Inspection on 27/09/05 for The Newton

This inspection was carried out on 27th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Newton 06/02/08

The Newton 08/03/07

The Newton 08/02/06

The Newton 20/01/05

The Newton 07/06/04

The Newton 31/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE THE NEWTON 41 VICTORIA AVENUE HUNSTANTON NORFOLK PE36 6BY Lead Inspector ROGER ANDREWS Announced 27 SEPTEMBER 2005 2:00 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 NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Newton Address 41 Victoria Avenue, Hunstanton, Norfolk, PE36 6BY 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) 01485 532756 Mr Frederick Nicholls Mr Frederick Nicholls Care Home 3 Category(ies) of OP Old age 3 registration, with number of places THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 January 2005 Brief Description of the Service: The Newton is a large detached house in a residential street in Hunstanton. It is located approximately half a mile from the town centre of Hunstanton.The Newton provides accommodation for up to three elderly people who live as part of the family with Mr and Mrs Nicholls and their family. Accommodation is provided in three single bedrooms on the first floor. There is a chairlift to assist those with mobility difficulties.The service users share the communal facilities with the family. There is a small front garden and an enclosed garden at the rear of the Home.The Newton was previously registered as a “Small Registered Home” prior to the Care Standards Act 2000. The Proprietors would prefer to be part of an Adult Place Scheme but Norfolk County Council has not yet provided such a scheme. Therefore, the Home is registered as a Care Home and measured against the relevant Regulations and National Minimum Standards. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. Before the inspection was carried out the residents were sent a brief questionnaire about the support they receive at The Newton. All three residents were spoken to in private during the inspection and time was spent with Mr and Mrs Nicholls discussing paperwork and other issues. A tour of the home was also carried out. The Commission has not received complaints about this service. 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 NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 6 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 NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 7 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 & 5 Prospective residents can visit the home. The needs of new residents are assessed. EVIDENCE: Of the three residents who currently live at The Newton, one has moved in during the last few months. This resident reported that they had been able to come and visit for a half day before moving in for a trial period. A detailed social work assessment had been provided prior to admission and was on file. Discussion and liaison also took place with the Social Worker during the admission process. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 8 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 Each resident’s preferences and routine are documented. Health care needs are catered for and documented. Medication is properly stored and administered. EVIDENCE: Each resident has a written profile, (including a photograph), which gives information about their interests, background history, preferred daily routine and activities. This also includes information about healthcare needs such as hospital treatment. One profile, for example, highlights the importance of maintaining good facial contact with a resident who has poor hearing so she can understand what is being said. Residents use the local surgery and the G.P. calls if required. Arrangements are in place for access to dentists, opticians and chiropody services. Two of the residents are on medication. Medication is handled by Mr and Mrs Nicholls and is stored in a locked cabinet in the kitchen. The daily administration records were looked at and were up to date. One of the THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 9 residents manages her own eye drops. Mr Nicholls undertook the Boots training in the safe handling of medications in 2002. The residents reported that Mr and Mrs Nicholls were very friendly and that they felt their privacy was respected. They were able to use their rooms when they liked and able to carry out personal care tasks, such as bathing, where they were able to do so without help. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 10 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 & 15 Residents are able to enjoy their preferred routines. The food is varied and in line with the residents’ like and dislikes. EVIDENCE: The residents have varying interests. One resident attends a day centre every Tuesday which she said she enjoyed going to. Another resident goes for a walk every morning and is able to go into the town centre without assistance, (though a risk assessment is on file in this respect). Two of the residents have regular visits from relatives and are taken out on a regular basis. Residents said they liked watching particular television programmes and there is an extensive selection of video films in the home. Residents were able to describe their daily routines including the times they liked to go to bed and get up. Residents reported that they liked the food. Breakfast can be, for example, scrambled or poached eggs, orange juice, cereals, etc. Lunch is usually a cold meal and a cooked meal is prepared in the evenings. A record of meals is kept. Examples include roast meals, pork fillets, fish and omelettes. Residents said they received plenty of drinks during the day. Main meals are usually taken around the large dining table by the whole family. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 11 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 know how to complain. The proprietors are aware of their duties regarding adult protection matters. EVIDENCE: A complaints procedure is in place. No complaints have been made over the past year and all of the residents said they were very happy at The Newtons. The residents are aware of the process of inspection and that these visits were made to make sure they were being supported and helped in the ways they wanted. Mr and Mrs Nicholls have not attended any courses on adult protection. However, they have up to date information on current vulnerable adult protocols and are aware that any allegation must be reported and dealt with in line with these protocols. In their questionnaire responses all of the residents said they felt safe living at The Newton. They also said they knew who to speak to if they were unhappy. One resident wrote that “I am very happy to be here…everyone is so kind and friendly and this is helpful as I can relax better”. Another wrote that “I have lived here eleven years and am very happy”. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 12 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, 20, 21, 23 & 26 The house is a pleasant environment for residents to live in and is well maintained. EVIDENCE: The house is comfortably decorated and furnished throughout with pleasant colour schemes in bedrooms. Each resident has their own room, one of which has an en-suite toilet. There is a choice of communal areas including a quiet room. The house also has pleasant garden areas. All areas appeared to be clean and there was no trace of any unpleasant odours. Toilet and bathroom facilities are clean and suitable for the residents. There is a chair lift, though at present, none of the residents need to use this facility. No obvious hazards to the health and safety of the residents were identified. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 13 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) Not applicable. EVIDENCE: Mr and Mrs Nicholls do not employ any staff. They are helped from time to time by family members and a long time lodger. These people have had Criminal Records Bureau checks undertaken. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 14 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) 31, 35 & 38 Residents are generally able to live in a safe environment, knowing their best interests are maintained by providers who are experienced. The recommendations made below will further improve the situation. EVIDENCE: Mr and Mrs Nicholls have run the home for many years and have built up a good deal of practical experience. They are also clear about the extent of the care they can offer within what is designed to be an extended family type environment. Discussion took place about how they could look at developing a training profile to ensure they keep up with current knowledge. At present Mrs Nicholls has been working through some information on infection control. Other information on issues affecting elderly people could be explored. At present neither Mr or Mrs Nicholls have embarked upon NVQ training. See recommendation. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 15 Mr and Mrs Nicholls assist one resident with her personal allowance. This is passed on to the resident for one, two or three weeks at a time and recorded in a small book. It was suggested that the amount handed over be recorded as well as the date. The resident signs the book to indicate she has received her money. A risk assessment is in place in respect of the premises. This includes an assessment of carpets, stairs, electrical hazards, heating, water and fire. The home has an integrated fire detection system and this, along with fire fighting equipment, is serviced on an annual basis. It was suggested that all tests of the fire system are documented on a weekly basis. See recommendation. A gas safety inspection was carried out in March 2005. The Environmental Health Officer inspected the kitchen in April 2005. He found the hygiene arrangements to be satisfactory. THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 16 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 x x 3 x 3 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 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x 3 x x 2 THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 17 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 31 Good Practice Recommendations Mr and Mrs Nicholls are encouraged to identify relevant training courses or materials to help ensure they keep their knowledge up to date on issues affecting elderly people. The weekly tests of the fire points should be documented each time they are carried out. 2. 38 THE NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 NEWTON I55 S27544 The Newton V246588 270905 Stage 4.doc Version 1.40 Page 19 - 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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