Care Home: New Ridley Road, 27-29

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What the care home does well The service users plans are good and give clear guidance. They are in an easy to read format and are regularly reviewed and updated. The home and organisation has good systems to enable people who use the service to share their views and they continue to look at ways of involving people who use the service and improving individualised services. People who use the service said, and it was seen, that staff were kind, considerate and supportive. The manager has addressed all of the previous requirements and recommendations. What has improved since the last inspection? The service user guide has been updated to enable people who use the service to have more information about the home. The care plans are reviewed on a more regular basis to enable staff to have updated information on individual needs. The care plans have been developed to make them more user friendly and to increase the involvement of people who use the service and their families. The risk assessments have been reviewed and updated for all individuals who use the service. This will help protect people who use the service. Dependency assessments have been undertaken for all individuals and additional support staff have been provided. This will help give individuals more support and meet individual needs and lifestyles. People who use the service have more access to activities in the home and in the wider community. The medication policies, ordering, administration and staff training has been reviewed and updated to ensure safer practices and help protect people who use the service. A redecoration and refurbishment plan for the home has been implemented which has provided more comfortable and pleasant surroundings for people, who use the service. The staff training programme has been developed and this has enabled the manager to have an overview of staff skills and knowledge and help them to provide individual care for people who use the service. The internal quality assurance audits are undertaken more consistently and this has helped protect people who use the service, relatives and staff. The fire safety testing and fire drills are undertaken at the recommended timescales and this has helped protect people who use the service, their relatives and staff. What the care home could do better: Continue the development of service users involvement and communication methods. Ensure that people who have specialised health care needs have access to appropriate care and treatment and equipment that is used correctly. Key inspection report Care homes for adults (18-65 years) Name: Address: New Ridley Road, 27-29 27-29 New Ridley Road Stocksfield Northumberland NE43 7EY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Mary Blake     Date: 2 6 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: New Ridley Road, 27-29 27-29 New Ridley Road Stocksfield Northumberland NE43 7EY 01661-844112 01661844113 newlife.care@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Newlife Care Services Limited (wholly owned subsidiary of Minster Pathways Limited) Name of registered manager (if applicable) Mrs Linda Newton Type of registration: Number of places registered: care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: All persons may also have a physical disability Date of last inspection Brief description of the care home New Ridley Road comprises two modern semi-detached bungalows connected internally by a communal lounge. The home is set at the head of a private road in its own grounds and provides ground floor accommodation for nine adults with a learning disability, some of whom also have a physical disability. The home was purpose built approximately nine years ago. All bedrooms are for single occupation. Each unit has a kitchen and lounge/dining area. The home is close to the centre of Stocksfield, giving easy access to local transport systems, shops, leisure amenities and the wider community. The home does not provide nursing care. The current weekly fees are agreed individually. Additional charges are made for hairdressing, aromatherapy, Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 9 1 2 0 5 2 0 0 9 Brief description of the care home clothing, leisure activities and toiletries. Copies of the Commissions inspection reports were available to visitors, staff and residents. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we have received since the last inspection, how the service dealt with any complaints & concerns since the last visit and any changes to how the home is run. Care Homes for Adults (18-65 years) Page 6 of 26 We looked at the providers view of how well they care for people, the views of people who use the service & their relatives and staff & other professionals. This included the use of surveys of which six service users and eight staff surveys were returned. During the visit we talked with people who use the service, relatives, staff, the manager & visitors, looked at information about the people who use the service & how well their needs are met and looked at other records which must be kept. We checked that staff had the knowledge, skills & training to meet the needs of the people they care for and looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager what we found. Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? The service user guide has been updated to enable people who use the service to have more information about the home. The care plans are reviewed on a more regular basis to enable staff to have updated information on individual needs. The care plans have been developed to make them more user friendly and to increase the involvement of people who use the service and their families. The risk assessments have been reviewed and updated for all individuals who use the service. This will help protect people who use the service. Dependency assessments have been undertaken for all individuals and additional support staff have been provided. This will help give individuals more support and meet individual needs and lifestyles. People who use the service have more access to activities in the home and in the wider community. The medication policies, ordering, administration and staff training has been reviewed and updated to ensure safer practices and help protect people who use the service. A redecoration and refurbishment plan for the home has been