Inspection on 23/08/05 for Newsome Road

This inspection was carried out on 23rd August 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 Road 15/10/08

Newsome Road 08/10/07

Newsome Road 14/02/07

Newsome Road 31/01/06

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 HD4 6NH Lead Inspector Alison McCabe Unannounced 23 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newsome Road Address 35 & 37 Newsome Road Newsome Huddersfield HD4 6NH 01484 667866 01484 667747 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bridgewood Trust Ltd Mr George Lockwood Care home 5 Category(ies) of Learning disability - 5 places registration, with number of places Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 2/11/04 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 service users and staff sleeping in room in one house and accommodation for three service users in the adjoining house. Accommodation is provided on two floors in both houses.The premises have enclosed well-maintained gardens to the rear. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between 5.30pm and 7.10pm. One inspector conducted this inspection visit. The inspector had the opportunity to talk to three service users during the course of the inspection. The inspector also talked to the manager and a care assistant. The inspector examined records, and accessed communal areas of the home. The last inspection was conducted on 2nd November 2004. What the service does well: What has improved since the last inspection? Some service users have developed further independent living skills with support from the staff team. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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 Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed on this occasion. EVIDENCE: Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 9 Service users are supported to take some reasonable risks. Risks assessments must be in place for identified risks. EVIDENCE: The Bridgewood Trust is in the process of introducing a revised care planning system into its homes. Newsome Road has not as yet introduced the new system, therefore the inspector will assess standard 6 at the next inspection. Staff support service users to take reasonable risks. The manager described the progress of service users in the areas of independent travel and spending time at home without staff support. The manager described how service users are supported in these areas with staff supervision being gradually reduced at a pace that suits the service users needs. Appropriate support systems are in place in case of emergency, for example; the manager has pre-programmed the phone with his contact number and inserted a photograph of himself onto the phone to enable service users to be able to quickly contact him in the event of an emergency. A service user confirmed his progress in this area. Through discussion with a staff member and the manager, it was noted that some identified risks had not been appropriately risk assessed. It is a requirement that clear risk assessments are completed detailing identified risks and steps that must be taken to reduce those risks. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,15,17 Service users are offered opportunities to access community facilities on a regular basis. Service users receive good support to enable them to maintain links with their families. Service users are offered a healthy diet and say that they enjoy their meals. EVIDENCE: The staff member on duty told the inspector that service users regularly access the local community. Evidence of this was seen in service user meeting minutes, and service users spoken to confirmed this. At the time of the inspection three service users had gone horse riding with support from the manager. Evidence that service users are supported to have regular contact with family was seen in service user meeting minutes. At the time of the inspection, one service user was on holiday with his family. The staff member on duty told the inspector that service users have regular contact with their families. A service Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 11 user confirmed this. A telephone is available to service users, and some have their own mobile phones. The menus were examined and found to offer a balanced and varied diet. Service users and staff confirmed that the staff do the cooking, although service users take an active role in menu planning and food shopping. A service user told the inspector that he enjoyed the meals. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Administration, storage and recording of medicines are well managed at the home. EVIDENCE: One service user at the home takes regular prescribed medication, and is supported to self-administer. A risk assessment must be completed identifying potential risks, and measures taken to reduce these risks. (see standard 9) Medication was checked against records and all was found to be in good order. Medication is stored securely in the home. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has a clear complaints procedure. Service users know how to make a complaint. The homes policies and practices regarding the protection of service users from harm and abuse need to improve. EVIDENCE: A satisfactory complaints procedure is in place that is also available in symbol format. No complaints have been received since the last inspection. A service user spoken to at the time of inspection described to the inspector how they would make a complaint. A satisfactory adult protection procedure is in place, and all staff have received training in this area. A staff member described a number of recent incidents where a service user had been placed at risk of harm. Records of action taken were unsatisfactory and communication between the staff team following these incidents was reported to be unsatisfactory. Incidents that should have been reported to CSCI under Regulation 37 of the Care Homes Regulations 2001 have not been. A requirement has been made in respect of this and the recording of incidents. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 Service users live in a clean, comfortable home that has adequate private and communal space. EVIDENCE: This home is two separate houses next door to each other. The inspector had the opportunity to look around the communal areas of both houses. The home is in a good state of repair and is domestic in style. The home is comfortable and is furnished to a satisfactory standard. Each service user has a bedroom that is single occupancy. In each house there is a kitchen/diner and lounge. A well-maintained garden is to the rear of the property. In one of the houses there is small sleep in room/office for staff use. The home was clean and free from offensive odours. Service users take responsibility for housekeeping tasks with support from staff. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Relevant training is provided to staff. EVIDENCE: There is a comprehensive training and development plan in place. Since the last inspection staff have received training in infection control and are due to complete a first aid course. One staff member has achieved NVQ level two and the other staff member has almost completed the Learning Disabilities Award Framework foundation course; she will then commence with NVQ training. It is recommended that staff attend training in respect of Autism Spectrum Disorder, as this is relevant to the needs of the service users at the home. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 Good quality assurance and monitoring systems are in place at this home. The home is maintained in line with safe working practices. Improvements in service users’ individual plans must be made to include agreed strategies for managing potential incidents of challenging behaviour. EVIDENCE: The organisation uses the ISO 9000 quality assurance system. The inspector did not examine records of provider visits as part of this system during the inspection. Feedback is sought from service users through resident meetings and service user questionnaires that are completed prior to individuals’ annual reviews. Evidence of this was seen in records examined. Generally, records regarding health and safety matters were in good order. There was evidence in the records that the required checks and maintenance of safety equipment is carried out. The fire alarm is tested weekly as required, Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 17 however it was noted that the staff do not record which point has been tested. This must be recorded to ensure that each alarm point is tested in rotation. As discussed under standard 23, the home is not notifying the CSCI appropriately of incidents where service users are at risk of potential harm. Development of clear strategies is necessary to enable staff to safely and effectively manage potential incidents of challenging behaviour; this should be completed as part of the service users’ care plans and risk assessments. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newsome Road Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 1 x J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation Requirement Timescale for action 31/10/05 2. 23 3. 42 13(4)(b)(c The registered person shall ) ensure that-(b) any activities in which the service users participate are so far as reasonably practicable free from avoidable risks; and(c) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated.Therefore, risks assessments detailing the identified risks and agreed steps taken to minimize the risks must be completed in respect of service users. Timescale of 31/12/04 unmet. 13(6) Agreed behavioural management strategies must be developed and implemented where necessary. 37 The registered person must notify the CSCI without delay of any incident whereby service users have been harmed or been put at risk of harm, and of any event as detailed under Regulation 37 of the Care Homes Regulations 2001. 31/10/05 15/10/05 Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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. 2. Refer to Standard 35 42 Good Practice Recommendations Training in Autism Spectrum Disorder should be delivered to all staff at the home. A different fire point should be tested each week in rotation, and a record of which point has been tested should be kept. Newsome Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 Page 21 Commission for Social Care Inspection 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 Road J51J01_s26325_Newsome Road_v236362_230805.doc Version 1.40 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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