Inspection on 06/03/06 for Newton Grange

This inspection was carried out on 6th March 2006.

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 05/07/07

Newton Grange 13/07/06

Newton Grange 19/08/05

Newton Grange 22/02/05

Newton Grange 20/07/04

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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 Rob Curr Unannounced Inspection 6th March 2006 09:00 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.V279366.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 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.V279366.R01.S.doc Version 5.1 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 0114 288 3879 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.V279366.R01.S.doc Version 5.1 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. 19th August 2005 2. 3. Date of last inspection 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 resident’s 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 DS0000036161.V279366.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9.00 a.m. and lasted 2.5 hours. Many of the home’s residents had good communication abilities and the main inspection method was observation of routines and the quality of interaction between staff and residents. The team leader escorted the inspector on a partial tour of the home. Two team leaders were present during the inspection and the inspector also discussed practice at the home with them. The residents were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 6 residents and 3 staff members were spoken to. The team leaders were extremely helpful and assisted the inspector throughout the visit. The manager and administrative staff were working ‘off-site’ at the time of the inspection. The home was very busy and active during the inspection. The inspector wishes to commend the team leaders for leadership and organisational skills during this time. What the service does well: What has improved since the last inspection? What they could do better: There were no major issues highlighted during this inspection. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 6 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 DS0000036161.V279366.R01.S.doc Version 5.1 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.V279366.R01.S.doc Version 5.1 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 the following standard(s): 2 and 5. Residents and their relatives were fully involved in the assessment process, so this ensured that the home was able to meet their needs. EVIDENCE: Residents said that they had been invited to view the home and attend a variety of meetings prior to moving into the home. There was a ‘contract of care’ which highlighted the terms and conditions of residence. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9 and 10. A range of health care professionals worked within the home to assist in meeting the needs of the residents. The organisation had a clear medication policy. All medication administered was signed for. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. EVIDENCE: All the residents said that their health needs were met. Residents said that they were happy with the care and support they received. Medication Administration Records (MAR) were checked. Staff had signed to indicate that medication had been administered. The visiting pharmacist had undertaken a check of the medication system in January 2006 and there were no issues highlighted. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 10 There was no risk assessment on place for one resident that was selfadministering medication, although there was a document in the file ‘declaration of custody of medicines’, that agreed the arrangements of selfadministration. Staff were observed respecting residents privacy by knocking on bedroom doors before entering and closing bathroom and toilet doors when in use. During the breakfast meal, staff were seen and heard treating residents kindly and respectfully. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. The home creates a varied programme of social and recreational activities. The routines at the home were flexible. The home had an open visiting policy in order to develop and maintain good relationships with resident’s friends and relatives. All the residents were happy with their personal bedroom. The residents had a clear choice of menu. EVIDENCE: Residents said that their families were free to visit the home at any time. There was a programme of activities on display. This programme also included trips out. The residents said that they had enjoyed days out and entertainment in the home. During the breakfast meal, staff were heard encouraging residents to make choices and breakfast could be taken at any time. The residents spoken with stated that they were ‘more than satisfied’ with the food and meals in general. He cook was able to demonstrate her awareness of any ‘special needs’ that the residents may have. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 12 The kitchen was well managed and all food was kept in good order. There was a microwave in the kitchen that had been supplied to the home and had not been PAT tested. This was discussed with the team leader on duty. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents were aware of how to make a complaint and were confident that they would be listened to. An adult protection procedure was in place to ensure people’s safety was promoted. EVIDENCE: The complaints procedure was on display in the foyer, which contained relevant information and provided the reader with details of who to contact outside the home, to ensure complaints were taken seriously. The home kept a record of complaints. All the residents spoken to said they felt safe at the home. All staff spoken to stated that they had completed adult protection training. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): A comfortable and safe standard of accommodation is provided for the residents. The decoration programme within the home had continued 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. The re-decoration programme continues to take place. One lounge had been recently decorated and was awaiting new curtains to be hung and new carpets had been fitted to a number of bedrooms. 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 DS0000036161.V279366.R01.S.doc Version 5.1 Page 15 There was only one bathroom in operation due to a ‘suspected’ fault in a fixed hoist. The team leader explained that this was only out of use due to an issue that had arisen within the organisation with similar equipment and that this was only a cautionary measure. The carpet in the smoking lounge was worn and had a large number of cigarette burns on it. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 30. Sufficient staff were provided to meet the needs of the residents. The manager could identify the training needs of the staff group. EVIDENCE: All staff had undertaken training in infection control. The inspector also saw recent records of staff having undertaken ‘foundation certificate’ training in food hygiene and refresher training of moving and handling. The organisation has a ‘rolling programme’ of National Vocational Qualification training. A group of staff were currently undertaking National Vocational Qualification (NVQ level 2 and 3) in direct care. One recently re-deployed member of staff spoken to confirmed that they received more than 3 days paid training each year. She also stated that training in first aid and moving and handling were offered to her on induction. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The manager has the experience and skills to manage the home effectively to provide a quality service to the residents. 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 receive 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 DS0000036161.V279366.R01.S.doc Version 5.1 Page 18 EVIDENCE: The manager is on target to finish her National Vocational Qualification in Management. Staff and residents stated that the manager was approachable. The team leader said that the organisation keeps them informed of all developments regarding the decommissioning of the home. The team leaders confirmed that residents had completed questionnaires about the home, which is part of the quality assurance system in place. There were no details available of the outcome of this survey. 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 forwarded to the CSCI. Team leaders, support, and catering staff said that they receive regular supervision to discuss their working practices, resident care, and their development needs. Staff also confirmed that there were ‘hand-over’ periods of fifteen minutes, three times a day to discuss and communicate the resident’s needs. The laundry room was generally untidy and cluttered in places. The team leaders have developed a ‘daily monitoring sheet’ that prompts then to audit the home daily for any issues related to health and safety and general ‘good housekeeping’. This ensures a safe and comfortable environment The environment is maintained to a standard that ensures the safety of the residents. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 19 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 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 2 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 3 3 2 Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 20 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 OP9 Regulation Requirement Timescale for action 01/05/06 2. 3. 4. 5. OP38OP15 OP19 OP22OP21 OP19 OP26 12, 13, 43 A comprehensive risk assessment must be produced for the resident that administers their own medication. 13, 16, 43 The microwave oven must have a PAT test. 23, 43 The carpet in the smoking lounge must be replaced. 23, 43 The (2nd) bathroom must be made available. 23 The laundry room must be kept in good order. 06/03/06 01/07/06 06/03/06 01/05/06 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 OP28 OP31 OP33 Good Practice Recommendations A minimum ratio of 50 of care staff should achieve National Vocational qualification level 2 by 2005 The manager should continue to complete the NVQ level 4 in Management. The outcome of the residents survey must be produced. Newton Grange DS0000036161.V279366.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Sheffield Area Office 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 DS0000036161.V279366.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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