Care Home: Newhaven Care

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well People who live at the service like living there. They feel well supported by staff and enjoy mixing with each other. They commented, " I love being here" and " it`s really nice". Staff are provided with support to ensure they can provide good standards of care. Staff and people living at the service felt that the management systems ensured that good care was given. People using the service like the staff that care for them. One person commented, " They are nice people". People are supported to lead a fulfilling life. They can access community activities as well as being stimulated at the service. What has improved since the last inspection? Work has been carried out on including equal opportunities in care planning and in home policies. This has helped ensure people are treated equally. Staff training has been completed in area such as challenging behaviour. This has helped staff ensure that they provide the best standards of care. People using the service have been made aware of how to make a complaint. This has ensured that their safety and wellbeing is maintained. Accident records have been improved and are now recorded in detail. This ensures that people are being protected. Quality assurance checks have now been introduced. This ensures the views of people that use and visit the service are listened to. What the care home could do better: Medication practices should be tightened up in relation to how medications are recorded. This would help ensure that medications were being given correctly. The identified toilets that have black pans must be replaced. A new bath panel to the first floor must be installed. This is to ensure the safety of people using the service. People would also benefit from new towels. CARE HOME ADULTS 18-65 Newhaven Care 20 Penkett Road Wallasey Wirral CH45 7QN Lead Inspector Natalie Charnley Key Unannounced Inspection 23rd January 2008 10:00 Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 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 Newhaven Care DS0000018916.V338212.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 Adults 18-65. 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. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newhaven Care Address 20 Penkett Road Wallasey Wirral CH45 7QN 0151 630 5584 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) Mr Danny So Catherine Higginson Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23/01/07 Brief Description of the Service: 20 Penkett Road is a care home registered with the Commission for Social Care Inspection to provide accommodation for 14 service users who have a learning disability. The home is situated in a residential area of Wallasey, Wirral. The home is close to local amenities and the sea front is a short drive away. The home is a large detached property that has been adapted over the years to meet the needs of service users. There are parking facilities to the front of the house and a garden to the rear that is accessible to service users. Accommodation is mainly provided in double rooms. There is a large conservatory/dining area that is also used for other activities. It costs £ 345.00 per week to live at the home. Newhaven Care DS0000018916.V338212.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. The site visit to the service was unannounced and was carried out over a period of one day. We spoke with 4 staff and 2 residents about what it was like living and working at the home. No visitors were available at the time of the visit. The manager was asked to provide a selection of information in the form of an annual quality assurance document (AQAA), which was used as part of the inspection process. Comment cards were sent to the home for people who live at the home and staff to complete. This gave them the opportunity to contribute to the inspection process. We completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports and AQAA document. Feedback was given to the person in charge during and at the end of the inspection. What the service does well: People who live at the service like living there. They feel well supported by staff and enjoy mixing with each other. They commented, “ I love being here” and “ it’s really nice”. Staff are provided with support to ensure they can provide good standards of care. Staff and people living at the service felt that the management systems ensured that good care was given. People using the service like the staff that care for them. One person commented, “ They are nice people”. People are supported to lead a fulfilling life. They can access community activities as well as being stimulated at the service. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have their needs assessed before moving to the home. This ensures staff are able to provide appropriate care. EVIDENCE: The registered manager has begun to implement new assessments and care records in the home. Assessments now include views of the people moving to the service, or where communication is difficult, the views of their family. This makes sure people are able to be involved in all aspects of their care. The registered manager has adapted the assessments to ensure information is recorded regarding equal opportunities issues to ensure people are treated fairly. This is in line with the new equal opportunity policy set up at the home and is an example of good practice. Assessments sampled showed that sufficient information is gathered by staff to allow them to decide if they can meet a persons needs. This included information such as peoples likes and dislikes, their physical and mental health and information about their hobbies and lifestyle. