policy in line with recognized guidelines. Discussion with staff members showed that they had a good understanding of how to respond to suspected or alleged abuse, and were aware of the signs of abuse. The training records demonstrated that staff had attended relevant training in safeguarding vulnerable adults. The operations manager confirmed that physical and verbal aggression by a person is understood and dealt with appropriately, and if physical intervention were to be used, it would be used only as a last resort. Training Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: records show that staff have received training in the area of dealing with aggression. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and comfortable home. Evidence: One person living at the home said that they really like their house, and that they were very proud of it. The design and layout of the home was found to be accessible, clean, tidy and comfortable. One staff member said that they help person living at the home to kept the home clean and tidy. Systems were seen to be in place to control the spread of infection, in line with relevant guidance, these included appropriate hand washing and laundry systems, staff and people living at the home following basic food hygiene guidelines, and cleaning materials being stored correctly. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a stable and competent staff team who have had the necessary checks done before they work at the home, There are always sufficient numbers of staff on duty to meet the needs of the people living at the home. Evidence: At the last inspection in October 2007, a requirement was made stating that a review of staffing levels must be undertaken to ensure that there are sufficient staff to care for the health and welfare of people at the home at all times, taking into account the current needs of the people receiving a service. Improvements in this area have been made. Information contained within the rota showed that there is a satisfactory mix of well trained staff working at the home, with levels appropriate to the assessed needs of the people and appropriate for the different activities that people take part in. The personnel and training records show that staff have the skills, training and experience necessary to undertake the activities and support they are expected to complete with people living at the home. Discussions with staff members demonstrated that they are very clear about their roles and responsibilities and understand the management and reporting structures for the home. Training records showed staff were up to date with all areas of mandatory Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: training, and there was evidence of specific learning disability training. The recruitment records show that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The operations manager explained that new staff are confirmed in post only following completion of a satisfactory Criminal Records Bureau (CRB) check, and satisfactory check of the Protection of Vulnerable Adults and NMC registers (where appropriate). Information held within the personnel files confirmed this. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Newsome Road is a well run home, where peoples views are taken into account and the health and safety of people is protected. Evidence: People who responded to our survey believed that people living at the home experienced good-quality support and care. Records within the home demonstrated that this care and support is provided by a well trained management and staff team. Information held within the records at the home demonstrated that the manager and staff make sure that so far as is reasonably practicable, the health, safety and welfare of service users and staff is promoted. This is done by way of staff training, fire safety system testing, risk assessments and safety system monitoring. Staff explained that they take part in fire drills, and have received fire safety training, along with health and safety training. Information held within the records at the home supported this. The operations manager explained that there is a quality assurance scheme run by the company. This involved obtaining feedback from service users, their families and professionals. Once feedback is received, than a report on the quality of care is Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: published with an accompanying action plan (if required). Information held within the records at the home supported this. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 The service should explore the opportunities of using recognized person centered planning tools such as PATHs, MAPs and Essential Lifestyle Plans in order to improve the lifestyle and care planning systems operated in the home. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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