Care Home: Newlands

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What the care home does well People are provided with good information and opportunities to visit the home to decide if Newlands is suitable for their needs. Staff encourage people to live as independently as possible, providing people with choices in order that they can live their lives the way they want to. People are protected from abuse and this enables them to live in a safe environment that treats them as adults and individuals.People are supported by a well trained staff team; the home is well managed and this enables people living at Newlands feel confident they are well supported and their welfare promoted. Some comments from staff include: "Newlands provides a good life for those who live at the home and I feel most staff and people that live here are happy with the service that is provided and that there is no need to change anything and I`m very happy in my job". I feel Newlands is a lovely place to work with very few issues. People that live here bond well which makes for a happy atmosphere". What has improved since the last inspection? New owners now own the home and this is the first inspection since change of ownership. What the care home could do better: People receive good and excellent care at Newlands. Improvements could be made to some parts of the environment which are looking tired. Any improvements to the home will benefit people living there. CARE HOME ADULTS 18-65 Newlands 1 Newland Drive Wallasey Wirral CH44 2AX Lead Inspector Mrs Joanne Revie Key Unannounced Inspection 30th October 2008 09:00 Newlands DS0000071744.V373507.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 Newlands DS0000071744.V373507.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. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newlands Address 1 Newland Drive Wallasey Wirral CH44 2AX 0151 630 5404 F/P 0151 630 5404 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) Potensial Limited Julie Ann Jones Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 category: Learning Disability - Code LD maximum number of places 13. The maximum number of service users who can be accommodated is: 13. New 2. Date of last inspection Brief Description of the Service: Newlands is made up of two large semi-detached houses that have been adapted to form one dwelling. It is located in a street of similar properties in the Wallasey area of Wirral. The home provides care and support to 13 people who have a learning disability. The home is within walking distance of local shops and the town centre of Liscard. There are good transport links to major towns on the Wirral and to Liverpool City Centre. Fees at the home are negotiated on an individual basis with the placing authority and are influenced by the needs of the resident. Newlands DS0000071744.V373507.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 visit was unannounced. Prior to the visit taking place we (the Commission) asked the manager to complete a document called an AQAA. This document provides information on the service’s strengths and weaknesses and any future plans to develop the home. The AQAA gave us lots of information and showed us that management at the home have a good understanding of the legislation that governs care homes. Surveys were sent out to relatives of the people who live at the home and staff who work there. No surveys were returned from people who live at the home or their relatives. Five surveys were received from staff members and these reflected positively on the home’s ability to provide care and support to the people who live there. During our visit we spent time looking at records which told us about the care and support that people need and receive and how the management of Newlands ensures it is a safe place to live and work. We looked at the records that the home keeps about the staff team. These showed us how staff were recruited, what training they have had and how many staff are available to support the people who live at Newlands. We also looked at any new information we had received about the home since we last visited. Information provided about fees indicates the home charges between £630.00 and £1118.00 per week. What the service does well: People are provided with good information and opportunities to visit the home to decide if Newlands is suitable for their needs. Staff encourage people to live as independently as possible, providing people with choices in order that they can live their lives the way they want to. People are protected from abuse and this enables them to live in a safe environment that treats them as adults and individuals. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 6 People are supported by a well trained staff team; the home is well managed and this enables people living at Newlands feel confident they are well supported and their welfare promoted. Some comments from staff include: “Newlands provides a good life for those who live at the home and I feel most staff and people that live here are happy with the service that is provided and that there is no need to change anything and I’m very happy in my job”. I feel Newlands is a lovely place to work with very few issues. People that live here bond well which makes for a happy atmosphere”. 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. Newlands DS0000071744.V373507.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 Newlands DS0000071744.V373507.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): 1, 2, 3, 4 Quality in this outcome area excellent. This judgement has been made using available evidence, including a visit to this service. Staff make every effort to form friendships with new people before they move into the home. This means that staff are known to new people which helps to reduce any initial anxieties and helps them settle in quickly. EVIDENCE: We looked at how new people are introduced to the service. We saw that staff made every effort to get to know people and their expectations before they moved into the home. For example, we saw that one person received daily visits for almost six weeks before they moved in. This person’s complex communication needs meant it was vital that they felt comfortable with staff before the move took place. Allowing people time to get to know staff and their surroundings prior to moving into the home is good practise. We also found that staff from the home met with staff who had previously supported this person. This is also very good practise, as it gives staff the opportunity to ask questions about the person’s needs and support which the person may not be able to answer. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 9 All of the information gathered during visits had been written down so that records were available which showed the care and support that this person required. These processes greatly reduce the risk of someone not receiving the correct care and support if they decide to move into the home. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 10 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, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The people who live at the home are supported to live the life that they choose. EVIDENCE: We looked at the records that staff keep about each person’s care and support. We saw that each person who lives at Newlands has their own plan of care. These are all up to date and regularly reviewed to ensure the information is still accurate. Plans provide clear details about the person and their choices, along with detailed information about how to support them with their personal and health care. Clear and detailed risk assessments are in place and reviewed regularly for everyone. These give information about things that could cause a risk to the person and list the action staff can take to reduce that risk whilst supporting the person to be as independent as possible and enjoy the things they like doing. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 11 Staff surveys told us that they were all involved in putting together care plans and it was evident that these are used regularly to ensure people get the support they need. Some people living at Newlands do not use a lot of verbal communication, however their care plans detail the ways in which they make their needs, choices and decisions known. We observed staff interacting with them and saw that staff understand how to do this. Throughout the visit staff were seen to offer people choices, respond positively to requests that they made and spend time understanding what the person was communicating. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 12 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, 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People are supported to be independent and live a fulfilling lifestyle. EVIDENCE: Group activities for special occasions are organised, for example, there are plans for a forthcoming Halloween party, which residents and staff plan to get dressed up for. Everyone has enjoyed a week’s holiday in Wales recently. People are supported to lead their own lifestyles in a safe manner, which clearly reflected the service’s ability to support equality and diversity. Families are welcomes by the home with regular visits taking place both to the home and people visiting relatives away from Newlands. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 13 The home has developed clear records which details all activities undertaken by everyone who lives there on a daily basis. Advocacy has been sought for one person who lives there to enable them to lead a more independent lifestyle. Meals are provided according to people’s likes and dislikes. The manager confirmed that this topic is regularly discussed at meetings and a person who lived at the home confirmed they take an active part in these meetings. Two people who live at the home were observed cooking breakfast with staff support. Another was observed helping themselves to cereal. The manager explained that all cupboards and drawers in the kitchen are labelled so people can independently access food. Staff also cook meals for those who don’t or choose not to cook. A menu was viewed which showed the choices available at each mealtime, but the manager stated that this often changes, depending on what people feel like eating. This situation arose during the visit and staff responded by supporting people to eat their chosen food instead. The home has two dining rooms which are accessible and comfortably furnished. One bedroom was viewed which contained a fridge, breakfast bar and tea making facilities. The occupier explained that staff were supporting this as eventually they hoped to live in their own flat. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 14 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, 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The people who live at the home receive the right care and support and get their health needs met. EVIDENCE: People who spoke with us spoke positively about the level of care and support they receive. Staff were observed offering and supporting people with personal care in a dignified manner. Each plan gave very clear instructions regarding the individual likes/dislikes and support required. Each plan showed that annual health checks occur and that staff carry out basic health care monitoring, such as encouraging people to regularly weigh themselves. Each plan contained a record of any input from health care professionals, such as GP’s, Consultants, Dentists and Opticians, etc. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 15 Each plan also contained a health care passport which gives a clear overview of the person’s needs should an admission to hospital occur. One person was able to describe how they are supported to manage their health care needs independently. This plan reflected input from specialist nurses also to provide further support. The home’s medications systems were viewed. Clear records are kept of receipt, administration and disposal of all medications. It was clear that there are safe systems in place to make sure people receive medication when they need it. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 16 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, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. People are encouraged to live their lives independently with staff providing support and guidance when needed. EVIDENCE: No complaints or safeguarding issues have been made to us. The manager says that the number of issues requiring protection plans has dramatically reduced since she came into post. She believes this is because staff are much better at managing challenging behaviour. Each person had a behaviour management support plan and there are clear records in place of all complaints, which tells us all complaints, including those that could be seen as minor, are taken seriously. Some people are supported to manage their own money and promoting their independence. We found good examples of staff supporting people to maintain their independence, whilst also ensuring they have information to consider their choices and risks associated with managing money. Newlands DS0000071744.V373507.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, 25, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable clean home. EVIDENCE: Bedrooms seen are very personal to each person that lives at Newlands, with each one decorated differently and well furnished. The lounge has some new furniture and, overall, Newlands is a homely place to live. Some parts, such as the dining room, would benefit from being refreshed. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 18 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, 35 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The people who live at the home are encouraged to express their views and receive protection and support from skilled staff. EVIDENCE: Staff spoken to during our visit were positive about their role and the training and support they receive. Information provided by the manager indicates that about three quarters of staff have achieved their national vocational qualifications. Other training has taken place, such as how to deal with allegations of abuse, abuse awareness and dealing with difficult situations effectively. Records show that staff are well supported. Six staff surveys were received and these were all positive. Some comments received include: “I can look up almost any information I need in the office if I forget anything” and “We meet every month at least”. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 19 Another said “Newlands provides a good life for those who live at the home and I feel most staff and people that live here are happy with the service that is provided and that there is no need to change anything and I’m very happy in my job”. I feel Newlands is a lovely place to work with very few issues. People that live here bond well which makes for a happy atmosphere”. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 20 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, 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home is managed well and is a safe place to live. EVIDENCE: The manager’s staff file was viewed which showed that she is suitably experienced and qualified to manage the home. Staff surveys reflected positively on her ability to manage. Throughout the visit the manager proved to be knowledgeable and passionate about the care and support provided to the people who live there. Quality assurance questionnaires have been developed for the people who live in the home to complete. Further surveys have also been developed for health care professionals. No overall report was available to show the outcome of the surveys. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 21 A variety of certificates and contracts which relate to fire safety and health and safety in general were viewed and found to show that people are living in a well maintained and safe home. Staff have had training in key areas to ensure the health and safety of the residents. A senior manager from the organisation visits monthly to meet with the people living there and audit records and the environment; this is followed by a larger six monthly audit. Following these audits an action plan is put together to deal with any issues that arise. These checks help to ensure that the people living at Newlands are receiving a good service and that any areas for improvement are quickly identified and acted upon. Records and certificates showed that regular checks are carried out on the building and equipment to ensure they are safe for everyone to use. The manager showed a commitment to developing the staff team and ensuring they were as skilled and up to date as possible, so that they can provide effective support to people living at the home. She was able to explain future plans for further improving the service and how the team intend to implement these. This management style helps to support staff to develop their skills and feel confident in discussing different and new ways of supporting the people who live at Newlands. Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 4 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 3 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 4 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection NW Regional Office 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.northwest@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 Newlands DS0000071744.V373507.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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