Care Home: Newmans Care Homes (Pump Piece 41- 45)

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What the care home does well It is very homely and friendly at Newmans Care Home and the people who live there are all well settled. They say they are happy living there and they like the manager and staff. One person comments "I like my home". Everyone living at the home has a care plan they help to make when they can. Plans show their needs, preferences, possible risks and some of their personal goals. They show staff how best to support them and keep them safe. People living at the home are able to make choices about what they do each day and staff encourage their independence. They are also supported to take part in activities they like and to go out and mix in the local community. Staff help people keep in touch with their families and make them welcome. Relatives are pleased with their care; one says "I have never had any concerns in all the years X has lived at the home. They are looked after superbly".People who live at the home are being supported to meet their personal and health care needs. Staff also manage their medicines safely on their behalf. 41-45 Pump Piece are three ordinary houses, which helps people living there fit in with the local community. It is in a good place near to shops and facilities in Leominster town and gives them a secure, comfortable and well-kept home Staff receive training about how to keep the home and people safe. Most also have a qualification in social care so they have the right knowledge and skills. The home is well run and offers good individual care to the people living there. What has improved since the last inspection? The home continues to develop a more "person centred" way of planning the care of the people who live there. This should mean that their personal goals will be identified and they will receive any support they need to achieve them. Staff are enabling people living at the home to go out more to different places and to take part in activities they enjoy and that could be of benefit to them. The manager now has more time just to run the home and has support from two senior staff to help with the management tasks. People living at the home have been asked what they think about the quality of the service. The home is now developing an annual plan that will show how the home will improve as people living there want it to and/or for their benefit. What the care home could do better: The health of each person living in the home would be better confirmed and ensured if they all have a Health Action Plan. The home needs to obtain necessary information about new staff before they start work to help check they are suitable to protect people living at the home. CARE HOME ADULTS 18-65 Newmans Care Homes (Pump Piece 41 - 45) 41- 45 Pump Piece Leominster Herefordshire HR6 8HR Lead Inspector Christina Lavelle Key Unannounced Inspection 3 &5 October 2007 1.45-5.45&2rd th Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newmans Care Homes (Pump Piece 41 - 45) Address 41- 45 Pump Piece Leominster Herefordshire HR6 8HR 01568 612304 F/P 01568 612304 lnewman@care4free.net 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) Dr Leslie Howard Newman Mrs Veronica Elizabeth Newman Ms Venetia June Price Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories:Learning Disability (LD) - 8 Learning Disability over 65 (LD)(E) – 8 2. The maximum number of service users to be accommodated is 8. 7th & 12th July 2006 Date of last inspection Brief Description of the Service: Newmans care home at 41-45 Pump Piece Leominster provides accommodation and personal care for eight adults (men and women) who may be over sixtyfive. Service users must require care primarily due to learning disabilities. The stated aims of the home are to provide a comfortable, secure and homely environment that helps service users to maintain and, when possible, increase their independence. Four people have lived at the home for over twenty years and one of the places at the home is used to provide planned respite care. The home is situated in a quiet residential cul-de-sac less than a mile from the centre of the market town of Leominster. Shops, facilities and some of the service users’ day services are within a reasonable walking distance, and the home also has a vehicle to provide transport. The property consists of three adjoined houses in a terraced row. The home has pleasant, good sized and private gardens at the back with parking spaces at the front. All the bedrooms are upstairs and House 45 has two (one shared) and has a stair lift. House 43 has three single bedrooms and house 41 has two single bedrooms (one used for respite care) and an office. Each house has a sitting room, dining room or kitchen/diner, bathroom and separate toilet for everyone to use. The weekly fee varies depending on the individual needs of service users, as agreed with their funding authority. Items not covered by the fee (as specified in the home’s statement of purpose) include for personal items & clothes, long distance telephone calls, dry cleaning, sweets, newspapers and snacks. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a key inspection of the service provided by Newmans Care Home. This means all the Standards that can be most important to people who live in care homes were checked. This inspection visit was made without telling anyone at the home beforehand. Time was spent talking with people who live there and to some staff. During the second visit the way the home is being run and any changes made since the last inspection were discussed with the manager. Survey forms were left at the home for some staff and people who live there asking what they think of the service. Other surveys were sent to their families and to five health or social care professionals who are involved with their care. Eleven surveys were returned and their views are referred to in this report. An annual self-assessment form was also completed before this visit. This asks managers to say what they feel their home does well, what it could do better, what has improved and about their plans to improve the service. It includes information about people living there, staffing and other aspects of the home. Various records kept by the home were checked and parts of all three houses looked around. Any information received by the Commission about the home since the last inspection was also considered. This includes the provider’s monthly reports about how the home is run and events that had affected the people who live there. An anonymous complaint was made to the Commission. This was passed back to and fully investigated by the provider who found that there was no evidence to support the allegations made. What the service does well: It is very homely and friendly at Newmans Care Home and the people who live there are all well settled. They say they are happy living there and they like the manager and staff. One person comments “I like my home”. Everyone living at the home has a care plan they help to make when they can. Plans show their needs, preferences, possible risks and some of their personal goals. They show staff how best to support them and keep them safe. People living at the home are able to make choices about what they do each day and staff encourage their independence. They are also supported to take part in activities they like and to go out and mix in the local community. Staff help people keep in touch with their families and make them welcome. Relatives are pleased with their care; one says “I have never had any concerns in all the years X has lived at the home. They are looked after superbly”. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 6 People who live at the home are being supported to meet their personal and health care needs. Staff also manage their medicines safely on their behalf. 41-45 Pump Piece are three ordinary houses, which helps people living there fit in with the local community. It is in a good place near to shops and facilities in Leominster town and gives them a secure, comfortable and well-kept home Staff receive training about how to keep the home and people safe. Most also have a qualification in social care so they have the right knowledge and skills. The home is well run and offers good individual care to the people living there. 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. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 these visits to the service. Thorough assessment and admission procedures are in place to help to ensure the home could suitably meet the needs and wishes of potential service users. EVIDENCE: Required information documents about the home are provided. They include a statement of purpose and a service users’ guide. The guide is available in a user-friendly format for prospective service users with learning disabilities. Most people have lived at the home for years and the most recently admitted person for long term care had been staying there for respite care for a while and so was well known to everyone before moving in. The manager confirmed however she would adhere to the home’s written assessment & admission procedures should a referral be made. The home would first obtain a copy of a potential service user’s community care assessment made by a social worker. The manager would then meet them to undertake her own needs assessment. Following this introductory visits to the home would be arranged over an extended period including overnight and for a trial stay. The placement would not be agreed until the home, the new person, their family and representatives decide that the home could suitably meet their needs and they want to stay. Their compatibility with people already living there would also be considered. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to the service. People living at the home all have a plan reflecting their needs and preferred routines. Risk assessments are also in place to minimise safety risks. Whilst they can make choices and decisions in their daily lives if all their plans focus more on their personal goals they would also show how they are supported to achieve them to develop their skills and promote an independent lifestyle. EVIDENCE: A sample of care records kept by staff for people living at the home was looked at. They include their photograph, a personal profile, background details and a list of their preferred daily routines. Individual progress reports are now also made about such as their health, mood and activities that provide helpful information about their lives. Each person has a care plan showing their needs and/or skills in relevant areas (including personal & health care; behaviour; social & independence; family & friends; continence & mobility; race, religion & culture; education & finances) and outlining support and/or guidance needed. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 10 The home is appropriately implementing a “person centred” (PC) approach to care planning. This aims to involve each person more in planning their own care and making life choices. Plans are therefore being drawn up with their involvement as far as possible and staff are providing more individual support. Whilst this is a positive development there needs to be a greater emphasis on ascertaining some people’s personal goals and the action needed to achieve them, with timescales specified. When individuals are unable to set their own goals their relatives and/or significant others should do so on their behalf. Risk assessments should also be linked to the goals identified and aim to promote an independent lifestyle as well as reduce safety risks. Furthermore, although the home reviews plans regularly (and arranges a formal care review meeting annually) they should show if their goals are being achieved, with