Inspection on 02/06/06 for Newtown House

This inspection was carried out on 2nd June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Newtown House 26/07/07

Newtown House 07/11/05

Newtown House 20/05/05

Newtown House 06/07/04

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 Newtown House Waterford Road Highcliffe Christchurch Dorset BH23 5JW Lead Inspector Jo Palmer Key Unannounced Inspection 10:00 2nd June 2006 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 DS0000060895.V298345.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. DS0000060895.V298345.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newtown House Address Waterford Road Highcliffe Christchurch Dorset BH23 5JW 01425 272073 01425 274719 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) Highcliffe Nursing Services Ltd Mrs Karen Elizabeth Watts Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places DS0000060895.V298345.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A minimum of 30 hours per week of the registered manager hours to be supernumerary to the staffing rota. The registered manager must complete the NVQ level 4 award in management by 31st December 2006. 7th November 2005 Date of last inspection Brief Description of the Service: Newtown House is a large detached older style property set in its own grounds in a residential road. The home is within walking distance of Highcliffe High Street and sea front/cliff top. The home offers accommodation to a maximum of 26 service users in the category OP (old age) and provides nursing care. Highcliffe Nursing Services Limited owns the home; the directors are Mr & Mrs Harris and Mr Harris is the Responsible Individual for the organisation. Karen Watts is the registered manager. Accommodation is on two floors with a lounge area, kitchen, nurse’s station and communal open plan area on the ground floor with nine single bedrooms and two bathrooms. There are eleven single bedrooms and three double rooms on the first floor and two bathrooms. All bathrooms are fitted with equipment for assistance. There is a passenger lift between floors. There are pleasant gardens to the rear of the property and the front of the home provides off road parking. DS0000060895.V298345.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection on 2nd June 2006 lasted for four and half hours. Karen Watts, registered Manager was present and assisted with the inspection. The inspector also spoke with seven residents, one member of staff, and one relative, examined relevant records and took a tour of the premises. This was a ‘key’ inspection where the home’s performance against the key National Minimum Standards was assessed along with progress in meeting requirements of the last inspection. A pre-inspection questionnaire was sent to the manager in order that certain information could be provided, questionnaires were also sent to the home prior to the inspection to be distributed to residents, relatives and visiting health care professionals, these were sent at short notice and unfortunately, none were returned at the time of writing the report. Any responses received will inform the next inspection. What the service does well: Prior to making a decision to move to Newtown House, prospective residents are provided with relevant information about the care and services provided. Residents needs are assessed before admission to ensure the home is a suitable place for those needs to be met and confirmation of the assessment and care outcomes is sent to the resident, in writing prior to admission. Using assessment information, a plan of care is established and confirmed with the resident ensuring their involvement or their representative’s involvement where the resident is less able. All aspects of the resident’s health and welfare are considered through on-going and reviewed assessments and care plans are updated as necessary. Residents in the home consider that they are well cared for. Residents physical health needs are met by trained nursing staff in the home and through access to community health care practitioners. Medication is managed accordingly although some minor anomalies were identified. Residents spoken with confirmed they are treated respectfully and their rights to privacy are upheld by a kind and understanding staff group. Residents felt that the activities and social opportunities in the home met their expectations and they are supported in maintaining contact with friends and families. Meals are provided in the home to meet individual tastes and dietary requirements. DS0000060895.V298345.R01.S.doc Version 5.2 Page 6 Newtown House has procedures in place for the protection of residents, residents are assured through a written procedure how they can raise any concerns or complaints they may have and policies are available for staff outlining the procedures to be followed should they hear of or witness any bad practice. The home provides comfortable accommodation to residents in private rooms and a small communal lounge/dining area, there are sufficient bathrooms and toilets around the home and aids and adaptations to assist residents mobility. Newtown House is satisfactorily staffed during the day and night to provide the level of support needed by residents and staff training programmes are in place to ensure staff are equipped with the skills necessary to meet residents needs. Staff are employed following good recruitment practices including all relevant screening to ensure residents safety Karen Watts manages the home effectively and since becoming registered has made good progress and significant improvements have been noted. Quality assurance programmes are developing although further consideration is needed to ensure continued improvement is measured. Any resident requesting assistance with their personal allowance or funds is assured of good practice and record keeping