Inspection on 14/06/05 for Newton House Care Home

This inspection was carried out on 14th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House Care Home 31/10/06

Newton House Care Home 16/02/06

Newton House Care Home 21/03/05

Newton House Care Home 13/07/04

Newton House Care Home 05/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Newton House Shireoaks Road Shireoaks Worksop Nottingham S81 8LX Lead Inspector Andrew Sales Unannounced 14 June 2005 10:00 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 House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Newton House Address Shireoaks Road Shireoaks Worksop Nottingham S81 8LX 0190 948 2960 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) Caroline Whiteman Caroline Whiteman Care Home - Private 12 Category(ies) of OP Old Age - 12 registration, with number of places Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/03/05 Brief Description of the Service: Newton House is an adapted, extended, stone-built vicarage of character, set in spacious, private and secure gardens. The home is in a village location and close to local amenities. Care and support is offered for 12 older people. The property has a vertical lift and a stair lift.The manager lives in the same property and provides on site support throughout the week. The home provides ample private and communal facilties, which service users are encouraged to personalise. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted by A.J. Sales on 14 June 2005. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspector also spent time talking to a number of other service users in the home. Overall the feedback was excellent. Service users could not say enough about the home, they were extremely positive in terms of the attitude and commitment of the manager, the skills and attitude of the staff and of the overall standards of care, food, social recreation and the environment. What the service does well: The home provides a very domestic and comfortable environment, which is well maintained and decorated and cleaned to a high standard. The manager and staff are very committed to providing a first class service for the service users. The food is highly thought of and service users feel respected and enabled to socialise in a manner that is comfortable for them. The large gardens provide a comfortable place to relax, away from noise and traffic. Health and Safety is well managed and the home’s care planning process and other documentation required meets the National Minimum Standards. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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 House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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) 3,4 Thorough assessments of need have been carried out prior to admission and the service users were fully involved in the process. Service users’ quality of life have been enhanced through the services provided by the home. EVIDENCE: Three service users were case tracked and a number of others spoken with. One service user in particular spoke of her admission to the home, which has greatly improved her quality of life in terms of stimulation, environment and services available. Many others echoed these feelings. In discussions with staff it was clear they had a thorough understanding of the emotional impact admission to residential care may have on individual service users and were able to describe how they support service users to come to terms with such a dramatic transition. Observations were made of interaction with service users, which supported service users comments that they feel well respected and supported. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 9 The homes training plans also support it’s commitment to improving staff skills in issues pertinent to the care of older people. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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) 7,8,9,10. Care services, from assessment planning to care delivery are well managed and documented. Service users user’s rights and choices are respected. Medication is managed appropriately. EVIDENCE: Three service users were case tracked. Care plans and risk assessments were inspected. Plans contained all areas of assessment required in this standard. Outcomes for service users were discussed during individual discussions with the inspector and the individual. All stated that they were satisfied with the standards of care they received and the way their support is planned. Service users also confirmed they are involved in the care planning process. The manager and staff state that care plans and risk assessments are reviewed. Care plans evidenced reviews that were dated and signed. There is evidence on care plans of cognitive assessments, weight management and monitoring of service users psychological well-being. Service users receive chiropody treatment and other community health services via domiciliary visits, this is documented on care plans. Staff and service users spoken with spoke of staff assisting them to exercise in the substantial gardens and local community. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 11 The administration of medication is well managed, and the central storage of drugs and the records of administration were checked and are up to date. The Boots blister pack system is used for medication, and Boots additionally offer training to staff on a regular basis. Seven service users were spoken with. Case tracking was applied to three of these service users. All maintained that the staff were courteous and respectful of their wishes and choices. Staff spoken with show a clear appreciation of the need to ensure service users privacy and dignity are protected, and knowledge of the ways this can be achieved. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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. Service users are supported to pursue, religous and social interests. Service users are helped to exercise choice and control over their lives. Service users receive good quality food and a balanced diet in a relaxing atmosphere with support from staff where required. EVIDENCE: Service users spoken with confirm they are consulted in their choice of activities both within and outside the home. The manager states that people are supported to attend religious services, and the home is sited next to the village church. The minister visits the home monthly to support those not able to attend services and this is confirmed by service users. The manager, service users and staff confirm that the routines of the home are flexibly implemented to suit the preferences of individuals. Service users feel they are kept well informed about local events and available activities. There is a minibus available at all times for service users trips to be undertaken. Two Service users rooms that were observed were well personalised and the manager confirmed people are able to bring in their own possessions. The manager and staff confirm that service users have access to their own records, service users are advised of this at the initial stage of assessment, which is recorded in plans observed. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 13 Three service users who were case tracked confirmed they were very satisfied with the food provided by the home. Four other service users supported this. Lunch was observed by the inspector, food appeared appetising and the meal was unhurried. Menus were observed and are planned with consultation of service users and their preferences built into the menus. These are rotated to provide variety. Service users spoken with confirmed they could have alternatives to the meal planned for that day and are offered a range of snacks and drinks throughout the day and into the evening. Evidence of nutritional screening and weight management was observed in care plans. Information received from hospitals, GP’s and dieticians contribute to care plans and is shared by all staff. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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) 16,18 The home has satisfactory procedures in place to deal with adult protection and complaints. Measures are in place to protect service users. EVIDENCE: A record is kept of all complaints and this was inspected. The manager and staff confirm that no complaints have been received by them this year, and none have been received by the Commission. The complaints procedure is displayed in the main hall of the home and includes information about contacting The Commission For Social Care Inspection (CSCI). The home operates an appropriate Adult Protection policy. The procedures relating to the discovery or reporting of abuse is clearly worded and the manager and staff demonstrated a clear knowledge of appropriate responses to protect service users. The procedures for protection of service users finances are clearly worded and include a staff gifts policy. The home also has a copy of the Nottinghamshire County Councils policy on the Protection of Vulnerable Adults. Service users said they never felt the need to complain but were confident that the manager would resolve any issues quickly. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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) NA These standards were not inspected on this occasion and will be assessed on the next inspection. EVIDENCE: Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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) 27,29 The recruitment process meets the national minimum standards and the regulations. Staff are employed in sufficient numbers to meet the needs of service users. EVIDENCE: Recruitment processes were discussed and staff files evidenced satisfactory pre- employment checks and staff contracts. A rota was inspected and showed a satisfactory level of staffing. The night arrangements are one staff awake and the manager sleeping in the home on call. All staff are over the age of 18. The domestic and catering hours are appropriate to the number of service users. Service users spoken with stated that they felt support was timely and there were sufficient staff to provide unhurried assistance. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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 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) 31,32,38. The home is very well managed with service users interests put first. Health and safety managemeny is well documented. EVIDENCE: The manager is a registered nurse and has now achieved the Registered Managers Award and NVQ level 4 and has over ten years experience of managing this home. Clear aims and objectives are present in the home policies and induction which focus strongly on high standards for service users. Service users felt the home was extremely well run and the manager always on hand for support and advise. Staff spoken with confirmed that they felt supported by the manager and that they are approachable to discuss any issues. They confirmed that there is an open management approach and a culture within the home, which promotes development of new initiatives and individual staff development. Records are well maintained and kept secure. Three service users spoken with confirmed their understanding of the need to have records and access available Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 18 to them. The manager states the staff have received training updates in the last year on moving and handling, first aid, basic food hygiene, administration of medication and health and safety issues including hygiene control. Staff confirmed this. Appropriate storage was available for COSHH products and information was available to staff on the products they use. Equipment is serviced and maintained on an annual basis by agreed contracts. There is a written health and safety policy to guide staff. In addition to individual risk assessments for service users, there are risk assessments recorded on the use of equipment inside and outside the home. Records of fire system tests, water temperatures and other health and safety records were observed and found to be carried out at the required intervals. Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 4 x x x x x 3 Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Newton House C53 C03 S8723 Newton House V233377 140605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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