Inspection on 22/05/07 for North Road Care Homes

This inspection was carried out on 22nd May 2007.

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

North Road Care Homes 31/07/06

North Road Care Homes 28/11/05

North Road Care Homes 11/07/05

North Road Care Homes 18/01/05

North Road Care Homes 06/09/04

North Road Care Homes 05/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE North Road Care Homes 192-194 Hollywood Avenue Gosforth Newcastle Upon Tyne NE3 5BU Lead Inspector Ian Armstrong Key Unannounced Inspection 22nd May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address North Road Care Homes DS0000045428.V338232.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. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Road Care Homes Address 192-194 Hollywood Avenue Gosforth Newcastle Upon Tyne NE3 5BU 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) 0191 213 1215 0191 213 1221 northroad192@ukonline.co.uk Northumbria Nursing & Residential Care Mrs Val Norris Care Home 54 Category(ies) of Dementia - over 65 years of age (49), Old age, registration, with number not falling within any other category (5) of places North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31st July 2006 Brief Description of the Service: North Road is a care home with nursing that provides care for older people with enduring mental health needs 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. It 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 separate bathroom and toilet facilities and, 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. Fees range from £383 to £547 this does not include the costs for hairdressing, toiletries and chiropody. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 31/07/06 • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 22/05/07 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the deputy manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit We told the manager/provider what we found. What the service does well: Pre-admission assessments are completed to a very good standard and is the basis for good care planning for the residents. Recruitment procedures are wide-ranging and well carried out. This means that staff employed in the home are competent to meet the diverse needs of the residents. The manager of the home is very experienced in supporting people with mental health needs and has an open style of management. And works hard to ensure the residents receive the care that they need. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before and after admission to ensure that peoples needs can be planned and properly met. Detailed information is available to help people make informed choices about the service before moving in. The home does not provide intermediate care. EVIDENCE: Four residents pre-admission assessment documents were read all of these were comprehensively completed to a good standard. Copies of the homes service user guide, statement of purpose and complaints policy are given to all new clients and their relatives. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 9 A relative spoken to said she had been given good information about the homes services and had had the opportunity to visit prior to the admission. She said if she had any concerns she would approach the manager or staff and was confident these would be addressed appropriately. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of care planning is good. Residents are included in the process and are sufficiently detailed to guide staff practice. This ensures that residents are supported in a way that they prefer and in a sensitive manner. Healthcare needs are well met and adopt a multi-agency approach. This helps residents to stay healthy. Robust medication systems are in place to make sure that residents are not put at risk. EVIDENCE: There was a good range of assessments completed, which included: • assessments for nutrition, • continence, North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 11 • moving and handling, • behavioural and mental health, • social, physical health needs, • pressure sore risk and, • risk assessments. All assessments are regularly evaluated. Care plans were well written with monthly evaluations of these being recorded. However, social care plans do not make best use of the information from assessments and are therefore, not as detailed in this area. Reviews of the residents care needs are being held at regular intervals with their relatives in attendance these records showed evidence of good consultation with relatives taking place. Records of visiting professionals showed healthcare needs are being fully addressed. A visiting podiatrist said the home had provided her with good information about the clients she had come to see and spoke well of the home. The systems for the storage, administration, receipt and disposal of medications were checked and were satisfactory. Two residents controlled medication stock balances were checked and were correct the records for these were also satisfactory. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to rebuild skills and retain independence, and are fairly well supported to make choices within a risk assessment framework. The residents have good opportunities to take part in a variety of leisure pursuits and interests, which help them maintain links with the local community and keep and develop social skills. Mealtimes are flexible to suit individual preferences and lifestyles. Residents are given plenty of choice and sensitively supported to eat meals where they have specific needs. EVIDENCE: A relative spoken to said she could visit the home at any time and was always made welcome by the staff who were supportive and helpful. She said meals in the home were good as she often came in at mealtimes and assisted her mother to eat. The weekly activities programme for the residents showed a fair North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 13 range of activities provided. A resident was spoken to who said she goes out each week with a member of staff to a café she used prior to her admission. Another resident goes out to church each week. A resident had recently celebrated her 100th birthday the Lord Mayor of Newcastle had visited the home to mark the occasion. Father O’ Conner visits from the Holy Trinity church and brings Communion for the residents. A mobile cinema visited the home in October the residents selected the film to watch. A 14 seater mini-bus has been booked for June, July and August for residents weekly trips out to local places of interest. A resident who is capable has the key to their own bedroom door she prefers to keep her room locked during the day. Records showed evidence of residents having flexible rising and retiring bedtimes also that staff respected what clothes each resident liked to wear. Menus showed a good range and choice of food being provided. Two residents spoken to said the food in the home was good. The lunchtime meal was observed this was cauliflower cheese or spaghetti and cheese omelette with strawberry gateaux with cream or fresh fruit salad, cold or hot drinks were provided with the meal. Dining tables were set with table cloths, placemats serviettes and condiments. Staff were available to offer support during the meal and interacted well with residents. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place and clearly displayed to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Clear protection procedures are in place to protect residents from risk of harm. EVIDENCE: No complaints have been received by the home since the last inspection visit. Members of staff were aware of the procedures to follow for the protection of vulnerable adults. Copies of the homes complaints procedures are given to residents and their relatives. A relative spoken to said they would be confident if they had any concerns that these would be properly addressed by the manager. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building is clean and generally well maintained. Major refurbishment has resulted in a more comfortable setting for residents to live. EVIDENCE: Since the last inspection visit the home has had a major refurbishment. A new dining area and conservatory has enhanced the environment in the residential side of the home. Improvements were made to toilets and bathroom areas. Additional lounge and quite room facilities are provided for nursing residents also an additional bathroom and toilet. The number of en-suite facilities for residents has also increased. The inner courtyard was paved with raised flower bed areas and new garden furniture bought, all of these developments have greatly improved the living environment for the residents. Most of the North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 16 bedrooms were well decorated clean and tidy and personalised according to individual taste. The window pane in bedroom 16 was cracked and the window restrictor in bedroom 17 wasn’t effective and the room needs redecoration. The standard of décor and the carpet in room 19 were showing signs of wear and tear. The kitchen was very clean and tidy with plenty of food stocks. The splash back to the sink was worn. Cleaning schedules were in place and were satisfactory. A bathroom on the ground floor the bathwater was tested and was satisfactory but the door to this room is badly damaged. A sitting bathroom scales was also badly deteriorated. Lounge areas in the home are decorated and furnished to a good standard. Overall, the living areas for residents is of a good standard there were no unpleasant smells or odours. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of residents. Opportunities for training are good. This enables staff to learn new skills to better support residents in all aspects of their lives. Robust recruitment procedures are in place which help to prevent risk of harm to residents. EVIDENCE: Staff duty rosters were checked these showed good levels of staffing are being maintained. Staff on duty on the day of the inspection were as rostered. The homes staffing establishment is good. Two staff members said opportunities for training is good also that supervision and appraisal is regularly structured. Records in the home show that 80 of staff are trained to National Vocational Qualification level 2 or above. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 18 A relative said staff were knowledgeable about the residents needs. Staff recruitment files were comprehensive with all appropriate checks in place. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has an open style and is clearly present in the home to give clear direction and support to staff. This ensures that the service is led by the needs and wishes of residents. Quality assurance systems are in place but are still being developed. This will help to shape the quality of the service and ensure that it is run in the best interests of the residents. Good systems and practises are in place that help to ensure residents and staff are safe from risk of harm. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager of the home is a very experienced Registered Mental Nurse with many years of working with older people with enduring mental health needs. Records in the home show that she puts the needs of the residents first. Staff training records are centred around the residents needs. Regular audits of the homes environment and care records are carried out to a satisfactory standard. Relatives questionnaires have been sent out positive feedback about home services has been received. Relatives and staff meetings minutes were read these were appropriate and showed actions taken to resolve issues raised at these meetings. Regular audits of health and safety matters are properly structured and the records of these are good. The homes fire log book and accident book records are completed to a good standard. Residents financial records these are well structured there is evidence of regular expenditures all transactions have two staff signatures, receipts are kept and a clear audit trail can be followed. Staff in the home spoken to are knowledgeable about control of infection matters and procedures and these are followed. Utility certificates for the home were checked and all of these were found to be satisfactory. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 2 X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 3 3 X x 3 North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. 5. 6. Standard OP19 OP19 OP19 OP19 OP19 OP22 Regulation 23.2(b) 23.2(b) 23.2(b) 23.2(b) 23.2(b) 23.2© Requirement The cracked window pane in bedroom 16 must be renewed. The window in bedroom 17 must have a stronger limiter fitted. Bedroom 19 must be redecorated and a new carpet fitted. A new door must be fitted to the downstairs bathroom. The splash back to the sink in the kitchen must be renewed. New sitting weight scales must be purchased. Timescale for action 30/06/07 30/06/07 31/07/07 31/07/07 31/07/07 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Information in social assessments needs to be better utilised to improve individual social care plans for residents. North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 23 North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 North Road Care Homes DS0000045428.V338232.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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