Inspection on 14/12/05 for Philip Cussins House

This inspection was carried out on 14th December 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

Philip Cussins House 28/03/07

Philip Cussins House 07/06/05

Philip Cussins House 22/11/04

Philip Cussins House 20/07/04

Philip Cussins House 23/02/04

Similar services:

Middlesbrough Intermediate Care Centre

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

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

CARE HOMES FOR OLDER PEOPLE Philip Cussins House 30-33 Linden Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4EY Lead Inspector Alan Baxter Unannounced Inspection 14th December 2005 09:30 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 DS0000000452.V258413.R01.S.doc Version 5.0 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. DS0000000452.V258413.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Philip Cussins House Address 30-33 Linden Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 4EY 0191 213 5353 0191 213 5354 christine@philipcussins.wanadoo.co.uk 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) Mrs Carol Eve Lurie Mrs Christine McNicholas Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places DS0000000452.V258413.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Philip Cussins House is a long established charity that provides residential care for elderly Jewish people. It also warmly welcomes non-Jewish residents. The building is a recently converted large Edwardian terrace, within a reasonably short distance from Gosforth High Street, with its shops, amenities and public transport. The home offers mainly large single bedrooms with en-suite toilet and shower facilities. Philip Cussins House has strong support from the local Jewish community, has a high quality kosher diet, and has the spiritual support of local Rabbis. DS0000000452.V258413.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home. The main focus was to check that the home had complied with the requirements of the last inspection. Both requirements have been met. In addition, the home was assessed on the few ‘key’ standards that were not assessed on the last inspection. Time was spent with the registered manager and the care manager examining records and documentation. Nearly all the residents were conversed with. All said that they are very satisfied with the service they are receiving. What the service does well: This is a well run home that puts its residents’ needs first. Residents confirmed that this is a very happy home, and that they are comfortable and very well looked after. No complaints have been received, either by the home or by the CSCI, but residents confirmed that any concerns they may express would be taken seriously by the home, and would be quickly addressed. The building is kept in good repair, and is clean and comfortable. The home has high staff levels. For other areas were the home does well, see the inspection report dated 7 June 2005. DS0000000452.V258413.R01.S.doc Version 5.0 Page 6 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. DS0000000452.V258413.R01.S.doc Version 5.0 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 DS0000000452.V258413.R01.S.doc Version 5.0 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): Standards 3,4,5 and 6 were all met at the last inspection. EVIDENCE: DS0000000452.V258413.R01.S.doc Version 5.0 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): Standards 7,8,9,10 and 11 were all met at the last inspection. EVIDENCE: DS0000000452.V258413.R01.S.doc Version 5.0 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): Standards 12,13,14 and 15 were all met at the last inspection. EVIDENCE: DS0000000452.V258413.R01.S.doc Version 5.0 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. 16) Residents and their relatives know that any complaints are taken very seriously, and will be acted upon. 18) Residents are protected from abuse. DS0000000452.V258413.R01.S.doc Version 5.0 Page 12 EVIDENCE: 16) The complaints book was examined. No complaints have been received since the last inspection, but numerous complimentary letters and cards from residents, relatives and visitors (including visiting professionals) were on file. Residents confirmed that they have every confidence that any concern or complaint they might raise would be treated seriously by the staff, and would be quickly sorted out. 18) It was a requirement of the last inspection report that all staff must be made aware, through training and supervision, of the home’s procedure for reporting any allegation of abuse to the appropriate authorities. The manager and deputy manager were able to correctly and accurately describe the steps that must taken, should an allegation of abuse come to their attention. The home’s ‘whistle blowing’ policy (the reporting of any poor practice or abusive behaviour by colleagues) has been reinforced with all staff. Nearly all staff have received ‘Protection of Vulnerable Adults’ (POVA) training as part of their induction training and on their NVQ courses. The manager will take all staff through the home’s POVA policy and procedures in the next staff meeting. DS0000000452.V258413.R01.S.doc Version 5.0 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): 19,26. 19) Residents enjoy a safe and well maintained living environment. 