for the security of their money. What has improved since the last inspection? What they could do better: Four requirements are made as a result of this inspection, one concerning management of resident’s money. Records of money looked after on behalf of residents demonstrates in the main that this is well managed, however, one anomaly was noted where money was held for a resident no longer at the home for which there was no record. DS0000060895.V298345.R01.S.doc Version 5.2 Page 7 Three requirements are made concerning the homes fire safety procedures, the registered persons must ensure, for the safety of residents, staff and the premises that all checks on equipment are carried out at the required intervals. All staff must receive fire safety/awareness training, also at the required intervals and areas identified in the home’s fire risk assessment as requiring attention must be addressed. 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. DS0000060895.V298345.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 DS0000060895.V298345.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): 1, 3 & 4 (Standard 6 is not applicable) Quality in this outcome area is good, this judgement is made using available evidence. The home’s Statement of Purpose and Service User Guide provide detailed information about the care and services provided at Newtown House. The admissions process is such that it ensures resident’s needs are assessed prior to admission and residents are assured in writing that their needs can be met by the home prior to agreeing to move in. EVIDENCE: The Service User Guide and Statement of Purpose was available in each residents bedroom, a copy was held in the entrance to the home and additional copies were available on request from the manager. Karen Watts confirmed that a copy is sent to prospective residents considering moving to the home. A brief review of the document demonstrated that it was up to date and contained all relevant information about the care and services provided at the home. DS0000060895.V298345.R01.S.doc Version 5.2 Page 10 Four care files for residents were examined; all held comprehensive preadmission information. Assessment information available for each resident demonstrated that the person’s personal care needs, mental and physical health and general welfare had been considered in order to make a decision regarding the home’s suitability. Each file held a form signed by the resident or their representative stating that they had been party to the assessment process and agreed with the care outcomes. The manager writes to each resident following this process to confirm that, based on the assessment, staff at Newtown house will be able to meet their needs. DS0000060895.V298345.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 & 10 Quality in this outcome area is good; this judgement is made using available evidence. Care plans provide sufficient detail for staff to be aware of resident’s health and welfare needs and how to meet them; care needs are reviewed appropriately. Most medicines checked were given as prescribed and recorded to protect residents. Resident’s rights to privacy are supported through care delivery, relationships with staff and confidential record keeping practices. EVIDENCE: Resident’s needs are assessed and reviewed appropriately in relation to all health and welfare needs. Care plans examined detailed how needs are to be met in relation to personal care, physical and mental health and social care. It was evident that resident’s needs are considered individually and care plans reflect personal choices such DS0000060895.V298345.R01.S.doc Version 5.2 Page 12 as their preferred time of waking, daily routines, likes and dislikes. Following a pre-admission assessment and when residents move to Newtown House, a care plan is drawn up and regularly reviewed; further assessments are undertaken to ensure the residents needs are appropriately identified in relation to mobility, continence care, nutrition, skin care, and any medical needs. Care files examined and residents spoken with confirmed that their needs were being met and that staff at the home enabled access to community health care professionals as appropriate such as opticians, chiropody, GP etc. Trained staff at the home monitor resident’s health appropriately with regular checks on temperature, blood pressure, weight etc. and risk assessments identify corrective action and control measures necessary to maintain health where any risks are identified. Daily records are written by staff for each resident, these provided a detailed report of the resident’s daily routines, lifestyles and any significant health or welfare problems. Care plans and daily records are written in a manner that uses easy to understand language and is respectful of the resident’s needs and how they are managed. Medication systems are generally well managed in the home with records mostly supporting an audit trail of medicines prescribed, received into the home, administered on behalf of residents and disposed of when no longer required. Some anomalies were noted where medication had been supplied in boxes rather than the monitored dosage dispensing packs, a review of these medicines demonstrated that their use was not supported by an audit trail, administration records confirmed however that these were given as prescribed. Seven residents were spoken with although one had some difficulty engaging in meaningful dialogue for a sustained period, all confirmed however that staff are kind and helpful, they all confirmed they were warm enough and the food was good. All seven spoken with were happy with the level of activity in the home. Those residents that were able to comment confirmed that the home is always ‘spotlessly clean’, staff respond quickly to call bells, and they felt comfortable during personal care routines as their privacy and dignity were preserved. DS0000060895.V298345.