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Inspection on 31/10/06 for Newton House Care Home

Also see our care home review for Newton House Care Home for more information

This inspection was carried out on 31st October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are able to access routine healthcare appointments and doctors and district nurses regularly visit the home. Residents said their health is well looked after. The evidence shows that residents` health care needs are fully met. Staff have received training in the safe administration of medicines. The manager gives out all medication and the Pharmacy inspector said that there were good arrangements for the handling of medicines. Residents confirmed they are given their medication. The evidence shows that residents are protected by the homes procedures for dealing with medicines. Staff described good practices to promote residents` privacy and dignity by only providing assistance with personal care when it is needed. The evidence shows that residents` privacy and dignity are promoted. Visitors are welcome to the home and residents spoke of visitors coming and taking them out. Visitors are asked to avoid times when residents will be receiving care or having a meal. The evidence shows that residents maintain contact with family, friends and the local community. Residents were seen spending time where they chose, some in their rooms and others in the main lounge. Staff spoke of offering residents choices and residents spoke of making choices. The evidence shows that residents have control over their lives. Residents do not have a choice of meal but their likes and dislikes are known and they are served alternatives if they do not like the main meal. The dining room provides a pleasant environment for meals, including an attractively laid table, where residents eat together. Residents are able to suggest food they would like. The evidence shows that residents receive a wholesome appealing balanced diet. The home has a complaints procedure and staff said any complaints would be passed onto the manager. Residents said they did not have any complaints but would take anything to the manager. The evidence shows that residents are confident that their complaints will be listened to. The home has a copy of the Adult Protection Procedures and training has been provided on adult abuse with more planned. Residents said there has not been any mistreatment. The evidence shows that measures are in place to protect residents from abuse. They home is well maintained and furnished. Staff ands residents felt the home was homely and comfortable. The evidence shows that residents live in a safe, well-maintained environment. There are two care staff on during the morning and afternoon shifts and one awake at night, with the manager sleeping in and being available on call. Staff and residents felt this was sufficient. The evidence shows that residents` needs are met by the numbers and skill mix of staff. Some staff have completed National Vocational Qualification training and other staff will have the opportunity to do this. The evidence shows that residents are in safe hands at all times. The manager, who is also the provider has managed the home for twelve years and has completed National Vocational Qualification level 4. Staff and residents said the home is well run. The evidence shows that there is a suitable manager employed to run the home. The evidence shows that residents express their views on how the home is run. Regular safety checks and tests are carried out and there are contracts in place for servicing equipment. The evidence shows that the health, safety and welfare of residents are protected.

What has improved since the last inspection?

No requirements were set at the last inspection. The manager said the building has been decorated throughout in the last year.

What the care home could do better:

The manager visits prospective new residents to assess whether their needs can be met within the home but these did not contain sufficient detail. A community care assessment is obtained when Social Services are involved. The evidence shows that new residents are assessed before they come to live at the home, but this is not fully documented. Each resident has a care plan, but these are very general and not written specifically for each resident detailing their individual needs and how theseshould be met. The evidence shows that needs are not set out in an individual plan of care. Staff have time to sit and spend time with residents and involve them in activities, but they do not record what activities have taken place. Entertainers come to the home and there is a monthly communion service. The evidence shows that the home cannot show if resident`s lifestyle matches their expectations. The home was clean and fresh throughout although the laundry has been moved to the attic where the flooring is floorboards which do not provide the barrier required by a laundry floor. The evidence shows that the home is clean, pleasant and hygienic but the laundry floor poses a potential hazard. Appropriate checks and references are obtained on new staff before they start, however not all the required documentation is collected. The evidence shows residents are not fully supported and protected by the home`s recruitment policy and practices. A display of certificates showed that mandatory training has been provided, however training records are not kept. The evidence does not show that all staff are trained to do their jobs.