26) The home is clean, warm, pleasant and hygienic, and is odour-free. EVIDENCE: 19) The home is well maintained. Repairs are dealt with quickly. There are appropriate servicing contracts in place. The building is kept in good decorative order. Risk assessments take place. No obvious safety hazards were identified in this inspection. 26) Parts of the building were toured. All areas seen were very clean and tidy. The building is odour-free. DS0000000452.V258413.R01.S.doc Version 5.0 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): 27,29. 27) Residents’ needs are well met by the home’s policy of consistently providing staff levels that are higher than the industry’s norm. 29) It was a requirement of the last inspection report that all gaps in employment history or any contradictions in the job application forms must be discussed with the applicant, and their responses recorded. Standards 28 and 30 were met at the last inspection. DS0000000452.V258413.R01.S.doc Version 5.0 Page 15 EVIDENCE: 27) The staff rotas were examined. Staffing levels are unchanged at four carers (including seniors), 8.00am – 2.00pm; three carers (including seniors), 2.00pm – 8.00pm; one senior and one carer, 8.00pm – 8.00am. These levels are in excess of the industry norms, and of the levels required for registration purposes, and allow for a more personal and individual service to be given to the home’s residents. The home also has ample catering, housekeeping, domestic and laundry staff. The manager is supernumerary. There is a low turnover of staff, which gives a good level of consistency for the residents. 29) It was a requirement of the last inspection report that all gaps in employment history or any contradictions in the job application forms must be discussed with the applicant, and their responses recorded. Two staff personnel files were sampled. One (an established member of staff) had been subject to a query at the last inspection; the identified anomaly has since been investigated, with a positive outcome. The second (a new member of staff) had the required written references; Criminal Record Bureau check; proof of identity; fully completed application form, with no employment history gaps; and evidence of proper induction training. DS0000000452.V258413.R01.S.doc Version 5.0 Page 16 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): 31,32,36. 31) The home’s manager is properly qualified and very experienced; is of good character; and is able to fully meet the requirements of her role. 32) Residents benefit from the ‘resident-centred’ ethos of the home and from the positive leadership of the registered manager and the care manager. 36) Staff are not receiving supervision at the required regularity. Standards 33,34,35,37 and 38 were met at the last inspection. EVIDENCE: 31) The registered manager, Mrs Christine McNicholas, has twelve years in senior positions with the charity, including four years as registered manager. She holds the requisite qualifications (D32/33 NVQ assessor; NVQ level four in Care and Management; and the Registered Manager Award). DS0000000452.V258413.R01.S.doc Version 5.0 Page 17 32) The management of the home is open and transparent. There is a clear sense of direction demonstrated by the manager. The manager has an ‘open-door’ policy, and this was confirmed by residents visitors and staff. The home always co-operates with the inspection process, and demonstrates a commitment to ongoing improvements to the service offered. 36) It was a recommendation of the last inspection report that the agenda for staff supervision should be expanded to include giving feedback to the staff member about his or her work performance, and also giving the staff member the opportunity to give their own feedback to the supervisor. This has yet to be implemented. It was also noted that staff supervision is not being given at the required regularity. It was agreed that this is a training issue, and that all management/senior staff must be given an appropriate training course in the supervisory process. This will allow for successful delegation of areas of supervision. It was also agreed to use a prominently sited year planner to publish the supervision calendar, and that staff should take some responsibility for preparation for supervision. DS0000000452.V258413.R01.S.doc Version 5.0 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X 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 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 2 X X DS0000000452.V258413.R01.S.doc Version 5.0 Page 19 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. 2. Standard OP36 OP30 Regulation 18(2) 18(1) Requirement Timescale for action 31/03/06 All care staff must receive formal supervision at least six times each year. Senior staff must receive training 31/03/06 in the supervisory process. 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 OP36 Good Practice Recommendations Staff supervision should be extended to include feedback about work performance to, and feedback from, the person being supervised. DS0000000452.V258413.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000000452.V258413.R01.S.doc Version 5.0 Page 21 - 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. 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