Inspection on 06/02/08 for The Newton

This inspection was carried out on 6th February 2008.

CSCI found this care home to be providing an Good service.

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 08/03/07

The Newton 08/02/06

The Newton 27/09/05

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 Mr Pearson Clarke Unannounced Inspection 6th February 2008 11:00 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 Newton DS0000027544.V359910.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 Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Newton Address 41 Victoria Avenue Hunstanton Norfolk PE36 6BY 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) 01485 532756 nikart@btopenworld.com Mr Frederick Nicholls Mrs Carole Nicholls Mr Frederick Nicholls Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2007 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 current fee level for the service is £338.00 to £350. 00 per week. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was largely based around a site visit to the home supported by information supplied to the commission by the providers and service users. During his time in the home the inspector spoke to service users and the providers, as well as looking at records and touring the premises. What the service does well: What has improved since the last inspection? Since last inspected the owners have made efforts to meet the requirements arising from the last inspection. As such they have taken care to ensure that records of medication administered are always properly completed. They continue to use regular summaries of peoples health, welfare and progress as the main recording relating to those they care for. These are now being completed on a more regular basis allowing for better evidence of the care provided. The Newton DS0000027544.V359910.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 Newton DS0000027544.V359910.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 Newton DS0000027544.V359910.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): 3 Quality in this outcome area is ( good). That the providers take care to ensure that all admissions are of people whose needs can be met and who will benefit from a small service offering family style care.. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The site visit to the home found the situation unchanged from the last inspection. As such the same three people are accommodated and there are no foreseeable admissions. The owners confirmed that they had a good idea of the needs that they can meet and that they will take this into account when considering an admission. Social work assessments are always sought as part of the process. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 9 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): 7,8,9 and 10 Quality in this outcome area is ( good). That people living at the home have needs which are well understood by the proprietors and that there health and other needs are appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The visit to the home included inspection of records relating to care and medication. The last inspection acknowledged that as a very small service with no staff there was less need for recording, however a requirement was made to increase the level of recording. Whilst the recording seen on this visit was not extensive it was an improvement which allowed for better tracking of the care delivered and as such the requirement is met. Those cared for have limited health and personal care needs, however discussion with residents and the owners would indicate that those needs are well met. Medication records and storage were inspected and found to be in order. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is ( good). Service users benefit from a relaxed atmosphere where they choose their own routine. Peoples likes and dislikes are known and the food served takes this into account. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with all of the residents during the site visit the inspector was satisfied that people enjoyed living as family members and felt well cared for. Two of those living at the home continue to use the shops and other facilities in the town without assistance and one person continues to go out to a day centre once a week. Residents said that they felt able to choose their daily routine and that they enjoyed the food which everyone eats together as a family. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is ( good). Residents feel safe and would feel able to complain should the need arise. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector spoke to service users about their life in the home. They were again keen to stress that they had no complaints and that they felt well cared for in every way. The providers confirmed that they have had no complaints and would respond positively if they did. Mr Mrs Nicholls have a copy of the local Adult Protection protocols which they would use to guide them when needed. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is ( good). Service users benefit from a homely domestic style of home, with facilities which are appropriate for their level of need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit a brief tour of the home was undertaken. Once again the home was clean comfortable and homely and the environment was suitable for those living there who are able to use stairs and negotiate changes of level. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is ( good). The care provided by Mr Mrs Nicholls meets the needs of those accommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All care continues to be provided by Mr Mrs Nicholls who treat the residents as family members. On occasions they are assisted by a family member and a long term lodger and all concerned have had criminal record bureau checks. Mrs Nicholls continues to use distance learning as means to up date skills and practice and this has recently been used to focus on the mental capacity act. The residents said that they felt well cared for in all areas. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is ( good). That service users health and safety is protected and that they benefit from a family style of the home which they feel operates in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service continues to operate as a family run unit and as such the management function is different from that normally found in a larger home. The providers have cared for many years and have built up much practical experience and Mrs Nicholls undertakes distance learning in subjects relating to the care of older people. The service has a risk assessment relating to the premises and continues to undertake regular fire testing. The Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 15 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 x 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 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 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 Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 16 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. 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 Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Newton DS0000027544.V359910.R01.S.doc Version 5.2 Page 18 - 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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