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 & 15 Quality in this outcome area is good, this judgement is made using available evidence including a visit to this service. Social care assessments provide staff with basic information concerning individual social and leisure choices and residents were content with the homes social arrangements. Residents are supported in maintaining contact with their friends and family and in making decisions about their lives in the home. Residents are provided with a varied menu and choices of meals that meet their dietary needs. EVIDENCE: A written schedule of activities, or ‘activities programme’ was not examined although it was evident from discussion with residents that they were satisfied with the level of activity in the home. Care records also demonstrated the extent to which residents engage in social or leisure activity in the home and with visits from friends and families. Most leisure pursuits are self determined, residents confirmed they are able to enjoy books, television, music and newspapers in their room, most residents stay in their rooms due to varying degrees of dependency and complex needs although the lounge area is DS0000060895.V298345.R01.S.doc Version 5.2 Page 14 available for those who want to get together for company. Four residents were observed enjoying their meal together in the lounge area at lunchtime. Residents spoken with confirmed that they maintain contact with their families and friends. Some residents confirmed that they are able to get out with the support of their families to visit local places of interest and to socialise. One visiting relative was spoken with who confirmed that visiting arrangements were open and flexible. Residents confirmed that they are able to make decisions and choices and retain some control over their lives confirming that they can get up and go to bed when they please although most are dependent on staff for some assistance, meals times are set although residents confirmed that the timing of meals was appropriate without too long a gap between meals. Care files examined evidenced nutritional assessments for residents indicating any special dietary needs. Although menu’s were not examined, discussion with residents confirmed that a variety of appetising meals are provided, those residents not wanting the set midday meal are at liberty to have an alternative and this was confirmed by observation of the midday meal where one resident was having a meat pie on request as the meal of the day (fish) was disliked. One resident had commented that occasionally the meal served was not liked although an alternative was always provided. Residents spoken with confirmed that the food was always good, appetising and plentiful although one said ‘you just have to put up with it’. Breakfasts are served by individual choice and preferences for cereal, toast etc and one resident confirmed that bacon sandwiches were also provided. The evening meal consists of a lighter meal such as sandwiches, soup, salad etc. DS0000060895.V298345.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 & 18 Quality in this outcome area is good, this judgement is made using available evidence including a visit to this service. Any person wishing to complain is directed through a written procedure detailing how their concerns will be addressed, they can therefore be confident that their complaints will be listened to and taken seriously. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively. EVIDENCE: The home’s complaints procedure is contained within the Service User Guide that is available to all residents and their visitors in resident’s bedrooms. Karen Watts confirmed that no complaints had been received although was aware of the need to keep a record of any complaint detailing the investigation process and outcome. No complaints have been received by the commission in respect of Newtown House. A policy document is available for staff reference directing them through appropriate procedures to be followed in the event of any suspicion of abuse; Karen Watts confirmed that she and the deputy manager were due to attend a training seminar on prevention of abuse the week following inspection, other staff receive training in this area by means of videos and multi-choice questionnaires assessed by the manager. DS0000060895.V298345.R01.S.doc Version 5.2 Page 16 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, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement is made using available evidence including a visit to this service. Accommodation at Newtown House is safe and well maintained. Residents are able to benefit from comfortable, well furnished, clean and hygienic surroundings with some of their own belongings around them. EVIDENCE: There was evidence of on-going decoration around the home and a written schedule of planned and completed maintenance of the premises was seen indicating repairs and refurbishment. There was also evidence of regular servicing of equipment (see standard 38). There are sufficient bathing and toilet facilities sited around the home which are provided with appropriate aids and adaptations to meet residents needs. A certificate is posted in the entrance hall confirming that the premises have been assessed by a qualified occupational therapist in accordance with standard 22 to ensure that suitable aids and adaptations are in place to meet DS0000060895.V298345.R01.S.doc Version 5.2 Page 17 the mobility needs of residents and improve accessibility around the home. Residents have access to a call system in the home, which they confirmed is answered quickly by a responsive staff team. Resident’s rooms are comfortable and furnished appropriately and residents are able to benefit from having some of their own belongings around them. The lounge area of