Inspection on 10/10/05 for The New Inn

This inspection was carried out on 10th October 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

The New Inn 09/06/05

The New Inn 24/10/04

The New Inn 08/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The New Inn New Inn, The Lewes Road Ridgewood Uckfield East Sussex TN22 5SL Lead Inspector Elaine Green Announced Inspection 10th October 2005 02:00 The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 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 The New Inn DS0000041154.V249963.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 Adults 18-65. 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. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The New Inn Address 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) New Inn, The Lewes Road Ridgewood Uckfield East Sussex TN22 5SL 01825 765425 Ridgewood Care Services Mrs Lynn Ascroft, Mrs Jacqueline Lefort Mrs Jacqueline Lefort Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That no more than six (6) service users are to be accommodated. Date of last inspection 9th June 2005 Brief Description of the Service: The New Inn is a community based home offering a caring, family environment to six service users with learning disabilities. The New Inn is in Ridgewood, on the outskirts of Uckfield in East Sussex. This is part of the Sussex Weald on the edge of the Ashdown Forest. Uckfield has a railway station, buses linking the local towns and villages, cinema, library and leisure centre. There are churches in the local area. College facilities, for students with learning disabilities, are centred in Ringmer and classes can be accessed in the neighbouring towns. The property is a two-storey building, originally a public house, offering accommodation on two floors. There are at present 6 bedrooms, five with ensuite facilities and the owners are currently planning to increase this to 8. Two of the three bedrooms have assisted bathing facilities. There is a combined lounge/dining area on the ground floor, and a quiet room on the first floor. The garden area is accessible for all service users. Comprising of a lawn area, small vegetable plot, green house and summer house/craft room. The experienced staff at the New Inn endeavour to provide a homely and safe environment where service users are encouraged to reach their potential. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection took place on the 10th October 2005 from 2pm to 6pm. As part of the Inspection the Registered Manager completed a pre Inspection questionnaire and residents and relatives were given the opportunity to complete comment cards. During the Inspection discussions were held with the acting managers, two members of staff and two service users. Daily records, care plans, a selection of the homes’ 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. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 The home provides prospective service contract/statement of terms and conditions. EVIDENCE: Each service user has a written contract/statement of terms and conditions. The manager stated that the contract, terms and conditions are discussed with the service user or their representative prior to them making a decision about residing in the home. Examination of records confirmed that they were signed appropriately by individuals authorised to do so and contained all the required information. users with a relevant The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Systems in place for risk assessing and care planning are robust and promote service users to participate in an autonomous lifestyle. EVIDENCE: Two care plans were examined both of which had been reviewed on a regular basis. Care plans contained relevant up to date information relating to the current day to day activities of the service user and the guidelines for staff to follow in order to support them appropriately. Service users involvement in the care planning process is documented in the care plan. There is a key worker system in place at the home. Service users have regular meetings with their key workers. Examination of the minutes from these minutes confirmed that these meetings take place and that service users are involved in making decisions about their life. Risk assessments are contained in the care plans. They form the basis from which care plans and the relating support notes and guidance for staff to follow are written. These were examined and found to be relevant, reviewed regularly and robust. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,16. Service users are part of the local community, participate in the running of the home and enjoy an appropriate level of independence. EVIDENCE: Daily records, activity timetables and two care plans were examined. These documents and records confirmed that service users access the community on a daily basis appropriate to the individual. Service users are engaged in a range of activities in the local community including, going for walks, shopping, using public transport, attending college, collecting newspapers, posting letters, going to church, going to the pub and accessing other leisure facilities. Those who are able to can go out independently. Service users are involved in the day-to-day running of the home. Examination of records and observations made on the day of the Inspection confirmed this. Those who are able to assist with cleaning tasks, feeding the house pets, writing the menu for the week, cleaning their own rooms, doing the laundry etc. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 10 Service users are able to have keys to their own rooms and this is documented in their care plans. On the day of the Inspection it was noted that staff spoke to the service users present in a dignified and respectful manner and that they knocked on their bedroom doors before entering. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Personal care is delivered with sensitivity to service users’ preferences and needs. Service users’ physical and emotional health care needs are met. Medication procedures are adequate. EVIDENCE: Discussions were held with the manager who explained that the staff team had specific guidance for each service user as to the level of support required in relation to personal care. Guidelines for the delivery of personal care were examined for two service users and were found to be relevant to the individuals’ needs and sensitive to their preferences, up to date and comprehensive. Where additional specialist support is required the appropriate referrals have been made and care plans contain specific guidance for staff to follow as required. Examination of records confirmed that the service users are supported to access health care professionals when required. Service users health is monitored daily through the homes recording systems. Medication records were examined and found to be accurate, legible and complete. The homes, policies and procedures in relation to the administration for medication were examined and are adequate. The home has a comprehensive induction in the administration of medication including what The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 12 each medication is for and it’s possible side affects. Medication is stored in a locked cupboard. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. The complaint policy and procedures are adequate and followed appropriately. Service users are protected from abuse. EVIDENCE: The managers of the home have received one complaint since the last Inspection. Documentation relating to this complaint was examined. The home followed procedures and investigated the complaint satisfactorily - it was not upheld. The complaints policy and procedure was examined and found to be adequate. Following a recent incident at the home the managers acted appropriately and followed procedures. They ensured the safety of the service users and informed all the relevant agencies and professionals. The policies and procedures in place for the protection of vulnerable adults have been examined and are adequate. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30. The home provides service users with a clean, comfortable, homely and safe environment to live in. It accommodates personal needs and lifestyles whilst promoting independence. EVIDENCE: The home was clean, presentable and maintained in good order. The home has a relaxed feel to it and service users were observed to come and go during the Inspection and be engaged in a range of appropriate activities. All areas of the house are accessible to service users although some with staff support. The lounge downstairs is divided into and area for watching TV and a dining area that can also be used for games etc. The upstairs lounge is used as a quiet room were service users can socialise away from the TV, this room is used for music sessions and service user / key worker meetings. The garden is available to service users it has a small summer house plus garden furniture. All staff receive food hygiene training confirmed in staff training records and coloured chopping boards were in use in the kitchen. On the kitchen wall is information relating to service users tasks within the home. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35. Staff are trained to meet the needs of the service users. EVIDENCE: Training records for all staff were examined and were found to be comprehensive. Records confirmed that staff have received the appropriate induction and training within the required timescales. They have also had additional specialist training specifically chosen to assist them to meet the needs of the service users at the home. Training needs have been identified for staff and the correspondence examined confirmed that courses have been booked. Over 50 of the current workforce have achieved or are working towards obtaining a National Vocational Qualification (NVQ) Level 2 or above in Care. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,41,42. This home is well run and the management and administration systems in place are good. Service users health and safety is promoted. EVIDENCE: In the absence of the Registered Manager two senior members of staff are sharing the management role and are currently managing the home. An application for one of these individuals to become the Registered Manager has been received by the Commission for Social Care Inspection and is being processed. It is anticipated that there will be a new Registered Manager in place at the next Inspection. Discussions with the acting managers and staff, feedback received from the service users and the examination of records confirm that the aims and objectives of the home are being achieved. The management approach of the home is open and positive. Staff stated that they felt the owner and managers were approachable and that they are supported in their role. Service users are consulted as part of an ongoing process and their views contribute to the way the home is run. This was confirmed through the examination of a range of documentation. The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 17 The processes and systems for the managing of the home are open and transparent. The managers both demonstrated a good working knowledge of these processes and systems and throughout the Inspection were able to provide all the required information. All the records and documentation examined was found to be accurate, legible, up to date, complete and stored appropriately. Health and Safety records were examined and found to be in order. The risk assessments examined were robust, relevant and up to date. Staff receive adequate training in issues of moving and handling and fire safety. The outcome for service users is that their health, safety and well fare is protected. The New Inn DS0000041154.V249963.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The New Inn Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x DS0000041154.V249963.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The New Inn DS0000041154.V249963.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 The New Inn DS0000041154.V249963.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. 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!