CARE HOMES FOR OLDER PEOPLE Newton House Care Home Shireoaks Road Shireoaks Worksop Nottinghamshire S81 8LX Lead Inspector Stephen Benson Key Unannounced Inspection 31st October 2006 9:30 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 House Care Home DS0000008723.V309678.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 House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton House Care Home Address Shireoaks Road Shireoaks Worksop Nottinghamshire S81 8LX 01909 482 960 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) Caroline Whiteman Caroline Whiteman Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Newton house is a care home providing personal care and accommodation for 12 older people. The home is owned by the manager who lives on site and provides continual support. The home is located in the village of Shiroakes, which has a few local amenities including a church, village hall and a pub. The home was opened in 1986 and consists of an adapted and extended former vicarage. Ten of the home’s bedrooms are single and there is one double room. Bedrooms are located on two floors, the first floor being on two different levels. There is a passenger lift. To access the first floor and two stair lifts to access the change of levels on the first floor. The home has a large garden area that is well maintained and easily accessible and there is ample car parking available. The manager stated in the pre inspection questionnaire that the fees range from £227 - £340 per week. There are additional charges for hairdressing and chiropody. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 5 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, staff on duty and care practices were observed. No visitors to the home were seen during the inspection. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Survey forms, sent to the home by The Commission for Social Care Inspection had been completed by all residents except one. What the service does well: Residents are able to access routine healthcare appointments and doctors and district nurses regularly visit the home. Residents said their health is well looked after. The evidence shows that residents’ health care needs are fully met. Staff have received training in the safe administration of medicines. The manager gives out all medication and the Pharmacy inspector said that there were good arrangements for the handling of medicines. Residents confirmed they are given their medication. The evidence shows that residents are protected by the homes procedures for dealing with medicines. Staff described good practices to promote residents’ privacy and dignity by only providing assistance with personal care when it is needed. The evidence shows that residents’ privacy and dignity are promoted. Visitors are welcome to the home and residents spoke of visitors coming and taking them out. Visitors are asked to avoid times when residents will be receiving care or having a meal. The evidence shows that residents maintain contact with family, friends and the local community. Residents were seen spending time where they chose, some in their rooms and others in the main lounge. Staff spoke of offering residents choices and residents spoke of making choices. The evidence shows that residents have control over their lives. Residents do not have a choice of meal but their likes and dislikes are known and they are served alternatives if they do not like the main meal. The dining room provides a pleasant environment for meals, including an attractively laid table, where residents eat together. Residents are able to suggest food they Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 6 would like. The evidence shows that residents receive a wholesome appealing balanced diet. The home has a complaints procedure and staff said any complaints would be passed onto the manager. Residents said they did not have any complaints but would take anything to the manager. The evidence shows that residents are confident that their complaints will be listened to. The home has a copy of the Adult Protection Procedures and training has been provided on adult abuse with more planned. Residents said there has not been any mistreatment. The evidence shows that measures are in place to protect residents from abuse. They home is well maintained and furnished. Staff ands residents felt the home was homely and comfortable. The evidence shows that residents live in a safe, well-maintained environment. There are two care staff on during the morning and afternoon shifts and one awake at night, with the manager sleeping in and being available on call. Staff and residents felt this was sufficient. The evidence shows that residents’ needs are met by the numbers and skill mix of staff. Some staff have completed National Vocational Qualification training and other staff will have the opportunity to do this. The evidence shows that residents are in safe hands at all times. The manager, who is also the provider has managed the home for twelve years and has completed National Vocational Qualification level 4. Staff and residents said the home is well run. The evidence shows that there is a suitable manager employed to run the home. The evidence shows that residents express their views on how the home is run. Regular safety checks and tests are carried out and there are contracts in place for servicing equipment. The evidence shows that the health, safety and welfare of residents are protected. What has improved since the last inspection? What they could do better: The manager visits prospective new residents to assess whether their needs can be met within the home but these did not contain sufficient detail. A community care assessment is obtained when Social Services are involved. The evidence shows that new residents are assessed before they come to live at the home, but this is not fully documented. Each resident has a care plan, but these are very general and not written specifically for each resident detailing their individual needs and how these Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 7 should be met. The evidence shows that needs are not set out in an individual plan of care. Staff have time to sit and spend time with residents and involve them in activities, but they do not record what activities have taken place. Entertainers come to the home and there is a monthly communion service. The evidence shows that the home cannot show if resident’s lifestyle matches their expectations. The home was clean and fresh throughout although the laundry has been moved to the attic where the flooring is floorboards which do not provide the barrier required by a laundry floor. The evidence shows that the home is clean, pleasant and hygienic but the laundry floor poses a potential hazard. Appropriate checks and references are obtained on new staff before they start, however not all the required documentation is collected. The evidence shows residents are not fully supported and protected by the home’s recruitment policy and practices. A display of certificates showed that mandatory training has been provided, however training records are not kept. The evidence does not show that all staff are trained to do their jobs. 