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Inspection on 28/06/05 for The Newlyn Residential Home

Also see our care home review for The Newlyn Residential Home for more information

This inspection was carried out on 28th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A strong focus is placed upon staff training and development, a number of staff have gained NVQ level 2 in care with many more undertaking the award. Service users spoke of receiving quality care from a dedicated staff team within a very homely, friendly environment.

What has improved since the last inspection?

The home has invested in a quality assurance system, which ensures the ongoing review and improvement of all procedures and services offered within the home thus ensuring all of the residents receive quality care and personal support at all times.

What the care home could do better:

The management of the home should ensure that written consent is obtained from service users with regards to the removal of furnishings from individual bedrooms.

CARE HOMES FOR OLDER PEOPLE The Newlyn Residential Home 2 Cliftonville Avenue Newington Ramsgate Kent Lead Inspector Elizabeth Hendry Announced 28/06/2005 at 9:30hrs 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. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Newlyn Residential Home Address 2 Cliftonville Avenue, Newington, Ramsgate, Kent. CT12 6DS 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) 01843 589191 Mrs Linda Joyce Goldsmith Mrs Linda Joyce Goldsmith Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: no Date of last inspection 13th January 2005 Brief Description of the Service: The Newlyn Residential Home provides residential care for up to 13 older people who require varying degrees of assistance. The home has access to all necessary specialist services within the community. The home is located in the Newington area of Ramsgate close to local ammenities including post office, general store and medical centre. Staffing comprise of Registered Owner, Deputy Manager, care and ancilliary staff . The home is a family run business with owner having a high level of input into the home. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual announced inspection, which took place during the course of a full day. Time was spent meeting and talking with all residents, members of staff and management. Policies, procedures and records were examined, and a tour of the home was undertaken. What the service does well: What has improved since the last inspection? What they could do better: The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 6 The management of the home should ensure that written consent is obtained from service users with regards to the removal of furnishings from individual bedrooms. 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 Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 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 The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 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) 1,2,3 and 6 The homes Statement of Purpose and Service User guide are excellent. They provide Service Users and prospective service users with the information they need to make a decision about moving into the home. Terms and conditions of residence provide service users clear information as to what is included in the bed fee. Service User needs assessment are excellent and accurately reflect individual care plans, thus ensuring all service users receive appropriate levels of support and assistance EVIDENCE: Service users spoken to reported that prior to moving into the home, they were provided with a service user guide, which clearly identified what services and facilities were available. The Statement of Purpose and Service User guide contained detailed information regarding the layout of accommodation, staff qualifications and experience, management of the home, and services provided. Terms and conditions evidenced clearly identified what additional costs service users are likely to incur. Service users spoken to were fully aware of all additional charges to their residence. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 9 No intermediate care is provided at The Newlyn. The managers spoke of conducting a needs assessment on all prospective residents prior to a place being offered to ensure all of their needs can be fully met. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 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 and 10 The care planning system is clear and consistent, providing staff with the information they need to meet the needs of the Service Users. The healthcare needs of all service users are fully met. The management of medication within the home is sound. Service users are treated with respect and dignity at all times. EVIDENCE: Staff spoken to had a clear understanding of the needs and limitations of all residents within the home. Service users were fully aware of the contents of their care plan and confirmed that they are actively involved in the monthly review of each plan. Evidence was seen to support this in the form of service user signatures within individual files. The healthcare needs of all residents are fully met, staff closely monitor all residents to ensure their healthcare needs are met, and any problems identified are quickly addressed. Staff spoken to said that they receive comprehensive medication training, records viewed confirmed this. Medication records and drugs stored were found to be in order. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 11 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 and 15 Service Users are fully supported to choose from a wide variety of activities and community-based outings. Service users are empowered to exercise choice and control over their own lives, and maintain relationships. Dietary needs of Service Users are well catered for with a balanced and varied selection of food available that meets the Service Users tastes and choices. EVIDENCE: Service users spoke of being supported to develop and maintain interests in activities and to become involved within the local community. Activity programmes viewed identified a wide variety of activities and outings available to all service users. Service users spoke of staff making their family members and visitors very welcome. Service users spoke highly of the meals provided within the home, and dietary needs and advice is catered for. The home employs a cook who prepares all meals and is fully aware of individual’s likes and dislikes regarding food. Staff confirmed that snacks and drinks are available throughout the day. Menus showed careful planning and indicated choices available for each meal. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 12 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 and 18 Staff have sound knowledge and understanding of adult protection issues, which assists in the protection of service users from abuse. The homes complaints policy and procedure is excellent, ensuring Service users receive quality care at all times. EVIDENCE: Staff spoken to confirmed that adult protection and abuse awareness training is undertaken on commencement of employment. Records seen illustrated staff’s understanding of the homes policies and procedures and signatures were in place confirming documents had been read and fully understood. The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. Service users spoken to said that would feel comfortable to raise concerns without fear of reproach. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 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 standard(s) 19,24 and 26 The standard of the environment within the home is good providing Service Users with an attractive and homely place to live. Infection control measures are in place, which promotes the wellbeing and health of service users and staff. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. The majority of fixtures and fittings were domestic in nature. To the side of the property there is a large garden area, which provides additional seating and living space for the residents during the summer months. Service users were seen to have personalised their bedrooms. The home was found to be clean and no offensive odours were present. Staff training records indicated all staff receive infection control training on commencement of employment. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 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 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 and 30 Staffing levels within the home are high providing consistent care to the service users. Recruitment procedures in place are thorough, assisting in the protection of all service users. Service users receive care from appropriately trained staff. EVIDENCE: High levels of staff were on duty during the inspection, staff rotas examined showed good levels of staff were on duty at all times to ensure service users needs could be fully met. Service Users spoke highly of all members of staff commenting that nothing is ever too much trouble for them. Staff files viewed contained CRB checks and relevant information in accordance with the homes recruitment policies and procedures. The management of the home spoke of investing in staff training and development, records evidenced confirmed that all staff working within the home have received and continue to receive appropriate training. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 15 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) 33,35 and 38 The management of the home is good and records are well managed. The manager is supported well by the deputy manager in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Quality assurance procedures within the home ensure the home runs in the best interests of the service users. The health and safety of the service users and staff are promoted and protected. Service users monies are well managed assisting in the safeguarding of their financial interests. EVIDENCE: The manager has a clear understanding as to the goings on within the home, service users spoke of the manager undertaking care and domestic duties when needed and providing an open door to discuss personal issues and worries. Staff confirmed that the manager is approachable and understanding and actively encourages their personal development. Records are well maintained, accurate and regularly reviewed. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 16 The manager spoke of undertaking regular self-audits using the homes new quality assurance tool. Service users spoke of attending regular resident meetings and confirmed that issues raised are quickly addressed. Financial records viewed were found to be in order. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x 3 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 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 18 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 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. 1. Refer to Standard 24 Good Practice Recommendations The management of the home to obtain service users written consent regarding any changes to furnishings within individual bedrooms. The Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Newlyn Residential Home H56-H05 S23567 The Newlyn Rest Home V224155 28062005 stage 4.doc Version 1.30 Page 20 - 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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