Inspection on 08/01/06 for Newton House EPH

This inspection was carried out on 8th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Newton House EPH 21/08/07

Newton House EPH 09/11/06

Newton House EPH 19/07/05

Newton House EPH 27/01/05

Newton House EPH 15/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Newton House EPH Earlstone Crescent Cadbury Heath South Glos BS30 8AA Lead Inspector Melanie Edwards Unannounced 8th January 2006 09:30 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 EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Newton House EPH Address Earlstone Crescent Cadbury Heath South Glos BS30 8AA 01454 866281 01454 866282 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) South Gloucestershire Council Mrs Lynne Elizabeth Smith PC Care home 37 Category(ies) of OP Old age (37) registration, with number of places Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Mrs Smith to complete NVQ (National Vocational Qualification) training at Level 4 in Care & Management by 2005. May accommodate 37 people aged 65 years and over requiring personal care. The bathroom is not to be used until the work has been fully completed and the CSCI notified of it`s completion. Date of last inspection 19-Jul-2005 Brief Description of the Service: Newton House is a purpose built home that is operated by South Gloucestershire Council and is registered to provide personal care and accommodation for up to 37 Service users aged 65 or over.The home is located in Cadbury Heath on the outskirts of Bristol. There are shops, community facilities and local bus routes nearby. Accommodation is provided on two levels and residents have the choice of stairs or passenger lift to the first floor. All rooms are single occupancy. Two rooms are designated for service users to receive respite care. Each room has a wash hand basin. One room has an en-suite bathroom. Communal/shared spaces comprise of three main lounges, a visitors lounge, smoking room, large dining room, activities rooms, visitors lounge, and hairdressing room. The grounds and gardens are well maintained and are fully accessible to service users. All exits have ramps and handrails. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met seventeen of the residents currently living at the Home. The inspector also spoke to one of the senior managers, three care assistants, and a chef about their roles and responsibilities, their training needs, and how they assist and support residents. Staff were observed helping residents with their needs. The inspector sampled the lunchtime meal in the company of a group of residents at their invitation. A range of records relating to the day-to-day running and the management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The inspector viewed the environment. What the service does well: 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 EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 6 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 EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 7 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 Residents’ assessed needs are met; also residents are very satisfied by how the Home meets their needs. EVIDENCE: Three assessments records were inspected to find out how residents care needs are assessed. The assessment records were detailed and informative, and showed residents had been consulted to ascertain what their physical, mental and social needs are. The assessments showed clearly how the Home intends to meet each residents needs. Assessments had also been regularly reviewed and updated, which helps to demonstrate that staff monitor residents changing needs. Assessments carried out for residents who have some dementia and confusion were also informative, and sensitively written, and demonstrated that the residents needs had been assessed and plans of care put in place to accommodate needs. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 8 The staff the inspector met showed in discussion and through observation of them assisting residents that they have a good understanding of the needs of the residents in their care. All of the residents the inspector met expressed very positive comments about how staff support them, and the service that they are provided with. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Residents’ personal care needs are met, and this is supported by their plans of care, and residents are treated with respect and sensitivity. Also there are safe systems in place for administering resident’s medication. EVIDENCE: Three care plans where reviewed to find out how residents are supported to meet their care needs. The care plans contained detailed and helpful information and included easy to follow instructions showing how to assist residents to meet their personal care needs. All the plans of care seen had been reviewed and updated on a regular basis. Individual files also contained relevant letters and assessments from GPs and the chiropodist who sees residents when required. The records showed that residents were supported in meeting their physical needs The inspector observed staff administering medication to residents. The staff practises that were observed demonstrated a safe system of administration and disposal of medication. All staff administering medication attend training at a nearby hospital, on the subject of safe practices when administering medication. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 10 The inspector talked to residents while walking around the Home. There were many comments of satisfaction expressed by residents about the care they receive. Examples of comments made included, ‘we are lucky to have a home like this,’ ‘the staff are very friendly I think they are wonderful,’ and, ‘I’m very happy here, I wouldn’t want to be anywhere else’. These comments were reflective of the tone of comments made by all the residents the inspector met, and help to demonstrate residents feel their needs are well met. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Resident’s, social and recreational needs are met, and residents are provided with a varied nutritious diet. EVIDENCE: There is a notice on display in the Home called `whats on at Newton House and local events are displayed on the notice board. There is a record of residents’ social and leisure actives that take place recorded in their individual plans of care. The records demonstrated that a varied range of social and therapeutic activities are provided, and include regular trips out into the local community. A group of residents are also part of a knitting group who knit items such as cardigans and blankets for children in need. One of the residents showed the inspector some of the items that they had made with the support of staff. It was evident that residents gain a lot of benefits from this activity. On the day of the inspection one of the residents was celebrating their birthday. The kitchen staff had made them a birthday cake and they received cards and a present from the Home .It was clear the resident who was celebrating their birthday appreciated these gestures. Staff explained that all residents’ birthdays are remembered. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 12 The inspector took the opportunity to sample lunch in the company of a small group of residents at their invitation. The meal consisted of roast beef, Yorkshire puddings, roast potatoes, and vegetables, followed by a choice of dessert. The meal was nutritionally well balanced and tasty. The resident’s menu was also inspected and the choices seen were nutritionally well balanced and varied A number of residents were asked their views of the quality and variety of meals provided at the Home and many residents said they thought the food was satisfactory and good. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The Home has a complaints procedure that residents and representatives are easily able to access, also there are robust `protection of vulnerable adults from abuse’ procedures in place. EVIDENCE: There is a copy of the complaints procedure on display in the Home in the entrance hall, which would means residents and representatives have easy access to the information required if they want to make a complaint. A complaints and compliments book is left in the Home for residents and visitors to be able to express their views about the Home. This helps to demonstrate `open’ management and a willingness to seek the views of residents and representatives. A number of staff have been on a training course on the topic of `protection of vulnerable adults from abuse’, to help them better understand issues around the protection of vulnerable adults. The Home also has a `protection of vulnerable adults’ procedure and a range of guidance information that should help staff understand their responsibilities to protect vulnerable adults in their care. All the staff the inspector met demonstrated a good understanding of their responsibilities around the protection of vulnerable adults in their care from abuse. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 Residents live in an environment that is safe and generally satisfactorily maintained, and they have some of the specialist equipment needed to maximise their independence. EVIDENCE: Newton House is a purpose built home on two levels. The premises were clean and tidy and generally suitable for residents needs and reasonably maintained. The grounds and gardens looked to be well-kept and accessible to residents. The main garden area used by residents includes garden furniture. There is wheelchair access to the building and the gardens. Accommodation is on both floors and there is a passenger lift to the first floor. The décor and domestic style furnishings and fittings in bedrooms, lounges and seating areas helped to minimise the institutional effect of the environment. Since the last inspection, when it was observed that aspects of the environment were not up to standard for the residents, a program of redecoration has been undertaken. However one resident’s bedroom needs wallpapering as areas of wallpaper have become torn away from the wall. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 15 Based on a significant number of comments made by residents to the inspector, as well as by observing residents overall dependency levels, and reviewing care plans. It would benefit residents if an assessment of toilet facilities were carried out and suitable adaptations were put in toilets based on the assessed needs of residents. There are toilets in the Home that do have suitable adaptations. However there are three toilets near to communal areas that do not have adaptations. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 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) 27,28,30 Staff are competent in their work, and there are sufficient numbers of staff provided to meet residents needs. EVIDENCE: To review how many care staff there are on duty for each shift, the duty record for the previous four-weeks was inspected. There is a minimum of four staff recorded as being on duty in the morning, with three care staff in the afternoon. At night there are two care assistants on duty. The manager works ‘nine to five’ management hours, and the deputy manager works some shifts and some ‘nine to five’ managerial days each week. Based on the evidence from the inspection, including resident’s comments, the number of staff employed for each duty is currently suitable to meet resident’s needs. The needs of the residents are being met because of the staff training programmes, which should help ensure care staff can develop their skills and remain competent in their work. Staff are provided with regular training on a range of issues, including dementia care training, team leader development, equal opportunities, person centred planning, staff supervision, bereavement, and abuse awareness. There is a programme put in place of National Vocational Qualification in care award training for care staff in the Home. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 17 Staff demonstrated a reasonable knowledge of the needs of residents, and they were also courteous, and evidently have built up close relationships with residents. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 33,36,38 Residents are supported by well-supervised staff, however the health and safety of residents and staff is only partly protected. EVIDENCE: The fire logbook was checked and showed weekly tests of fire alarms are carried out. The fire fighting equipment is also checked regularly, which helps to maintain the safety of those in the building. There was a record that staff had attended fire safety update training in the last twelve months to ensure they are aware of fire safety procedures in the Home. The kitchen was also inspected to check what systems are in place to ensure safe food handling, storage preparation and serving. The kitchen environment was clean and reasonably well maintained. There were records kept to demonstrate that the cooks were temperature probing `high risk’ foods prior to being served to residents. There were also up to date record to demonstrate staff monitor the temperatures of the fridges and freezer. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 19 The dishwasher is currently out of action and the health and safety of residents and staff would be better maintained if the dishwasher were repaired or replaced as a priority. This is to ensure items requiring washing do not have to be washed by hand, and can be washed at a suitably hot temperature to minimise the risk of cross infection. Several staff told the inspector about the system of supervision that the manager has put in place, and they said they are provided with regular supervision sessions. A copy of the supervision format that is used was looked at, and helped demonstrate how staff are supported and encouraged to develop their skills in their work and practice. The Home works hard to carry out a quality-monitoring audit of the care and service that is provided to residents. Residents and their relatives have now been fully consulted about the Home. Their views are part of an action plan that has been devised to address suggestions made to enhance the service. Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x 3 x 2 Newton House EPH D56 D05 S35424 NewtonHouse V237727 080106 Stage 4.doc Version 1.40 Page 21 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. 2. Standard 38 22 Regulation 13.(3) 23.2(n) Timescale for action The dishwasher must be repaired 08/02/06 or replaced. An assessment of the toilets must be carried out and suitable adaptations put in place based on assessed needs of residents. The bedroom identified must be re decorated. 08/03/06 Requirement 3. 24 23.2(b) 08/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 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