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Inspection on 28/11/05 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 28th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 but made no statutory requirements on the home.

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

Care records for residents are well completed. Pre-admission assessments are comprehensive. Care plans are well written and regularly evaluated. The overall standard of these records is very good.

What has improved since the last inspection?

Some residents bedroom windows have been renewed with PVC windows. Cleaning schedules in the kitchen are now in place and are being properly maintained.

What the care home could do better:

Staff in the home must ensure that fire doors are not kept chocked open.

CARE HOMES FOR OLDER PEOPLE North Road Care Homes 192-194 Hollywood Avenue Gosforth Newcastle Upon Tyne Tyne & Wear NE3 5BU Lead Inspector Ian Armstrong Unannounced Inspection 28th November 2005 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 DS0000045428.V257959.R01.S.doc Version 5.0 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. DS0000045428.V257959.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service North Road Care Homes Address 192-194 Hollywood Avenue Gosforth Newcastle Upon Tyne Tyne & Wear NE3 5BU 0191 213 1215 0191 213 1215 northroad192@ukonline.co.uk 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) Northumbria Nursing & Residential Care Ms Val Norris Care Home 56 Category(ies) of Dementia - over 65 years of age (51), Old age, registration, with number not falling within any other category (5) of places DS0000045428.V257959.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection In 11th July 2005 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 separate 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 48 residents in occupation 37 female and 11 males. DS0000045428.V257959.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and was unannounced. The inspector looked around some parts of the building and a number of records were inspected. Four residents and five members of staff were spoken to. What the service does well: What has improved since the last inspection? What they could do better: Staff in the home must ensure that fire doors are not kept chocked open. DS0000045428.V257959.R01.S.doc Version 5.0 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. DS0000045428.V257959.R01.S.doc Version 5.0 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 DS0000045428.V257959.R01.S.doc Version 5.0 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 the following 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 pre- admission assessment documents were inspected, all of these had been well completed to a very good standard. DS0000045428.V257959.R01.S.doc Version 5.0 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 the following standard(s): 7. The service users’ health, and social care needs are set out in an individual plan of care. EVIDENCE: Four residents care records were inspected these were found to be very well written. All of these records had a good range of care plans with evidence of regular evaluations of these taking place. Assessment documentation was also well completed, these also were regularly updated. Regular reviews of care were being carried out. The overall standard of these records was very good. DS0000045428.V257959.R01.S.doc Version 5.0 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 the following standard(s): 15. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Menus in the home were seen. These showed that a good range and variety of food was being offered to the residents. Sandwiches when stated had their ingredients specified. The homes kitchen was visited, stocks of food for tinned dried and frozen were satisfactory, fresh fruit and vegetables were seen. Two residents spoken to say the food was satisfactory. DS0000045428.V257959.R01.S.doc Version 5.0 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 the following standard(s): 16,18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Since the homes last inspection there has been one complaint. This was satisfactorily investigated by the homes manager and was not upheld. The homes POVA policy is satisfactory. There have been no POVA incidents since the last inspection. DS0000045428.V257959.R01.S.doc Version 5.0 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 the following standard(s): 19,24,26. Service users generally live in a safe, well-maintained environment. Service users generally live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: Overall the environment of the home is being well maintained and is safe. However one or two fire doors in the building were found to be kept chocked open. A number of residents bedrooms were visited. These were nicely furnished and decorated, with lots of evidence of residents personal possessions. Bedroom 12a the radiator guard here was broken and coming loose from the wall. The home was clean and hygienic throughout, with no obvious smells or odours. DS0000045428.V257959.R01.S.doc Version 5.0 Page 13 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. Service users’ needs are met by the numbers and skill mix of staff. EVIDENCE: Duty rosters for staff employed in the home were seen. These showed the following levels of staff on an average day; Am, 2 Qualified and 10 care staff, Pm, 2 Qualified and 8 care staff, Nights, 1 Qualified and 5 care staff. These levels of staff are in line with the assessed needs of the residents. At the present time the home is fully established for all grades of staff. DS0000045428.V257959.R01.S.doc Version 5.0 Page 14 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): 35,38. Service users’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Two residents individual financial records were checked. These showed evidence of regular transactions of personal expenditures, with two staff signatures for all transactions. Money balances were checked and found to be correct. The homes Fire log book was inspected and all checks were being carried out correctly. Levels of in-house fire instruction for staff were to a good standard. The Accident book records were also checked entries here were being well recorded. DS0000045428.V257959.R01.S.doc Version 5.0 Page 15 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 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 DS0000045428.V257959.R01.S.doc Version 5.0 Page 16 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. 2. Standard OP19 OP19 Regulation 23.4©i. 23.2(b) Requirement Staff in the home must immediately cease the practise of chocking open fire doors. The radiator guard in bedroom 12a is broken and coming loose from the wall, and needs repair. Timescale for action 28/11/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000045428.V257959.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000045428.V257959.R01.S.doc Version 5.0 Page 18 - 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. 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