implemented which has provided more comfortable and pleasant surroundings for people, who use the service. The staff training programme has been developed and this has enabled the manager to have an overview of staff skills and knowledge and help them to provide individual care for people who use the service. The internal quality assurance audits are undertaken more consistently and this has helped protect people who use the service, relatives and staff. The fire safety testing and fire drills are undertaken at the recommended timescales and this has helped protect people who use the service, their relatives and staff. Care Homes for Adults (18-65 years) Page 8 of 26 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have updated information about the home and admissions are appropriately managed. Evidence: The service can accommodate up to nine people with learning and physical disabilities and is full. There had been one new admission since the previous inspection and the plans to introduce this prospective service user were good. There is a Statement of Purpose and a Service Users Guide to provide service users and potential service users with information about the home. This has been reviewed and updated to provide information in a user friendly format. The preadmission process was a based on a multi-agency approach and ensured that the resident was supported throughout their admission. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are consulted about and enabled to participate in decisions about their lives. Their needs are met and this is evident in their care plans. Evidence: The care plan format is in the process of being reviewed and updated and now provides a detailed document to support the needs of the people who use the service. Two care plans were examined and case tracked. This means that we spoke to the individual residents or observed their care and then matched our observations to what was written in the care plan. The care plans case tracked were person centred and focused on the individuals strengths and personal preferences. There are methods to help individuals to contribute to the development of their plan. Staff have the skills to support, engage and encourage the individual to be fully involved. Key workers actively provide one to one support, the manager keeps the care plans up to date and makes sure all staff Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: always know the persons current needs and wishes and gives staff training and support to complete this documentation. Person Centred Planning training has taken place. The plans included photos and pictures and were written in plain language. It is an up to date working tool used by the individual and all staff involved. The care plan can easily be used by people who are not familiar with the individual to deliver a personalised quality service. The care plans include a comprehensive risk assessment, which is regularly reviewed and updated. The management and staff had a positive attitude to risks and risks are managed to help people who use the service lead the life they want. The quality of the information was consistent and detailed. There is good liaison with supporting professionals. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are enabled to participate in appropriate activities of their choice and to maintain relationships with friends and family. Evidence: People who use the service are offered the opportunity to join in a range of social and leisure activities both inside and outside of the home. They have the opportunity to use community facilities for leisure activities e.g. going to the cinema, to the pub, eating out, shopping etc. They are offered the opportunity to experience new activities and leisure pursuits as well as supported where necessary to continue with hobbies and interests including horse riding, football and keep fit. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Staff assist and encourage people who use the service to maintain family links and previous friendships, respecting individual wishes. Individuals are supported to attend day care services and a diary system has been introduced to improve the sharing of information on how people spend their day. They have been on holidays this had included trips to Blackpool and weekends away. People who use the service are able to have their spiritual needs met with good links being established with the local churches. The home now has access to a mini bus enable staff to provide a more varied day. They are able to go shopping, go for meals and visits places of interest for example Woodhorn Colliery and Carlisle. Staff support people who use the service to maintain existing friend and social relationships. Staff seek permission prior to entering individual rooms and were communicating well with people who use the service. People who use the service were supported to complete surveys and their comments included makes me happy I go out and about now before I was in the home all the time we go on holidays they look after me very well I am very happy here I get to go out a lot I go horse riding and on holiday the home takes very good care of my everyday needs I go out to different places. People who use the service were observed to move freely around the home. People who use the service, who are able, have been involved in the recent review of menus. They were observed having a leisurely breakfast/lunch and coffee in a relaxed and social setting with good staff support evident. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and health care support is provided in the way that people who use the service prefer. Evidence: Information from people who use the service, staff, supporting professionals and relatives showed that those who require personal support are given this in a way that protects their dignity and maximises their independence. They are given personal choice and support in areas such as getting up, personal care and how they spend their time. Individual health needs are identified and people who use the service are supported to access health services such as doctor, district nurse, dentist, and optician with people who use service now accessing these services in the community. They receive physiotherapy, psychiatry and psychology health support. Links have been established with an occupational therapist team and a speech and language team. The ordering, storage, administration and disposal of medication were satisfactory and had been reviewed by the community pharmacist. Staff had undertaken medication Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: training and the previous requirements and recommendations had been met. It was noted that one person was using pressure relieving equipment but this was not appropriately documented within the care plan. There were no instructions about the mattress setting, which the inspector found to be set at firm. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The views of people who use the service and their relatives are taken seriously. This helps to protect them. Evidence: There have been recorded complaints since the previous inspection and these were appropriately managed. A complaints procedure is in place. Staff were aware of the importance of taking the views of people who use the service seriously and of listening to, observing and responding to any signs of issues. People who use the service are given the complaints procedure in a number of formats and it is easy to follow. Some staff have undertaken the one day training on the Protection of Vulnerable Adults with further training planned. Staff on previous visits said they were aware of the whistle blowing policy and felt able to raise concerns if necessary. The manager had an understanding of the Mental Capacity Act and Deprivation of Liberty legislation and the implications for people who use the service. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The facilities meet the needs of the people who use the service and are homely and clean. Evidence: New Ridley Road was purpose built as a care home to provide personal care and accommodation for up to nine people with learning and physical disabilities. The homes two inter-linked bungalows were designed to accommodate people who use wheelchairs. Each bungalow has a kitchen, lounge/dining room and is comfortable and attractively furnished. The home has been redecorated and refurbished. Individual bedrooms are well presented and reflect their individual styles and tastes. The home has sufficient and suitably equipped bath / shower rooms. There is an enclosed and pleasant garden area where people can sit. People who use the service also grow their own vegetables. The home was generally clean and tidy. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are adequate numbers of appropriately recruited, skilled and experienced staff to care for the people who use the service. Evidence: There were three support workers and the manager on duty on the day of the inspection. There has been minimal staff turnover providing a consistent staff team. Individual dependency reviews are undertaken and there are sufficient staff to provide support for individuals to engage in activities inside and outside of the home. Recruitment procedures within the home are safe. Records confirm that appropriate checks are carried out for all staff. Applicants for employment complete an application form and two references are obtained. A reference from the last employer is requested, plus one other. Any gaps in employment are explored at interview. Each member of staff receives a contract of employment and job description. Discussions with the manager and staff and examination of individual staff training files confirmed that staff had undertaken mandatory training. Staff spoke knowledgeably about the individual needs of people who use the service. A training matrix was sent in following the inspection which identified completed and future training. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: More than fifty percent of the staff have undertaken National Vocational Training in Care (level 2 or above) exceeding the standard and providing a trained staff team to meet the needs of the people who use the service. Annual staff appraisals and regular supervision of staff are undertaken ensuring that management have a clear overview of staffing skills and needs. Staff and resident meetings are now being held. Staff surveys were returned and comments included the manager helps staff to meet the needs of the residents makes sure staff go to all courses and updating training provides a very good standard of care residents given the best care possible the manager helps the staff meet the needs of the residents going on holiday and days out the care in the home is very good we need new seats but we are now able to get them and this will happen soon the home does well by all staff training being up to date could do a little better on staff communication the odd time from one shift and another the home is at a good standard but always room for improvement the managers door is always open for discussion staff work well as a team the home provides a very good standard of care and equal opportunities for all staff. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The views of people who use the service and their families are supported and underpin the development of the home and their health, safety and welfare are protected. Evidence: The manager has completed the fit person process to be registered with CQC and is only responsible for New Ridley Road. Observations of staff and people who use the service showed that they felt confident with the openness and approachability of the manager. The manager is qualified and experienced and communicates a clear sense of direction and leadership and has implemented positive changes to the practices within the home. In house and external quality audits were comprehensive and covered areas such as health and safety and fire and first aid audits. These were now carried out consistently including the use of surveys with the last survey carried out in February 2010 with positive outcomes. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Sufficient fire system testing and fire drills were now being carried out. Accidents were appropriately recorded and there was management overview of these. Providers visits have been undertaken at the required monthly frequency. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 12 Where people have been assessed as having specialised health care needs ensure they have access to appropriate care and treatment and any equipment needed is used correctly. This will ensure that the individual health care needs of residents are met. 19/05/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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