Care Home: Newbrook

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What the care home does well Both people living in the home are very able and can say what they want to do and how they would like to be supported. People are supported and encouraged to live as ordinary a lifestyle as possible and they are supported and encouraged to use ordinary community based leisure and health care services. People have opportunities for personal development and both attend various colleges that include skills for Life courses throughout the week. People Independence is promoted and they have a key to their own rooms and have their space as they want. People choose their own menu and help with shopping and food preparation. To minimize any risks to people living in the home there are risk assessments showing staff what they must do to protect people living an ordinary lifestyle. Records show one person plays golf with a relative and also enjoys swimming and another enjoys cooking. People are protected by the way staff are recruited and selected. People are kept safe as staff have First Aid, Moving and Handling, Health and Safety training. To further protect people support workers also have Medication Administration and Safeguarding training. People live in a well managed home that is well decorated and well maintained, safe and clean. What has improved since the last inspection? This is the first Key Standard Inspection since registering. What the care home could do better: Records show people living in the home are very able and can communicate their care and support needs. However, the daily records do not contain allot of descriptive words to reflect and show peoples choices and preferences or any decisions they make about their day to day lives. People are very able and have a say in how they are supported and what they do, however the assessments and care plans do not contain peoples signatures to show their involvement of that they agree with the planned care provided. To protect people staff have training how to give peoples medicines safely, however, there is not a medication administration policy kept in the home for them to follow. The manager says they audit the medicines regularly to see if they are correct and safe. However there is no record kept of the audits. The manager said the home has not received any complaints and the service history shows the CQC has not received any complaints, however, there is no complaints book provided to reflect peoples concerns or how issues raised by people living in the home have been dealt with. Staff records were seen and inspected , however, no staff details are kept in the home and the manager had to get some staff files from somewhere else for the inspector to see. People are very able and can say how they want to be supported, however, the views of people, their relatives and other stakeholders have yet to be sought on the quality of services provided. This information when gathered needs to be collated and what people say published. The manager says that someone visits every month (Regulation 26 Service Providers Visit), however, there are no reports available showing what they found on the visit or any actions they needed to take. Key inspection report Care homes for adults (18-65 years) Name: Address: Newbrook 14 Carlton Avenue Castleford W Yorkshire WF104BZ     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: Tony Railton     Date: 1 0 0 6 2 0 0 9 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 23 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) 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 23 Information about the care home Name of care home: Address: Newbrook 14 Carlton Avenue Castleford W Yorkshire WF104BZ 01924223652 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Hapton Care Homes Name of registered manager (if applicable) Miss Claire Louise Barker Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 1. The registered person may provide the following category of service users only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Service users with Learning disability - Code LD 2. The maximum numbers of service users who can be accommodated is 3 Date of last inspection Brief description of the care home 3 Over 65 3 Care Homes for Adults (18-65 years) Page 4 of 23 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: Following this visit the home has been awarded a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 08.55 and ended at 12.00. During this visit there was the opportunity to speak to the Registered Manager , one support worker and the driver/handyman. There are currently two people living in the home, however, there was not the opportunity to speak to them they were attending college. Both peoples records were seen and included assessments, risk assessments, care plans, reviews, daily and medical records. Three staff files were also seen and included application forms, interview notes, references, police and POVA (Protection of Vulnerable Adults List) checks. Staff training records and some supervision records were also seen. The Service User Guide and Policies and Procedures folder was inspected. Both peoples medicines and finances were checked. This first key standard inspection visit was very positive and the inspector would like to take the opportunity to thank the Registered Manager and staff team for their hospitality patience and cooperation throughout the visit. Care Homes for Adults (18-65 years) Page 5 of 23 Care Homes for Adults (18-65 years) Page 6 of 23 What the care home does well: What has improved since the last inspection? 