Inspection on 07/12/05 for Northlea Court

This inspection was carried out on 7th December 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.

Other inspections for this house

Northlea Court 10/02/09

Northlea Court 04/04/07

Northlea Court 10/08/05

Northlea Court 09/03/05

Northlea Court 23/06/04

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 Northlea Court Northumbrian Road Cramlington Northumberland NE23 1XX Lead Inspector Suzanne McKean Unannounced Inspection 7th December 2005 15:00 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 DS0000000551.V258353.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. DS0000000551.V258353.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northlea Court Address Northumbrian Road Cramlington Northumberland NE23 1XX 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) 01670 - 737735 northlea.court@fshc.co.uk Tamaris Healthcare (England) Ltd (wholly owned subsidiary of Four Seasons Health Care Limited) Pamela Ann Scoble Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places DS0000000551.V258353.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate one service user under the age of 65 requiring nursing care. At the time that this named service user no longer requires the placement this condition is to be removed. CSCI must be informed at this time. 10th August 2005 Date of last inspection Brief Description of the Service: Northlea Court is situated to the west of Cramlington and is a purpose built two-storey building set in its own grounds. It is of traditional brick built design with an apex-tiled roof and is shaped around the car park area, which is at the front of the building. The home is on a bus route and has a small shopping centre with a pharmacy and a health centre close by as well a public house. The home is in close proximity to a local school giving the opportunity for a close relationship to have been developed. DS0000000551.V258353.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over 6 hours on two days. This is the second unannounced inspection the home has had in this year. All of the core standards have been examined over the two inspections. It is therefore suggested that both reports are looked at to get the full picture of the home. Ten residents, three relatives and three staff were spoken to directly although more were chatted to briefly. Four care plans, training records and the records for complaints, staff files and personal finance records were examined. There was one requirement identified during the last inspection and two recommendations. All of these have been met. What the service does well: What has improved since the last inspection? Only one requirement was identified at the last inspection, which was the issue of contracts to the residents, this was met. The recommendations to provide formal Protection of vulnerable adults training was achieved. Also the home now has liquid soap dispensers, in the on suite areas of the bedrooms. DS0000000551.V258353.R01.S.doc Version 5.0 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. DS0000000551.V258353.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 DS0000000551.V258353.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): 2, 3, 6 There is a comprehensive assessment undertaken by the staff prior to admission, which forms the basis for the development of the care plan. The home does not offer intermediate care. EVIDENCE: All of the residents have now been given a contract in line with company policy. Four care plans were examined and each has comprehensive preadmission assessments, which were undertaken by the Manager or the senior staff in the home. The pre-admission assessment is kept in a separate file once the information has been used to create the care plan. The residents also have a care management assessment, which is provided, to the home on admission and from these documents an individual care plan is produced. The home is not registered for, and therefore does not provide, intermediate care. DS0000000551.V258353.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, 8, 9, 10 Individual care planning is undertaken and the care is being delivered in line with these plans. The residents are having their needs met. Residents are confident that the staff treat them with respect and maintain their privacy so far as possible when delivering care and throughout their daily life. The residents received their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. Four care plans were examined and they were completed to a good standard. There was evidence that relevant assessments are available for the nutrition, wound care, moving and assisting, and continence promotion as well as a dependency score. There were risk assessments in place for specific interventions for example use of bed rails. The plans showed that they are regularly reviewed and updated and that reviews are regularly held with residents and their representatives. DS0000000551.V258353.R01.S.doc Version 5.0 Page 10 The care plans showed that the residents have access to all NHS services and facilities. There was a good range of pressure relieving mattresses in use for the prevention of pressure sores. The recording of the nursing action taken for wound care was satisfactory with evaluations being dated and signed. There was evidence that the home seeks expert advice from external professionals and during the visit there was a visit from the McMillan Nurse and a General Practitioner who undertakes a weekly visit to the home. This suggests their willingness to ensure that they are using best practice in their care. The staff spoken to are aware of the need to maintain residents privacy are doing so as part of their delivery of care. The residents interviewed were complementary about the care they received and said that the staff treat them in a kind and caring way. An example of the comments made was that the staff were “lovely” and “we couldn’t ask for better staff”. Two specifically said staff would knock on their door before entering their room. The staff were observed throughout the day to address the residents by their preferred name and there was a good relationship noted between the residents and the staff. The systems for managing medicines in the home were found to be appropriate, the staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The medicines are then again checked against the records when received into the home so that any errors can be picked up. No residents are currently managing their own medication in the home. An extensive audit of the medication administration was undertaken in September 2005 by a Pharmacist under contract with the home and the very few recommendations identified were addressed. On the day of the visit the treatment room lock broke and needed urgent repair this was carried out temporarily to ensure security and the Manager confirmed the next day that a permanent repair had been undertaken. DS0000000551.V258353.R01.S.doc Version 5.0 Page 11 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 Residents are satisfied with the flexibility of their routines for daily living and activities, which are appropriate to meet their cultural, social, religious and recreational interests and needs. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. EVIDENCE: Residents spoken to confirmed that they are encouraged to take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. They also confirmed that they are able to make choices about how they spend their day and said they were satisfied with the activities available. Some organised activities are available and staff said that residents are able to choose whether or not they are involved. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration. DS0000000551.V258353.R01.S.doc Version 5.0 Page 12 Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Five relatives spoken to on the day confirmed that they are welcomed to the home. Relatives are given information within the residents’ guide about visiting arrangements. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. DS0000000551.V258353.R01.S.doc Version 5.0 Page 13 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 The home ensures that the residents and relatives are made aware of the complaints policy and that it is available in a variety of places. There is a system for managing and dealing with complaints, which makes it possible for them to be investigated and action taken to address any issues identified. EVIDENCE: The complaints procedure is available in the service users guide and a copy is available at the front entrance as well as being displayed in the home. The records of the complaints made to the home were examined, there has been no new complaints recorded since the last inspection Three of the residents who were interviewed during the visit understood how to make a complaint, and could identify the way this would be dealt with. Four relatives who were visiting the home was aware of the complaints procedure but felt that their concerns were being dealt with before the need for formal complaint. DS0000000551.V258353.R01.S.doc Version 5.0 Page 14 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, 26 The home is clean, tidy and there was no unpleasant odour during the visit. The necessary specialist equipment for the control of infection is provided in the home and the staff were aware of their responsibilities in this respect. The environment is generally good and there is a programme in place to ensure it remains in good repair and pleasant. It is safe and is appropriate for the residents who live there. EVIDENCE: The home was purpose built for the client group and as a result has good-sized corridors and is designed to allow service users to use the entire home with ease and in safety. The standard of the decoration to be high and a tour of the premises confirmed it to be suitable for the service users being accommodated. However, there is a lounge carpet which has a split down the join and is to be repaired or replaced to prevent the risk of falls and to make it look more in keeping with the rest of the home. DS0000000551.V258353.R01.S.doc Version 5.0 Page 15 The residents spoken to were happy with the standards maintained in the home. The home is clean and was odour free. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. The laundry was clean, organised and well equipped. The sluices were tidy, clean and odour free and the disinfectors operational. Staff followed infection control policies throughout the day. The light and emergency call cords were all clean and all emergency cords reached skirting level. DS0000000551.V258353.R01.S.doc Version 5.0 Page 16 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): 29, 30 The staff are recruited and selected using a system, which ensures that they are able to care for the residents and have not been identified as posing a risk to their welfare through Criminal Record Bureau and the Protection of Vulnerable Adults List. The training programme is not up to date for all staff for moving and handling although a significant amount of training is being given to the staff. EVIDENCE: Staff records examined were completed in line with the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check in place is applied to all of the staff in the home. The training records maintained by the Manager to allow her to plan for training was examined, it was very clearly maintained and offered a good system. However, although there is evidence of a significant amount of training in both statutory and clinical areas of practice not all staff are receiving training in line with the company policy and statutory requirements for moving and handling training a plan is in place to address this. DS0000000551.V258353.R01.S.doc Version 5.0 Page 17 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, 38 The Registered Manager, Mrs Scoble, ensures that she has systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. She is continuing to ensure safe working practices in the home in line with the company policies and procedures with the exception of the need to provide moving and handling training for the staff. Personal allowance management is good and the systems and records are in place to allow audit to be effective. EVIDENCE: There are clear lines of accountability both in the home and within the company. The manager maintains her Professional Portfolio according to the NMC (UKCC) requirement for updating to maintain her nursing registration. The records to support the Managers confirmation that she ensures safe DS0000000551.V258353.R01.S.doc Version 5.0 Page 18 working practices in relation to first aid, food hygiene and infection control were in place and on examination were satisfactory. Moving and handling training is not up to date at present and there is a plan to address this. There was evidence that the home manager takes the necessary action to ensure the health and safety of the service users. This is supported by the policies and procedures examined and by discussion with the Manager. The personal records kept in the home of residents who are receiving assistance to manage their finances are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. The personal allowance records examined allowed the audit of individual residents moneys to ensure that it is being managed effectively. DS0000000551.V258353.R01.S.doc Version 5.0 Page 19 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000000551.V258353.R01.S.doc Version 5.0 Page 20 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 OP30 Regulation 13 (5) Requirement The staff in the home must receive moving and handling training at the requirement intervals. Timescale for action 31/03/06 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 Refer to Standard OP19 Good Practice Recommendations The carpet in the lounge should be made repaired or replaced as planned. DS0000000551.V258353.R01.S.doc Version 5.0 Page 21 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 DS0000000551.V258353.R01.S.doc Version 5.0 Page 22 - 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!