Inspection on 07/06/05 for Philip Cussins House

This inspection was carried out on 7th June 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 14/12/05

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 NE3 4EY Lead Inspector Alan Baxter Announced 7 June 2005 09:30 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. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Philip Cussins House Address 30-33 Linden Road Gosforth Newcastle upon Tyne NE3 4EY 0191 213 5353 0191 213 5354 christine@philipcussins.wanadoo.co.uk Mrs Carol Eve Lurie 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) Mrs Christine McNicholas CRH 26 Category(ies) of OP Old Age (26) registration, with number of places Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 22nd November 2004. 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. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the announced inspection of Philip Cussins House, so the home knew when this inspection was to take place. There will also be another inspection this year, which will be unannounced. This inspection took about six and a half hours. The care records of three residents were looked in detail. These residents were spoken with, as were nearly all the residents, the manager and care manager, and some staff. A meal was taken with the residents. Several relatives spoke to the inspector. Parts of the building were inspected. Many residents and relatives kindly filled in a questionnaire about the home. 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. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 6 There is a good range of social stimulation. Spiritual and cultural needs are respected and supported. Food is very good, with plenty of choice. “Staff don’t just give real care, they give real love to residents.” (a relative). 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 standard(s) 3,4,5,6. All new residents have received proper assessment of their needs before being admitted to the home, to make sure that the home can meet their needs. People thinking of coming into the home have the opportunity to visit the home and meeting staff and other residents before making their final decision. The home does not provide Intermediate Care. EVIDENCE: Three residents’ care records were examined. Needs were seen to be properly assessed before each resident had been admitted. As well as receiving a detailed assessment from each person social worker/care manager, the home carries out its own pre-admission assessment as well as the Crichton Assessment and risk assessments. Nutritional and pressure care assessments are being introduced. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 9 There was documentary evidence that new residents and their relatives and friends have the opportunity to visit the home before admission. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10. All the assessed needs of residents are set out in detailed individual plans of care. Residents’ health needs are regularly assessed and properly met. Residents’ medicines are safely stored, carefully given, and properly recorded. Residents all feel that they are treated with respect and that there privacy is also respected. EVIDENCE: The care records of three residents were examined. Care plans are drawn up within 48 hours of the person coming to the home. There is a good match between the assessed needs of a person and their individual care plans. Each care plan is evaluated every month by the resident’s key worker. Each person has their social care needs assessed and a social care plan drawn up to meet those needs. There is also a daily social activities diary on each person’s care record. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 11 All care plans are reviewed every four months. This is good practice. Overall, the home has good quality and detailed care plans. In a recent relatives’ questionnaire one relative commented “Philip Cussins provides a high standard of care from a sensitive and thoughtful staff group. I am impressed by the overall standards, the staffing levels and the flexibility.” There was documentary evidence that healthcare needs are regularly assessed and are appropriately addressed. The home reports excellent relationships with its district nurse, general practitioners, and other health professionals. Four General Practitioners responded to a questionnaire sent by the CSCI. All four said that the staff demonstrate a clear understanding of the care needs of residents; that medication is appropriately managed; that management takes appropriate decisions when the home can no longer meet a resident’s care needs; and that they are satisfied with the overall care provided in the home. The home uses the Boots Blister Pack system for residents’ medications. The medication administration record was examined. This was well kept, with no unexplained gaps. All handwritten entries have two signatures; and there was a list of staff names/initials at the front of the file, as well as photographs of each resident, all of which help to keep residents safe from medication errors. The Controlled Drugs register was checked against the stocks held, and found to be accurate. Storage of medicines is secure. The drugs fridge temperatures are recorded. Dates of opening of eye drops etc are written on the label, so they are not kept too long. Residents may take responsibility for self-administration, if risk assessed (no one does this at the moment). Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. 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 high standard of catering, with 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. 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. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 13 An activities programme shows that a different activity is offered each morning and afternoon. Arts and crafts are very popular, and residents recently won first prize at the Gateshead Garden Festival arts and crafts section with a dolls house they built. Each resident’s daily social activities are recorded in their care records. A full week menu was submitted before the inspection. The home provides a strict Kosher diet. The cooked breakfast 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 menu is varied and nutritious. A meal was taken. It was an enjoyable experience, with good food, nicely presented. Staff were seen to sensitively assist those residents who need feeding. Residents spoken with all said that the food is excellent. Most residents have good family support. Representatives of the home’s committee visit every day and talk with all of the residents. Generally, excellent support is given to residents. Residents are encouraged to be as independent as possible. Anecdotal and documentary evidence showed that many residents improve significantly in areas as mobility, moods, general health, and social integration, after coming to the home. Sensible risk taking is encouraged. Special equipment for bathing has been installed to increase independence. The minutes of residents’ meetings showed that 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 B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18. Residents feel that they are listened