Inspection on 19/08/05 for Newton Grange

This inspection was carried out on 19th August 2005.

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

Newton Grange 05/07/07

Newton Grange 13/07/06

Newton Grange 06/03/06

Newton Grange 22/02/05

Newton Grange 20/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Newton Grange 1a Horner Close Stocksbridge Sheffield S36 1LN Lead Inspector Carol Makin Unannounced 19 August 2005 09:00am th 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 Older People. 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 Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newton Grange Address 1a Horner Close Stocksbridge Sheffield S36 1LN 0114 2883879 0114 2883879 Not known Sheffield City Council 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) Mrs Alana Gillott PC Care Home Only 33 Category(ies) of OP Old age - 33 registration, with number of places Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. All areas of the care home used by service users must be in good repair internally and externally, furnished, decorated, heated and lit to the levels required by The Care Home Regulations 2001 and stated in the National Minimum Standards for older people by 01/10/03. 2. Minimum staffing levels providing direct care to service users must be maintained as described in the Supplement to The Handbook of Guidance on Registration, Inspection and Management of Residential Care Homes in Yorkshire and Humberside dated 13/09/91. 3. Where additional services are provided e.g. day care, outreach, escort duty, staffing for this must be over and above that required by Condition 2.` Date of last inspection 22nd February 2005 Brief Description of the Service: Newton Grange is a care home providing personal care and accommodation for 33 residents over the age of 65 years. The home is owned by Sheffield City Council and is situated in Stocksbridge close the shops and other local amenities and on a main bus route. The home is purpose built and residents accommodation is on two floors, the upper floor accessed by a lift or stairs. All bedrooms are for single occupancy none have en-suite facilities. There is a paved internal courtyard where service users can sit out. Easy access is available to all facilities for residents who use wheelchairs, or have other disabilities. On each floor there are lounges, bedrooms, bathrooms and toilets. There are lounges for smoking and non-smoking. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over 5 hours. A selection of records were checked and a brief tour of the building was carried out. The majority of residents were spoken to and three were interviewed in detail. Two staff were interviewed and one relative spoken to. The staff and residents made the inspector welcome and the inspection process was viewed positively. What the service does well: What has improved since the last inspection? The staff and management of the home are to be congratulated for their hard work and effort put into providing a quality care service. The home now has its own mini bus and plans are in place to take residents out and about more. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 6 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 Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4, 5 Residents are provided with information about the home to enable them to make an informed choice of if the home can meet their needs. Detailed assessments are carried out of each prospective resident to ensure that the home knows that each individuals identified needs can be met. Each resident has a plan of care that the residents are involved in producing. Specialist needs are met by the involvement of health professionals where needed for the health and wellbeing of the residents. Residents are given the opportunity to visit the home and stay for a trial period to assist them in the decision making process before they decided to move there permanently. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 9 EVIDENCE: Residents spoken to said that they were consulted on their needs before they entered the home, they were also given information about the home. They said that they visited the home and had a short stay before the decided to move there permanently. Staff said that a full needs assessment was received giving detailed information they needed to know to meet residents needs before their admissions. Residents knew they had a plan of care and staff said they consulted the residents when producing the plan. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8, 9, 10. Resident’s health needs are met to maintain their health and wellbeing. Specialist health professionals are consulted where health needs have deteriorated. The medication administration recording system is well managed, however the safe storage of medications needs to be managed more effectively for the safety of the residents. Residents are treated with respect by the staff and their privacy and dignity is maintained. EVIDENCE: All residents spoken to said their health needs were met by the home. Staff said that they consulted with the district nurses and continence advisors when needed. Staff interviewed knew what constitutes good care practices and were able to demonstrate by examples how they achieved this. Resident’s spoken to said they did not administer their own medication. All said that they preferred the staff to administer the medication for them. Records indicated that their doctors had reviewed the resident’s medications. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 11 Recordings of medications administered were well kept and included the appropriate details to ensure that instructions are clear. The room that the medication trolley was kept in was not locked and the trolley was not secured to the wall. Also in this room some prescribed creams were kept in a box, which was not locked. Three residents said that the staff treat them with respect all said that the staff were wonderful to them and that their privacy and dignity was maintained. Staff interviewed could all state good practices for maintaining resident’s privacy and dignity. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents are encouraged to maintain contacts with friends and relations in the community. A variety of social events are arranged to ensure that different residents expectations and interests are catered for. Residents are consulted and given choices about all aspects of their daily lives to maintain their independence. The residents receive an excellent diet; the residents are consulted with on their likes and dislikes and menu’s take into account their preferences. Food hygiene guidelines are not consistently followed for the safe storage of food. EVIDENCE: Residents are encouraged to maintain contacts with friends and relations in the community. One relative spoken to said they were satisfied with the care provided. A variety of social events are arranged to ensure that they cater for different residents expectations and interests. Some residents said that they were going on holiday with the staff to Butlins, which they were looking forward to. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 13 One resident said that the home looks after their finances for them and they were quite satisfied how they were handled. Another said that their relative deals with their finances for them. All residents spoken to said that the food was excellent, they were given a choice and the portions were sufficient. The kitchen was checked; it was clean and had sufficient equipment. The cook had received the relevant training and knew how to cater for specific diets. Not all the opened food stored in the refrigerator was dated. