Inspection on 05/07/07 for Newton Grange

This inspection was carried out on 5th July 2007.

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

Newton Grange 13/07/06

Newton Grange 06/03/06

Newton Grange 19/08/05

Newton Grange 22/02/05

Newton Grange 20/07/04

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Snydale Care Home

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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 Bronwynn Bennett Key Unannounced Inspection 5th July 2007 08:15 X10015.doc Version 1.40 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 Grange DS0000036161.V344915.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 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 DS0000036161.V344915.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Grange Address 1A Horner Close Stocksbridge Sheffield S36 1LN 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) 0114 288 3879 F/P 0114 288 3879 alana.gillott@sheffield.gov.uk None Sheffield City Council Mrs Alana Gillott Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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. 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. 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. 13th July 2006 2. 3. Date of last inspection Brief Description of the Service: Newton Grange is a care home providing personal care and accommodation for 33 people over the age of 65 years. Some respite care is offered. The home is owned by Sheffield City Council and is situated in Stocksbridge close the shops and other local amenities. It is on a main bus route. The home is purpose built and the 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 people can sit out. Easy access is available to all facilities for people who use wheelchairs, or have other disabilities. On each floor there are lounges, bedrooms, bathrooms and toilets. There is a Statement of Purpose, which describes the service and provides information. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit. The visit began at 8.15am and finished at 3.40 pm. During this visit the inspector spoke to people living at Newton Grange, some staff, the home’s manager and the home’s operational manager Mr Stephen Sykes. The inspector read records of people’s care and staff records, looked at how medicines are given and looked at the accommodation available in the home. Prior to this visit the Commission for Social Care Inspection sent questionnaires to five people living at Newton Grange. Five questionnaires were returned. There were twenty-three people living at the home on the day of this visit. Surveys were sent to three relatives and five health care professionals. Three relatives and two health care professionals responded. Before we visited Newton Grange the manager gave the CSCI information about illnesses, accidents and incidents and how the home is managed. The inspector would like to thank everyone for their assistance during this inspection process. What the service does well: The home has suffered damage following the recent floods. Staff at the home have worked remarkably well in making this home safe and comfortable for people in their care. This service offers a relaxed and homely atmosphere for people to enjoy. The staff are caring and have a good understanding of individual people’s needs. The inspector observed the staff interacting well with everyone living at Newton Grange and individuals spoken to during this visit spoke highly of the staff team. The home provides a suitably trained staff team that are able to care for the people living at Newton Grange. There were many positive comments made about the standard of care provided by the staff during this visit and from some of the surveys received by the CSCI. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 6 76 of staff working at the home have achieved NVQ (National Vocational Qualification) level 2 or above in care. 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. The summary of this inspection report can be made available in other formats on request. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are assessed prior to them moving into the care home. EVIDENCE: The care records looked at showed evidence of a social services assessment. And people are asked to visit the home to help them decide if Newton Grange is the right place for them. Five people who responded to survey said they were happy living at the home. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally people are treated with dignity, respect and privacy and their care needs are met. Some attention is needed to individual care plans and medication procedures to ensure consistency. EVIDENCE: The relatives who responded to the survey said they felt the care home “always” met the care needs of their friend or relative. And the surveys received from people living in the home showed they “always” received the care and support they need and the staff are available when needed. People spoken to during this visit were very complimentary about the staff at the home. There were comments such as “ the staff are lovely” and “ the staff are helpful” Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 10 Three individual care records were looked at. The information in these records lack sufficient detail to ensure staff have the right level of information. For example, all the records looked at contained a care needs assessment that identified where people required extra support. However, where support was required for example, with personal care there was no detailed information telling staff what support the individual required. The level of support required by each individual must be recorded in their care plan. Nutritional assessments are currently being put in place for everyone and there were risk assessments for safe movement and handling of people of people. Where there is a nutritional risk then a care plan should be in place to support and inform the staff of how to manage such a risk, for example, how often the person should be weighed, or if the individual requires a specialist diet. Where an assessment shows the individual is at risk of falls or require the assistance of staff and use of moving equipment, for example, a hoist, then a detailed manual handling plan must also be available in the care records. This ensures the staff are provided with the correct information and people are moved safely. During this visit good practice advice was given to the manager, and practice manager, regarding information that should be available in individual care records. The staff spoken to had a good understanding of the individual care needs of people in their care and everyone spoken to during this visit said the staff are caring and helpful. Throughout this visit the people living at the home were seen being treated in a dignified and respectful manner by the staff working at the home. The medication for three people was checked. Some medication had not been carried forward from the previous month onto the current medication record. The manager agreed to take immediate action to rectify the matter. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally people’s cultural, religious, social needs are being met. The appointment of an activity worker will help meet individual recreational needs. Individuals’ are supported to maintain contact with their family and friends. People are able to exercise choice and control over their lives. The people who live at the home are provided with a varied and nutritious diet. EVIDENCE: During this visit there were many visitors at the home who were all welcomed by the staff. One individual who responded to the survey said there is always a friendly and welcoming atmosphere at the home. The manager said there were no restrictions on friends and relatives visiting the home. Individuals spoken to said their relatives can visit the home whenever they wish. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 12 All the surveys received commented that there are “always” activities arranged by the home that people are able to take part in. However, a relative survey suggested that there should be more activities organised by the home. During this visit another person said that it would be nice if there were extra activities for them to take part in. The manager said that an activities organiser had been approved to work at the home however, a suitable person has yet to be appointed to this position. Some of the activities currently arranged at the home are music and singalong, bingo, hairdressing and a church service. Some people go out to the local community church. On the day of this visit people were seen going about their chosen activity both in the home and in the local community, and the hairdresser was visiting some people. The home offers a four weekly menu that offers a choice of foods. Everyone is consulted on a daily basis about they’re choice of meals and specialist diets are catered for. The meal served to people during this visit was well presented and looked appealing. The inspector sampled a meal that was tasty and well presented. The home has recently taken part in work to ensure people eat a well-balanced and nutritional diet. Everyone spoken to during this visit said they enjoyed the food, that there is a choice of food and plenty to eat. Staff were observed appropriately supporting people to enjoy their food. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at home and their relatives are confident their complaints will be listened to and acted upon. Individuals are protected from abuse. EVIDENCE: The home has received two complaints since the last visit by the CSCI that are now resolved. Four out of five people who responded to the survey said they knew how to make a complaint and everyone spoken to during this visit said they would feel comfortable to talk to someone if they were unhappy, or had any concerns. All respondents to the survey sent to relatives knew how to make a complaint or raise a concern to the care home. The home has a complaints policy and procedure in the service user guide. The inspector suggested it be displayed in the general areas of the home. The manager agreed to take immediate action in the matter. The staff spoken to during this visit had a good understanding of the necessary action that must be taken should there be any allegations of abuse. All staff working at the care home has received the training for the protection of vulnerable adults, or this training is planned. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally people live in a safe and well-maintained environment. The home is clean and people have comfortable rooms with their own processions around them. EVIDENCE: Everyone who responded to the survey said the home was always fresh and clean. During this visit the home was clean, fresh and odour free. The staff have worked hard to provide people with comfortable surroundings considering the ground floor of the home has recently experienced a flood. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 15 Some individual rooms were seen and people had decorated their rooms with personal items such as photographs, pictures and bedding. Outside there is a patio area complete with ornamental flowering baskets that provides a comfortable garden area for people to enjoy. Since the last visit by the CSCI the home has purchased some new chairs and replaced some carpets. A new fire alarm system has been fitted in the home. The manager said that there are plans to carry out some major refurbishment works in the home. This work is expected to start in September 2007. The home has suitable laundry facilities that were clean, tidy and well organised on the day of this visit. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally staff are employed in sufficient numbers and receive training to ensure they are competent to do their jobs. The recruitment process is generally good and protects people living in the home. EVIDENCE: There were many positive comments made in the relative’s surveys received by the CSCI. There were comments such as “The carers are always very patient”, “The care is of a very high standard” and “The staff deal with the needs of each individual. They are very patient and kind” The home has sufficient numbers of staff duty to care for the people living at the care home. The records for three staff were looked at. Generally these records contained the required information to ensure the way the home employs its staff protects people in their care. However, the records for one person did not contain a full employment history. This was discussed at the time with the manager who agreed to take immediate action in the matter. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 17 All new staff receive induction training. The manager said the induction training for staff is currently being redeveloped to meet and “Skills for Care” induction standards. (Skills for Care is the national training organisation). There are seventy six per cent of the homes staff who have achieved NVQ level 2 or above in care. The manager said that some staff have already received training in the protection of vulnerable adults, infection control, and safe manual handling practice, food hygiene and first aid. Training dates are planned for those people who are still required to attend these training events. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed by a person who is fit to be in charge. Generally the home is run in the best interests of people who use the service. The financial interests of people living in the home are safeguarded. Greater care must be taken to ensure the health and safety of everyone is promoted and protected. EVIDENCE: The home registered manager is Mrs Alana Gillot. She has many years experience of caring for older people. The people spoken to said the management team are approachable and supportive. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 19 The home has a quality monitoring system to ensure that everyone living in the home receives a good service. There are meetings held for staff, and people living at the home to provide everyone with the opportunity to share views and receive any relevant information about the running of Newton Grange. Three individual’s finances and financial records were checked and were correct. People are supported to handle their own finances should they wish to do so and locked facilities are available in individual rooms for security. The fire records were checked and there is weekly testing of the homes fire alarm system and emergency lighting. The manager confirmed that all the staff have received the required fire training and a new fire alarm system has recently been fitted in the home. The home has completed a general risk assessment for the safety of hot water in people’s rooms. It is a good practice recommendation of this report that individual risk assessments are completed, in order to identify the people who are at risk from the hot water in their rooms and those who are not. The manager said thermostatic valves (to control the temperature of hot water) will be fitted to everyone’s sink as part of the major refurbishments planned at the home in September 2007. Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15.1 Requirement Where an assessment shows someone needs support from staff the care plan must advise staff in writing exactly how to support the individual. Timescale for action 11/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations Where a risk assessment shows there is a risk for example a nutritional risk, then a care plan should be implemented to show how that risk is to be managed. If the risk is associated with manual handling, or the use of a hoist then a movement and handling plan should be made available in the individual records. The home’s plan to improve activities should continue. When the home recruits new staff they should ensure they have a complete employment history for the applicant. Individual risk assessments should be completed in order to identify the people who may be at risk from the hot water in their rooms. 2. 3. 4. OP12 OP29 OP38 Newton Grange DS0000036161.V344915.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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