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 Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 8 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 House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 9 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: The file was seen of a resident recently admitted. There was a community care assessment and a further assessment form completed by the manager. The assessment completed by the manager did not contain sufficient detail. The manager said that much of the information collected had not been written down, as she does have a tendency to keep information in her head, due to the fact she is always at the home and available to staff should they need to ask anything. Staff said that the manager goes to visit any potential new resident and tells them about them, but they don’t read the assessment. A resident said, “The manager came to see me to see if I was suitable for the home and they were suitable for me”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 10 The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents 10 out of 11 residents said they received enough information before they moved in. There is no arrangement made for the home to provide an intermediate care service. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 11 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, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social needs are not set out in an individual plan of care. Residents’ health care needs are fully met. Residents are protected by the homes procedures for dealing with medicines. Residents are treated with respect and dignity. EVIDENCE: A sample of three care plans were seen and these included pre prepared plans that were used for all residents. These were written in a general way and did not give clear details as to how residents’ individual needs should be met. Plans are reviewed monthly but there was no evidence of resident or relatives being involved in their preparation or review. The manager said that she prepares all the care plans and she knows these are not as detailed as they should be. The manager said that she will be looking to improve the care plans. Staff said that they don’t really use the care plans and they know how each Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 12 resident likes to be cared for. Staff gave examples of caring for residents that were not included in the care plans, for example speaking to rather than nodding in agreement with a resident who is visually impaired. A resident said, “I am very happy with the care I receive, and can say how I like things to be done”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating they always or usually receive the care and support they need. Records showed that residents have regular contact with healthcare services, including doctors and district nurses. A record is made if a resident has a fall, however there was no evidence of the care plan being reviewed to see how a further fall may be prevented, although the manager said that she did do this but did not record it. Staff said that a chiropodist regularly visits the home and no one at the home has a pressure sore. Staff said that if a resident falls they should call for assistance and check if the resident is in pain and if so call for an ambulance. A resident said, “My health is well looked after, the manager suggests I see a doctor if I am not well” and another said “I was asked if I hurt anywhere after a fall and then helped up”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating they always or usually receive the medical support they need. The Medicine Administration Records were fully completed, as was the controlled drugs register. It was noted that the manager always completed the records and she said that she always gave out the medication. The manager said that the pharmacist is sending a new training video on the safe administration of medicines. Staff said that they have received training on the safe administration of medicines, but the manager gives medication out. The Pharmacy Inspector was spoken with on the telephone and said that the arrangements for the safe storing and handling of medicines were well managed at the home. A resident said, “I take a lot of tablets, staff bring them in pots and empty them into my hand”. Care plans do not include details on promoting residents privacy and dignity and the manager said she would consider this when she redoes the care plans. The manager said that she looks for staff who are respectful when recruiting new staff. Staff said that they know what residents are able to do for themselves and will give as much privacy as they can. Staff said they had discussed ways of promoting privacy as part of National Vocational Qualification training. A resident said “Staff always knock on my door “ and another resident said “I need someone to stay with me when I have a bath”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home cannot show if residents find the lifestyle experienced in the home matches their expectations. Residents maintain contact with family and friends and the local community. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome and balanced diet. EVIDENCE: There is not a record kept of activities that take place in the home and it was suggested to the manager that this is done. Staff were seen giving residents a hand massage and polishing their nails. The manager said that staff have time to sit and talk with residents and to help them with any activity they want. Residents enjoy going out into the garden in good weather. Staff said they play various games like bingo and cards and do crosswords and puzzles. The vicar visits and holds a monthly communion service. A resident said, “We had a but of fun with a new bingo game the other day” and “We have a pianist play for us and a sing song”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 14 Residents are supported to obtain specialist equipment where needed. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents 10 residents ticked the box stating there are always or usually activities arranged by the home they can take part in and one ticked the box stating sometimes. The manager said that visitors are welcome to come to the home but are asked not to come early or stay late and to avoid mealtimes. A resident said, “Relatives come and visit me and take me out”. The vicar will drop in on a regular basis and all Christian festivals are celebrated. Some residents were sat in the lounge and others spent time in their rooms. The manager spoke of residents having different routines as to how and where they spent their time and that they are encouraged to say what they want. Staff said that they try to give residents as much choice as possible and will ask them what they want to wear. A resident said, “Everyone chooses for themselves when they get up and go to bed”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating staff listen and act on what they say. Lunch was seen served which had different dishes depending upon the known likes and dislikes of residents. The dining room was well prepared with a nicely laid table. All residents sit round one table to make it more of a social occasion. The manager said that she plans the menu week by week and takes into account the likes and dislikes of residents. Staff said that they know the likes and dislikes of residents and they enjoy their meals. A resident said, “The food is good, there is not a choice but I am quite happy with what there is” and another resident said “I would like more choice at breakfast, it would be nice to have bacon and egg”. The manager spoke to the residents and said she would look at breakfasts and suggested some bacon cobs for tea soon, which she said the residents liked the idea of. The manager said that any special diet for personal choice, religious or health reasons will be accommodated. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating they always or usually like the meals at the home. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 15 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints will be listened to. Measures are in place to protect residents from abuse. EVIDENCE: The home has a complaints procedure and a book to record any complaints in. The manager said that there have not been any complaints made since the last inspection. Staff said they would pass any complaint on to the manager. A resident said, “I have not had anything to complain about, if I did I would go straight to the manager”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating they always or usually know who to speak to if they are not happy and that they know how to make a complaint. There was a copy of the Adult Protection Procedures in the home and the manager said she is arranging for a staff training session on adult protection. The manager said there have not been any reported instances of abuse. Staff said they have watched a video about adult protection and there was a further video about adult abuse that they are going to watch. Staff said they had not seen anybody being mistreated A resident said, “There is no mistreatment here, we are well looked after”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 16 The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 17 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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic, but the laundry could present a hazard. EVIDENCE: The home is maintained and decorated to a high standard and provides a comfortable and homely environment. The manager said that any repair is responded to immediately and that she had decorated the building through in the last year. Staff said that the building is suitable for its purpose and it is warm and homely. Residents said they thought the building is full of character. The home was clean and fresh throughout and a cleaner is employed 5 days a week. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 18 In the survey forms sent out by The Commission for Social Care Inspection and completed by residents all residents ticked the box stating the home is always or usually fresh and clean. The laundry has recently been moved into the attic. The floor is wooden floorboards and does not provide an impermeable finish. The views of the Environmental Health Officer should be sought regarding this. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 19 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the numbers and skill mix of staff. Residents are in safe hands at all times. Residents are not fully supported and protected by the home’s recruitment policy and practices. Records do not show if staff are trained to do their jobs. EVIDENCE: The rota showed the home provides 2 care staff during the day and 1 care staff awake and the manager sleeping in at night. The manager covers any sickness and annual leave. The home employs male and female staff and they are of varying ages. Staff and residents said they felt there are enough staff on duty and a resident said, “They are very nice and pleasant”. Four staff have completed National Vocational Qualification training level 2. The home has a low turnover of staff and any vacancies are usually quickly filled from the local area. References are obtained and Criminal Records Bureau checks are carried out before anyone starts work, but a sample of staff files seen did not include all the required information. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 20 There is a display of certificates on a wall showing the courses staff have done, however this does not provide a record of staff training. The manager is working out a programme of further training through the use of Digital Versatile Discs. A resident said, “Staff know what they are doing”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 21 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a suitable manager employed to run the home. Residents express their views on how the home is run. Residents’ financial interests are being safeguarded. The health, safety and welfare of residents are protected. EVIDENCE: The Registered Provider is also the Registered Manager, who has run the home for 12 years. The manager has a background in nursing and was a Registered General Nurse. The manager lives on site and is available around the clock. A certificate in the manager’s name for National Vocational Qualification level 4 was displayed in the hallway. Staff said that the home runs smoothly and the manager is very approachable. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 22 A resident said, “The manager runs the home very well”. The manager said that there is a quality assurance form which residents are asked to complete, but that has not yet been done this year and is due to be done before Christmas. All residents were given a copy of the Commission for Social Care Inspection survey and all except one resident completed it with assistance from the home. A resident said, “I am occasionally asked for my views on the home”. The home only holds money for one resident to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction and signed and witnessed. Receipts are kept when available. Other residents either manage their own affairs or a relative does this. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. A sample of these were looked at and found to be correct. A resident said, “We have fire alarm tests”. Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 23 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 N/A 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 4 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 3 Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 24 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 Requirement The registered person must ensure that residents’ health, personal and social care needs are set out in an individual plan of care The registered person must seek the views of the Environmental Health Officer regarding the laundry floor The registered person must ensure the information listed in Care Homes Regulations 2002 schedule 2 (paragraphs 1 – 6) is obtained on all staff The registered person must ensure there is a staff training and development programme Timescale for action 01/02/07 2 OP26 16 01/12/06 3 OP29 19 01/02/07 4 OP30 18 01/01/07 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 2 Refer to Standard OP3 OP12 Good Practice Recommendations The registered person should record all information gathered as part of the assessment of a new resident The registered person should keep a record of all activities residents take part in DS0000008723.V309678.R01.S.doc Version 5.2 Page 25 Newton House Care Home Commission for Social Care Inspection Nottingham Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Newton House Care Home DS0000008723.V309678.R01.S.doc Version 5.2 Page 26 - 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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