Inspection on 18/01/06 for Norwood House Nursing Home

This inspection was carried out on 18th January 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Norwood House Nursing Home 11/03/09

Norwood House Nursing Home 23/07/08

Norwood House Nursing Home 24/01/08

Norwood House Nursing Home 23/03/07

Norwood House Nursing Home 25/08/05

Norwood House Nursing Home 15/03/05

Norwood House Nursing Home 29/06/04

Norwood House Nursing Home 15/03/04

Similar services:

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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

CARE HOMES FOR OLDER PEOPLE Norwood House Nursing Home Greenthwaite Close High Spring Gardens Keighley West Yorkshire BD20 6DZ Lead Inspector Paul Newman Unannounced Inspection 18th January 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Norwood House Nursing Home DS0000019884.V276804.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. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Norwood House Nursing Home Address Greenthwaite Close High Spring Gardens Keighley West Yorkshire BD20 6DZ 01535 602137 01535 692017 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) Norwood House Nursing Home Limited Mr Andrew Makin Care Home 31 Category(ies) of Dementia (31), Physical disability (31) registration, with number of places Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age 60 years and over Date of last inspection 25th August 2005 Brief Description of the Service: Norwood House was once a private house, owned by a prosperous local mill owner and commands magnificent views of the Aire Valley from its position on the hillside above Utley and about a mile from Keighley town centre. The home has undergone two extensions and the grounds extensively remodelled with a new access road being completed in 1997. The current providers have owned the home since 1985. Mr Makin is a registered nurse and is also the registered manager of the home. Mrs Makin is also actively involved in some aspects of the management of the home. The providers live on the site and have a high profile within the home. The home is registered to provide personal care with nursing for 31 service users over the age of 60 years, including those with physical disability or mental impairment. Accommodation is provided mainly in single rooms, the majority of which have en-suite facilities, with some shared rooms available, without en-suites. Communal lounges and a dining room are provided on the ground floor, with a large conservatory at the front of the house, overlooking the well maintained gardens. Those bedrooms at the rear enjoy the views over the valley. There is access to the grounds by means of a ramp and there is a paved seating area for service users. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 25 August 2005. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to gain an overview of the care, services and facilities provided and also to assess progress in the way the home is dealing with issues that were raised in the last inspection report. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the nurse manager on duty, five other members of staff, eight residents and three relatives. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. The inspection started at 10.30 and lasted for five hours, in addition time was spent preparing for the inspection. Not all National Minimum Standards were inspected during this visit, but over the two inspections all core standards have been inspected at least once. To gain a full picture of how the home meets standards, this report should be read in conjunction with previous reports. What the service does well: There is nothing to add to the comments made in the last inspection report and the same comments apply. The home continues to be consistently well managed, with a clear approach to the care of residents whose quality of life and best interests are the main concern of the manager and staff. The staff are well organised. They are experienced, well trained, know what they are doing and have a good knowledge of the residents they care for. They have good relationships with residents and relatives. Residents and relatives appreciate the staff and are confident in them. Relatives feel welcome at the home and together with the residents, feel there is a warm and homely atmosphere. There is a varied and interesting activity programme that residents are involved in planning. Residents’ rooms are personalised with their own belongings they exercise choice about spending time in their Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 6 bedroom or in communal areas. Varied menus provide choice and there is a commendable approach to make sure that special dietary needs are met. 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. Norwood House Nursing Home DS0000019884.V276804.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 Norwood House Nursing Home DS0000019884.V276804.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): 3. Standard 6 does not apply to this home. Residents’ needs are properly assessed before they move into the home. These needs are met by well informed and knowledgeable staff. EVIDENCE: Three care plans were checked. A detailed pre-admission assessment for each of the residents was on file and the information was accurately used to form the basis of a care plan. The staff spoken with had a good knowledge of the residents care needs and their personal preferences. Residents said that the staff are very caring and the relatives also confirmed this. Norwood House Nursing Home DS0000019884.V276804.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 and 10. The healthcare needs of residents’ are met and care plans provide clear and detailed instruction for staff to follow. Medication systems and practices are sound. Staff are aware of residents’ needs and there is good communication amongst the staff group and with healthcare professionals. Residents are treated with respect and in a dignified way. EVIDENCE: Three care plans were checked. Improvements that were planned and discussed at the last inspection have been made. Records were detailed, gave clear instructions and guidance to staff, and were up to date with regular monthly review. Medical needs were clearly identified and daily record keeping showed nursing input and treatment or support from other healthcare professionals. Risk assessments were detailed. Systems of storing, managing and administering medication were checked and observations made of staff administering medication and recording this. Practices were sound. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 10 As on the previous inspection that was also unannounced, observations throughout the day showed staff to be professional but personable with residents and relatives. The relationships were warm and friendly. Residents looked well cared for. Staff were observed to manage the residents sensitively and survey questionnaire results indicated that staff are held in high regard. Residents said that staff gave them good support, gave assistance when they needed it and respected their privacy like knocking bedroom doors before entering. A relative visiting who was a retired community nurse said that he felt the care at the home was very good. His comments were supported by observations of staff practices. Staff spoken with said that their induction training covered basic principles of care including privacy, dignity and respect. