Inspection on 30/07/07 for Norton House

This inspection was carried out on 30th July 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Norton House 21/07/09

Norton House 24/08/06

Norton House 27/01/06

Norton House 12/08/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Norton House Norton Street Elland West Yorkshire HX5 0LU Lead Inspector Cheryl Stovin Key Unannounced Inspection 30th July 2007 11:00 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 Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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.V342713.R01.S.doc Version 5.2 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 lindsey.beaumond@at.bt.net.c.dot Mrs Patricia Beaumont Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2006 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. The weekly charge is £430. Additional charges are made for hairdressing, chiropody, and personal newspapers. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Norton House. This included an unannounced visit I made to the home on 30th July 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit I looked round all of the building, records were seen and I spoke to management, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. One person living at the home chose to complete their survey, and five relatives/friends responded. The last inspection of Norton House was on 24th August 2006, no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The home has a lively and welcoming atmosphere, people who live at the home said that this was always the case. People told me that the home is well run and described the staff as “very nice people” and “good and kind to us all”. All people have an assessment before moving into the home, and are encouraged to visit, several times if they wish, before making a decision to move in. This is to make sure that the home can meet their needs. The staff were seen to be working together as a team and meeting the needs of people in a sensitive and dignified manner, with appropriate use of informality and humour. The people living at the home said they were well treated and that the staff are kind and attend to their needs promptly. The staff team are well trained and people using the service are protected by the safe recruitment practices in the home. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 6 There is a range of activities for people living at the home to take part in if they wish to do so. People can also choose to spend time in their own rooms following their own interests and pursuits. The home is well maintained and people live in a safe and hygienic environment. People are encouraged to bring their own possessions with them to personalise their own rooms. People said that the meals served at the home were of a good standard and that they enjoyed their meals. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose and Service User guide. The service user guide is displayed in every bedroom. The document contains useful information about the services and facilities provided by the home. All people are assessed before moving into the home to ensure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living in the home. Each person has an individual contract stating the terms and conditions and rights and responsibilities of each person. Intermediate care is not provided in the home. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and health care needs are met. People are protected by the medication practices in the home. EVIDENCE: All people have an individual plan of care. The care plans contain basic information about people’s assessed needs, but not much detail as to how the care is actually to be delivered. Very little information is recorded about people’s backgrounds or their previous interests. This means that staff cannot encourage people to maintain their previous social interests or networks. There is no suggestion that people’s needs are not being met, but how the care is actually to be provided needs to recorded in more detail, so that all staff provide consistent care in a manner which meets with people’s preferences. All personal and health care support is given in private and people said that they felt their privacy and dignity was respected. The person living at the Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 10 home said in their comment card that they always receive the care and support they need. Relatives comment cards also confirmed that the care home gives the support or care to their relatives that they expect or agreed. One relative made the following comment: “Truly care for the overall wellbeing of their residents in a really family orientated way”. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff, responsible for handling medication, have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed. Stocks of medication held reconciled with the records kept. A procedure is in place to ensure safe disposal of any unwanted medication. None of the people living at the home handle their own medication. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: There is a warm and welcoming atmosphere in the home and people living at the home confirmed this was always the case. The daily routines in the home are flexible to enable people to exercise choice as to how, where and with whom to spend their time. People confirmed that they choose when to get up and when to retire, and expressed satisfaction with the daily life within the home. One person said “it’s a good place here” and another “no complaints here, they can’t do enough for you”. People are encouraged to keep in contact with their family and friends and visitors were seen to be warmly welcomed into the home. All of the relatives Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 12 confirmed in their comment cards that the home helps their friend or relative to keep in touch with them. Some activities are provided within the home, and staffing levels are sufficiently high to enable impromptu outings to take place. On the afternoon of the visit some people were enjoying sitting outside in the sunshine, whilst others were taking part in a quiz. The manager identified in the homes Annual Quality Assurance Assessment that activities and entertainment was an area for development over the next twelve months. One relative commented that more stimulating activities should be provided for people living at the home. People said that they enjoy the food provided, and records seen indicate that a varied and nutritious diet is taken. The main meal of the day is served at lunchtime, and the luncheon on the day of the visit was: fish in parsley sauce, new potatoes, carrots, sweet corn and broccoli, followed by jam sponge and custard. An alternative is always available. There are no dedicated catering staff employed within the home, the care staff are responsible for cooking the meals. The staff on duty at the time of the visit, stated that they were quite happy to do so, and the meal served appeared well cooked and presented. The mealtime was seen to be a relaxed social occasion with tables attractively set with good quality cutlery and crockery. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the policies, procedures and practices in the home. EVIDENCE: The home has a complaints procedure, which details the steps to take if anybody wishes to complain about anything in the home. The document contains all the correct contact details and is clearly displayed in the service user guide, which is held in people’s own rooms. The home has an adult protection policy and all staff have received training in the Protection of Vulnerable Adults (POVA). Staff were able to demonstrate that they knew the procedure to follow if they suspected that people were not being treated properly. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area close to the town centre of Elland, with easy access to the town centres of Halifax and Huddersfield. The property, a detached period residence, is well maintained throughout with a routine programme of maintenance to make sure that the standards are kept high. Some of the bedrooms and the lounges very recently been decorated and are bright and cheerful. There are two lounges on the ground floor which are tastefully decorated and furnished and provide sufficient space for social activities to take place. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 15 Individual bedrooms were seen to be well furnished with plenty of people’s personal possessions around their rooms. People said that they were satisfied with their own rooms. The home was seen to be clean and hygienic throughout and people living there said this was always the case. One relative commented “the home is clean and free from unpleasant smells”. There are well maintained and attractive garden and patio areas for people to sit out in during the summer months. The gardens are safe and accessible and people’s security is protected by the provision of electronically operated gates at the entrance to the grounds. The laundry is well equipped with machines meeting the required hygiene standards. An infection control procedure is in place to protect the health and safety of the people living at the home. There are plans to extend the property and to install en-suite facilities. As part of this major building work it is proposed to relocate and refurbish the kitchen facilities. This will greatly improve the facilities as at the present time the staff room is in a part of the kitchen. The acting manager said that this work had been identified as a priority. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty at all times to meet the needs of the people living at the home. Rotas seen showed that there are three care staff, and the manager on duty during the day, and two care staff in the evening. At night there is one waking night staff and one member of staff on call. The staff said they felt that the staffing levels were sufficiently high to enable them to spend time just chatting to people or assisting them to follow their individual interests. Staff were able to demonstrate awareness of people’s needs. They were seen to be providing support in a sensitive manner, and promoting the privacy and dignity of the people living in the home. They said that they work together as a team and that staff morale was high. The staff team is stable with low rates of turnover and sickness, providing a consistent service for the people living at the home. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 17 People living at the home told me that the staff are “good and kind to us all”, and “they are very nice people”. Relatives said that the care staff have the right skills and experience to look after people properly. One made the following additional comment: “most staff are pleasant, willing and helpful to the residents”. The home places a high priority on staff training and development. There is a programme of National Vocational Training (NVQ) in the home and over 50 of the care staff hold the NVQ level 2 award. In additional to the NVQ and mandatory health and safety training a variety of additional training has taken place. The staff said that they enjoyed and appreciated the training opportunities provided. The home has a safe and robust recruitment procedure. All new staff are required to complete an application form detailing their employment history as part of the application process. Two written references and satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures are required before staff are employed at the home. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The acting manager of the home is qualified and competent to run the home. He holds the NVQ level 4 Registered Managers Award. He is committed to ensuring an open and positive atmosphere is prevalent within the home. People living at the home and the staff said that the manager is approachable and available and listens to what they stay. One of the people Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 19 living at the home said: “it’s so nice to have such a pleasant young man amongst all us old ladies”. The manager has not yet been registered by the Commission for Social Care Inspection. He has been in post for over two years. An application was submitted in 2006 but the documentation was returned due to an error. No further application has been made. To make sure that the home complies with the Care Home Regulations an application must be made for registration as soon as possible. There are clear policies and procedures for handling finance, which means that people’s personal finances are held safely. A formal quality assurance system is in place. The last survey showed high satisfaction with the services provided in the home. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place, which ensure the health and safety of the people living at the home is protected. Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 20 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 x x 3 Norton House DS0000063222.V342713.R01.S.doc Version 5.2 Page 21 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 Standard OP7 Regulation 15 Requirement Timescale for action 30/09/07 2 OP31 9 To make sure that all people using the service receive care in a consistent way care plans must include details of how the care and support is actually to be delivered. The acting manager must submit 31/08/07 an application to the CSCI to be registered as manager of the establishment. This remains a requirement from the last inspection. Timescale of 31/08/06 not met. 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.V342713.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: 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 © 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.V342713.R01.S.doc Version 5.2 Page 23 - 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. 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