the home is small but provides a sociable meeting place for some residents who choose to take their meals there, the lounge area is also used for occasional residents meetings. The home was well lit, appropriately ventilated and a reasonable temperature for the time of year and weather conditions. Radiators and exposed pipe-work are guarded to prevent accidental scalding and risk assessments are in place for individual residents to identify any necessary control measures needed to secure against the risk of accidental scalding from hot water. All areas of the home visited were clean and well maintained and free from offensive odours, one resident commented that it is always ‘spotlessly clean’. Staff are provided with appropriate hand washing facilities including antibacterial soap, disposable towels and an alcohol based hand sanitizer. The laundry room was not inspected although it was evident from observations of residents dress and bedding that the laundry service is effective, residents spoken with confirmed that their laundry is done returned and in good condition. Sluice rooms are provided on each floor with mechanical sluicing equipment for cleaning commode pans. DS0000060895.V298345.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is good. This judgement is made using available evidence including a visit to this service. There are sufficient numbers of staff on duty in the home each day and night to provide the level of care and support needed by residents. Staff training programmes are in place to ensure that the staff group has the skills and knowledge they need to meet resident’s needs. Staff recruitment practices are good and ensure resident’s safety with all staff being appropriately screened prior to taking up employment. EVIDENCE: There are sufficient numbers of staff on duty for each shift with one trained nurse on each shift*, four carers each morning, three each afternoon and two each night. *Karen Watts, registered manager works three shifts in the home as one of the trained nurses and three days in a management capacity, supernumerary to her nursing colleagues. There is a cook on duty from 08.00 to 17.30 daily, a kitchen assistant from 07.00 until 19.00 (two shifts) and two domestic staff each morning. A maintenance person works from 08.00 until 13.00 for four days per week. There is a consistent staff group; no agency staff are used. DS0000060895.V298345.R01.S.doc Version 5.2 Page 19 The previous registering authority required in a staffing notice that Newtown House had two trained nurses on each morning shift. However, although registered for 26, Karen Watts confirmed that occupancy is kept at 24 as two shared rooms are used for single occupancy. On the day of inspection, 20 residents were accommodated. With the current occupancy levels and with up to 24 residents, it is sufficient for one trained nurse to be on duty in the home at all times unless residents assessed needs increase. Five care staff have attained NVQ level 2 in care and one has attained level 3. Karen Watts confirmed that three staff are going on to start their NVQ level 3 later this year. Three staff files were examined, each staff member had been recruited following the homes procedure. On each staff file was an application form detailing previous employment and qualifications and providing referees. Each staff had made a declaration of health and a declaration under the Rehabilitation of Offenders Act. Each file held two satisfactory references, one form the applicant’s last employer. All applicants had applied for and received, satisfactory CRB* and POVA* certificates. Evidence of the applicants identification were held on each file along with evidence of their eligibility to work (for overseas staff) Newtown House runs it’s own internal induction programme for new staff; Karen Watts stated that this is in the process of being combined with the recognised induction package that meets National Occupational Standards for care staff. The current induction programme informs new staff of the home’s policies and procedures and working practices although is not assessed or measured in any way to ensure the staff members understanding, the revised programme will be assessed and Karen Watts confirmed that this will be up and running and available to any new staff from September 2006. * Criminal Records Bureau and Protection Of Vulnerable Adults - The CRB check includes a check against the POVA list to ensure the person applying for the position has not been excluded from working with vulnerable people. DS0000060895.V298345.R01.S.doc Version 5.2 Page 20 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, 36 & 38 Quality in this outcome area is poor. This judgement is made using available evidence including a visit to this service. Newtown House is managed effectively and in the best interests of residents. Quality assurance programmes and audits are in place although would benefit from development to ensure controlled measurement of care and services provided in order that the home meets its expressed aims and objectives. Residents are safeguarded by good procedures for managing their personal financial affairs with the support of their families. Staff are supervised to ensure they maintain good working practices. The health and safety of residents is protected to some degree by procedures ensuring that equipment is checked and maintained although checking and maintenance of fire safety equipment is not done accordingly. Safety is also compromised by the reduced levels of fire training for staff and failure to introduce control measures identified in the fire risk assessment. DS0000060895.V298345.R01.S.doc Version 5.2 Page 21 EVIDENCE: Karen Watts is registered with the Commission to manage the home on a daily basis with the support of the senior staff team. Karen Watts is currently undertaking an NVQ level 4 in care