Inspection on 24/08/05 for Nyton House

This inspection was carried out on 24th August 2005.

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

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

Other inspections for this house

Nyton House 13/04/10

Nyton House 30/09/09

Nyton House 03/07/09

Nyton House 23/06/09

Nyton House 06/04/09

Nyton House 15/04/08

Nyton House 15/12/06

Nyton House 31/01/06

Nyton House 01/02/05

Nyton House 29/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Nyton House Nyton Road, Westergate Chichester West Sussex PO20 3UL Lead Inspector Jo Hartley Announced 24 August 2005, 10:00 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 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. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Nyton House Address Nyton Road, Westergate, Chichester, West Sussex, PO20 3UL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 543228 Mrs Mary Davis Mr Philip Norman Davis Ms Felicity Jayne Hilary-Warnett Care Home(CRH) only (PC) 23 Category(ies) of Dementia - over 65 years of age (DE(E)), (1) registration, with number Old age, not falling within any other category of places (OP), (23) Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of one person in the category DE(E) Dementia over 65 years. Date of last inspection 1 February 2005 Brief Description of the Service: Nyton House is a care establishment registered to provide accommodation for up to twenty-three service users in the category OP (old age not falling in any other category) and one named person in the category DE (E) over sixty five years of age. The establishment is situated in the village of Westergate. Local bus routes are near by. Accommodation is provided on ground, first and second floor level. A vertical lift services each floor. All rooms are generally for single occupancy however there are five rooms that can be used as doubles providing the occupancy levels do not exceed twenty three. The service is privately owned. The proprietors are Mr and Mrs Davis. Ms. Felicity Hillary-Warnett is the registered manager of the establishment. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over a period of four hours. Prior to the inspection the inspector received, and noted the content of ten comment cards and one letter from service users. The inspector also read information held on the service file since the last inspection in February 2005, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. During the inspection the inspector spoke to eleven service users and four members of staff. Two members of staff were interviewed formally. The inspector undertook a tour of the premises and looked at five care plans and two staff files. Various record books, policies and procedures were also examined. What the service does well: 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. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 7 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 standard(s) 3 Service users have their needs assessed prior to admission into the home. Nyton House does not provide intermediate care; therefore Standard Six does not apply to this service. EVIDENCE: Five service users’ records were examined during the inspection. All records included an assessment undertaken by the manager prior to admission to ensure that the home could meet the needs of the individual. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7, 8, 9, 10 Every service user has an individual care plan which includes individual health, personal and social care needs. Health needs are met by the home and community health services. Where appropriate service users are able to self medicate. Service users feel that they are treated with respect and that their privacy is upheld. EVIDENCE: Care plans inspected were seen to be thorough and detailed. Care plans are agreed and signed by service users and kept in their rooms. It was noted that reviews are undertaken on a monthly basis, or more frequently if needs change in the interim period. Health care needs are met by the home and the use of community health resources such as opticians, dentists chiropodists and local GP practices. Records showed that weight, nutrition, pressure sores and mental health are assessed and monitored. Service users are able to chose their own GP if practical. Service users are able to administer their own medication after a risk assessment. Rooms were seen to have lockable storage space in which to Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 9 keep medication. The homes’ policies and procedures on the receipt, recording, storage, handling, administration and disposal of medication were seen to be adequate. Staff records show that staff receives training in the administration of medication. MARS sheets, recording the administration of medication, are kept in service users rooms and were seen to be up to date and accurately recorded. Service users spoken with on the day of the inspection said that staff treat them with dignity and respect their privacy. Every room has its own telephone so service users are able to make and receive calls in private. Staff was seen knocking on service users door and waiting for a reply before entering. Comment cards received from service users were positive about the care provided by the home and the treatment of service users by staff. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 standard(s) 13, 15 Service users are able to maintain contact with friends, relatives and the local community. The food provided at Nyton House is wholesome and appealing. The dining area is very pleasant. EVIDENCE: Service users spoken to say that they are able to have visitors at any time. They said that visitors are made very welcome by the staff and manager of the home. They are able to receive visitors in any of the communal areas or in the privacy of their own rooms. The food provided at Nyton House was seen to be wholesome and nutritious. There is a choice of menu and service users said that they are provided with a different meal if they don’t like any of the days’ choices. A written menu for the week is on display in the hall. Service users said that they enjoy the food very much, that it is “wonderful”, and, “there is a different choice of sweet every day”. One service user said that she needs her food liquidised but she still found it tasty. Special diets are recorded and catered for. The dining room is very pleasant, with lots of light and with views of the grounds. The tables were seen to be laid out attractively. Service users are able to take their meals in their rooms if they prefer. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 standard(s) 16, 18 Service users feel that any complaints they make are taken seriously and acted upon. The homes’ policies and procedures help protect service users from abuse, however the home needs to organise Adult Protection training for staff. EVIDENCE: Comment cards received from service users prior to the inspection indicated that service users know who to talk to in the event of a complaint. One letter was received from a service user that included some concerns. It was noted that the letter had also been copied to the manager. The issues were raised with the manager on the day of the inspection. All the issues raised have either been dealt with satisfactorily or are in the process of being addressed. Service users spoken with on the day of the inspection said that they would discuss any concerns with the manager and felt confident that they would be addressed. The home has received one complaint in the last year, which was partially substantiated. Records seen demonstrate that the complaint was investigated appropriately and within recommended timescales. The homes’ policies and procedures regarding Adult Protection were inspected and found to be thorough. Staff spoken to had a good understanding of Adult Protection and the homes’ Whistle Blowing policy. Although Adult Protection is covered in staff induction there is currently no formal training for staff. This needs to be addressed. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 24, 26 Nyton House is well maintained and suitable for its stated purpose. Indoor and outdoor communal facilities are of a high standard. Service users’ feel their rooms are comfortable and safe, and they are able to have their own possessions in them. The home is very clean and pleasant, and hygiene levels are good. EVIDENCE: On the day of the inspection Nyton House was found to be well maintained, very clean and free from offensive odours. Decoration and furnishings were seen to be of good quality. Nyton House is set in extensive grounds that are very well maintained and accessible. The home has a programme of routine maintenance in place. One service user said that she finds the gravel path into the grounds uncomfortable when she is pushed over it in her wheelchair. She says she has mentioned this to the manager and paving slabs are going to be put in place to alleviate this problem. Service users’ bedrooms were seen to be comfortably furnished and held resident’s own possessions. Most residents also have their own furniture in their rooms. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 13 Adequate policies and procedures were seen regarding infection control. Laundry facilities are located away from areas where food is prepared. Laundry floor surfaces were seen to be impermeable and easy to clean. Sluicing facilities are available and foul laundry is washed at appropriate temperatures. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29, 30 Nyton House operates a thorough recruitment policy. Staff receives training and are competent to do their jobs, however formal training regarding Adult Protection needs to be put in place. EVIDENCE: Policies, procedures and staff records inspected demonstrate that Nyton House has a thorough recruitment procedure. Two written references, Criminal Records Bureau and Protection of Vulnerable Adults checks are sought prior to employment of new staff. Induction and Foundation training were seen to be in place for all new staff. The manager is in the process of arranging formal training regarding Adult Protection. Training records seen showed that staff also receives training in Food Hygiene, Health and Safety, Manual Handling, Medication, First Aid and COSHH. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 The home has a quality assurance system in place to help ensure it is run in the best interest of service users. The manager does not act as appointee for any service users’ financial affairs. The health and safety of service users and staff are protected. EVIDENCE: It was noted that since the last inspection Nyton House has started to implement a quality assurance system, which includes gathering the views of residents, relatives, and staff, to ensure that the home is run in the best interests of service users. The home also has an annual development plan in place. At present the manager does not act as appointee for any service users’ financial affairs. Service users either look after their own finances or are assisted by a relative, or are subject to Power of Attorney or Guardianship. The home provides a safe for service users to keep valuables in if they require. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 16 Staff records show that staff receives training in Health and Safety. Certificates and records were seen that show that fire, gas, and electrical equipment in the home are tested regularly. Temperature governors restrict water temperatures and a water sample for Legionella testing was taken in June. All the radiators seen in the home were covered and the windows were restricted where appropriate. Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 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 x 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 x x 3 Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? 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 18 Regulation 13 Requirement The registered provider needs to ensure that staff receive adequate training in Adult Protection. Timescale for action 24/11/05 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 Good Practice Recommendations Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 Nyton House H60-H11 S14643 Nyton House V237170 240805 Stage 4.doc Version 1.40 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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