Inspection on 22/11/07 for 3-4 Newton Court

This inspection was carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

3-4 Newton Court 15/12/06

3-4 Newton Court 06/11/05

3-4 Newton Court 28/06/05

3-4 Newton Court 01/02/05

3-4 Newton Court 17/08/04

3-4 Newton Court 17/02/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 Newton Court (3-4) Stowe Hill Road Paston Ridings, Peterborough PE4 6PY Lead Inspector Dragan Cvejic Unannounced Inspection 22nd November 2007 10:00 Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Court (3-4) 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 325712 01733 325712 christine.martin@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Marie Sampson Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD only in association with SI Date of last inspection 15th December 2006 Brief Description of the Service: Sense UK, a national charity for people with dual sensory loss, runs 3 and 4 Newton Court. The home provides accommodation and support to six people with dual sensory impairment. The home promotes a total communication environment that encourages people with dual sensory loss to develop skills in both receptive and expressive communication. It 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 3 and 4 have been connected to form one property. The premises provide six single bedrooms, a kitchen/dining room and three sitting rooms. There are two bathrooms, four WC’s and one shower room. The home shares a garden with a similar project, 1-2 Newton Court. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service. The site visit was carried on two days, 21st and 22nd November, since on the first day all service users and staff were out. On the second day service users were observed leaving and the manager stayed in the home to accommodate checks of the environment and documentation. The manager filled in the self assessment and AQAA. 5 questionnaires filled in by service users and their relatives were returned to us and were used to inform this inspection. Reports of regular monthly visits from the regional manager sent to us were also used for this report. The change of manager since the last inspection had produced significant progress in the home. One of the service users with very high needs had left the home and this was seen as an opportunity to introduce changes and raise standards. What the service does well: What has improved since the last inspection? Many things had changed since the last inspection. The new manager came in to replace the previous manager who went on to progress in her career. All requirements set previously were responded to, acted upon and were met before this inspection, improving standards of care and outcomes for service users. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 6 In their AQAA, the home explained improvements: “The environment has greatly improved with the refurbishment of the kitchen, internal cosmetic changes and external renovations. Policy and procedures have been firmed up and staff are provided with positive direction. The nature of the home has considerably changed as one individual has moved to a more suitable placement. Incidents are few if non-existent and the individuals are at ease at home (the figure (54) given in Section 16 refers to the first 6-months of the year when the individual lived at 3 & 4 Newton Court). There have been no incidents since then. All staff will have achieved NVQ2 status by mid-2008.” What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided good information, in pictoral form, allowing users to understand at least some of the information, despite their limited abilities. Also, the much improved admission process would benefit both existing and potential new service users, as their personalities and needs would be much more suited. EVIDENCE: The home updated their Statement of purpose and Service user’ guide to include the change of the manager. The AQAA described the admission process, accurately describing the process, that was confirmed in two checked users’ files: “The individuals have not made a personal, considered choice to live at 3 & 4 Newton Court but have gone through the referral and assessment process which has identified 3 & 4 Newton Court as an appropriate environment for them to live in. This decision would have been reached as a result of input from Social Services, Sense, the individual (as far as is possible), the individuals family members, the nominated person of a previous residential setting and any other person who knows the individual well. Their admission is in line with Sense Policy: Referrals and Admissions. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 9 The individual, carers, family members and Social Services would be invited to visit the considered placement on several occasions and the individual would stay overnight to determine how he/she felt about the new environment and the other people he/she would be living with. The interests of all are taken into account before the placement is confirmed.” Following a mistake in assessment from the past, when a user was inapproriately placed in the home and affected the daily routine and comfort of other users, the new manager emphasises a full assessment of needs, abilities, personalities and past history must be carried out to ensure that all users, including any referred persons, benefit from a placement in this home. The pictoral contract brough information closer to service users, despite their limited ability to make a fully informed choice about their care, and allowed them to better understand what to expect when admitted. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Valuing each user as an individual and planning how to use their full potential with support and help, with excellent care plans and risk assessments, created the opportunity for each individual to choose how to be helped and, consequently, resulted in the progress of each individual user. EVIDENCE: The home put the interests and well being of their service users into focus and all priorities were based around the improvement of the lives of service users. Care plans, as seen in two checked files, were excellent documents addressing all important details necessary to offer personal, individual care to service users. Communication profiles helped staff use the best communication methods for each individual. Pictoral versions of care plans brought them closer to service users and facilitated better understanding. Risk assessments were, in particular, very well developed and helped staff working with users to reduce risk. An example included a recorded fall in Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 11 weight of a user, which led to updating the risk assessment and acting on the issue by calling external professionals. The result of these actions was seen in the following two months when records showed stabilisation of the weight for the user. Plans were regularly reviewed and updated when there were changes. Care plans were also individualised and the title “My Personal Health Plan” showed users direct input in the process. The manager wrote in their AQAA, giving examples, of how the users were included and participated in decision making and in risk taking: “The individual attends HRC and a timetable is structured around the abilities and preferences of the individual. The timetable is reviewed and where needs change, it is amended accordingly, for instance, one individual required mobility training and this was incorporated into the timetable swiftly. At home, whilst the individual participates in a variety of timetabled household activities to increase independence and interaction, develop and learn new skills and connect with their environment (for example, preparing the evening meal), a balance between work and rest is respected and where individuals retire to their room to relax for a period of time, do so without interruption. In addition, the home is managed in an open environment and the individuals have access at all times, often taking part in cash counting and filing with support. One-to-one and group activities are undertaken and these can range from personal shopping trips, a visit to the hairdressers to swimming at the regional pool. Wherever practicable, public transport is used to promote understanding and integration into the community. Staff respect the rights of the individual to make personal choices and wherever possible, resources are made available to meet those choices. For instance, one individual chooses to take a weekly outing to the pub and restaurant and resources are made available for this purpose. All activities are risk assessed before their undertaking.” The home exceeded minimum standards in this group of standards. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are fully supported to maintain and develop their social, emotional, communication and living skills to increase their level of independence. EVIDENCE: The home explained in their self assessment: “HRC provide a structured and balanced timetable of life skills classes, work experience type activities (basic administration), and a range of leisure and social activities. The timetable is designed around the need, ability and preferences of the individual,” demonstrating how their planned programme for support and help was effective and productive. Co-operation with external agencies and institutions helped create a holistic approach to care and support provided for service users. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 13 They also stated: “Currently, individuals visit the regional pool, social club, shopping centre, restaurants etc and integrate into their community and environment willingly and enthusiastically.” This statement was well documented in service users’ files and was confirmed in returned questionnaires. A user had started knitting. Another user’s records stated : “Started playing dominoes without prompt.” The manager stated that one individual now started participating in a weekly social club and thus was expanding her social group and contacts. The AQAA also stated: “Respect and dignity are paramount at 3 & 4 Newton Court. Currently, we do not have lockable bedroom doors and individuals are not given a house key as the health and safety of the individual would be seriously compromised. The individuals are always accompanied by staff outside of the home as the individuals have no understanding of danger and dangerous situations.” The home did not employ specific kitchen staff, due to the philosophy that this was the users’ home. However, the staff ensured a well balanced and nutritional diet while still respecting users likes and dislikes. They reviewed their nutrition arrangements as a part of their self assessment: “We have a new five-week rolling menu (which is changed periodically). This offers a nutritional diet to all individuals and is seasonal taking advantage of local produce wherever possible. Three individuals choose and prepare their own breakfast and staff support a fourth individual to prepare breakfast. Individuals choose and make their sandwiches for lunch at HRC and the evening meal is a cooked meal which is prepared by the individuals with staff support. We have a range of snacks and fresh fruit available at all times. Individuals choose their own lunch at weekends and on occasion, meals are eaten out. In addition, all individuals shop once a week to obtain preferential food items for lunches. Mealtimes are relaxed and there are