to, and that any concerns they may express will be taken seriously and resolved. Whilst every care is taken to protect residents from abuse, the procedure to be followed should an allegation be made was not clear, and there is a need for some prompt staff training in this important area. EVIDENCE: The complaints book was examined. One complaint, only, has been received in the past year. This was with regard to a privacy issue. This complaint was substantiated, and the manager has instructed staff regarding this issue. A feedback and comments book is also kept, and this contains a number of very complimentary letters, cards and comments from relatives, friends and visiting professionals. Residents said they feel they can raise any concern with staff, and are confident that the issue would be resolved. The home has policies and procedures about protecting residents from abuse. However, it is not clear that the home fully understands the importance of reporting such allegations to the proper authorities and working jointly with them to investigate. Staff training should be given in this important area as a priority. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 15 There is evidence that the home’s whistle blowing policy is known to staff, and is an aspect discussed in staff supervision. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 16 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) EVIDENCE: Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 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) 27,29,30. 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 check employment histories. The home provides a good level of training, and has improved its induction 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. These levels are in excess of the industry norms. The home also has ample catering, housekeeping, domestic and laundry staff. The manager is supernumerary. It was a requirement of the last inspection that staff induction foundation training must meet the requirements of TOPSS, the national training agency. This has been introduced. The home now uses an ‘induction, foundation and training record’ that meets the TOPSS requirements. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 18 Until recently the home had 50 per cent of its care staff trained to NVQ Level two. However, one trained carer has since left the home. Four carers have also gone on to achieve NVQ Level 3. The personnel records for the two most recently employed members of staff were inspected. Applications forms were on file, but some gaps and contradictory evidence should have been challenged at interview, for one of the persons employed. Statements of terms and conditions are held on file, as are two written references, enhanced CRB disclosures, proof of identity, and induction training. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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 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) 33,34,35,36,37,38. The home is run in a way that meets the best interests of residents. Staff supervision is improving, both in regularity and content. Residents’ financial interests are protected and there are clear accounting and financial procedures in the home. Residents’ rights and interests are protected by the home’s good standard policies and procedures, and good record keeping. The health and safety of residents and staff are taken seriously, and appropriate servicing, maintenance and other systems are in place. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 20 EVIDENCE: It was a requirement of the last inspection that appropriate and effective quality assurance systems are introduced. Good progress has been made towards meeting this standard. A very comprehensive overall audit manual has been introduced, and an annual development plan drawn up. The home has also undertaken a ‘stakeholder’ survey, and is co-ordinating the results. In a recent questionnaire to General Practitioners, all four who replied said that the home always communicates clearly with them, and work in partnership with them. All four said that there is always a senior member of staff to confer with when they visit. All residents maintain their own benefit book and handle their own financial affairs, with family support. The manager does not act as appointee for any resident. Where requested, the home will hold small amounts of money for residents. The accounts for these were checked, and found to be clear, up to date and accurate. Two signatures are recorded for all transactions. The manager conducts an audit every six weeks. It was a requirement of the last inspection that appropriate staff supervision formats are introduced and that more detailed minutes are kept of supervision sessions. The frequency of supervision has increased. The manager is training senior staff to supervise the staff responsible to them. This should mean that all supervision targets will be met in future. Supervision is still very much focused on single issues, and should be widened to include the giving and receiving of more general feedback on work performance and related issues. It was a requirement of the last inspection that staff should be given in house fire instruction at the appropriate frequency (day staff, six monthly; night staff, three monthly). This has been implemented. There is now a year planner that allows ‘at a glance’ checks that all staff are receiving training at the required regularity. Maintenance and service records were examined. These showed that there is a regular system of servicing of equipment, and prompt attention given to any faults identified. Electrical items receive PAT testing. The lift is regularly serviced, as is the heating, and bath hoists. There is documentary evidence that the home conforms to water supply regulations. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 21 Risk assessments are contracted out to the Penninsular Company. All staff have received the appropriate statutory training. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 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 x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 2 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 3 3 3 3 3 Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 23 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 Timescale for action All staff must be made aware, 31st July through training and supervision, 2005. of the homes procedure for reporting any allegation of abuse to the appropriate authorities. All gaps in the work history or 8th June contradictions in job application 2005 forms must be discussed with the job applicant, and their responses recorded. Requirement 2. 29 13 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 36 Good Practice Recommendations Staff supervision should be extended to include feedback about work performance to, and feedback from, the person being supervised. Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection 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 Philip Cussins House B53-B03 S452 Philip Cussins V221125 070605 Stage 4.doc Version 1.20 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. 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