Latest Inspection
This is the latest available inspection report for this service, carried out on 4th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Newland Hurst.
What the care home does well There was a welcoming and friendly atmosphere within the home. The home was clean and comfortable with well maintained grounds. The service is person centered in its approach to the care offered and daily living. People living at Newland Hurst have their medical needs met. Plans regarding their care are in place and are reviewed as needed. People are able to participate in a range of activities within the home and within the wider community. What the care home could do better: The registered manager agreed that improvement was necessary regarding part of the homes medication system to ensure that full drug audits can be easily undertaken and for the home to be able to account for all medication received into the home. Systems regarding the security of medication and ensuring that the room used to store medication is not too warm also need to be addressed. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Newland Hurst Newland Lane Droitwich Spa Worcestershire WR9 7JH three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Andrew Spearing-Brown Date: 0 4 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Newland Hurst Newland Lane Droitwich Spa Worcestershire WR9 7JH 01905773156 01905779710 jimsafc@gmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr James Rowland Type of registration: Number of places registered: Conditions of registration: Category(ies) : Newland Hurst Limited care home 15 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 15 The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category of service 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: Learning disability (LD) 15 Date of last inspection Brief description of the care home Newland Hurst is a large, detached property situated in a ruralresidential area on the outskirts of Droitwich Spa. The home was opened in 1977 by a group of parents wishing to provide a high standard of care in a safe, supportive and homely environment. Newland Hurst is a registered charity. The property, which is set in 6
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home acres of ground, has been adapted and extended for its present use as a residential care home providing long-term care. The home is registered to provide personal care for a maximum of fifteen adults with mildmoderate learning disabilities. Currently, there are 8 male and 7 female residents. The age of the present residents ranges from 24 to 71 years. All of the residents are fully ambulant and physically able. All the residents are accommodated in single bedrooms. Six of the bedrooms have an en suite facility. A passenger lift has been installed in the home to enable the residents to have easier access to the accommodation on the first floor. All of the residents are able to use the lift independently. The home aims to meet and promote the principles that underpin good quality care. Its stated aims are to provide high standards of care and support to all 15 residents, in a warm, friendly and homely environment that positively aids their personal development and to provide a varied, interesting and stimulating day-care programme that meets the wishes, aspirations and assessed needs of each individual. Newland Hurst is a registered charity and as such has a board of Trustees who are also known as the Council of Management. For up to date information upon fees the reader should contact the service directly. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This inspection was unannounced. Therefore nobody within the home knew that we were going to visit. This inspection was carried out by one regulatory inspector over one day. The last key inspection at Newland Hurst was carried out during June 2007. The outcome of that inspection was that we rated the service as Excellent. We carried out this inspection to ensure that the service is still maintaining this level of service. Since our last inspection we have written an Annual Service Review (ASR) about the service. An ASR is a document we produce taking into account information we have received about the service without carrying out a visit to the home. During our visit we looked at some records such as care records, medication records and staff records. We had discussions with the registered manager and some members of staff. We met some of the people living in the home and had a look around the premises. Some residents showed us their bedroom. Prior to our visit we requested an Annual Quality Assurance Assessment (AQAA) from the service. This document was completed by the registered manager and returned to us. At the time of our visit the home had no vacancies. Some of the people living at Newland Hurst moved into the home a number of years ago making the group fairly stable. Information is available to potential residents and their representatives to assist in the decision making process as to whether Newland Hurst is able to meet identified needs. Within the AQAA the registered manager wrote We ensure thorough and accurate needs assessments prior to admission. Prior to the most recent admission taking place we saw records showing that discussions took place with the individual concerned, her family, a social worker, an independent advocate and the previous placement. We also saw that a visit including an overnight stay at Newland Hurst was arranged. As part of this inspection we viewed a small number of care plans. A care plan is a document designed to give staff guidance in order that they are able to carry out the required care in a consistent way meeting identified care needs. We found care plans to be person centred concentrating on each individual. We read details such as I like the staff to wake me each morning. I can use the toilet, wash myself and dress without assistance I went out with xx, went for a coffee and to the shops I need help and assistance with all areas of personal care including shaving. Care plans showed that peoples health care needs are met via input from other professionals such as GPs, local hospitals, opticians and chiropodists. The service maintains health action plans and ensures that annual health care checks take place. As part of this inspection we assessed the management of medication within the home. Medication is stored within lockable cupboards within a locked room. We noted that the
