CARE HOMES FOR OLDER PEOPLE
Norton House Norton Street Elland West Yorkshire HX5 0LU Lead Inspector
Cheryl Stovin Unannounced Inspection 27th January 2006 12:50 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 Norton House DS0000063222.V281229.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. Norton House DS0000063222.V281229.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Norton House Address Norton Street Elland West Yorkshire HX5 0LU 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) 01422 379072 Mrs Patricia Beaumont Mrs Charlotte Nunn Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Norton House DS0000063222.V281229.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 12th August 2005 Brief Description of the Service: Norton House is a privately owned care home registered to provide accommodation and care for up to seventeen older people. The establishment is situated in a residential area close to the town centre of Elland and with easy access to Halifax by public transport. The property, a stone built detached period property is set in well maintained gardens and grounds. The home is generally well maintained and a major programme of refurbishment and redecoration is currently taking place. The accommodation comprises of eleven single and three shared bedrooms with spacious and comfortable communal facilities. Norton House DS0000063222.V281229.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27th January 2006. Over an inspection year from April until March, care homes have a minimum of two inspections a year. The last inspection was also unannounced and took place on 12th August 2005. During the course of this inspection several service users were consulted as to their views of the standard of care and facilities provided within Norton House, and all spoke very highly of the service provided. What the service does well: What has improved since the last inspection? What they could do better:
Norton House DS0000063222.V281229.R01.S.doc Version 5.1 Page 6 A programme of NVQ training is on-going within the home, however, only four members of staff hold their award, and the situation must be monitored to ensure that 50 of the staff team are qualified to NVQ II or equivalent. The acting manager of the home must submit an application to be registered as manager by the CSCI. The statement of purpose and service user guide must be made available to the service users. Medication practices must be reviewed and all staff responsible for administrating medication must receive appropriate training. 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. Norton House DS0000063222.V281229.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 Norton House DS0000063222.V281229.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): 1,2,3,6 Written information about the services and facilities provided within the home could not be located at the time of the inspection. EVIDENCE: The proprietor of the home stated that a statement of purpose and service user guide had been produced, however, as it could not be located could not be assessed and against the standards. Each service user has an individual contract which details the rights and responsibilities of each party, and states what is and is not included in the £365 weekly charge. The establishment does not provide intermediate care. Norton House DS0000063222.V281229.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): 7,8,9,10 Service users needs are thoroughly assessed and the home has a good approach to promoting the service users health care. Medication practices, however, within the home require strengthening. EVIDENCE: Service users have an individual plan of care which details their personal, social and health care needs. The care plans are reviewed and updated on a monthly basis, with a formal review being held every six months. Risk assessments are in place, again with evidence of regular review. Service users confirmed that they are treated with respect and their privacy respected at all times. Medication administration practices within the home, which were observed during the inspection require strengthening. The member of staff responsible for administering medication stated that she had not received any training in medication issues and didn’t appear confident in explaining the method of administering and recording medication given to service users. Norton House DS0000063222.V281229.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 on this occasion. EVIDENCE: Norton House DS0000063222.V281229.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): 16,18 The home has robust systems to ensure that service users are safeguarded from abuse and that complaints are dealt with promptly. EVIDENCE: The establishment holds a complaints procedure with a log kept of any complaints received. All staff receive training in the protection of vulnerable adults. Norton House DS0000063222.V281229.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): 19,20,23,24,25,26 The accommodation is generally well maintained and bedrooms are well equipped with service users own possessions in evidence. EVIDENCE: The new owners of the home have embarked on a major programme of refurbishment and redecoration. The work completed to date has been prioritised to ensure compliance with health and safety regulations. New assisted bathing facilities have been provided and three new showers installed. Work has been completed to ensure that water is stored at the required temperature, and a new washing machine installed equipped with infection control properties. Work is now in progress to improve the physical environment within the home, the dining room has been totally refurbished as has one of the lounges. Service users bedrooms appeared to be well equipped with new bedding having been purchased, and appropriate locks provided to the bedroom doors. There are plans to install en-suite facilities in the bedrooms. Externally there are well maintained and attractive grounds with ample car parking facilities.
Norton House DS0000063222.V281229.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): 27,29,30 The home is appropriately staffed to meet the individual and collective needs of the service users. Service users are protected by the home’s recruitment practices. EVIDENCE: Staff appeared to be meeting the needs of the service users in a sensitive and caring manner with appropriate use of informality and humour. A programme of NVQ training is in place within the home, currently four members of staff hold their NVQ II or III award, with a further five members of staff undertaking their award. .Staff files examined indicated that all the required checks are carried out prior to employment. Norton House DS0000063222.V281229.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): 31,32 The home is well run and managed effectively. EVIDENCE: The establishment is currently being run by acting manager Mr Daniel Beaumont. Mr Beaumont is experienced and holds his NVQ IV Registered Managers Award. He is required to submit an application to be registered as manager of the home to the CSCI. Norton House DS0000063222.V281229.R01.S.doc Version 5.1 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 1 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 11 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 29 30 3 x 1 3 3 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 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 3 x x x x x x Norton House DS0000063222.V281229.R01.S.doc Version 5.1 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 3 Standard OP28 OP9 OP31 Regulation 18 13 9 Requirement 50 of care staff to be trained to NVQ level 2. All medicines are administered by designated and appropriately trained staff. The acting manager to submit an application to the CSCI to be registered as manager of the establishment. This remains a requirement from the last inspection. The registered person produces and makes available to service users an up to date statement of purpose. Timescale for action 31/08/06 31/03/06 31/03/06 4 OP1 4 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. Refer to Standard Good Practice Recommendations Norton House DS0000063222.V281229.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Norton House DS0000063222.V281229.R01.S.doc Version 5.1 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. 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!
