Inspection on 06/03/06 for Northgate House

This inspection was carried out on 6th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Northgate House 19/05/09

Northgate House 16/06/08

Northgate House 19/06/07

Northgate House 13/06/06

Northgate House 09/12/04

Northgate House 26/08/04

Northgate House 27/02/04

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Snydale Care Home

Hawkhills

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Beeches The - North Yorkshire County Council

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Northgate House 92 York Road Market Weighton York East Yorkshire YO43 3EF Lead Inspector Rob Padwick Unannounced Inspection 6th March 2006 1:30 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 Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Northgate House Address 92 York Road Market Weighton York East Yorkshire YO43 3EF 01430 873398 01430 871706 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) Mr John Keith Chambers Mrs Jean Chambers, Miss Elizabeth Joy Chambers Mr Neville Brooks Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2005 Brief Description of the Service: Northgate House is a family owned care home that is registered to provide care and accommodation for 25 service users over the age of 65, including those with dementia. In recent years the building has been extended to provide attractive en-suite accommodation. There is a well-tended garden and patio area located at the rear of the premises that provides a safe and secure area for service users. There is a car park for staff and visitors. All areas of the building are accessible to service users via the use of ramps and a stair lift. The home is located close to the town centre and to local amenities, including shops, pubs, clubs and cafés. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 4 hours including preparation time. Not all of the National Minimum Standards were assessed on this occasion. Those covered in this and the most recent inspection (26th May 2005) include all of the key standards relating to the welfare, health, safety and protection of service users. During the inspection, a tour of the premises was undertaken, and the inspector spent time talking with residents and observing their daily lives and checking progress on the requirements and recommendations from the last inspection. The home had a welcoming atmosphere and staff were helpful and polite. All of the residents spoken to confirmed that they were satisfied with the care they received. One resident described it as a “Home from Home” whilst another complimented the caring nature of the staff and the respect and dignity that was shown by staff towards residents. One bedroom however had a strong malodour, and a requirement was made in this regard. Good progress had been made in implementing the requirements from the previous inspection. What the service does well: What has improved since the last inspection? Senior staff have received accredited training in the safe use and handling of medication and a pharmacist has visited the home to give advice safekeeping, storage and administration of medication. The manager has started his Registered Managers Award and senior staff have enrolled on an occupational Health and Safety course. A further resident bedroom has been decorated. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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 Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): None of these standards were assessed. EVIDENCE: None of these standards were assessed. Please see 26th October 2005 inspection report. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): 9 The homes procedures for the safekeeping and administration of medication to service users were being satisfactorily maintained. EVIDENCE: The home had medication policies and procedures in order to protect the residents and discussion with staff confirmed that they had received training in the safe use and handling of medication. Since the last inspection additional accredited training had been commissioned and delivered to all of the senior staff, and a local pharmacist had visited to give advice and develop protocols in this regard. A random inspection of the medication supplies was satisfactory and the home’s records accorded with the supplies kept within the home. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 26th October 2005 inspection report. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 26th October 2005 inspection report. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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 The home was safe and generally well maintained although some areas were in need of decoration via the home’s maintenance programme. One bedroom needed attention to deal with an unpleasant odour. EVIDENCE: The home was domestic in nature and pleasantly furnished and an ongoing programme of maintenance was in place. Since the last inspection, a further bedroom had been decorated, but some of the hallway carpets were in now need of upgrading and refreshing. One resident bedroom had a strong malodour and a requirement was made in this matter. The laundry was tidy and precautionary measures had been taken for combating MRSA infection. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): 28, 29, 30 The staff were receiving appropriate training in order to ensure the welfare of residents was ensured. EVIDENCE: Discussion with residents and staff and observation of the interactions within the home indicated that the staff were competent to do their jobs and that the residents were in safe hands. Residents complimented the caring nature of the staff and one made a point of emphasising the respect and dignity that was afforded to residents. The file of a newly recruited staff member confirmed that satisfactory recruitment procedures were being followed. A comprehensive programme of staff training was in place resulting in over 75 of staff having achieved NVQ 2. In addition one staff member was undertaking NVQ Level 3 and two are working towards Level 4. Domestic and administrative staff are included within the home’s NVQ programme. The manager stated that in addition to the accredited medication undertaken since the last inspection, senior staff members had also enrolled on an occupational Health and Safety certificated course. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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): 31, 38 The home was being appropriately managed in order to ensure that the health and safety of residents and staff was safeguarded. EVIDENCE: Discussion with residents and staff indicated that the home was being well run. Staff described the manager as being “approachable” and discussion with him confirmed that he was in the process of undertaking his Registered Managers Award. The manager confirmed that he had discussed this with his course assessor, in order to ensure that this will cover the necessary care modules that are needed for managing a care home. Records inspected were being satisfactorily maintained and evidence was seen that staff training was being implemented. Staff confirmed that they were receiving supervision in order to assist them to do their jobs. The manager stated that he maintained close contact with the Registered Providers of the home in order to keep them updated. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 15 Inspection of the home and discussion with service users and staff indicated that their health, safety and welfare were being safeguarded. As indicated previously (standard 28) senior staff had completed accredited medication training since the last inspection and were now in the process of undertaking an occupational Health and Safety course. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 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 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 17 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 Standard OP19OP19 Regulation 16 (2) (k) Requirement The registered person must ensure that the home is free of malodours. Timescale for action 13/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP19OP19 OP31OP31 Good Practice Recommendations The registered providers should continue to implement the programme of maintenance for the upkeep of the building. The registered person should ensure that the manager obtains his Registered Managers Award. Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Northgate House DS0000019701.V284597.R01.S.doc Version 5.1 Page 19 - 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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