no time constraints. “ Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Standards related to Personal Care and Support were above minimum set standards and were regularly reviewed ensuring excellent healthcare support for service users. EVIDENCE: One of the strongest aspects of care in the home was in the area of users’ healthcare. Files checked demonstrated well documented appointments with a variety of external health professionals: a GP, dentist, chiropodist and occupational therapist were recorded for these two case tracked users. Service users were observed when they were leaving to a day centre. They were smartly dressed and looked well cared for. The home explained healthcare procedures for ensuring healthcare of service users: “Staff carry out personal and intimate care procedures with sensitivity and respect for the individual. Privacy and dignity are paramount. Intimate care procedures are carried out with the appropriate number of supporting staff and are, in the main, on a one-to-one basis. All personal care Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 15 routines are documented and all staff are guided by the same in-house procedures which are kept in the individuals care plan. Personal care is carried out in private spaces and doors are closed to maintain the dignity and respect of the individual. Two individuals are able to carry out all aspects of their intimate and personal care with minimal support (promoting and encouraging) and two individuals are fully supported to carry out their personal care routines.” In their AQAA, as in a user’s file there was an evidence of how the user was supported: “For example, one individual appeared to be having difficulty in walking and she was immediately referred to the GP for assessment, onward to X-ray and latterly for Occupation Therapy / Physiotherapy. We also arranged an bio-mechanic assessment of her feet which has resulted in an appointment for a foot mould and the creation of shoe insoles. “ Medication records, storage and arrangements for administration and reviews were accurate, up to date and appropriate. In addition, the AQAA stated: “One nominated member of staff is responsible for the ordering and monitoring of medication. However, the House Manager assumes ultimate responsibility for overseeing and in-house auditing. All house staff are trained rigorously in the administration procedure to comply with the homes policy. Currently, no individual at 3 & 4 Newton Court self-medicates and we do not have a requirement to administer controlled drugs at present although procedures are known and are in place for the safe handling and storing of these.” The manager introduced extra safety measures whereby medication sheets accompanied service users during their attendance of a day centre, so that accurate information was always accessible if it was necessary. Service users files checked contained evidence of the arrangements in the case of the death of a service user, based on agreement between the home, the user and their relatives. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were protected by a clear and accessible complaint procedure and were protected from any potential abuse by clear protection measures and open and supportive atmosphere in the home. EVIDENCE: The manager stated, records confirmed and AQAA presented how the home approached complaints and protection of service users: “No complaints. No allegations or suspected cases of abuse have been registered at 3 & 4 Newton Court. Low levels of incident reporting. Good reporting in daily logs. One individual recently participated in an operational audit to gain some feedback on the service provided. All staff have read the policy regarding vulnerability of adults and are aware of procedure. This is underpinned at the onset of their employment. Families and carers have the information and opportunity to raise concerns and/or issues on behalf of he individuals using the information provided to them at time of admission.” All questionnaires returned confirmed that service users, their relatives and staff were fully aware of the complaint procedure, would know how to complain and were confident that any concern or complaint would be dealt with appropriately. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was comfortable, bright and was arranged as service users wished and liked. EVIDENCE: The home was purpose built, well-equipped, and regularly maintained and checked. The furniture and other environmental provisions were renewed according to plan and on special request of the manager whenever there was a need for it. Since the last inspection many environmental changes improved the comfort and look of the home. External decoration recently carried out made the home look like the nearby houses and created a much more fitting look, as part of the local community. The manager reported improvements after describing what the home offered: “We have communal areas where the individuals can spend time together or Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 18 take part in group activities; the lounge for relaxing and the conservatory for sole or group activities. Individuals enjoy their own bedrooms which are maintained to a comfortable standard, two individuals share bathroom facilities and two individuals have their own bathroom. Sleep-in staff have a separate upstairs bedroom and there is a shower downstairs. The dining room can accommodate 10 people, up to six service users and staff with them and we have recently refurbished the kitchen with new units and appliances. The garden has recently been improved with shingle, a water feature and the planting of scented and visually stimulating shrubs. An outside washing line ensures that wherever possible, clothes are dried outside. The home has recently undergone exterior refurbishment with the replacement of new windows and redecoration. Previously decorated in primary colours, the building was distinct from its neighbours. The redecoration has allowed the home to become part of the immediate environment. In addition, the interior has been improved considerably with the purchase of new items of furniture, soft furnishings, visual aids and a range of picture books and leisure activities. Restructuring of the management of the maintenance department thereby improving the response time between request for work and response time.” Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The committed, well trained and supported staff team worked in an open and transparent atmosphere and as a team provided very good care to service users that exceeded minimum standards and reached an excellent outcome. EVIDENCE: Staff were very clear of their roles and responsibilities. A staff member spoken to stated: “I think we do an excellent job. We are well supported, regularly supervised and we have a good training.” A staff member with a sensory disability had an interpreter present at his supervisions. Two staff files were checked and contained all required documents. Staff files were consistently arranged and easy to monitor and audit, and showed regular training, supervision and other necessary checks. The AQAA also stated: “All staff attend a comprehensive and paid induction training at the onset of their employment. Once in house, new staff are mentored by the team leader or senior member of staff on shift and undertake Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 20 3 full observational shifts. Training is a continuous process with regional refresher courses and in-house and external training (for example, Boots Care of Medicines and Infection Control). Clearly defined job descriptions are provided at the time of their appointment and 4-weekly staff meetings and 6-weekly one-to-one supervisions clarify their role and those of others. In addition, support is available daily from the House or Deputy Manager.” This staff team was a real asset to the home and, consequently, they were the basis for the effective care and support that service users received. Their commitment was also seen through the NVQ programme, whereby they increased the percentage of trained staff from 25 to 60 and exceeded standards. Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The change of the manager since the last inspection and the probation period for the new manager had had positive effects on the outcomes for service users and did not affect progress that the home was making prior to this change, culminating now in the overall judgement of an excellent service. EVIDENCE: The new manager was in the post for 6 months. She applied for registration. The change of manager did not have any negative effects on the ethos of the service and with an excellent staff team, improved the outcomes of the service. Staff commented both to us, but also to the management of the home that the communication could be further improved and the manager created Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 22 the plan to respond to these constructive comments, demonstrating an open and positive atmosphere in the home. Quality assurance carried out at the organisational level helped the service identify, plan and improve service and provisions. Safe working practices were in place and closely monitored, as for example accidents / incidents, in order to ensure safety for all in the home. The home AQAA stated: “We have recently completed the annual Operational Audit which all staff were given the opportunity to contribute to via a confidential questionnaire and to attend a staff forum to discuss their comments further. One service user also participated in this with staff support. In addition, family and carers were also given the opportunity to have their say on the level of service provided via confidential questionnaire. Taking all suggestions and comments into account, the action plan has now been completed. We are currently updating the annual development plan and this will incorporate items such as the purchasing of a new vehicle and the refurbishment of 2 bathrooms. The service users have access to their records and their care plans display a recent photograph for ease of identification. However, it is the case that the service users do not choose to access these files. All records are secure and in line with Senses policies and procedures. Financial information is stored in a locked cupboard for security. All record keeping is in accordance with the Data Protection Act 1998. We maintain safe working practices. For example, we routinely carry out a full evacuation procedure with service users and staff and all staff have completed their moving and handling training. Staff attend yearly refresher courses in topics such as infection control and food and hygiene. Thermostats are fitted where necessary, for example, the bathrooms and risk assessments are in place where potential risks have been identified in the home. These risk assessments are in each care plan. It is not possible to provide the information in a format that the service users would understand but staff are able to communicate safety aspects on a one-to-one basis, for example, in the kitchen.” Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 23 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 4 2 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 4 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 3 3 4 4 3 X 3 X Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Newton Court (3-4) DS0000015132.V355906.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!