Inspection on 30/07/07 for Newton House

This inspection was carried out on 30th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newton House 23/07/09

Newton House 13/06/06

Newton House 07/11/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Newton House 47 Prospect Road Leicester LE5 3RR Lead Inspector Lesley Allison-White Key Unannounced Inspection 30th July 2007 10:00 Newton House DS0000063501.V341343.R01.S.doc Version 5.2 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 House DS0000063501.V341343.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 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 House DS0000063501.V341343.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton House Address 47 Prospect Road Leicester LE5 3RR 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) 0116 251 6112 0116 251 6112 easterncare.ltd@tiscali.co.uk Eastern Care Ltd Mrs Farah Anwar Care Home 26 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (26) of places Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user numbers No person falling within categories MD/LD may be admitted to the home where there are 5 persons in total of these combined already accommodated within the home. Service User Numbers No person falling within categories MD/LD may be admitted to the home unless she/he also falls within category MD - i.e. dual disability. 13th June 2006 2. Date of last inspection Brief Description of the Service: Newton House is registered to provide care for twenty-six people with a mental disorder, including five people with additional learning disabilities. In the main home the majority of the bedrooms are single, with five shared bedrooms located throughout the three floors of the home. The service users have access to two lounges, one being allocated to residents who smoke. The dining room leads onto the kitchen where the residents’ meals are prepared. In the two smaller wings of the home there are three places in each, both providing one double and one single bedroom with additional lounge and personal space, the registration categories remain the same as the main home. Street parking is available. The home is situated in a multi-cultural area close to local amenities and a fifteen-minute bus journey to the city centre. There are local shops, community centres, places of worship and a cinema within walking distance to the home. The range of fees charged is £233.11 to £590.00 per week. The last Commission For Social Care Inspection report is available from the office for prospective residents and their relatives for information purposes. The Employers Liability insurance is displayed in the hallway. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for service users and their views of the service provided. The inspection took place on a Monday. It took seven hours to complete. Newton House provides care for up to twenty-six residents, it had twenty-two residents in occupancy and one resident was on annual leave with family on the day of inspection. Residents were within the category of learning disability, mental disorders and dementia. As part of the preparation for this inspection an interpreter was selected who attended the inspection and communicated with residents in Gujarati and Punjabi. The history of the service and the Annual Quality Assurance Assessment form (AQQA) returned by the Registered Manager was also examined and used as part of the planning process. Many of the residents were in the home and later went out to do individual activities during the day. Discussion was held with six residents. Other residents were observed in their daily routine. No relatives were seen on the day of inspection. The primary method of inspection used was “case tracking”. This involved speaking to and observing the residents who use the service provided, looking at three residents care plans, making observations and talking to two staff members in detail. All the required key standards were inspected during this visit. A requirement has been made at this inspection. The Registered Manager and other managers assisted during the inspection. What the service does well: One resident told the inspector that they enjoyed the cultural Asian TV station provided at the home, this resident also went out to the shops nearby. Residents who spoke with the inspector said that they enjoyed the various festivals that took place within the wider community. Newspapers written in English are provided at the home. However some residents said they would prefer to have an Asian newspaper also. This is something that could be considered. Library books are provided at the home in Gujarati, Hindi and Punjabi. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 6 Residents who spoke with the inspector said that they felt satisfied with the care and help given to them by the staff and were pleased that the staff spoke their different languages. One resident said that they use the local facilities such as the cinema and pub. Residents who spoke with the inspector felt able to make their own choices; they liked the company of male and female residents and felt able to mix with people of their own age group. Some residents were able to enter and leave Newton House as they choose and were able to let themselves in using the homes buzzer system. The food provided meets the needs of both non-vegetarian and vegetarian diets. Individuals are free to choose what they prefer to eat. Food is served to individuals when they want it. Residents also buy food and are able to keep it in their own rooms and will go out and buy snacks as they wish from the local shops near by. All the residents who spoke with the inspector said that they enjoyed the healthy nutritious food served at Newton House. One of the care plans that the inspector saw was reflective of the management of a resident whose behaviour varied and a record of the action needed and taken by the staff when this happens. Health care professionals visit such as the optician, or general practitioner (GP) visit the home or the resident can choose to visit the surgery with a staff member as escort as required. 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 House DS0000063501.V341343.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process is carried out and potential residents are encouraged to visit the home before they make a decision to stay. EVIDENCE: Assessments are carried out for potential residents so that they and their families can make a decision as to whether the home is right for them. They can explore if their needs will be met by talking to other residents who live there. Professional information is also available to support this decision. The Service User Guide and Statement of Purpose are available on request at the home. (This is information provided by the home about the services that it offers). Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals make decisions about their lives with assistance as needed. EVIDENCE: Three residents were case tracked. Each of their care records indicated that their care needs had been assessed and evaluated. One resident told the inspector that they made decisions about when and where they went shopping to buy their clothes. This residents risk assessment in the care plan showed that they had limited road safety awareness and often went into town and other places by taxi. They had a choice as to whether they wanted an escort or not. Another resident told the inspector that they went out alone for walks in the local park, to a place of worship or shopping but felt happier when the staff went with them as their memory was poor. They enjoyed taking part in cultural events such as dance festivals and Diwali festival of lights. This resident felt that they have a good life balance and during their stay at Newton Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 10 House they have started to feel more confident. This resident also said that they like the food at Newton House, as it is culturally appropriate. Residents who spoke to the inspector felt they took an active part in life at the home, as they were involved in the cooking, cleaning and general duties around the home. Some of the female residents said that they enjoyed doing this and felt useful in this way. One resident said that they worked in and around the home this resident lived in a home near by and visited most days. They worked around the home doing small chores for which they received payment. In this way residents are encouraged to maintain their independence and feel confident to ask for support when they need it. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and dignity. Their rights are respected and responsibilities recognised in their daily lives. EVIDENCE: One resident told the inspector that they enjoyed the cultural Asian TV station provided at the home, this resident also went out to the shops nearby and visits a friend this friend was particularly special as they were from the same caste. (A social system). Residents who spoke with the inspector also said that they enjoyed the various festivals that took place within the wider community. One resident said that they would like an Asian newspaper. Newspapers written in English are provided at the home. Library books are also provided at the home in Gujarati, Hindi and Punjabi. The Annual Quality Assurance Assessment (AQQA) provided by Newton House also explains that the Registered Manager will seek help for residents to enhance their knowledge of spoken English. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 12 Individuals can invite visitors to Newton House and are encouraged to use the communal areas of the home. Private areas within the home include the garden, dining room or resident’s bedroom. Residents who spoke with the inspector said that they felt satisfied with the care and help given to them by the staff and were pleased that the staff was able to speak their different languages. One resident said that they use the local facilities such as the cinema and pub. This resident said that they felt able to make their own choices; they liked the company of male and female residents and felt able to mix with people of their own age group. This resident was able to enter and leave as they preferred and was able to let themselves in using the homes buzzer system. The food provided meets the needs of both non-vegetarian and vegetarian diets. Individuals are free to choose what they prefer to eat. Food is served to individuals when they want it. Residents also buy food and are able to keep it in their own rooms and will go out and buy snacks as they wish from the local shops near by. All the residents who spoke with the inspector said that they enjoyed the healthy nutritious food served at Newton House. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is successful in delivering appropriate care to individual residents. EVIDENCE: One of the resident’s care records reported when the resident displayed difficult behaviour. The behaviour was recorded on a specialised chart so that this information could be used when discussing care with health care professionals such as the Community Psychiatric nurse or Consultant Psychiatrists. There is a violence and aggression policy that the staff follows. The care plan seen was reflective of the management this residents behaviour and the action needed and taken by the staff when this happens. Health care professionals visit such as the Optician, or General Practitioner (GP) visit the home or residents can choose to visit the surgery with a staff member as escort as required. Residents who spoke to the inspector felt that the staff at Newton House met their physical and emotional needs. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 14 None of the residents’ case tracked administered their own medications. A sample of medications was checked and satisfactory. The Registered Manager explained that there were no controlled drugs at the home. (Controlled drugs are medicines that require special checks). Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff awareness ensures that residents at Newton House will be protected from harm. EVIDENCE: The Commission for Social Care Inspection has received a concern about Newton House since the last inspection report. It is currently being dealt with. Both staff members who spoke with the inspector were able to describe vulnerable adult situations showing that they would be able to act appropriately to safeguard the individuals in their care. Both staff members were aware of what to do in a situation where an individual living at the home was missing and who to inform. Company policies were in place. Staff awareness ensures that residents at Newton House will be protected from harm. Residents were also encouraged to discuss any concerns that they had at the resident meetings. Residents are encouraged to keep their own money. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with comfortable surroundings, which they enjoy. EVIDENCE: Residents who chose to show the inspector their bedroom said that they liked their room. They felt the home was kept clean and tidy and provided a comfortable environment for them to live in. A small garden area was also used by the residents and residents who enjoyed a cigarette went to smoke in this area. The inspector was also shown two other buildings where residents lived. They were provided with many home comforts and the environment was pleasant. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Registered Manager is provided with a clear recruitment procedure for Newton House. However, when this is not followed it could place service users at risk. Supervision of staff at regular intervals ensures that the home provides a competent staff team that meets the needs of individuals living at Newton House. EVIDENCE: Staff who spoke with the inspector was able to explain the training that they received. The Registered Manager produced a training matrix for the inspector to see. The staff rota appeared able to meet the needs of the residents. The new colour coded design of this rota will make it easier for staff to follow. Staff who spoke with the inspector felt able to meet the needs of the residents and staff records indicated that training was provided to meet the needs of the staff to care for the residents living at Newton House. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 18 On this occasion part of the recruitment practice had not followed policy and a newer staff member who had two references had been given one of their references by a senior carer this was discussed with the Registered Manager at the time of inspection. All other parts of the recruitment process for the two records seen were satisfactory. (A relevant Criminal Records Bureau (CRB) check and the Protection of Vulnerable Adults check (POVA first check). A requirement will be made to ensure that all staff records contain a reference from a previous employer wherever available. In this way residents will be kept safe from potential harm. Staff receives regular supervision by a manager. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of individuals. EVIDENCE: The management of the home ensures that residents’ needs are met. Staff are competent to meet the needs of the residents. Policies and procedures are in place to ensure the safety and well being of the residents living at Newton House. Quality assurance can be measured through the staff and resident meetings conducted within the home on a monthly basis where a quick response can be given to most concerns. The Registered Manager explained that all the Health and Safety records were up to date; in this way residents are protected whilst living at Newton House. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 20 Residents’ are encouraged to manage their own money and for those who need assistance a small individual amount of money is sent by the company’s head office each Friday. Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 21 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 22 None Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 Requirement Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Extracts may not be used or reproduced without the express permission of CSCI Newton House DS0000063501.V341343.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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