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans are in place that ensure people receive appropriate care and support. EVIDENCE: Each person that lives at the home has a care plan that details what care they need. This ensures staff can provide them with individual care. Plans were simple and easy to follow and included long and short term goals. Plans are reviewed on a regular basis to ensure this information is kept up to date. One person commented, “ I get good care, I like the staff very much”. Records and discussions with people showed that they have access to a range of health workers who help give them care. This includes people such as Doctors, Community Nurses and Social Workers. This ensures people are offered the support they need. The registered manager is in the process of developing care plans in easy read formats to enable people to better understand what care they need. This will Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 10 give people the opportunity to contribute to planning their lives in a way that they understand. At present people, where possible, are involved in these decisions, however this isn’t formally recorded. One person commented, “ the staff help me make decisions, I like to choose myself, sometimes they have to help me a bit, but that’s OK”. Staff spoken to were aware of the needs of people living at the home. They commented, “ we are a good team here” and “ everyone gets well looked after”. Staff were observed treating individuals with dignity and respect when delivering care. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The daily routines at the service are flexible and adapted to meet the needs of the people who live there. EVIDENCE: People who use the service attend local day centres and are supported to do this by staff. People have recently completed courses at the day centre such as digital photography and healthy eating. This enables people to maintain their independence and develop new skills. A range of activities are provided at the service, both inside and outside of the home. People commented, “ I enjoy making things “ and “ I like to listen to music and watch videos”. Staff offer one to one activity support to people who need it, which allows all individuals using the service to maintain social stimulation. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 12 People were observed eating a healthy and balanced lunch. Everyone stated that they enjoyed it commenting “ its lovely” and “really nice food”. People were able to comment about making choices regarding what they eat and stated that if they didn’t like something, they could ask for something different. Work is being carried out by staff around promoting healthy eating and people have been involved in planning healthy meal choices. People were able to comment about the routines of the service. They commented that visitors were welcome and that staff tried to help them when they needed to make more complex decisions. One person had recently been supported by staff to look into more appropriate accommodation to allow them to live more independently. The person commented “ I couldn’t have done it without their help”. Another person showed how staff had supported him to create a themed bedroom of his choice. This support has led to the person having an environment that he enjoys to be in and has helped him to feel he has independence in making choices. He commented, “ my room is really nice, I love to be there. I wouldn’t want it to change”. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’s health needs are maintained and supported in ways they prefer. This ensures their needs are met. EVIDENCE: The medication administration records for the service were checked. These were generally well recorded however a small number of amendments must be made to ensure the system is safe for people using it. There were examples of good practice such as medication audits and regular staff training which helps keep staff up to date on how to handle medications. Some medication that can be given in two different doses was not always recorded. This means that we cannot be sure of the exact dose that was given to an individual. Some records were written by hand but had not been double signed by to staff to ensure they are accurate. This must be done to ensure the correct medication is given. One resident was receiving medication to thicken up their drinks. This was not being recorded anywhere and staff could not be sure when it was given. This needs to be recorded to ensure the welfare of the person is maintained. It is also recommended that the medication policy is updates as it hasn’t been updated since 2005 and may now be out of date. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 14 Staff stated that they felt supported to care for people in a number of ways. They commented that they had a very supportive manager and that there was always training available so they could update their skills. Health workers that visit the home had recently been asked for feedback on the quality of care given to people. Comments were made such as “ this is a good home and the care is second to none”. People commented “I don’t have to do anything that I don’t want to do” and “I need space sometimes and staff give me that”. Staff were observed to give care in appropriate ways to individuals depending upon their needs. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have their views listened to and are protected from harm. EVIDENCE: The home has not received any recorded complaints since the last site visit. People spoken to were able to show they knew who to make a complaint to and a copy of the policy was available in areas around the home. This ensures people have access to such information if they need it. One person commented that they had had some recent complaints surrounding provision at a local day centre. The person was supported by staff to make their feelings known. Those people living at the home who are unable to communicate have access to advocacy services if they don’t have relatives who can make comment on their behalf. This makes sure that everyone using the service can have their say. It is recommended that the policy on complaints is also made available in pictorial format for those people who use this as a method of communication. Staff have received training on safeguarding adults and the home has updated its policy in relation to this subject. Staff demonstrated a good working knowledge of such procedures and felt that their training in this subject was “really useful, as it required us to get 80 to pass”. This helps to ensure people are kept safe. The registered manager holds responsibility for peoples weekly ‘pocket monies’. Records showed that people have individual bank accounts and that Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 16 any money they spend has a receipt logged. Records were being audited on a regular basis to ensure they remain accurate. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Areas of maintenance need addressing to ensure the environment is safe and comfortable for the people living there. EVIDENCE: The service has benefited from some changes in decoration such as new laminate floors to some bedrooms and rolling redecoration of peoples bedrooms. Bedrooms have been made into personal spaces that people enjoyed spending time. People confirmed that they could chose colours and decorations that were put in their rooms allowing them independence and choice. One person commented, “ I love my room and the bright colour. Its like me”. During a tour of the home, a number of toilets were identified as being black inside the pan area. This was identified during the last key visit and has not been addressed. An audit must be carried out to identify which toilets need replacing in order to maintain a pleasant and hygienic environment. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 18 Towels stored in the bathrooms were noted to be old and faded and thread bear in places. These need replacing to ensure the comfort of the people who use them. The bath to the first floor bathroom had a cracked bath panel, which needs replacing to ensure the health and welfare of people using it. All areas of the home were free form odour and were kept tidy. Systems are in place to control the spread if infection such as updated policies and staff training. People commented, “ I love living here” and “ I like looking out onto the garden, its nice”. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are suitably trained and supervised to provide good care to people using the service. EVIDENCE: The registered manager, through discussion showed a commitment to providing good quality care. Staff spoken with and observed showed that they knew what care to give to individual people. People commented, “staff are very nice” and “ I like staff here”. Staff files sampled showed that all staff had undergone checks to show they are suitable to work with vulnerable adults. Records and interviews demonstrated that staff had received a good standard of induction and undergo regular training. This ensures staff are able to provide good quality care. One member of staff commented, “ there is always some training going on. I have gone on manual handling, abuse awareness and medication training recently”. Discussion with staff and the manager showed that staff receive annual supervision with mini sessions in between to discuss any issues either party Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 20 may have. This helps in ensuring staff are happy in their role and are supported where needed. Rotas at the home showed that there are always enough staff on duty to meet peoples needs. In addition to care staff, the service employs a cleaner, who ensures the building remains clean and tidy. Due to the small size of the home, care staff take turns at cooking meals. If staff are cooking meals they are never then asked to provide hands on care, which minimises the risk of infection control problems. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service is run for the benefit of people who live there. This ensures their needs are met. EVIDENCE: The registered manager holds a specialist qualification in care management. This ensures she can provide suitable management at the home and ensure people have their needs met. The registered manager has undertaken ongoing training and strives to improve the lives of people she supports. Staff commented “ our manager is great, she is very supportive and there when we need her” and “ she knows what she is doing and does it all for the residents here”. People living at the service also spoke highly of the manager. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 22 Quality assurance at the service has improved. There is now a process for gathering views of people who use the service, families of people using the service and visiting health professionals. Samples of this feedback showed that everyone was satisfied with the care at the service. The registered manager discussed how she plans to further develop this system to include the views of the less able people at the service. It is recommended that a formal policy that covers the service commitment to quality assurance be put in place. This will provide a consistency in which to monitor quality checks. Safety checks had been completed on a regular basis, including fire drills. This ensures the service operates safely. There have been seven reported accidents since the last visit which were all well recorded and stored appropriately to maintain the confidentiality of people. Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 24 YES 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 YA19 Regulation 13(2) Requirement Medications that are administered must be recorded correctly in records. This is to ensure the safety of people who are receiving the medication An audit must be completed to identify which toilet pans need replacement. These toilets must then be replaced. The bath panel to the first floor bathroom must be replaced. This will ensure a comfortable and hygienic environment for people to live. Timescale for action 01/02/08 2 YA24 23 01/07/08 Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 25 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 YA22 Good Practice Recommendations It is recommended that the registered manager develop a complaints policy in pictorial format. This will ensure that everyone has access to a policy that they can understand. It is recommended that a formal policy be put in place with regard to quality assurance. This will ensure consistence when completing such checks. It is recommended that replacement towels be purchased to ensure the comfort of the people using the service. 2 YA39 3 YA24 Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Newhaven Care DS0000018916.V338212.R01.S.doc Version 5.2 Page 27 - 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!