Inspection on 28/06/05 for 3-4 Newton Court

This inspection was carried out on 28th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

3-4 Newton Court 22/11/07

3-4 Newton Court 15/12/06

3-4 Newton Court 06/11/05

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) Stow Hill Road Paston Ridings Peterborough PE4 6PY Lead Inspector Janie Buchanan Announced 28 June 2005 @ 08:15 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. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newton Court 3-4 Address 3-4 Newton Court, Stowe Hill Rd, Paston Ridings, Peterborough, PE4 6PY 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) 01733 325712 01733 325712 enquireis@sense-east.org.uk Sense East Marie Sampson Care Home 6 Category(ies) of Learning Disabilit (6), Sensory Impairment (6) registration, with number of places Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Not applicable Date of last inspection 4 February 2005 Brief Description of the Service: Sense UK, a national charity for people with dual sensory loss, runs 3-4 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 and three sitting rooms. There are two bathrooms, four WCs and one shower room. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 6 hours at the home and interviewed two members of staff and the manager. The inspector arrived at 8.15 am and sat with service users as they had their breakfast and got ready to go to their day services. She also undertook a brief 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: Although there have been some improvements in the environment since the last inspection, the standard of décor in the home is poor and therefore it does not create a particularly pleasing and pleasant environment to live in. The suitability of the home’s minibus should also be reviewed to ensure that it can fully meet all service users’ mobility needs. The two badly torn seats should also be repaired. Staff would benefit from attending further training in adult protection so that they are fully aware of local guidelines and procedures. Please contact the provider for advice of actions taken in response to this Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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) 1,2,4,5. The service users’ guide sets out clear and accessible information for service users thinking of moving into the home. Good admission procedures mean that service users know that staff at the home are able to fully meet their needs. EVIDENCE: The home has a statement of purpose and service user guide available. The service user guide has recently been produced in a suitable format for service users. It includes photographs of the home and staff, rebus symbols and is written in simple language. Although the home has not admitted a new service user in a number of years, there are comprehensive referral, assessment and admission procedures in place to ensure that service users’ needs can be adequately met at the home before they move in. Each service user is issued with a contract that clearly states the terms and conditions of their stay at the home. The manager stated that this contract is currently being developed into a rebus symbol format to aid service users’ understanding of it. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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) 6,9 Information in service users’ care plans is comprehensive and personalised ensuring that service users receive consistent and individualised care from staff at the home. Arrangements are in place to minimise risk so that the safety and welfare of service users is promoted. EVIDENCE: The personal care needs of each service user were well documented in the care plans viewed by the inspector. Each service user has a person centred plan which covers their needs in relation to communication, mobility, long-term aspirations, skills for life, activities and environment. The inspector was particularly impressed by the clear and comprehensive behaviour management guidelines in place for service users. The manager, area manager and the behaviour management specialist employed by Sense East, draw up these guidelines: they include a graphical analysis of incidents, an inventory of behaviour for each service user and a list of suggested coping strategies for staff. Despite these good guidelines however, both members of staff interviewed by the inspector talked of the difficulty of dealing with the challenging behaviour one particular service user. This behaviour was causing considerable stress both to staff and other service users and the Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 10 appropriateness of this service user’s placement was discussed with the manager. Risk assessments for individual service users, and for the environment they live in, are carried out so that the risk of potential accidents is reduced. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 standard(s) 11,12,14 Staff work hard to ensure they promote service users’ independence and autonomy. Leisure activities provide variation and interest for service users. 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, cooking 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. Four service users are currently undertaking an ASDAN cookery course and two are undertaking a basic office skills course. Service users engage in a number of leisure activities including going to the pub, playing pool, make-up evenings, foot spas and massage, shopping trips and bowling. All service users recently went on holiday to a converted barn in Somerset. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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) 19,20, 21 The healthcare needs of service users are well met, and monitored closely by staff at the home. There is evidence of good multi-disciplinary working taking place on a regular basis. EVIDENCE: The health care needs of service users were clearly recorded, and monitored, in the care plans that the inspector viewed. Detailed ‘medical consultation sheets’ are completed for every health visit and kept in the care plan. Each service user is registered with a local GP, two service users regularly attend a chiropodist, two see a psychiatrist and one service user sees a physiotherapist weekly at day services. A dietician has recently been consulted about weigh management guidelines for two service users, and all service users are weighed regularly. Behavioural monitoring meetings are held every three months or more frequently if required and both the manager and the area manager closely monitor behaviour incident forms. One service user’s relative commented on the home’s quality assurance questionnaire ‘my daughter is improving all the time which makes me happy, she is more settled now and I hope that she will continue to make progress’ The inspector viewed the home’s medicines policy that covers a range of topics including the management of errors, self-administration and administration of Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 13 non-prescriptive medicines. However it does not include anything about the storage and administration of controlled drugs and should be updated to include this information. This is outstanding from the last inspection. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 standard(s) 22,23 Complaints are taken seriously and responded to quickly. There are satisfactory procedures in place to protect service users from harm. EVIDENCE: Sense East has its own comprehensive complaints procedure entitled ‘Resolving Issues: Concerns, complaints, grievances, harassment or bullying’ which the inspector viewed. This document is detailed and includes guidelines for investigation officers and managers receiving complaints. The manager stated that all service users’ relatives are given a ‘complaints monitoring form’ at each service user’s six monthly review. The inspector viewed one recent complaint received concerning staffing levels. The manager and area manager had responded satisfactorily to this complaint. The Commission for Social Care Inspection has not received any complaints about 3-4 Newton Court in the last year. Training in the protection of vulnerable adults is included in Sense East’s staff induction. The inspector suggested that staff also attend the free training provided by the local adult protection co-ordinator to ensure that staff are up to date with specific local reporting guidelines and procedures. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 standard(s) 24,25,27,28,29 Limited improvements to the décor have been made, although some areas are still in need of repainting. The internal design and layout of the home is not ideal to meet the needs of service users. EVIDENCE: The premises offers access to local amenities and transport and is in keeping with the surrounding community. Each service user has their own bedroom and there is a variety of shared communal space, including a recently built conservatory and redesigned garden. However, access to the downstairs toilets is difficult due to the numbers of doors and size of the area, there is also a large step into the shower which makes getting in and out of it also difficult. The inspector has raised this issue on previous visits and there are plans in place to re-design it. However, as yet, nothing has been done and the manager stated that she was ‘fed up’ and ‘disgusted’ at the length of time it was taking. Although there have been improvements in the environment since the last inspection, some areas of the home are in need of repainting and this gives a rather shabby and neglected feel. Once again, both the manager and staff raised concern about the home’s minibus. Both reported that it was too small and that it lacked wheelchair clamps and tailgate to help those service users with mobility problems. Two seats are badly torn. One respondent to the home’s quality assurance questionnaire wrote ‘The minibus is a disgrace’. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 16 Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 17 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) 31,32,34,36 The home has an effective staff team, with sufficient numbers and skills to support service users’ needs at all times. Service users are protected by the home’s employment practices that ensure that staff are suitable to work with vulnerable adults. EVIDENCE: Staff interviewed by the inspector showed good knowledge of the home’s policies and procedures, and had appropriate experience and training to meet service users’ needs. One service user’s advocate wrote on her comment card ‘I have found the staff to be of an excellent standard’. However, one new member stated that she had yet to receive a job description and was a little uncertain as to what her role and responsibilities were. This was discussed with the manager. All staff complete a comprehensive induction provided by Sense East that covers all statutory training and also training specific to the service user group catered for. As part of this training, staff learn a variety communication methods such as sign language, body language, hand on hand communication, objects of reference and Braille. Training in sexuality awareness, non-violent crisis intervention and challenging behaviour is also provided. Staffing levels are satisfactory: during the day there is a minimum of three staff for six Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 18 service users, at night there is always one waking night staff and one sleeping night staff. The home’s recruitment and selection procedures are good and all personnel files viewed by the inspector contained satisfactory staff references, POVA and CRB checks. Files also contained evidence that staff receive regular supervision and appraisal. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 19 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) 39,41 The home regularly reviews aspects of its performance through a programme of self-review and consultations, which include seeking the views of relatives, care professionals and staff. Records required by regulation for the protection of service users were maintained, up to date and accurate. EVIDENCE: The views of family, friends and other care professionals are regularly sought and the home has recently completed a quality assurance self-assessment report. As part of this, questionnaires were sent to relatives and professionals. The inspector read one completed response that stated: ‘I was impressed by the way the home leader and her team worked with me and my colleagues with regard to a challenging situation. It was a real team approach, for the good of the service user’. The inspector viewed a number of the home’s policies, procedures and records. These included service users’ care plans, staff files, training files, employer’s liability insurance, risk assessments and incident monitoring forms. These were found to be in good order. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 2 3 3 x Standard No 11 12 13 14 15 16 17 3 3 x 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Newton Court (3-4) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 x x I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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. Standard 20 Regulation 13(2) Requirement The medications policy must be updated to give detailed information about the storage, recording and handling of controlled drugs. A copy of this updated policy must be sent to the Commission for Social Care Inspection. This is outstanding from the last inspection Timescale for action 1 October 2005 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. Refer to Standard 23 27 31 Good Practice Recommendations All staff should attend further training in adult protection priovided by the local adult protection co-ordinator. The design of the shower room must be reviewed to ensure it is safe for service users All staff should be issued with a job description that clearly outlines their role and responsibilities. Newton Court (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 (3-4) I53 I03 15132 NEWTON COURT V224986 280605 STAGE 4.doc Version 1.30 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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