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Inspection on 11/07/05 for North Road Care Homes

Also see our care home review for North Road Care Homes for more information

This inspection was carried out on 11th July 2005.

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

Records in the home were generally found to be of a satisfactory standard. Staffing levels are being well maintained in line with the residents assessed needs. Food provided for the residents is generally of a good standard. Recreational interests and pursuits are being well met. Recruitment policies and practises are of a good standard.

What has improved since the last inspection?

Plans have been submitted to improve the older part of the home and building work is due to commence in the near future.

What the care home could do better:

Some areas of maintenance work needs to be better fulfilled and met. Fire arrangements regarding not chocking open fire doors need to be strictly adhered to. Residents clothing needs to returned to their rightful owner after being laundered. Cleaning schedules in the kitchen must be kept and maintained.

CARE HOMES FOR OLDER PEOPLE North Road Care Home 192-194 Hollywood Avenue Gosforth Newcastle upon Tyne NE3 5BU Lead Inspector Ian Armstrong Announced 11 July 2005 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. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service North Road Care Homes Address 192-194 Hollywood Avenue Gosforth Newcastle upon Tyne NE3 5BU 0191 213 1215 0191 213 1215 northroad192@ukonline.co.uk Northumbria Nursing & Residential Care 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) Mrs Val Norris CRH 56 Category(ies) of DE[E] Dementia -over 65 [51] registration, with number OP Old age [5] of places North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 18/1/05 Brief Description of the Service: North Road Care Homes is a care home with nursing. Providing care for older people with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by Northumbria Nursing & Residential Care which specialises in providing services for people with mental health needs and problems. The home is situated in Gosforth in the city of Newcastle upon Tyne close to local shops and good public transport links. The building has mainly single bedrooms some of these having en-suite facilities. There are seperate bathroom and toilet facilities. There are a number of lounge and dining rooms. The home has two laundry rooms and a single kitchen, also a garden area to the interior. The philosophy of care is to support the residents in their activities of daily living and to provide for their physical and mental health needs. On the day of the visit there was 53 residents in occupation 43 female and ten males. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 5 hours. The Inspector looked around some parts of the building 10 residents were spoken to and 5 members of staff. A number of the homes records were inspected. What the service does well: What has improved since the last inspection? What they could do better: Some areas of maintenance work needs to be better fulfilled and met. Fire arrangements regarding not chocking open fire doors need to be strictly adhered to. Residents clothing needs to returned to their rightful owner after being laundered. Cleaning schedules in the kitchen must be kept and maintained. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 6 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. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. No service user moves into the home without having had his/her needs assessed and being assured that these will be met. EVIDENCE: Four residents care records were inspected. These showed that good preadmission assessments had been completed in all four to a good standard. Gender of staff for personal care tasks was identified and being met. Residents social histories were well completed, also food likes, dislikes. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 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. 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 homes policies and procedures for dealing with medicines. Service users are treated with respect and their right to dignity is upheld. EVIDENCE: Four residents care records were inspected these showed a good range and variety of care plans had been written. There was evidence that these were being regularly evaluated and reviewed. Some use of latin abreviations should be discontinued otherwise these records were of a good standard. The records showed that GPs were regularly reviewing residents health care needs. Records for Dental, Optical and Chiropody services were also found to be satisfactory. The systems for the administration, storage, management and disposal of medicines were checked and found to be satisfactory. Records seen, show that staff are instucted to knock before entering residents bedrooms. Care records document that staff encourage residents to decide what clothes to wear each day. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. Service users 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. EVIDENCE: Records were inspected that show a Craft therapist visits the home every 2 weeks. At the last session collages were made which are on display in the home.Two recent mini-bus outings had taken place with trips to Rothbury and South Shields for 16 of the residents. In those residents care records that were seen individual social care plans were written and were satisfactory. A weekly activities programme for the residents was found to be satisfactory. Records showed that relatives were taking residents out for walks. A barbaque evening has been organised to take place in August. Visiting entertainers visit the home every month a singer is due on the 20th of July. Menus in the home were seen these showed that a good variety and choice of food is being offered to the residents. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 11 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. Service users and their relatives and friends are confident that their complaints will be listened to, taking seriously and acted upon. Service users are protected from abuse. EVIDENCE: Since the last inspection there has been one new complaint. This was investigated by the homes manager with a satisfactory outcome. The homes POVA policy was seen and is of a satisfactory standard. POVA incidents are dealt with appropriately. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 12 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) 19,24,26. Overall service users live in a safe well maintained environment. However some matters identified in this report require to be addressed. Service users live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: In those parts of the building that were inspected the majority was being well maintained. However the following matters need to be addressed. A number of residents bedroom door closures were found to be too fierce in closing. Some corridoor fire doors were being chocked open. In a number of bedrooms window limiters were found to be inadequate. Most resident bedrooms that were seen were found to be nicely personalised and furnished. The treatment room, the storage cupboard doors here need repairing. The kitchen was visited and was found to generally clean and tidy. However records of the cleaning schedules for the kitchen were not being kept or maintained. A number of relatives responded in questionaires that they were happy with home services and facilities. One exception to this was the laundry, they described finding other residents clothes in their relatives wardrobes. This was checked and North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 13 some items of clothing were found to be not the occupants of the rooms property. In those parts of the home that were inspected they were found to be clean and hygienic and odour free. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. Service users needs are met by the numbers and skill mix of staff. Service users are supported and protected by the homes recruitment policy and practises. Staff are trained and competent to do their jobs. EVIDENCE: The homes duty rosters were inspected and showed the following average staffing in the home each day; Am, 2 Qualified and 11 care staff, Pm, 2 Qualified and 11 care staff, Nights, 1 Qualified and 5 care staff. These staffing levels are in line with the assessed needs of the residents and are satisfactory. Two recently recruited staff files were inspected. Two written references had been received and all appropriate checks had been carried out, job contracts and job descriptions were satisfactory. Staff training records were inspected. These showed that good levels of statutory and client centred training was being carried out. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 15 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) 33,35,38. The home is run in the best interests of service users. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Minutes of relatives and staff meetings were inspected. These were being regularly held and agendas were appropriate for the client group. Evidence was seen of the manager acting upon issues raised by relatives. Residents financial records were scrutinised. These showed evidence of regular expenditures occurring with two staff signatories for all transactions. Money balances were checked and found to be correct. Health and safety audit records were inspected the last of these was carried out in January 05 and was satisfactory. The homes Fire log book and Accident book records were seen and both of these were satisfactory. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 16 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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 2 STAFFING Standard No Score 27 3 28 x 29 3 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 3 x x 2 North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 17 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 19 19 Regulation 23.2(b) 23.2(b) Requirement Residents bedroom door closures all need to be checked to ensure they are not too fierce in closing. Window limiters in resident bedrooms in the older part of the building need checking and some need to be re-newed. The storage cupboard doors in the treatment room require to be repaired. The manager of the home to instruct staff to ensure that residents clothing is placed in the correct bedrooms. The homes cook must keep records of cleaning schedules for the kitchen area and equipment and ensure they are maintained. Corridor fire doors must not be kept chocked open. Timescale for action 31/8/05 31/8/05 3. 4. 19 10 23.2(b) 16.2(e) 31/8/05 12/7/05 5. 26 16.2(j) 12/7/05 6. 38 23.4(a) 11/7/05 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. North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 18 Refer to Standard Good Practice Recommendations North Road Care Home B53-B03 S45428 North Road Care Home V2275321 110705 Stage4.doc Version 1.30 Page 19 Commission for Social Care Inspection Northumbria House Manor Waks, Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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