Care Homes for Adults (18-65 years) Page 4 of 10 keys to the cupboards containing medication were left within the lock. Therefore as all members of staff have access to the room it would not be possible to establish who had accessed the cupboards at any particular time. The room itself was warm. Records are not maintained of the temperature within this area. Medication needs to be stored at or below 25 degrees Centigrade to ensure it is safe to be used. We had some concerns regarding the recording of some painkillers. The Medication Administration Record (MAR) sheets did not show the number of tablets carried forward from one month to the next. We found boxed painkillers without a date of opening recorded upon them and we were unable to account from the MAR sheets what had happened to some painkillers. We saw an entry within the care records showing that two painkillers were given however this did not match the MAR sheet. Following our inspection the registered manager informed us that surplus medication was to be returned to the pharmacy and that the situation would not happen again. A dedicated fridge is provided for the storage of any medicine requiring such storage. At the time of our visit this piece of equipment was not in use and was switched off. Newland Hurst does not have facilities for the storage of controlled medication. We found a tub of cream in a communal bathroom with an expiry date of August 2001 therefore almost 9 years out of date. During out visit a number of residents went out in the morning horse riding before returning for lunch. In the afternoon the majority of residents went out swimming. Newland Hurst is located in a semi rural setting on the outskirts of Droitwich Spa. The original property was extended to provide residential accommodation for 15 people. The service offers single bedroom accommodation with en-suite facilities. There are three communal sitting rooms and a large kitchen diner. The service has a number of areas in which crafts are undertaken. People told us that they were pleased with their bedrooms. We noted that the carpet on the stair case is showing signs of wear and tear. This needs to be monitored to ensure that it does not become a health and safety risk. Windows within the home do not have restrictors fitted to prevent accidental or deliberate falling to the ground. This was raised with the manager who assured us that risk assessments are in place and currently nobody is assessed as at risk of falling. The Trustees of Newland Hurst are aware of peoples changing care needs and are currently seeking to redevelop the premises to one which would have wider corridors and offer additional aids and adaptations such as a call bell system. The majority of the support staff at Newland Hurst have completed a NVQ (National Vocational Qualification) many to level 3. The AQAA stated that All support workers are encouraged to undertake NVQ training and a salary increment is payable upon successful completion. The home has a recruitment process which makes sure that the required checks are undertaken prior to a new member of staff starting work. We saw that the service ensures that it has a CRB (Criminal Records Bureau) disclosure and written references in place. Having these checks helps to reduce the risk of someone who is unsuitable gaining employment within the home. Care Homes for Adults (18-65 years) Page 5 of 10 Staff we spoke to showed a dedication to providing a quality service. Staff were aware of their responsibility regarding the safeguarding of residents against abuse. The manager informed us that he is scheduled to attend training for managers regarding the prevention of abuse in the foreseeable future. The records seen at the time of our inspection showed that the last training for staff in this area took place during October 2008. The records indicated that some staff had not received any training in this area however following the inspection we were subsequently informed that this was not the case and that staff have attended training. During the day between 7.00 am and 10.00 pm there are 3 support workers on duty. During the night time two members of staff sleep in, the home does not have any wakeful staff during this time. Accident records are maintained as necessary. We saw a record of an incident last year resulting in a resident receiving treatment. The registered manager acknowledged that the commission was not informed about this incident as required under regulation 37 of Care Homes Regulations as it was believed that the incident was not sufficiently serious enough. We viewed the records regarding hot water. The registered manager agreed that some further clarification was needed as we saw temperatures in excess of those recommended by the Health and Safety Executive. For example the craft room was recorded as 55.2 degrees during February however this was described as satisfactory. We received generally very positive comments upon our surveys sent to some members of staff. Always puts residents first. Newland Hurst has a unique ability to be a family home atmosphere for both staff and residents. I feel this is because there is such a good strong practical manager in place who welcomes everyone. It provides care and support tailored to the needs of the individual Residents are given encouragement to participate in a wide range of activities such as college, crafts, work experiences, creative arts etc. Atmosphere is very friendly, staff are happy and cheerful, residents needs are met. The residents are all treated individually so that their needs are met. What the care home does well:
There was a welcoming and friendly atmosphere within the home. The home was clean and comfortable with well maintained grounds. The service is person centered in its approach to the care offered and daily living. People living at Newland Hurst have their medical needs met. Plans regarding their care are in place and are reviewed as needed. People are able to participate in a range of activities within the home and within the wider community. Care Homes for Adults (18-65 years) Page 6 of 10 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 set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!