and management, which she hopes to complete by the end of 2006 in accordance with the condition of registration. As the manager, Karen Watts is allocated 30 hours management time in the home each week in addition to three shifts for clinical practice and ‘hands on’ work. Several areas of the homes practice have been audited; questionnaires have been devised to send to staff, residents and relatives. Staff questionnaires have been completed and returned; residents and relative’s questionnaires are yet to be issued. Karen Watts confirmed that questionnaires returned from staff raised some issues concerning security and storage, which have been addressed. An audit has also been carried out on the use of emergency call bells and data seen demonstrated that the system is able to monitor call bell use, response times and patterns. Karen Watts confirmed that information obtained was discussed in the last staff meeting. The views of residents have also been sought in an informal residents meeting where residents meet together in the lounge, are served drinks and cakes by the manager and are able to discuss any particular issues. Any quality reviews have not however lead to establishing a development plan. On 1st April 2006 a change in the regulation introduces a legal requirement for registered providers to produce an Annual Quality Assurance Assessment (AQAA), this will be introduced to care homes in autumn 2006. Although the Commission will introduce a set proforma to care homes, it would be considered good practice for the registered persons to consider how well, in their estimation, they deliver good outcomes for residents at Newtown House including the views of users, where improvements can be made and what action will be taken to respond to requirements and recommendations of the inspection. Karen Watts confirmed that the home does not assist any of the residents with the management of their finances although looks after personal allowances for some residents on request from families and representatives. Monies given to the home for safekeeping are held securely, logged and a record held demonstrated any expenditure and balance held; receipts are kept to evidence purchases. One resident who had recently passed away however had a some of cash held waiting for collection by their representative although there was no record. Staff receive regular supervision, records seen demonstrated that areas of discussion were appropriate; Karen Watts confirmed that she has recently DS0000060895.V298345.R01.S.doc Version 5.2 Page 22 learnt more about the effectiveness and use of proper supervision and will be issuing staff with supervision contracts. Examination of records of testing and maintenance of fire fighting equipment, alarm systems and emergency lighting demonstrated that these are not all being undertaken at the required intervals. Records of internal checks of the fire warning system show that checks have lapsed and are not being carried out satisfactorily. A service contract is in place demonstrating the required level of maintenance. A record of fire drills demonstrates that these are carried out regularly although staff training in fire safety is not as frequent. A training matrix was available for 2006 demonstrating which staff had received fire safety training; this demonstrated that nine staff have not received training in this area in the last six months. A Fire Risk Assessment was carried out in September 2005 at which time additional control measures were required to ensure good practice in fire prevention, the action plan associated with these control measures was blank demonstrating that no action had been taken to ensure effective fire security as required. Service contracts were examined detailing health and safety measures and maintenance of equipment and installations. DS0000060895.V298345.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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 X 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 1 3 X 1 DS0000060895.V298345.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. Standard Regulation Requirement It is a requirement that the registered persons keep an accurate and up to date record of all money held on behalf of residents. The registered persons must ensure that a regular monthly check is carried out and records held relating to the visual checking of fire fighting equipment and emergency lighting in the home to ensure extinguishers, fire blankets, hoses etc. remain viable and in their correct position and that emergency lighting is operational. The registered persons must also ensure that the weekly check of the fire alarm is undertaking to include a check of fire doors, smoke detectors and escape route doors. All staff must receive fire safety training, which is to be six monthly for day staff and three monthly for night staff. Action identified in the Fire Risk Assessment as required to DS0000060895.V298345.R01.S.doc Timescale for action 31/07/06 1 OP35 17 2 OP38 23 31/07/06 3 4 OP38 OP38 23 23 31/07/06 31/07/06 Version 5.2 Page 25 ensure good practice in fire prevention must be completed to ensure the fire safety of Newtown House is maintained. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP9 Good Practice Recommendations It is recommended that to ensure effective audit of medication, where tablets are prescribed ‘as required’, a carried forward balance is entered onto the administration record to indicate the number of tablets remaining in stock for the period. It is recommended that the registered persons consider establishing a development programme from their quality audits in line with the expectations of the Commission’s ‘Inspecting for Better Lives’ programme. 1 2 OP33 DS0000060895.V298345.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000060895.V298345.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!