outcomes. Particular care staff are allocated to each person who lives at the home as their keyworker. They are expected to take a lead role in aspects of their lives e.g. helping them obtain personal toiletries, shopping for clothes and maintaining contact with their families. Keyworkers aim to spend more time with their allocated residents and so provide more personal support. It is good therefore that they are now also more involved in care planning and reviews, as they should get to know them well and their needs, wishes, likes & dislikes better. People living at the home can have flexible daily routines (especially when they have no weekday commitments) and were observed to make choices about such as what they eat and if and where to go out. House meetings are also held six weekly when they can express their views about day-to-day issues such as menus; holidays and other home related and staffing matters are discussed. These meetings appropriately have an agenda and are minuted and those who attend receive copies. This is another positive indication that people living at the home are enabled to make decisions about their own lives. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to the service. People who live at the home are supported to go out and take part in activities they enjoy and maintain links with their families. Staff respect their individual needs, rights and abilities and encourage shared responsibilities in their daily lives. The home provides food people like whilst healthy options are promoted. EVIDENCE: Each person has a schedule of their regular weekly activities, which include day services, work placements, project groups, literacy sessions and social clubs for people with learning disabilities. Those able to go out alone or walk to local places with staff. The home also has a car and they have free bus passes to use public transport. Staff are trying to facilitate more individual activities, outings, shopping trips etc and they are deployed to work flexibly to provide one to one support regularly. Some people go on holiday together as a group and others also go away with their day services and/or family. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 12 When at home people spend their time doing such as listening to music, watching TV, word searches etc. They are also encouraged to be involved in household tasks and doing their own laundry and ironing etc if they are able to. They all clearly view the home as their own and it was nice to see some people come home from their day activities and make themselves drinks and one going straight out to mow the lawns. Newmans Care Home has been established for a long time and has many local links and so the home and people living there are accepted as and have become part of the community. Whilst this is positive it should be ensured that their social & developmental needs and interests (as identified in individuals’ care plans) also link in with their activity schedules. Plans would then specify how their needs and goals could be met and reviews would show if and how they are being achieved. It is expected staff in care homes understand issues in relation to equality & diversity and they clearly recognise the different and individual needs of people living at this home. Some are older and/or have physical difficulties and so need more personal support and those younger and more able are encouraged to lead a more independent lifestyle at home and within the community. Staff were also observed to treat people with dignity and respect and to appreciate it is their home. Regarding upholding rights one person is on the committee of a local group that represents people with learning disabilities. The manager had also recently helped some people move their savings accounts (and complained on their behalf) from a bank that could not be accessed by people with poor mobility, meaning they were not able to draw out their own money. It is confirmed families are made welcome in the home and efforts are made to maintain links and involve them. Most people living at the home have regular input from family and their relatives indicated staff always keep in touch and they are kept up to date about important matters. One member of staff went away for a weekend to support one person to spend time with their relative. Regarding food provision people living at the home choose a weekly menu for main meals and also help with shopping, meal preparation etc. Mealtimes are flexible and they can select daily what they would like for breakfast and snack meals. Mealtimes are clearly relaxed, social occasions when they can choose to eat with others or alone. Records are kept showing meals each person has received and they and menus show they are varied and wholesome with fresh fruit & vegetables and low fat options available. Staff aim to promote a healthy lifestyle through diets and exercise and some people have had their nutritional needs assessed and included in their care plans. Although no one requires a specialist diet two people have weight issues that are carefully monitored and necessary checks such as weight and food/fluid intake are made and recorded. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to the service. People who live in the home are supported with their personal and health care needs and staff manage their medicines safely on their behalf. It would better confirm that their good health is promoted if they all have a Health Action Plan. EVIDENCE: Plans of people who live at the home detail the support and/or guidance they each need with their personal care and also show that staff encourage selfcare. Everyone was seen to be very well presented and appropriately dressed and there are noticeable improvements for some people. They can choose and shop for their own clothes, with staff support if needed. One person’s relative comments “X is always smart & tidy” and another “X is always well dressed”. Everyone is supported to have access to a GP of their choice and to other health care professionals and facilities. Care records include information about advice and/or treatment from specialists as well as regular routine and well person check ups and medication reviews at GP surgeries. Records are also kept by staff of relevant physical checks and health care issues, such as weight and food/fluid intake, if and when necessary. The manager clearly appreciates Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 14 the importance of seeking relevant health care advice and often personally supports people to attend their appointments and with any after care. Staff encourage them all to maintain a healthy lifestyle and two people in particular who are being supported with exercise now have much better mobility. The home has started to set up Health Action Plans (HAPs), as recommended by the Department of Health for people with learning disabilities. HAPs aim to involve individuals in managing their own health care to the extent they are able to. They can also help to confirm that all their special health care needs have been identified and are being monitored and their good health promoted through preventative as well as routine and specialist health care input. It will be good therefore when everyone who is living at the home has their own HAP. Regarding medication prescribed for people living at the home there is a policy and procedures that should direct staff to manage them safely. Whilst none of the people currently living at the home can self-administer when possible their consent for staff to administer their medicines has been sought. Medicines are dispensed using a monitored dosage system, which is audited regularly by the medication company’s Pharmacist. The home provides suitable and secure storage arrangements for medication and administration records were being kept properly. Staff authorised to administer complete accredited training and there is a list of signatures of those who are designated. Homely remedies are only given if checked out first with that person’s GP. The home keeps relevant information for staff about all prescribed medicines and has an up-to-date reference book. Guidance is also obtained from the internet about all new medicines so staff know why they need to take it and any possible side effects. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to the service. The home enables people who live there to express their views. Processes are also in place to manage complaints about the service and for their protection. EVIDENCE: The home has a written complaints procedure that is also available in a userfriendly format. It is apparent there is an open atmosphere in the home and people who live there say they would feel able to discuss any worries with the manager. They can also raise issues in their meetings or with their keyworkers and their relatives indicated they know how to make a complaint if needed, although one says “I have never had any concerns in all the years my relative has lived at the home”. Since the last inspection no complaints have been raised with the home; however there is a format to record details of concerns raised and the investigation, any actions taken and outcomes. An anonymous complaint was made to the Commission and passed over to the provider. This was fully investigated and no evidence found to support the allegations made. The home has policies & procedures in relation to staff responsibility to protect people living at the home. These include how to identify possible indicators of abuse or neglect and how to respond to any incidence or suspicion and whistle blowing. There is a copy of local multi-agency procedures for the Protection of Vulnerable Adults that is also available to staff. Some staff did receive training from the Herefordshire Adult Protection co-ordinator and the manager confirms that all new staff must go through these procedures as part of their induction. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to the service. The accommodation suitably meets the needs of people living there and offers them a very comfortable and well-kept home. Appropriate arrangements are in place to keep the home safe, clean and fresh and so promote good hygiene. EVIDENCE: 41-45 Pump Piece is on a residential estate about a mile from Leominster town centre. Shops, day services, leisure facilities and main bus routes are within easy reach. The home comprises of three houses in a terraced row that all have some bedrooms, a lounge, dining area, kitchen and bathroom. They are decorated, furnished and maintained to a good standard and meet the needs of their occupants. The overall impression is very homely and comfortable with photographs and personal possessions in the bedrooms and sitting rooms. All areas visited were found to be clean, tidy and fresh. Policies & procedures are provided to promote infection control and other safe working practices. Disposable gloves and aprons are also available to staff to protect everyone. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 17 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, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including these visits to this service. People living at the home are supported by sufficient and suitably qualified staff who work well as a team to provide a good quality individualised service. More thorough recruitment procedures would help to ensure only suitable staff are employed at the home, for the protection of the people who live there. EVIDENCE: The staff team comprises of ten care workers, one domestic and the manager It is confirmed there are enough staff to meet all the needs of people who live or stay for respite at the home. Staff are also deployed flexibly, as needed to support individuals with their activities etc. The team is stable, having a low staff turnover, which is good for consistency of care and means that staff and the people living at the home all know each other well. There is a good age range within the team, although only one man is employed there currently. Training is arranged by the home for staff in all the mandatory health & safety training topics and other training has been undertaken in relation to learning disabilities and the particular needs of people living at the home e.g. epilepsy. This should also include the LDAF (Learning Disability Accredited Framework) Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 18 induction programme for new staff and other training that would help to keep staff informed about relevant new legislation and currently accepted practice, such as person centred planning, equality & diversity and the Mental Capacity Act. Most staff had achieved a National Vocational Qualification in care (NVQ), as the Standards now specify for staff working in care homes. It is good the home has a dedicated budget for training. Also that more detailed individual training records are now being maintained and along with supervision sessions should form the basis of developmental plans for each person and the team. Regarding selection and recruitment all potential staff are expected by the home to complete an application form and necessary checks are taken up. The records of the most recently appointed staff member appropriately includes two written references (one from their previous employer) and a CRB police check. Whilst the manager said she had viewed this person’s relevant personal documents when making the CRB application she was reminded however that copies of those listed in Schedule 2 of the Care Home Regulations must be retained. In addition a full employment history must now be obtained (with gaps explored and explained) and not just the last ten years as was requested. The manager clearly recognises the importance of staff support and teamwork in providing a good quality service. Staff meetings are held regularly and staff all receive individual formal supervision. It is planned to implement an annual appraisal system and to involve staff more in the day-to-day running of the home, which should improve work performance. Staff feel that communication is open and very good. They appear to be well motivated and to work together in the best interests of people living in the home to enhance their lifestyles. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 19 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 these visits to the service. The home is well run and provides the people living there with good individual support. Service quality is monitored and reviewed and a plan is being made for its development. This should reflect how people living at the home want it to improve and/or for their benefit. Policies, procedures and working practices promote the welfare of and safeguard people who live and work at the home. EVIDENCE: The manager is suitably qualified and experienced and now has more time to focus on the management task. The home also now has two team leaders who have delegated responsibilities and so support the manager. Staff are positive about the management approach and say their views are listened to and they feel well supported. This key inspection confirms that staff and management are committed to providing a good service and there is a good team work ethic Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 20 There is a system in place to review and audit relevant aspects of the service and processes to monitor its quality, which include the required monthly visits from the provider to check the conduct of the home. Confidential satisfaction questionnaires had been sent to people living in the home and their families so their views about service quality can be sought and evaluated. Information from these sources and such as house meetings will soon result in an annual development plan that should reflect their views and/or benefits for them. Regarding health & safety the home has comprehensive policies & procedures. Staff training is arranged in mandatory topics i.e. first aid, food hygiene, fire safety and moving & handling. Information obtained confirms that fire safety tests and checks are being carried out at the specified intervals. In addition electrical checks & portable electrical appliance tests are undertaken; the fire safety system and equipment are serviced regularly; the heating system & gas installations are maintained and COSHH risk assessments are in place. There were no safety hazards identified in the environment during these visits. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 21 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 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 Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered persons meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered provider must comply with the given timescales. No. Standard 1 YA34 Regulation 19 & Schedule 2 Requirement The home must obtain relevant information and documents for people employed to work at the home. Also potential staff should submit a full employment history (with any gaps explored and a satisfactory explanation obtained) before their appointment is confirmed. Timescale for action 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the registered provider to consider carrying out. N o. 1 Refer to Standard YA19 Good Practice Recommendations Health Action Plans should be set up for everyone living at the home. HAPs would help to ensure all their particular health needs have been identified and are being monitored and that their good health is promoted. Also that they are supported to manage their own health to the extent they are capable. Newmans Care Homes (Pump Piece 41 - 45) DS0000024726.V347948.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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