Inspection on 24/02/06 for 1-2 Newton Court

This inspection was carried out on 24th February 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1-2 Newton Court 15/12/06

1-2 Newton Court 27/09/05

1-2 Newton Court 18/01/05

1-2 Newton Court 31/08/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Newton Court (1-2) Stowe Hill Road Paston Ridings, Peterborough PE4 6PY Lead Inspector Janie Buchanan Unannounced Inspection 24 February 2006 08:15 Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Newton Court (1-2) Address Stowe Hill Road Paston Ridings, Peterborough PE4 6PY 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) 01733 325713 01733 325713 michelle.oreilly@sense.org.uk www.sense.org.uk Sense East Michelle O`Reilly Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD only in association with SI Date of last inspection 27th September 2005 Brief Description of the Service: Sense East, a national charity for people with dual sensory loss, is the registered provider for 1-2 Newton Court. The home provides accommodation and support to six people with dual sensory impairment and in some cases with an associated learning disability. The home is situated in a residential area, approximately 2 miles from Peterborough city centre. Local shops are within walking distance and a bus service is available. The home is part of a terrace of four houses. Numbers one and two have been connected to form one property. The premises provide six single bedrooms, a kitchen/dining and two sitting rooms. There are two bathrooms, four WCs and one shower room. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection for the year 2005/6 and was unannounced. The inspector arrived at the home at 8.15 am and sat and observed whilst staff helped service users prepare their breakfast and assist them get ready for day services. The inspector interviewed two service users about their life in the home with the help of a staff member who signed the inspector’s questions to them. She also spoke with three members of staff. A tour of the premises was undertaken and a range of documents was viewed. On the day of inspection four service users were present at the home, and two had gone home for the weekend. What the service does well: What has improved since the last inspection? What they could do better: 50 of staff still have to achieve an NVQ level 2 in care to ensure that they have the skills and competencies to meet service users’ personal care needs. This is outstanding from the last inspection and failure to comply with the regulations may result in enforcement action. Training in risk assessing, loss and bereavement, and autism should also be provided for staff. The home has comprehensive policies and procedures in place to guide staff in what they do. However, some of these were dated 1999/2001 and it was not clear whether or not they had been reviewed to ensure that they were still pertinent to the needs of the home and service users. There must be clear evidence that all policies, procedures and codes of conduct are monitored, reviewed and amended as necessary. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 6 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. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 the following standard(s): 1,2,3,4 The home’s assessment and admission procedures are excellent and ensure that prospective service users’ needs can be met at the home. EVIDENCE: The home has a Statement that contains all of the information required by the regulations. There is also a service user guide that conveys information in pictures and symbols about life in the home including activities, care plan reviews, complaints and domestic chores. The inspector viewed the pre-admission notes from the most recently admitted service user. This service user had undergone an initial assessment by Sense East’s own specialist assessment officer. This assessment was comprehensive and covered, amongst other things, communication needs, vision, hearing, behaviour, current situation, life history, relationships and preferred activities. There was clear evidence that information had also been sought from the service user’s family, social worker and college. The home manager and a senior member of staff from the day services then visited the service user in his current placement to further assess his suitability for the home. The service user then visited the home on three occasions, before moving in permanently. His mother stayed with him at the home for the first week of his placement to work alongside staff and provide them with guidance about his needs. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 the following standard(s): 6,9,10 Service users’ needs are clearly set in their plans of care and staff enable them to take responsible risks. EVIDENCE: The inspector viewed the care plan for the most recently admitted resident. This plan was comprehensive, well laid out and easy to read. It contained a photograph of the service user, his profile, daily log sheets and a care plan which gave detailed information about personal care needs, daily routines and health needs. There was a section detailing behaviour management guidelines. There was also good information about the service user’s specific communication methods and a list of communication short cuts for staff to use when finger spelling to him. Risk assessments had been completed for this service user in relation to bathing, food preparation and a recent visit to ‘Xscape’ at Milton Keynes. Information about service users is held securely in the office and the home as a suitable policy in relation to confidentiality. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 10 Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,14,17 Service users have the opportunity to learn and use practical life skills, and are able to participate in a range of leisure activities. EVIDENCE: Practical life skills are encouraged as much as possible both within and outside the home. Within the home, service users are encouraged to undertake domestic chores such as shopping, cleaning and doing their laundry. All service users attend the Peterborough Resource Centre for day services. There they undertake classes in personal and social development, communication, literacy, and life skills. Classes in art and pottery are also available. Service users engage in a number of leisure activities including going to the pub, shopping trips and bowling. There is a range of gym equipment in the home for service users to use and most service users have their own TVs and DVD players in their bedrooms. There have been recent outings to Rockingham Castle, Duxford War Museum, a sea life centre and ‘Xscape’ in Milton Keynes, where three service users enjoyed ‘flying’ in a vertical wind tunnel. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 12 The inspector viewed the home’s weekly menu and also records of what each service user eats daily. These showed that service users receive a wholesome and nutritious diet. Service users can choose what they eat. On the morning of the inspection one service user had toast for breakfast, another cereal and banana, and another spaghetti on toast. Service users are actively supported to help plan and prepare meals and are responsible one day a week for shopping and cooking for the rest of the house. Their nutritional needs are assessed and staff are currently working closely with one service user to reduce her weight. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 Service users’ health needs are well met and monitored at the home. EVIDENCE: All service users are registered with a local GP and there are regular appointments with dentists, opticians and audiologists, evidence of which was viewed in the care plans viewed by the inspector. Service users are weighed regularly and staff had sought advice from a dietician to assist one service user manage her weight. The inspector viewed medication storage and administration records and these were found to be in good order, although a number of hand written additions to the MAR sheets had not been signed. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 There is a clear and comprehensive complaints procedure in place and service users and their advocates are given opportunities to raise concerns. EVIDENCE: Sense East has its own comprehensive complaints procedure entitled ‘Resolving Issues: Concerns, complaints, grievances, harassment or bullying’ (Sept.2002). This document is detailed and includes guidelines for investigation officers and managers receiving complaints. All complaints and compliments are monitored centrally at Sense East’s main office. Information about how to complain is also detailed in the Statement of Purpose and service users’ contracts. At each service user’s six monthly both family members and service users’ social workers are given a complaint monitoring form to complete and the inspector viewed some of these on the files that she viewed. Service users’ ability to complain formally, however, is severely restricted due to their level of understanding and communication. The Commission for Social Care Inspection has not received any complaint about the service in the last year. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28, 30 Service users live in a comfortable and well-maintained environment although the physical design and layout of the premises is not best suited to meet their needs. EVIDENCE: The premises are in keeping with the surrounding community and there are some local amenities nearby. Furnishings and fittings are of reasonable quality and the house was observed to be clean and tidy on the day of inspection. There is an attractive garden area for service users to visit, enhanced by wooden decking, garden seats, a water feature, mosaics and brightly coloured planting and large plastic balls. Despite these improvements, however, the physical layout and design of the home is not best suited to meet the needs of service users, with narrow corridors, poor lighting and an excess of doorways. There is no heating in the entrance hallway and the stairway and upstairs corridor felt very cold to the inspector. The shower room door was in need of painting and there was an exposed light bulb in the upstairs bathroom that could easily explode if water were to splash on it. A requirement has been made about this. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35,36 Sufficient staff are employed to ensure that service users’ needs are properly met. Staff receive the support and supervision they need to carry out their job. EVIDENCE: Staffing levels at the home are good. There are a minimum of three members of staff between 7am and 10am, and four members of staff on duty between 3.30pm and 10pm. There is additional staffing for one service user who requires one to one care. Each service user has a weekly ‘home day’ which is staffed on a one to one basis. At night there is always one waking member of staff and one sleeping in member. Scrutiny of the duty rota showed these staffing levels to be maintained. At the time of the inspection, four staff were on duty. The home has a stable staff group and there has been little turnover since the last inspection. Staff interviewed by the inspector showed good knowledge of the service users in their care, both of their personal needs and of their idiosyncratic communication methods. The inspector observed staff interacting with service users patiently and sensitively. Staff took time to understand what service users were trying to communicate to them. A number of staff also have a hearing impairment. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 17 Staff training is generally very good, with a real emphasis on how to communicate with service users. However, only two staff have completed an NVQ level 2 in care and the home has failed to meet the standard that 50 of its staff have this award by April 2005. A requirement has been made in light of this. All staff interviewed by the inspector stated that they receive regular supervision and appraisal. Staff clearly found their supervisions useful and told the inspector that they felt valued and supported as a worker. The described staff ‘morale’ as good. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40,41, 42 The home is generally well-managed with appropriate policies and procedures in place. Fire doors must be allowed to close freely so that residents are not at risk of accidental harm. EVIDENCE: The home has relevant policies and procedures in place to guide staff. These policies however, although detailed, showed little evidence that they had been regularly monitored, reviewed and amended. Some were dated as far back as 1999. A number of records in relation to health and safety (fire, emergency lighting, water temperature sheets, COSHH instructions) were viewed by the inspector and found to be in good order. Staff interviewed by the inspector confirmed that they had received training in fire safety, food hygiene, moving and handling, and first aid. However, a small box was being used to prop open a fire door to one service user’s bedroom that would mean that, in the event of a fire, the door would not close automatically. A requirement has been made about this. The manager has sent notification to the Commission of any Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 19 incidents adversely affecting the welfare of residents as is required under Regulation 37 and the proprietor sends a monthly report of his visit to the home to the Commission, as is required under Regulation 26. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 3 2 4 3 3 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 2 25 3 26 x 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x x x x 2 x 3 x Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 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 2 Standard YA42 YA42 Regulation 23(4)(c) 13(2) Requirement Timescale for action 24/02/06 Fire doors must be allowed to close freely in the event of a fire The exposed light bulb in the 13/03/04 upstairs bathroom must be made safe. 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 3 4 Refer to Standard YA20 YA35 YA40 YA32 Good Practice Recommendations Hand written additions to medication records should be signed and dated. Staff should receive training in loss and bereavement, risk assessing and autism. This is outstanding from the previous inspection. All policies, procedures and codes of practice should be regularly monitored, reviewed and amended. 50 of staff must have NVQ Level 2 in care. This is outstanding from the previous inspection. Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Newton Court (1-2) DS0000015128.V276353.R01.S.doc Version 5.1 Page 23 - 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. 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