Inspection on 03/07/09 for Nyton House

This inspection was carried out on 3rd July 2009.

CQC found this care home to be providing an Poor service.

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

Nyton House 13/04/10

Nyton House 30/09/09

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 24/08/05

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 25/11/2009.

Random inspection report Care homes for older people Name: Address: Nyton House Nyton Road Westergate Chichester West Sussex PO20 3UL zero star poor service 06/04/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Liz Palmer Date: 0 3 0 7 2 0 0 9 Information about the care home Name of care home: Address: Nyton House Nyton Road Westergate Chichester West Sussex PO20 3UL 01243543228 01243543039 daviscarehomes.nyton@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Mary Davis,Mr Philip Norman Davis care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Conditions of registration: 23 0 The maximum number of service users to be accommodated is 23. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) - maximum number 1. Date of last inspection Brief description of the care home 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. Care Homes for Older People Page 2 of 10 0 6 0 4 2 0 0 9 Brief description of the care home 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. The current fees range from £450 to £850. (£850 is for a double room) Care Homes for Older People Page 3 of 10 What we found: The last key inspection of this service was on April 6 2009. The rating following that inspection was zero star, meaning outcomes for people who live here are poor. This inspection was undertaken to check compliance with a statutory requirement notice served in relation to a breach of regulation 15. It was undertaken by one inspector. The new manager who is currently applying to be registered with us was present. You were required by 30 June 2009 to (i) Review the care plans of all existing service users and revise all parts of the same where appropriate after consultation with the service user or a representative. (ii) Have a system in place that ensures that care and support plans identify all of the service users individual needs, (personal and health care) providing clear instructions to staff on how to provide all aspects of the care. The provision of care is thoroughly recorded, kept under regular review and revised where appropriate. We looked at the care plans of three service users that were identified at the key inspection as not being up to date and not detailing all the health and personal care needs of those individuals. We also looked at two other care plans that were not identified at the last key inspection. All five of the care plans had been reviewed and updated. Details in care plans included, for example, pain care, mobility, communication, emotional care and hygiene. Risk assessments were in place and had also been reviewed and updated. There was evidence that service users views had been taken into account, for example, one service user was insistent on maintaining her independence with regard to self-medication. This was respected by the home and a plan put in place to minimise the risk. There was evidence of ongoing monthly reviews as well as updates added as they arose. For example, records of doctors visits and changes to care were seen to be added in as they arose. One of the care plans looked at was signed by the service users relative. The manager stated that all service users and their relatives or representatives were asked to be involved in the reviews. A copy of the letter sent to relatives was seen. The information was also published in a recent newsletter that had been sent to relatives and service users. The manager stated that appointments had been made with some relatives. Some had declined. The home have implemented a key worker system whereby each staff member has four service users allocated to them and they have responsibility for reviewing care plans on a monthly basis. Senior staff are supporting carers with this. The manager is monitoring this using a monthly observations record and care plan review record. The form for this was seen. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 10 The home must continue to keep care plans under review. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 8 13 (1)(b) Individuals who have been 15/07/2008 identified with potential risks to their pressure areas or with actual skin breakdown must have a risk assessment in place, be reviewed by the GP and the care plan updated to include how the risks are to be reduced and specify how wound care needs are to be met. Where it has been identified 15/07/2008 that people who use the service are at risk from falls, a risk assessment must be put in place to lessen those risks. 13 (6) The registered manager must ensure staff receive training in safeguarding adults. Staff must receive training in safeguarding adults in order to protect the individuals living at the home. 07/07/2009 2 8 13 (4) (b)(c) 3 18 13 4 18 17 17 1(a) Schedule 3 The registered persons must keep a record of all issues that are reported under safe guarding adults and any action that is taken. 01/05/2009 Care Homes for Older People Page 6 of 10 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Records must be kept to show what action the home is taking to protect the individuals that live at the home. 5 18 13 13(6) The registered provider and registered manager must support staff with the whistle blowing procedure of the home. For staff to feel safe in reporting their concerns of issues that affect the well being and safety of individuals who live at the home. 6 29 19 Sch 2 (5)(6)(7) A thorough recruitment of 15/07/2008 staff must include references, CRB and POVA First checks to protect people who use the service. 13 (4)(5) (6) 18 (c) The 06/07/2009 registered persons must ensure that staff receive training that meets individual needs such as pressure area care, stroke, diabetes and dementia. To ensure that the needs of individuals who use the service are met, safely. 8 30 13 13 (4)(5) (6) 18 (c) The registered persons must ensure that staff receive mandatory training in order to support people who use 06/07/2009 01/05/2009 7 30 13 Care Homes for Older People Page 7 of 10 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the service. This includes first aid, manual handling, food hygiene and COSHH. To ensure that the needs of individuals who use the service are met, safely. 9 38 37 37 (1)(2) The registered 01/05/2009 persons must notify the Care Quality Comission regarding anything that affects the well being of individuals at the home under Regulation 37, within expected timescales. The CQC must be informed of all occurrences that affect the well being of individuals that use the service. Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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