Inspection on 06/11/05 for 3-4 Newton Court

This inspection was carried out on 6th November 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

3-4 Newton Court 22/11/07

3-4 Newton Court 15/12/06

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 Janie Buchanan Unannounced Inspection 6th November 2005 09:30 Newton Court (3-4) DS0000015132.V260227.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 (3-4) DS0000015132.V260227.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 (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 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 msampson@sense.org www.sense.org.uk Sense East Marie Sampson Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD only in association with SI Date of last inspection 28th June 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) DS0000015132.V260227.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, taking place on a Sunday morning. The inspector observed staff whilst they helped residents get up for the day and prepare breakfast. She interviewed two members of staff and the manager. A tour of the home was undertaken and a range of documents was viewed. Three recommendations have been made as a result of this inspection. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 6 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.V260227.R01.S.doc Version 5.1 Page 7 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): 1,3,4,5 Admission and assessment procedures are good, ensuring that prospective service users’ needs will be met at the home. EVIDENCE: The home has a statement of purpose and service user guide available. The service user guide has 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. The home is currently in the process of admitting a new service user. This service user has already visited the home on several occasions and was present on the day of inspection, as she had come to stay for a trial weekend. The manager has received lots of information about this prospective service user as well as visiting her in her current placement. Recent occupational therapy and physiotherapy assessments have also been undertaken to ensure the layout and environment of the home is suitable for her. Each service user is issued with a contract that clearly states the terms and conditions of their stay at the home and copies of this contract were viewed on the service user files that were checked. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 8 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): 6,10 Service users’ plans of care set out in detail the action to be taken by staff to ensure that all aspects of their health, personal and social care needs are met EVIDENCE: The inspector viewed two residents’ care plans and the information they contained was comprehensive, up to date and gave the reader a good picture of each service user’s needs. The inspector was particularly impressed by the clear and comprehensive behaviour management guidelines in place for service users and there was clear evidence that the plans were reviewed regularly. The home has a policy in place in relation to confidentiality and access to information. Information about service users is accurate, secure and confidential. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 9 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): 14,15,17 Service users have opportunities for stimulation through leisure activities and staff support service users to maintain links with their families. EVIDENCE: There are a variety of leisure activities for service users to enjoy including regular trips shopping, bowling, eating out and playing pool in a local pub. There had been a recent Halloween Party for the service users and one service user had attended a local firework display the evening before the inspection. All service users have strong links with their families. On the day of inspection itself one service user had returned home for the weekend, and the manager was about to give another service user a lift home when the inspector arrived. Although menus were not viewed on this occasion, service users were observed to be eating a variety of breakfast foods including toast and cereal and the kitchen fridges contained plenty fresh fruit and vegetables Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 10 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 at the home and they have regular access to a range of specialist health care professionals. EVIDENCE: Service users’ health care needs were clearly recorded in the care plans viewed by the inspector. Also included were records of regular visits by service users to the GP, dentist, consultant psychiatrist and nurse. Service users’ weights are recorded monthly and more frequently if required. The home’s medication storage and records were checked and generally found to be satisfactory, although the medicine cupboard was messy and contained a number of sticky bottles, whose instruction labels had become obscured. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 11 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): 23 Staff have a good understanding of adult protection and concerns are responded to quickly. EVIDENCE: Sense East has policies and procedures (Adult Protection May 2005) in place in relation to the protection of vulnerable adults and training is given to staff as part of their induction. Sense East have recently introduced its own additional refresher training for staff. Staff interviewed by the inspector showed good awareness of the different types of abuse and reporting procedures. Adult protection is taken seriously and the manager had recently contacted the local adult protection co-ordinator in relation to a situation with one service user. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 12 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): 24,25,27, 30 Recent decoration has really improved the living environment for 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. There have been many improvements in the environment since the last inspection: corridors, sitting rooms, bathrooms and the kitchen have been redecorated, a new laundry room has been created, and a new level access shower has been installed. A lot of work has gone into making one service user’s bedroom safe with Perspex covered windows, a specially designed cupboard and an immovable bed. A new, and much improved, minibus has also been purchased. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 13 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): 35,36 The home has an effective staff team, with sufficient numbers to support service users. EVIDENCE: Staffing levels are appropriate to meet the needs of service users and the home was fully staffed on the morning of inspection. Scrutiny of the duty rota showed staffing levels to be maintained. Staff turnover is low and currently there is no long-term sickness. However, staff reported morale to be low and this was discussed with the manager who was aware of the situation, and addressing it. The inspector reminded the manager to obtain evidence that all agency staff who work at the home have appropriate CRB checks in place. 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. Staff do receive regular supervision, although it was of concern to note that one worker had not received any supervision since May 2005. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 14 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): 41,42 Health and safety practices in the home ensure that service users are protected. EVIDENCE: The home has comprehensive policies in place to guide staff. Policies in relation to admissions, confidentiality, adult protection, personal relationships and sexuality were viewed and found to be satisfactory. A number of records in relation to health and safety (fire, water temperature records, COSHH instructions, yearly health and safety audits) were viewed by the inspector and found to be in good order. However, portable appliance testing was last carried out in November 2003 and needs to be undertaken again. Staff interviewed by the inspector confirmed that they had received training in fire safety, food hygiene, moving and handling and first aid. All foodstuffs viewed in the kitchen fridges were stored correctly and dated. Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 15 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 x 3 4 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x x x x x 3 3 x Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 16 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. 1. 2. 3. Refer to Standard YA34 YA36 YA38 Good Practice Recommendations Evidence that agency staff have undergone appropriate CRB checks should be obtained by the manager All staff, including casual and bank staff should receive regular supervision Portable appliance testing should be undertaken Newton Court (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 17 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 (3-4) DS0000015132.V260227.R01.S.doc Version 5.1 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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