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. Care Homes for Adults (18-65 years) Page 7 of 23 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 8 of 23 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 9 of 23 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. To make sure the service can meet peoples personal care and support needs these are assessed before coming to live in the home. To make sure peoples needs are met they have contracts with the service providers. Evidence: The assessments completed by Social Services, the people living in the home and their relatives are very comprehensive and show how people want to be cared for and supported. The reviews show that peoples personal care and support needs were assessed and discussed before coming to live in the home. To make sure the home can meet peoples needs the assessments are reviewed regularly and people have a contract with the service providers. Care Homes for Adults (18-65 years) Page 10 of 23 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. To make sure peoples personal care and support needs are met these are written down in their plan of care and people are encouraged and supported to be involved and have a say in what they do and how they are supported. The reviews and daily records could be better at showing peoples involvement. Evidence: To make sure peoples personal care and support needs are met, there are care plans written down for support staff to follow. The daily records contain some descriptive words to reflect and show peoples choices and preferences. The records show people being supported are very able and can say what they want to do and can make decisions about how they live their lives. This should be reflected more in the daily records. The monthly key worker reports show peoples care and support is reviewed regularly and changed to reflect peoples changing needs. However, there was no dates on the individual support plans to show which plans have been reviewed and when. There are no service users signatures on the care plans to say they agree with them and show their involvement. The multidisciplinary reviews show people and their Care Homes for Adults (18-65 years) Page 11 of 23 Evidence: relatives and other stakeholders have a say in the quality of the care and support provided. The reviews also show people are happy with the services provided. The risk assessments show people are encouraged and supported to take risks as part of living an ordinary lifestyle. Care Homes for Adults (18-65 years) Page 12 of 23 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 have opportunities for personal development and they are supported to enjoy ordinary community based leisure services and enjoy a varied and balanced meal of their choice. Evidence: Records show and the manager confirmed that the ethos of the home is one of living an ordinary lifestyle. The daily records show people are supported to use ordinary community based leisure services. Records show one person enjoys playing golf with their parents at weekends. Other activities include supermarket shopping, swimming an visiting local restaurants. Records show people lead full and active lives that includes full time attendance at various Leeds Colleges on Skills for Life and other courses. The daily records contain some descriptive words to reflect and show peoples choices and preferences with regard to activities. The risk assessments show staff what they should do to minimize any risks to people living in the home when pursuing Care Homes for Adults (18-65 years) Page 13 of 23 Evidence: an ordinary lifestyle. The monthly Keyworker reports show the way people are cared for is looked at regularly and changed to reflect peoples care and support needs. Care Homes for Adults (18-65 years) Page 14 of 23 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. Peoples health care needs are met by ordinary community based healths services and they are protected by the way medicines are dealt with. Evidence: To make sure peoples health care needs are met they are registered with a local General Practitioners surgery. Records show people are also supported by hospital based consultants. The risk assessments show people are assisted to take there prescribed medicines. The risk assessments also show staff what they must do if people have a seizure. People are protected by the way medicines are dealt with as the medicines were checked and found to be properly kept and recorded. To further protect people staff training records show they are trained to administer medicines safely. On the day of the visit there was not a Medication ministration Policy and Procedure in the home for them to follow. The registered manager said staff also work at another home close by and there is a Medication Policy and Procedure there for them to follow. The reviews show that people and their relatives have the opportunity to comment on the quality of the services provided. The registered manager says that care and support is provided on a twenty four hour needs led basis. This was confirmed by the support worker and the daily records. Care Homes for Adults (18-65 years) Page 15 of 23 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. People have a say in how they are supported and can comment on the running of the home and the services provided. However , what the say and what actions the home took as a result of their comments is not documented. People are protected from abuse by the Safeguarding Policy and practices. Evidence: To make sure people are protected from abuse there is a Safeguarding Policy and Procedure for staff to follow that includes the Local Authority Safeguarding Protocol. To further protect people the staff training records show they have Safeguarding Training. Discussion with a support worker and the Registered Manager confirmed this. There is also a Complains Policy showing staff what they should do i anyone makes a complaint about the services provided. However, there is no complaints book or folder to document any complaints, issues or concerns. The registered Manager said the home has not received any complaints. The CQC service history confirmed