Inspection on 01/02/06 for Newton Lodge

This inspection was carried out on 1st February 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newton Lodge 29/11/07

Newton Lodge 19/09/06

Newton Lodge 01/09/05

Newton Lodge 09/03/05

Newton Lodge 11/11/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Newton Lodge 50 Olive Road New Costessey Norwich Norfolk NR5 0AS Lead Inspector Mrs Dorothy Binns Unannounced Inspection 1st February 2006 02:30 Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Newton Lodge Address 50 Olive Road New Costessey Norwich Norfolk NR5 0AS 01603 740282 NO FAX # 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) www.caremanagementgroup.com Care Management Group Limited Position Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three (3) people with Learning Disability may be accommodated. Date of last inspection 1st September 2005 Brief Description of the Service: Newton Lodge is a care home providing personal care and accommodation for up to 3 younger adults with a learning disability. The service users may also have a physical disability. Care Management Group Limited whose registered office is located in London owns Newton Lodge. Newton Lodge is located in a residential area of New Costessey and close to the city of Norwich. Local amenities, shops and pubs are also close by. The home consists of an adapted bungalow. All bedrooms offer single occupation and one is below 10 square metres. None of the bedrooms have en-suite facilities. There is ample communal space. There are access issues regarding the garden. On-road parking is available. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection of the home. The purpose of the inspection was to see how the home functioned on a normal day, to see what staff were on duty and to see what progress had been made in the home since the last inspection. What the service does well: What has improved since the last inspection? More staff have been recruited since the last inspection helping to make a more permanent staff group and providing more consistency for the service users. The thermostatic valve in the bathroom has been serviced and is now regulating water temperatures in the bath to prevent the risk from hot water. Recruitment procedures are now stricter though still need to be more thorough. Because of changes in the resident group, the home is no longer cashing benefits on their behalf but only looking after the money given to the service users by their relatives. This money is properly accounted for. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 6 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 Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Service users are fully assessed before they move into the home to ensure they can be satisfactorily cared for. Service users have the opportunity to visit the home before moving in and have a trial period to make sure they like it. EVIDENCE: The care record of the newest service user was inspected and found to be detailed with relevant information in it to help staff support the service user in the best way. There was a full assessment from the social worker and helpful information about the particular condition the person had. The new service user had also had the opportunity of visiting the home prior to admission and had had an introductory period before coming to stay. A settling in period is allowed to ensure the service user is compatible with the other service users and can have his needs served by the home. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are supported to make decisions about their lives as much as possible though need a lot of help with their money. This is accounted for satisfactorily however. EVIDENCE: The care record of the newest service user was inspected. The care plan is still being developed as the service user had only been in the home for a few days and staff were still getting to know him. Individual action plans were being built up on all aspects of his care including, personal needs, behaviour, mealtimes, health and others. Staff were observing 24 hours a day with written reports. This showed good monitoring of the service user helping staff to see where the support was needed and where there was independence, what suited the service user and what made him unhappy. The service users are supported to make as many decisions as possible and staff work hard to understand the service users likes and dislikes. The records show detailed assessments of each service users showing their individual choices and what makes them happy. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 10 The service users have their finances looked after by the home and two were checked. The record showed money coming into the home and a tally showing what was spent and what remained. Receipts showed the money spent on behalf of a service user and the record was checked against the cash held and found to be correct. One service user has a solicitor, and the others have a family member who sees to their benefits. This is a change from the previous inspection when the home was receiving money on a service user’s behalf and putting it into a company account for safety and service users were receiving no interest. Because of the changes these financial records were satisfactory and met the previous requirements. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 and 17 Service users are encouraged to keep in touch with their family and friends. Service users are not receiving as healthy a diet as they should be and the menus need to be reviewed. EVIDENCE: Staff were able to describe in detail the contact service users had with their families. One service user was previously living at home and goes home for weekends. Families are also encouraged to phone the home and are welcome to visit. The home promotes that contact. Details of family contact were in the files as well. Service users also have visits from their friends and the new service user is keeping in touch with his friends by attending the same day centre. None of the current service users are having a sexual relationship. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 12 The menus recorded looked reasonably nutritious but were not varied enough. Staff confirmed that menus were not kept to. Too much processed food was described and there was repetition in the meals delivered. The fridge showed some pre packed convenience food. Whilst it is accepted that we all have such food from time to time, service users do need to receive fresh and varied meals. All staff have to do some cooking and some may be more skilled than others. It is recommended that the menus are reviewed and that staff are supported to ensure the quality of the food is satisfactory. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Service users are provided with appropriate and individual personal support. Service users have help with their medication and are protected by the home’s policies and practice on this matter. EVIDENCE: One service user is able bodied and can deal with most of his personal care. Two need support and staff were able to describe the details of how they help these service users to move and be cared for. No one needs a hoist in the bath but staff need to be in attendance. Some aids such as wheelchairs and walking belts are used to assist. The sensory support unit is involved with one service user. Personal support is provided in private and staff confirmed that service users have their own routines. The medication system was briefly checked. Medication is appropriately stored and locked. The daily administration sheets were satisfactorily recorded. New staff confirmed they did not give out medication, this being left to experienced staff. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from abuse by the homes policies and procedures. EVIDENCE: The Home has procedures for the protection of vulnerable adults from abuse and the manager is aware of the local protocols. There are also whistle blowing procedures. Staff are aware that they may have to deal with verbal or physical aggression from service users and alleviate frustration. Two new staff had not received training about abuse though indicted that the matter had been discussed in their induction. It is recommended that all staff receive such training. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The home is generally comfortable but lacks a safe accessible garden for the service users. EVIDENCE: A requirement was made at the last inspection that the garden should be made more accessible and safe for the service users. It is tiered and not easy to use by those who have some physical frailty. Nothing has been done since the last inspection. The manager said that a regional operations manager has visited the site but is delaying the work as the building of an extension is being considered. As no plans have yet been submitted and it may be some time before this matter is accomplished, consideration should be given to a temporary solution so that the service users can enjoy the garden over the summer. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 35 Service users are supported by committed and sufficient numbers of staff but the number of agency staff employed needs to decrease. Recruitment procedures are improved but could still be tighter. The records of staff training are poor and the content of induction training should be improved. EVIDENCE: The rota for the week was checked and showed two staff on duty all the time. Three staff were actually on duty when the inspector arrived as the shifts were overlapping. One service user is at an adult training centre four days a week and one service user needs two staff to help her outside the home. The remaining service user is quite able, however and staff thought they managed quite well with two staff. Sixteen of the shifts for the week were to be done by agency staff which is a high number. Two of the staff seen on duty were quite new but were on duty with an experienced member of staff. The home is currently recruiting and hopes to have new staff within a couple of weeks. Staffing will be monitored at the next inspection. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 17 The recruitment procedures of the home were inspected with the files of the two most recent staff examined. Both files showed that references and identity checks were made and interviews had taken place. Both staff were employed prior to criminal records checks but after the POVA list had been checked. The quality of the references of one staff was questioned and there had been no proper follow up on another reference which would have been more relevant. Further rigour is required in relating the referees to the employment history and in making sure the applicant is aware of the need to chase them up. No training was shown for the two new staff with no induction notebooks completed and only one having a moving and handling course. Both staff said they had received induction training and shadowed an experienced member of staff for three weeks prior to working properly. However they had not had to document their work and this needs to be done. A training and development plan should be prepared for each staff member. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The hot water in the bath is now controlled by a thermostat ensuring safety for the service users. EVIDENCE: At the last inspection it was required that a thermostat should be fitted to the bath to control the temperature and to prevent scalding. This was checked at this inspection. In fact there is a thermostat already there and this has been checked by the plumber. It controls the temperature and these are being checked on a weekly basis. Other aspects of this standard were not inspected. The scoring has been based on this fact only. Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 2 34 2 35 1 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x x x x x 3 x Newton Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 YA24 Regulation 23(2)(o) Requirement The external grounds of the Home must be made suitable and safe for use by the service users and properly maintained. Previous timescale was 31/10/05. In view of the possibility of a new extension imposing on the garden, a temporary solution is required in the meantime. The registered person must ensure that staff receive training appropriate to their work Timescale for action 30/04/06 2. YA35 18(1) 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA17 YA33 YA34 Good Practice Recommendations It is recommended that the menus are reviewed to ensure that service users benefit from a varied diet and meals made from fresh ingredients. Efforts to recruit a permanent staff group should continue Recruitment procedures are being tightened but care over references is needed. DS0000027627.V282036.R01.S.doc Version 5.1 Page 21 Newton Lodge Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Lodge DS0000027627.V282036.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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