Inspection on 27/09/05 for 1-2 Newton Court

This inspection was carried out on 27th September 2005.

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 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

1-2 Newton Court 15/12/06

1-2 Newton Court 24/02/06

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 Announced Inspection 27th September 2005 12:30 Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 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.V250889.R01.S.doc Version 5.0 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.V250889.R01.S.doc Version 5.0 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 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.V250889.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD only in association with SI Date of last inspection 18th January 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.V250889.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s first inspection for the year 2005/6. It was announced. The inspector spent 4.5 hours at the home and interviewed two members of staff and the deputy manager. The inspector also briefly met one of the organisation’s directors who had popped in to see staff. She spoke with two service users with the help of the home’s staff who signed the inspector’s questions to them. She met and greeted the four remaining service users. She undertook a tour of the premises and viewed a range of documents and policies. What the service does well: 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. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 6 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.V250889.R01.S.doc Version 5.0 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.V250889.R01.S.doc Version 5.0 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): 1,2,4,5 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’s Statement of Purpose has been updated since the last inspection and now 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.V250889.R01.S.doc Version 5.0 Page 9 Each service user is issued with a contract of residence which outlines the terms and conditions of their stay. This contract has been developed in pictorial format to assist service users’ understanding of it and inspector viewed copies of this contract on the files that she viewed. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 10 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 Information about service users is good and ensures they receive consistent care from staff. However, risk management strategies should be implemented for all service users. EVIDENCE: The inspector viewed two service user plans in detail. These plans were comprehensive, well laid out and easy to read. Each contained a photograph of the service user, their profile, daily log sheets and a care plan which gave detailed information about personal care needs, communication methods, daily routines and health needs. There was also a section detailing behaviour management guidelines and analysis of service users’ behaviour patterns. There was evidence that the plans had been regularly reviewed. The inspector viewed completed risk assessments for a number of activities undertaken by service users but was concerned to note that no risk assessments had been completed for the most recently admitted service user who had been at the home for over a month. This service has high dependency needs and requires one to one supervision at all times. None of the staff interviewed by the inspector had received formal risk assessment training. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 11 Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 12 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): 11,12,14,15 Service users are encouraged to be as independent as possible and are able to choose from a range of leisure activities. EVIDENCE: Service users have opportunities to learn and use practical life skills and staff encourage independence as much as possible. One service user was unable to make his own sandwiches before coming to live at the home: now he regularly makes his own packed lunch; another service user was encouraged to manage his money better and has now saved enough to buy his own computer. Handrails have been installed around the home to help another service user maintain her mobility. Each service user also has a weekly ‘home day’ where they are responsible for shopping and preparing the dinner for all the other service users that day. All service users attend Sense East’s day services where they learn a number of life skills such as language and literacy, personal and social development, woodwork, office skills and crafts. Service users also undertake a range of leisure activities and there have been trips to Hunstanton, Sandringham, Rutland Water and the Space Centre in Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 13 Leicester. Two service users had recently been on holiday to Paris for three days and another is going to Spain in November, however one service users has only had half a day at a health spa. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 14 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): 19,20,21 Service users’ health needs are well met and monitored at the home. Service users and staff are supported to deal with illness or the death of a service user. 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. On the day of inspection itself one service user had just returned from seeing the GP that morning. 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. One service user recently died at the home and his wish to receive treatment and care in his own room, rather that hospital was respected by staff. Local district and Macmillan nurses supported the service user and a member of staff stayed with him constantly towards the end of his life. A counsellor was made available to staff in order to support them to deal with his death. This practice is to be commended. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 15 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 is severely restricted due to their level of understanding and communication although the deputy manager stated that service users would be able to indicate their displeasure at anything by using their own idiosyncratic method of communication which staff would understand. The Commission for Social Care Inspection has not received any complaint about the service in the last year. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 16 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): 24,28,30 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. There have been a number of improvements since the last inspection: new flooring and furniture has been installed in the office, two service users’ bedrooms have been redecorated and a new shower/wet room has been installed. The inspector was particularly impressed by the recently redesigned back garden. This is an attractive 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. One staff member commented that the kitchen was not big enough to fully accommodate all service users and it was very difficult for them to mobilise around it as a result. She stated ‘sometimes I feel like a traffic policeman in the kitchen’ Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 17 Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 18 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): 32,33,35,36 Service users are supported by a knowledgeable and effective staff team who are well supervised in their role. EVIDENCE: All new staff to Sense East undergo a comprehensive induction and foundation program. The induction training covers mostly statutory training such as moving and handling, health and safety, and first aid. The foundation training is more in-depth and covers areas specific to the service user group such as introduction to signing, sexual awareness and crisis prevention intervention. Many staff undertake additional training in British Sign language and Braille. The home also employs a number of hearing impaired staff. However only one member of staff has achieved their NVQ level 2 in care and the home has failed to meet the standard that 50 of their staff have this award by April 2005. Staff reported that training was good and equipped them to do their job, however one member stated that she would like training in autism, as one service user suffers from this condition. 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 each day between 9am and 4.30pm. 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 Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 19 staff and one sleeping in member. Staff turnover is low. One service user described the staff as ‘brilliant and calm’. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 20 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): 37,38,42 The management of the home creates an open, positive and inclusive atmosphere for service users and staff. EVIDENCE: The manager of the home is qualified, competent and experienced to run the home and there are clear lines of accountability in place. Staff receive regular supervision to guide them in their role, and there are regular staff meetings. Staff reported that they felt supported and valued by the management team and that there was good communication between them. The inspector viewed no health and safety hazards but one member of staff was concerned about the security of the building and staff/service users given a number of incidents outside the home involving local gangs of youths. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 21 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 3 4 3 4 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newton Court (1-2) Score x 3 3 4 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 3 DS0000015128.V250889.R01.S.doc Version 5.0 Page 22 no 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 13(4) Requirement Risk assessments must be completed for all activities that the recently admitted service user undertakes. 50 of staff must have NVQ Level 2 in care Timescale for action 31/10/05 2 32 18(1) 01/04/06 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 35 Good Practice Recommendations Staff should receive specific training in loss and bereavement, risk assessing and autism. Newton Court (1-2) DS0000015128.V250889.R01.S.doc Version 5.0 Page 23 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.V250889.R01.S.doc Version 5.0 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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