Inspection on 30/01/07 for The Newlyn Residential Home

This inspection was carried out on 30th January 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

The Newlyn Residential Home 17/03/08

The Newlyn Residential Home 15/11/05

The Newlyn Residential Home 28/06/05

The Newlyn Residential Home 13/01/05

The Newlyn Residential Home 07/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Newlyn Residential Home 2 Cliftonville Avenue Newington Ramsgate Kent CT12 6DS Lead Inspector Tina Thomas Key Unannounced Inspection 30th January 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Newlyn Residential Home DS0000023567.V328834.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. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Newlyn Residential Home Address 2 Cliftonville Avenue Newington Ramsgate Kent CT12 6DS 01843 589191 01843589191 cherylgoldsmith@fsmail.net 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 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 DS0000023567.V328834.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User, whose date of birth is 26/11/1940 may be admitted into the Home. 15th November 2005 Date of last inspection 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 amenities including post office, general store and medical centre. Staffing comprises of the Registered Owner, Deputy Manager, care and ancillary staff. The home is a family run business with the owner having a high level of input into the home. Fees range from £303 to £390 per week. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection. The inspection process took place over a period of time, information was gathered, and it concluded with a site visit conducted over one day. Judgements were made by taking into account evidence from a range of documentation, a tour of the home, discussion with service users, staff, one relative and the Provider. What the service does well: What has improved since the last inspection? The home has added to its induction and training programme. Policies and procedures have been reviewed and updated to ensure good outcomes for service users and to ensure their safety. The dinning room has new furniture to encourage service users to eat in the dinning room and to create a social occasion of mealtimes. The home has new soft furnishings throughout. The garden has new furniture, which service users did enjoy during the summer months. The home has purchased a new chair lift to enable service users to be more independent. The home has developed a more robust Quality assurance system and produced a new development plan to ensure on-going review and development of the service. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 6 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. The Newlyn Residential Home DS0000023567.V328834.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 The Newlyn Residential Home DS0000023567.V328834.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information about the home so as to be able to make an informed choice. Prospective service users needs are fully assessed before they move into the home so as to ensure that they can be met. The home does not offer intermediate care. EVIDENCE: The home has a well-documented statement of purpose and service user guide, which reflects day-to-day life at the home. Two service users and one family member discussed choosing a home. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 9 One service user came to the home because she had seen first had how well one of her relations had been cared for at the home. She said ‘you couldn’t be better looked after better than by Lyn and Larry.’ She was referring to the Provider and her partner. Another service user discussed how his family made the decision, but he thought it was a good choice. A family member of another service user discussed how he had viewed several homes for his mother, he decided, with her, to choose Newlyns because it was ‘small and homely and it didn’t smell.’ The provider/manager conducts all the pre-admission assessments. The assessments are holistic in nature. They are well documented. Sometimes it is necessary for the provider/manager to visit hospitals to undertake assessments. In these circumstances prospective service users often choose a home without viewing it first. The provider/manager takes with her photos of the room that will be occupied, bathrooms, and soft furnishings, so as to enable the service user to make an informed choice. The home does not offer intermediate care as described in Std 6 National Minimum Standards (Homes for older people). The Newlyn Residential Home DS0000023567.V328834.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Practice regarding the planning and delivery of care means that all services users can be sure that their health and personal care needs will be fully met. EVIDENCE: Care plans viewed were well written, and well documented. They gave clear instruction to staff as to how to meet service users needs. They were holistic in nature. Suitable risk assessments were in place and amongst others included, manual handling, nutritional, pressure area, and risk of falls. They identified risks and showed how to minimise or alleviate them. They were suitably and regularly reviewed. Service users had signed agreement of their care plans and their monthly reviews. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 11 In cases where service users were unable to sign their agreement there was evidence that family members had been involved in decision making processes. Entries in care plans showed that service users had access to G.Ps and specialist services such as dieticians. The home had many aids throughout, to enable people to remain independent. Examples would be: two types of hoist and an additional bath hoist, a chair lift, hand rails throughout, and toilet raisers where necessary. The home also had equipment for the comfort of service users for example: air beds and pressure relieving cushions. Service users discussed how they received personal care in the privacy of their own rooms or the bathroom. One described how the large walk in shower best met their needs. Service users agreed that staff were kind and respectful. They agreed that they wore their own clothes. They were encouraged to reflect their own personalities and many wore make up and accessories. Procedures regarding the ordering, storage, administration, and safe disposal of medication was audited and found to be sound, Staff who administer medication undertake suitable medication training, the provider and deputy manager check staff competency. Service users spoken with said that the care staff observed their privacy. Care staff knocked on doors before entering private rooms. The Newlyn Residential Home DS0000023567.V328834.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel safe and listened to. EVIDENCE: A complaints procedure was available to all service users and this was included in the service user guide. Service users spoken with all felt safe, listened to, and able to speak to the Provider and deputy manager if they were not happy about anything to do with their care. The home has a complaints policy and a complaints book, but they have no ongoing complaints. The home has a whistle-blowing policy. Staff expressed that they would be confident to speak out if they were unhappy with others care practices, and expressed poor practice would not be tolerated at the home. Service users have regular meetings that are recorded and actioned, so as to be able to air their views and influence the manner in which the home is run. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 13 Staff have all had adult protection training to ensure that safety of service users. The Newlyn Residential Home DS0000023567.V328834.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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users feel safe and listened to. EVIDENCE: A complaints procedure was available to all service users and this was included in the service user guide. Service users spoken with all felt safe, listened to, and able to speak to the Provider and deputy manager if they were not happy about anything to do with their care. The home has a complaints policy and a complaints book, but they have no ongoing complaints. The home has a whistle-blowing policy. Staff expressed that they would be confident to speak out if they were unhappy with others care practices, and expressed poor practice would not be tolerated at the home. Service users have regular meetings that are recorded and actioned, so as to be able to air their views and influence the manner in which the home is run. Staff have all had adult protection training to ensure that safety of service users. The Newlyn Residential Home DS0000023567.V328834.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): 19,21,22,23,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and odourless throughout. The home is suitable for its purpose. The Provider has a continuous maintenance and improvement plan. EVIDENCE: The home was clean and odourless throughout. The home is suitable for its purpose. The home has a selection of garden areas (some paved) that are enjoyed by service users for various activities. New garden furniture has been purchased this year. The home has a selection of bathrooms, one has a large, walk in shower another has a bath with a hoist. All bathrooms and toilets were clean and had The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 16 gloves and aprons and hand gel for staff to use, so as to prevent the spread of infection. As previously mentioned the home has suitable equipment including a new stair lift to aid the independence of service users The home has three double rooms. These are divided by privacy curtains. One of the double rooms doors cannot be locked, as these are fire exit doors. Discussion between the inspector and provider concluded that the Provider would consider reflecting this in the Service users contracts. Individual bedrooms were homely and personalised with people’s own belongings. The Providers have invested in new soft furnishings and new carpet throughout the home. All service users have lockable boxes for their personal belongings. The home has a suitable laundry. The Newlyn Residential Home DS0000023567.V328834.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. The home has recruitment policies and procedures that in the main keep service users safe. The home must strengthen one area of practice. Suitable training results in good outcomes for people using the service. EVIDENCE: The staff rota showed that there was always sufficient staff on duty. The Provider ensures that either herself or the deputy manager are available at all times in the event of an emergency or important decision making. Care staff confirmed that the home was adequately staffed. They also confirmed that if they are busy the provider and the deputy manager would work ‘hands on.’ Service users confirmed that staff worked in an unhurried manner and it was observed that staff joined service users in social interaction. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 18 More than 50 of staff are trained to NVQ Level 2 in care. All new staff undertake a Skills for Care induction. Staff files were viewed. The home has good recruitment policies. Whilst most of the documentation needed was in staff files, one important piece of information in one file was missing. Discussion with the manager evidenced that this was a misunderstanding due to changing advice. The staff member had not worked alone with service users. The Provider is very supportive of staff training. Both the provider and the deputy manager undertake all the training the staff complete, this is so that not only do they keep their own knowledge updated, and they also evaluate the training given to their staff. Staff have mandatory and service specific training. The Provider and deputy manager check staff competency. All staff have a suitable induction. The Newlyn Residential Home DS0000023567.V328834.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 good. This judgement has been made using available evidence including a visit to this service. The home is generally run in the best interests of the service users. EVIDENCE: Service users spoken to knew the management structure of the home, as did one family member. The Provider manages the home. Her daughter is deputy manager. Some of the service users meet together regularly at residents meetings and suggest ideas of what they would like at the home, to the provider. Staff expressed that they felt supported by the Provider. The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 20 Staff said supervision was now happening regularly and that it was well organized and clearly recorded. The home has a Quality assurance form which is sent out to family, friends, service users and staff. The home also judges quality assurance through staff supervision, and resident and staff meetings. The Provider uses this information to feed into the homes development plan. Service users control their own money when they are able. The systems for holding service users money were discussed; the policy was viewed and found to be sound. The health and safety of the service user is generally protected. The providers have undertaken some tasks in the home to ensure this i.e., installing a new chair lift, replacing worn carpet. The home has suitable risk assessments. The home has policies and procedures which staff understand. They are regularly reinforced by the provider and at least one policy is discussed on a weekly basis with members of staff. Policies are generally of good quality. They are signed and dated and have a review date. The provider has arranged for the fire risk assessment to be reviewed and updated. The Newlyn Residential Home DS0000023567.V328834.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 3 x 3 x x x 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 3 3 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 The Newlyn Residential Home DS0000023567.V328834.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 OP29 19 (4) Schedule 2 Regulation Requirement The Provider must ensure that prior to staffs appointment, records in accordance with schedule 2 are obtained. Timescale for action 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 The Newlyn Residential Home DS0000023567.V328834.R01.S.doc Version 5.2 Page 24 - 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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