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 Arrangements for protecting residents and responding to their concerns are satisfactory. Arrangements are made for the residents to receive postal votes ensuring that their legal rights are maintained. Staff had received training on adult protection issues, therefore the promotion and protection of residents is protected. EVIDENCE: From residents and staff comments it was evident that people feel very comfortable discussing any concerns with the homes management. No complaints have been received either by the home or CSCI. Residents said that they had nothing to complain about but knew who to speak to if they had any concerns and were sure that things would be sorted out. One resident said that they had been able to take part in the recent election by using a postal vote. Staff had received training in adult protection. All staff interviewed could say what action they would take if they suspected or witnessed any abuse. The home has policies and procedure on adult protection, which are reviewed regularly. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24, 26 A comfortable and safe standard of accommodation is provided for the residents. Some areas of the home are in need of some decoration to ensure that the residents live in pleasant surroundings. EVIDENCE: A brief tour was carried out of the building; all rooms seen were clean and well furnished. There were no unpleasant odours in the home. Some of the wall decorations and paintwork was heavily marked and some wallpaper borders were peeling off the wall. The manager stated that new carpets were on order for six residents bedrooms and a lounge. Residents spoken to said that they liked their rooms, they were comfortable and had their own personal possessions to make them feel at home. They said the home was always kept clean and tidy. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Sufficient staff were on duty to meet the needs of the residents. NVQ qualifications training is provided for staff 32 of the staff team have completed this ensuring that a well-trained and competent staff group cares for residents. The home is aiming to have the required number of 50 trained by 2005. Robust recruitment procedures are in place to ensure the protection of the residents. Training is well planned and opportunities are provided for staff for their development to give them the skills and knowledge to meet residents diverse needs. EVIDENCE: Residents spoken to said that they felt the staff were competent to care for them and they thought there was sufficient staff on duty to meet their needs. The manager stated that seven staff had completed NVQ level 2 and 3 qualifications and a further six were in the process of completing. Staff interviewed confirmed that they had to provide documentation sufficient to prove that they were suitable before being employed as a carer. They had also undergone a Criminal Records Bureau check. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 17 They received induction training and initially they worked with other staff until they had become familiar with the home and its residents. Training is well planned and supports the staff in providing for the varied needs of the residents. Staff said they were provided with sufficient training opportunities to enable them to do the work they do. The manager stated that as yet infection control training had not been provided however staff when asked could verbalise good hygiene practices. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 38 The manager has the experience and skills to manage the home effectively to provide a quality service to the residents. The management of the home is open and transparent. Residents and staff can rely on the manager who is approachable, which enables them to get support and advice where needed. The providers make monthly-unannounced visits to the home and a thorough detailed report is produced. Residents are consulted and their views are acknowledged. Staff receives supervision, which provides them with a support framework for their development and promotes good working practices. The environment is maintained to a standard that ensures the safety of the residents and staff. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 19 EVIDENCE: The manager has 22 years experience in residential care and has been the manager at Newton Grange for over 15 years. She has nearly completed her NVQ qualification. Staff and residents stated that the manager was approachable. Staff said that the manager keeps them informed of all developments regarding the decommissioning of the home so that they felt fully informed at all times. Two residents spoken to said that they had completed questionnaires about the home which is part of the quality assurance system in place. The home has plans to produce an annual plan reflecting the aims and outcomes for the coming year but as yet this has not been actioned. The provider carries out regular unannounced visits to the home to monitor the standard of care at the home. A report is produced on the findings of these visits and a copy is provided to the CSCI. Staff interview said they receive regular supervision to discuss their working practices, resident care and their development needs. The environment is maintained to a standard that ensures the safety of the residents. Staff have received mandatory training in health and safety and could demonstrated their knowledge by examples when interviewed. The records of temperature tests to the water supply were in place and health and safety issues appeared well managed. On a tour of the building fire exits were clear and no safety issues were noted. Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 x x x x 3 x 3 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 2 x x 3 x 3 Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? YES 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 Requirement Timescale for action 1 Oct 2005 2. 15 3. 19 4. 19 5. 27 6. 33 12, 13, 43 All prescribed medication including creams must be stored securely. The medication trolley also must be stored securely. 13, 16, 43 Food hygiene regulation guidelines must be followed therefore all opened food stored in refrigerators must be dated 23, 43 All conditions of the homes registration relating to the homes environment must be met. The previous timescale for action of 1 Feb 2005 was not met. 23, 43 All parts of the home must be kept in good decorative order. An audit must be carried out of all areas of the home and action taken for the areas that are not in good decorative order. 18, 43 Staff must receive training in infection control. The previous timescale for action of 1 Dec 2004 was not met. 12, 24, 43 The home needs to develop an annual plan reflecting aims and outcomes for service users. The previous timescale for action of 1 Dec 2004 was not met. 1 Oct 2005 1 Dec 2005 1 Dec 2005 1 Dec 2005 1 Dec 2005 Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 22 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. Refer to Standard 28 31 Good Practice Recommendations A minimum ratio of 50 of care staff should achieve National Vocational qualification level 2 by 2005 The manager should take steps to ensure she has a NVQ level 4 qualification in management and care by 2005 Newton Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Grange J55 S36161 Newton Gr V236459 19.08.05 UI Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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