Inspection on 25/11/08 for Norton Court Nursing Home

This inspection was carried out on 25th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norton Court Nursing Home 30/05/08

Norton Court Nursing Home 08/05/07

Norton Court Nursing Home 30/05/06

Norton Court Nursing Home 07/11/05

Norton Court Nursing Home 24/05/05

Norton Court Nursing Home 13/10/04

Norton Court Nursing Home 20/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Norton Court Nursing Home 2 Norton Court 201 Norton Road Stockton-on-Tees TS20 2BL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ian Armstrong     Date: 2 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 19 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 19 Information about the care home Name of care home: Address: Norton Court Nursing Home 2 Norton Court 201 Norton Road Stockton-on-Tees TS20 2BL 01642558234 01642363858 norton.court@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Tamaris Healthcare (England) Ltd care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: To accommodate up to 4 individuals who are aged 55 years or above with Dementia care needs. Date of last inspection Brief description of the care home Norton Court is a care home which provides accommodation, personal and nursing care for fifty people. The home supports people who are older and may have mental health needs including dementia. The building provides 42 single rooms and there are also communal toilets, showers and bathrooms, situated throughout the building, which are fitted with adaptations to help people who are frail or have difficulty getting around. Each floor has several lounge and dining areas which have been set out to make best use of the daylight and views of the gardens. The building is in a wellestablished residential area alongside two other care services. There are car parking spaces at the front of the building including disabled parking bays near the entrance. There is easy access into building through the main doors into the reception area. Norton Court is a short walking distance from local shops, is a short bus or car ride from Stockton town Centre. There is access to local transport directly outside the Care Homes for Older People Page 4 of 19 50 50 Over 65 0 0 Brief description of the care home building. The home is run and managed by Tamaris Healthcare (England) Limited a company which is owned by Four Seasons Health Care Limited. The weekly fees for living at this home are between #389 to #496 The costs of newspapers, hairdressing, and toiletries are not included in the fees. Fees vary depending on people?s circumstances, further details can be found in the homes Service User Guide. Care Homes for Older People Page 5 of 19 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was carried out by visiting the home over one day. We looked at records kept in the home and at information provided by the home prior to the visit day. We talked to the manager and staff and the people who live there and their relatives. We carried out a tour of the premises and as a result of these the following report was written. Care Homes for Older People Page 6 of 19 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 19 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 19 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained staff in the home assess and understand the needs of people before they move in. Evidence: From the written evidence found in four peoples files good pre-admission assessments are being completed from which individuals care needs, lifestyles, choices and preferences are being identified and met. Two relatives feedback shows that the home is providing good levels of information on which to make a decision to accept a placement. Staff spoken to are knowledgable of procedures and practises to follow. Care Homes for Older People Page 9 of 19 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in the home have well documented plans of care in line with their needs and wishes. People are treated with dignity and respect by staff. The management of medications is good. Evidence: People living in the home whose individual care records were checked had recorded good care plans that were meeting each persons individual lifestyle, preferences and needs. Evidence was found that these records were being regularly evaluated and reviewed with the persons relative clearly involved in the process. The systems for the management of medications when checked were being satisfactorily maintained. People were observed to be treated with respect by staff. Care Homes for Older People Page 10 of 19 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People in the home have a range of activities in keeping with their individual lifestyles and can see visitors as they wish, meals in the home generally take into account individual likes and preferences however alternative food is not being offered at present for main meals each day. Evidence: People in the home from the records seen, enjoy a good range of social activities each week. There is an open visiting policy and relatives, visitors can come whenever they wish. The mealtime observed appeared to be pleasant and enjoyed by people. Menus seen however at present do not offer a choice of food for main meals each day. Care Homes for Older People Page 11 of 19 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in the home are protected from abuse and have their concerns and complaints acted upon. Evidence: The homes complaints policy was read and is comprehensive. The complaints log book was seen there have been no recent complaints, previous entries showed that investigations had been carried out with clear outcomes. Relatives spoken to gave feedback that they would be comfortable to approach the manager of they had a complaint and felt that there concerns would be properly addressed. Two staff members spoken to have been trained in protection of vulnerable adults and were aware of the procedures to follow. Care Homes for Older People Page 12 of 19 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this out come area is adequate. This judgement has been made using available evidence including a visit to this service. People live in an environment which is generally homely which promotes their independence and dignity. Evidence: Generally the home is being well maintained those areas that require refurbishment and redecoration are gradually being completed to a good standard, there is a rolling programme of redecoration which is being achieved. Some work identified in this report needs to be carried out. Care Homes for Older People Page 13 of 19 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence and a visit to this service. People who live in the home are supported by adequate numbers of staff who are generally suitably trained and recruited to meet their needs. Evidence: Staffing levels employed in the home are in line with the needs of the number of people in occupancy, duty rosters show that staffing levels are being maintained. From records kept in the home good levels of client centred training and mandatory training are being achieved. However NVQ Level 2 and above is currently at about 50 and needs significant improvement. Staff recruitment procedures were checked and found to be good. Staff spoken to in the home said levels of training provided are good and that supervision is regularly carried out. A relative spoken to said that staff were always available if needed. Care Homes for Older People Page 14 of 19 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence and a visit to this service. People are looked after by a trained and competent manager who generally provides good systems of care. peoples personal monies are well maintained and the majority of systems are in place to ensure the safety of people Evidence: The manager of the home is an experienced person with good qualifications feedback from staff and relatives say that he is amenable and approachable. Generally good quality assurance systems are in place and are regularly carried out. Peoples personal monies are managed effectively. However the frequency of some meetings needs to be improved also in- house fire training for night staff. Care Homes for Older People Page 15 of 19 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 16 of 19 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 15 16 The home must provide an 31/01/2009 alternative choice of food for main meals each day. This will ensure that people are given a variety and choice of food. 2 19 23 The water damaged ceiling tile in the downstairs lounge to be replaced. To adequately maintain the environment. 31/01/2009 3 19 23 The vent axia in bedroom 50 31/01/2009 en suite facility is not working and needs to be repaired. To ensure adequate ventilation. 4 38 23 The manager of the home must ensure that night staff receive instructions on what to do in the event of a fire four times each year. A planner for this to occur must be introduced. 31/01/2009 Care Homes for Older People Page 17 of 19 To ensure the health and safety of people living in the home and staff. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 28 33 Additional care staff training for NVQ level 2 needs to be carried out. Regular relatives meetings should be held to share and receive feedback about services provided. Care Homes for Older People Page 18 of 19 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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