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 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 and 15 Residents are encouraged to join in social and leisure activities. They are offered a good varied and nutritious diet that takes account of individual dietary and care needs. EVIDENCE: The home has its own mini bus, that is adapted to take wheel chairs and regular trips out are arranged. The home recently held a coffee morning for Macmillan Cancer Relief and raised £350 and a Christmas fair was well attended by relatives. Young people from local schools are coming in to do life story work with individual residents. The weekly activity programme continues and includes in-house games and quizzes, massage, aromatherapy, handicrafts, music and entertainers. The commendable approach to make sure residents are well nourished also continues. Currently there are eighteen residents who have swallowing difficulties and menus and food records show attention to choice, nutrition and special needs in food preparation. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 12 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 and 18 Residents and relatives feel comfortable in raising concerns on a day-to-day basis and have access to a formal complaints procedure that is clear. Staff are trained in understanding and recognising abuse and there are clear procedures for them to follow. EVIDENCE: There is a complaints procedure that is clear. This is appended to the statement of purpose and service user guide and is also posted on notice boards in the home. The relatives spoken with understood that they could complain and raise concerns. Residents said that they feel comfortable in talking to staff about things that worry them and felt that staff listen to them and put things right. There are adult protection policies that link to multi agency procedures and there is a whistle blowing policy. Staff spoken with confirmed that they receive training on abuse and know that the policies and procedures are there to be followed. The qualified staff have attended training sessions run by Bradford Authority. It was recommended that the homes internal procedure gives clear advice and guidance that the first notification should be to the local adult protection coordinator. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 13 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, 22, 24, 25 and 26 The home is safe and well maintained and offers comfortable communal lounge areas. The home encourages residents to bring personal belongings. The home has a range of aids and equipment that make things like bathing and toileting easier and safe. EVIDENCE: All the communal areas, bathing facilities and some bedrooms were seen. No health and safety hazards were noted and staff were seen doing their work properly dressed and equipped, and their practices make sure the home is clean, free from unpleasant smells and hygienic. The home is comfortable and homely and is maintained to good standards. There is an ongoing programme of refurbishment and redecoration. Bedrooms are well furnished and were personalised with residents’ own possessions. There is a wide range of standard and specialist aids and equipment to make things safe for staff and residents. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 14 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, 28, 29 and 30 There is a good core of experienced and well trained staff who know what they are doing. Recruitment policies and procedures make sure that staff are properly selected and vetted before they start work. EVIDENCE: The nurse manager said that there were no current staff vacancies although some staff who had completed their adaptation for qualification for nursing in this country would be leaving when they had found nursing posts. The duty rota was checked and the home continues to consistently provide staffing levels that have been previously agreed. Five members of staff were spoken with representing the qualified, caring and ancillary staff at the home. All talked about training that they had been involved with and this covered key areas of safe working practice as well as more specialised training like palliative care, communication, psychosocial and spiritual care and advanced care planning, hydration and nutrition. There is a schedule of meetings for qualified, senior care assistants and care assistants. Shift handover arrangements are well established. Once again, care practices were observed to be good with staff showing sensitivity, warmth and good humour. The recruitment personnel files for two newly appointed staff were checked and found to have all the required documentation. It was recommended that although staff have individual training records, the home keep an overview record, like a matrix, so that training needs can be easily identified. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 15 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): 33, 35 and 36 There is an open and friendly atmosphere created by good leadership and management. There is a clear approach to resident care that puts the best interests of individual residents central to the aims of the home and staff practices. Residents’ financial interests are safeguarded. EVIDENCE: The owner/manager continues to be involved in national and local working groups and initiatives and has recently been nominated as a board member for the NMC. On the day of inspection he was in Sheffield on a palliative care group. The home is committed to a palliative care approach that is explained in broad terms in the statement of purpose and service user guide. This is not just about care of people with a terminal illness but about getting the best out of life despite the limitations that age or illness might bring. All of the staff spoken with were highly motivated with a clear understanding of the their roles and responsibilities. There are clear lines of accountability, regular staff meetings and procedures to be followed so that staff are clear what to do. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 16 There is a formal staff supervision system and supervision contracts were seen on staff files. Whilst there is good and efficient organisation, the atmosphere is open and friendly and this was observed in the staff relationships with each other, and their relationships with residents and relatives. Lockable facilities are provided in each bedroom so that individuals can keep cash and valuables and for additional security valuables can be securely stored in the home’s office held. The home does not become involved in residents’ personal finances preferring this to be done personally by the residents, or by a relative or other representative like a solicitor. Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 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 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 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 X 3 X X 3 3 X X Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 OP18 Good Practice Recommendations It is recommended that the homes internal adult abuse procedure gives clear advice and guidance that the first notification should be to the local adult protection coordinator. It is recommended that although staff have individual training records, the home keep an overview record, like a matrix, so that training needs can be easily identified. 2 OP30 Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Norwood House Nursing Home DS0000019884.V276804.R01.S.doc Version 5.1 Page 20 - 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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