Inspection on 28/03/07 for Philip Cussins House

This inspection was carried out on 28th March 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 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 14/12/05

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 Allan Helmrich Key Unannounced Inspection 10:00 28 March & 4th April 2007 th 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 Philip Cussins House DS0000000452.V330188.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. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 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 Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 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. Inspection reports and information about the home are readily available. The weekly fees are £366-£402. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s periodic unannounced key inspection visit. The inspection was conducted over two separate days and took 7 hours. Time was spent talking to the manager, some care staff, several residents and their visitors. Some of the home’s care records were reviewed and the systems that maintain residents safety. Some residents’ case records were specifically assessed against the style of care provided. This is called ‘Case Tracking’. Questionnaires were provided for residents and visitors to the home. Responses were received from one resident and four relatives. Information provided by them is used in the report. What the service does well: The home is well managed and run in the best interests of residents. Staffing levels are higher than average. There is a stable staff team of experienced, mature carers. There is a thorough assessment of residents’ needs. There is clear detailed care planning to meet assessed needs. The home is very welcoming to visitors. There is good support from the committee, the local community, families and friends. Healthcare needs are fully met. Medications are safely stored and administered. Residents are treated with great warmth and respect. Comments from relatives questionnaires are; My relative is extremely happy in the home. She feels it has a lovely atmosphere and it is one big happy family. The care and attention is faultless. Carers look after my relatives every need, they are always attentive and very kind. She is very happy and wants for nothing. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 6 I don’t think the home could improve. My relative is happier than she has been for a long time. The home provides a caring and secure service. 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. Philip Cussins House DS0000000452.V330188.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 Philip Cussins House DS0000000452.V330188.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): 3, 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission process reduces the possibility of admitting someone whose needs cannot be met. Intermediate care is not provided. EVIDENCE: Three care plans reviewed contained details of an assessment done by senior staff before a place is offered. This assessment was done before admission to the home and included information provided by care managers. This ensures the home can provide the level of care needed by the resident. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 9 Following admission the care manager or senior care staff ensure that any problems are identified and that the home has appropriate equipment to meet the residents needs. Standard health assessment forms are completed but these are not always concluded with a statement of any risks assessed. Within four weeks of admission each resident is given information by senior staff about their care plans and to ensure their care needs are being met. The resident then has the opportunity to sign the care records. The care records are clear and easy to read but not all contain a recent photograph of the resident. The home is well known in the Jewish community and several residents spoken to were aware of the home and it was part of their life plan long before they moved in. Each of the responses to a questionnaire confirmed that sufficient information is provided about the home, that a contract is provided and that care information is good. One relative spoken to stated the home offered a months trial stay before his father decided to make this his home. Staff spoken to used the care records to provide appropriate care. A range of information about the home and the service it provides is on display in the home, together with recent inspection reports. The home does not accept referrals requiring rehabilitation but respite beds are available. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are addressed. The home has appropriate procedures for handling and administering medicines. Residents’ privacy and dignity is maintained. EVIDENCE: Three care plans were reviewed. They all contained a social assessment and a plan for daily living. Care plans describing to staff how care is to be provided are written and risks in daily living are assessed. Risk assessments are written with how these can be reduced. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 11 Each resident’s health is assessed and this is regularly reviewed. One care plan clearly showed the significant changes in one residents health and how this is addressed. Residents, weights are regularly recorded and care plans are generally reviewed monthly to ensure the care provided meets the individual’s needs. Systems are in place to meet the needs of any resident with a pressure sore and residents at risk are provided with the equipment to support them. Not all care plans included a photo of the resident to identify them to new staff. The system for the administration of medicines was checked and found to be good. Staff who dispense medicines are trained and records are maintained for ordering, receiving, administering and disposal. Medicines are stored safely. Residents seen were dressed appropriately in their own clothes. Staff were seen to treat residents respectfully and deal with any personal issues with dignity. Privacy locks on bathroom and toilet doors checked during a tour of the building worked smoothly. Residents spoken to during the inspection all said that staff provided good care and were respectful. This was confirmed in the returned questionnaires. One visitor said their relative is really well looked after by competent caring staff. One other regular visitor to the home said that he has no issues with care staff who mostly provide a good standard of care and support. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets the social, cultural, religious and recreational needs of its residents. There was very good links with the local community, and family and friends visit very regularly. Residents are encouraged to exercise choice and control over their daily affairs. The home provides a strict Kosher diet and well-presented food. EVIDENCE: The homes provide an appropriate lifestyle for its Jewish residents, having very strong links with and support from, the local Jewish community. Religious, cultural and social needs are met. The local orthodox and reform rabbis visit regularly. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 13 The home also has non-Jewish residents, who respect the culture of the home, but who are free to live their own lives within a warm and tolerant community. An activities programme shows that a different activity is offered each morning and afternoon. Arts and crafts are very popular, residents won first prize at the Gateshead Garden Festival arts and crafts section with a dolls house they built and their intention is to repeat this feat. Each resident’s daily social activities are recorded in their care records. A full weeks menu was submitted before the inspection. The home provides a strict Kosher diet. A cooked breakfast is offered daily. There is a three-course lunch, with choice of each course. There is a choice of soup, and hot and cold dishes for high tea. The menus are wholesome and nutritious, containing a variety of vegetables and fruit. The lunchtime meal was observed. It was unhurried with adequate staff numbers supporting residents in a quiet dignified way. Residents spoken with all said that the food was either good or excellent. One regular visitor to the home felt the quality of catering could be improved, as it was tasteless. Most residents have good family support. Representatives of the home’s committee visit every day and talk with all of the residents. Residents are encouraged to be as independent as possible. Residents stated they choose what to do and when. One visitor and some respondents to questionnaires felt there relatives had greatly improved after coming to the home. Sensible risk taking is encouraged. Special equipment for bathing has been installed to increase independence. There are regular house meetings with minutes taken. Residents are encouraged to give their opinions about the running of the home, and these comments are taken seriously and acted upon. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that they are listened to, and that any concerns they may express will be taken seriously and resolved. Residents are safe and well protected in the home. EVIDENCE: The home has a complaints procedure and this is given to each new resident. A copy of the complaints procedure is also displayed in the home. The majority of respondents to a questionnaire were aware of the complaints procedure and who to complain to. Several residents spoken to were aware of how to complain, some had approached the manager with minor concerns and these were addressed. The home has received one complaint since the last inspection. The details of this complaint were recorded in a log together with the actions taken. Staff are provided with training related to protecting vulnerable adults and procedures are in place regarding this. Staff spoken to understand how to protect vulnerable people. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 15 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, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe, clean and well maintained. EVIDENCE: The home is converted from two Edwardian terrace houses. It has been refurbished to a good standard. Residents’ bedrooms are individually styled and contain many personal possessions. Residents and their visitors spoken to during the inspection are happy with the standard of appointment and decoration in the home. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 16 Lounges contain comfortable furniture arranged to encourage conversation and interaction between residents. A programme of cleaning is in place, the home is clean and no odours were detected. The kitchen is well equipped and a good standard of hygiene was observed. The laundry contains appropriate equipment to meet disinfection standards and laundry staff are provided with information and instruction regarding laundry. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the home which has a higher than average level of staffing. The home’s recruitment policies and practices are generally sound, but care should be taken to ensure all employment criteria are met. The home provides a good level of training EVIDENCE: 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. This level of staffing enables the home to provide a good standard of care. The home also has ample catering, housekeeping, domestic and laundry staff. The manager is supernumerary. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 18 The home uses an induction, foundation and training record that meets the SKILLS requirements. Staff are well trained. Of 14 care staff, 10 have achieved NVQ level 2 in care or above. This is a good basis for providing appropriate care for residents in the home. The personnel records for the two most recently employed members of staff were inspected. Applications forms were on file, but some information required to confirm the identity of the person employed was not in place. The manager has had some difficulty obtaining written references but has obtained telephone references before offering employment. The manager has recently obtained a new Criminal Records Bureau certification for each staff member. An audit tool for employment that would highlight any information gaps is not used. Staff are not provided with a code of conduct. Many of the staff team have worked in the home for several years and throughout the inspection residents praised the quality of care provided. Staff spoken to stated that a good range of appropriate training is provided, that they attend regular meetings and that supervision from management is in place. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 19 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, 33, 35, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has demonstrated her ability to provide good care by obtaining the Registered Managers Award. The quality of care provided is monitored in the home. A system to monitor residents’ financial interests is in place. Residents are safe. Systems to monitor welfare and good hygiene are in place. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager has been in charge of the home for several years. She has the Registered Managers Award which demonstrates her knowledge and experience in managing a care home for vulnerable people. A quality monitoring system is in place that involves company representatives and the use of questionnaires. This system is not formal and could be improved with a system using benchmarks. Residents spoken to during the inspection stated that the manager is always available to discuss matters relating to the running of the home. A visitor commented that the manager is approachable and listens and reacts to any concerns. Two staff spoken to stated that meetings are held regularly and that management make clear the standards of care they expect from staff. Many residents control their own monies. A system is in place hold monies should residents require this service. Transactions are recorded and evidenced by two signatures, receipts are kept and regular audits are done by management. Systems are in place to ensure the home is safe for residents. Certificates were seen to demonstrate maintenance tasks carried out by external contractors were done. Water temperatures are checked and a risk assessment is in place to show the water system is free from Legionella. Accidents in the home are recorded. A fire risk assessment has been produced and regular fire checks are recorded and staff training provided to ensure residents are safe. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 21 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 4 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 3 14 3 15 3 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP3 Regulation 15 Requirement The manager must ensure that staff are aware of the reasons for producing health assessments and that any issues identified are followed up in care planning. Timescale for action 31/05/07 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. 2. Refer to Standard OP7 OP29 Good Practice Recommendations Care plans should contain a recent photograph of the resident to identify the resident to staff providing care. The manager should use an audit tool to confirm all relevant employment steps are undertaken. The manager should review the information in National Minimum Standard 29 and Schedule 2 of The Care Homes Regulations 2001. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 23 3. 4. OP29 OP33 The manager should supply to each member of care staff a copy of the General Social Care Council (GSCC) Code of Conduct. The manager should look to improve the self assessment process by using a benchmarking system of quality assessment. Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Philip Cussins House DS0000000452.V330188.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!