this and that the home has not had to make any Safeguarding Referrals to the Local Authority .Peoples records show they are very able and can communicate their care and support needs and comment on the services provided. Peoples records show they have a copy of the complaints policy. Care Homes for Adults (18-65 years) Page 16 of 23 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. People live in a clean and comfortable home that is well maintained , well decorated and safe. Evidence: People live in a home that is clean, comfortable and safe. People have keys to their own rooms and people were not present to give their permission to see these. However, the registered manager says peoples bedrooms are personalized and people have their space as they want. There is a small domestic kitchen and a small dining room leading to a large conservatory lounge.All areas of the home were clean, well decorated and well maintained. The large garden to the rear has garden furniture for people to enjoy during the summer months. The home is near to a main bus route, local shops and supermarket. It is also within walking distance to the Freeport shopping outlet and Ex cape leisure complex. To make sure people are safe the maintenance records show regular checks are undertaken on the emergency fire equipment. Care Homes for Adults (18-65 years) Page 17 of 23 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. Trained and qualified staff meet the needs of people living in the home and they are protected by the way staff are recruited and selected Evidence: People living in the home are protected by the way staff are recruited and selected as a sample of staff records show references,police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. To make sure people are safe staff records show there is induction and mandatory training provided for staff including, Fire Prevention Awareness, Moving and Handling,Food Hygiene, Infection Control,First Aid, Safeguarding and Safe Administration of Medicines training. People are cared for and supported by staff that are qualified as records show they either have or are registered on National Vocational Qualification courses. On the day of the visit there was no information about staff available and the manager had to go somewhere else to get staff records so they could be checked. Care Homes for Adults (18-65 years) Page 18 of 23 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. People live in a well managed home that is run in their best interests and where they and their relatives have a say in how they are supported, however, the service has yet to capture the views of people and their relatives and other stakeholders and publish what they say. Evidence: The registration report shows the manager is very experienced and qualified to run the home. The assessments and care plans show people living in the home are very able and have a say in the way the home runs and the way care and support is provided.The reviews show people have the opportunity to comment on the services provided and the way the home runs. The manager says they have not yet had the opportunity to survey people using the service and their relatives to seek their views on the quality of the services provided. The way staff are managed including selection and recruitment and training records show people best interests are protected and they are safe. On the day of the visit there was no Monthly Regulation providers visit reports available for inspection. Care Homes for Adults (18-65 years) Page 19 of 23 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 20 of 23 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 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 1 7 The daily records would benefit from an increase in the use of descriptive words to show and reflect peoples choices and preferences and any decisions they make about how they live their lives on a day to day basis. It is acknowledged that people living in the home are very able and have a say in what happens to them, however, the care plans and reviews do not show any evidence of this such as their signatures to show they agree with them to show their involvement. The daily records would benefit from an increase in the use of descriptive words to reflect and show peoples choices and preferences. To keep people safe the home should have a Medication Administration Policy of its own for staff to follow. To show thy have been checked and to keep people safe the manager should keep a proper record of the medication audits they undertake. Staff listen and act on the views and comments and concerns of people living in the home and encourage discussion and action on issues raised before they develop Page 21 of 23 2 7 3 17 4 5 19 19 6 22 Care Homes for Adults (18-65 years) 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 into a formal complaint and keep a record of the issues raised and how they are dealt with. 7 34 As a matter of good practice and for the inspector to check to see if people are protected some details about the selection and recruitment of staff should be kept in the home for example start dates, CRB reference Numbers and date of uptake of references and POVA checks It may also be useful to include a record of training attended by staff for example a training MATRIX. Peoples and their relatives and other stakeholders views on the quality of services provided should be formally sought and a report provided reflecting their views and showing any changes to the way the home runs as a result of their comments. To make sure the services provided are monitored regularly, copies of the monthly Regulation 26 Providers visit reports should be available in the home for inspection. 8 39 9 43 Care Homes for Adults (18-65 years) Page 22 of 23 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 23 of 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!