Care Home: Newpark

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What the care home does well There is a friendly atmosphere at Newpark, which offers a homely and comfortable place in which to live. There continues to be good relationships and regular contact with other professionals to promote a safe and supportive lifestyle. Staff working at the home have positive relationships with residents and try to improve their quality of life. The staff recognize the importance of meeting individuals` differing religious, racial, physical and cultural needs. Residents enjoy a range of activities and are supported to be a part of their local community. Residents present as being relaxed and comfortable with staff indicating they feel safe and secure with them. People living at the home are supported in maintaining contact with their family and friends. Staff are well supported and say they enjoy working at the home. They are encouraged to undertake regular training. What has improved since the last inspection? The home`s Statement of Purpose, care plans and complaints procedure are now available to residents in a format they can more easily understand. Care plans are more detailed so as to give staff clear information about residents` individual needs. The care plans are easier to use now that old information has been removed and filed separately. When an incident occurs which indicates that an existing risk assessment needs to be reviewed and updated, the revised risk assessment is recorded in writing in addition to being verbally discussed. The garden is better maintained for residents to enjoy using it. The quality assurance and monitoring systems have been developed to take account of feedback from relevant health and social care professionals. The environmental risk assessments are more comprehensive so as to better safeguard people at the home. Staff receive supervision more regularly to help ensure they understand their roles, follow the home`s policies and procedures and have the opportunity for professional development. What the care home could do better: No requirements have been made from this inspection.The Manager acknowledges a training matrix would give a management overview of courses attended by staff and those booked. The home should ensure all records used as part of reviews are dated. The complaints procedure should include the information that residents can inform their Care Managers if they are not happy with the service. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Newpark 3 Park Road Southborough Tunbridge Wells Kent TN4 0NU     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Gary Bartlett     Date: 3 0 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Newpark 3 Park Road Southborough Tunbridge Wells Kent TN4 0NU 01892537717 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : gem.newpark@tiscali.co.uk Chistlehurst Care Ltd care home 8 Number of places (if applicable): Under 65 Over 65 8 learning disability Additional conditions: 0 The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (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). Date of last inspection Brief description of the care home Newpark is a residential care home providing personal care and social support for 8 residents who have a learning disability. It is a large semi detached house in a residential area with accommodation over three floors. The home does not have a shaft lift and all the bedrooms in the main house are located on the first and second floors. The residents have access to a vehicle for attending day care, outings, shopping and other activities. Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home The nearest shops and other amenities such as church, pub and post office are within walking distance. There is easy access to public transport. There are gardens to the front and rear of the property, which can be used by residents. There is car parking space to the front of the house. Staffing is provided for 24 hours, there being a sleep-in staff member at night. The homes current scale of fees range from £524.35 to £758 per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was at Newpark from 8.30 a.m. until 1.15 pm. Judgments about quality of life and choices were taken from direct observation and by discussion with the residents and staff. Some records and parts of the building and grounds were inspected. The Manager had completed an Annual Quality Assurance Assessment, from which information was used to inform the inspection process. A number of survey forms were received from residents, their relatives, staff and Care Homes for Adults (18-65 years) Page 6 of 28 health care professionals prior to the inspection. These indicate good standards of care at the home. Comments include We are very glad that (the resident) is at Newpark. He is very happy there and everyone is so friendly. I dont think Newpark could do much more. (The resident) is clean and tidy. Well dressed, warm and fed well. Taken regularly to Doctor, Dentist etc. and is ready to return after being home. Very caring environment with dedication. I have never heard of any complaints about this service. Relaxed atmosphere. An excellent service is provided and (the resident) is very happy at Newpark. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Younger Adults refer to people who use the service as service users. People living at Newpark prefer to be referred to as residents. Accordingly this shall be done in the text of this report. The Inspector would like to thank everyone involved for their contribution to the inspection. What the care home does well: What has improved since the last inspection? What they could do better: No requirements have been made from this inspection. Care Homes for Adults (18-65 years) Page 8 of 28 The Manager acknowledges a training matrix would give a management overview of courses attended by staff and those booked. The home should ensure all records used as part of reviews are dated. The complaints procedure should include the information that residents can inform their Care Managers if they are not happy with the service. 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident they will have an assessment of their needs before they move in to Newpark. Evidence: The home has an assessment and admission policy and procedure to ensure each admission is undertaken in a planned way. The people living at Newpark have been there for a number of years and there have not been any new admissions in recent times. The Manager described how prospective residents would only be admitted to the home after a full assessment of needs. The forms seen included facilities for the assessments of personal support, health care needs, religious and cultural needs and social interests. This would be inclusive of information received from relatives and health care professionals and is the starting point for residents individual care plans. Further assessments are undertaken after the resident had been admitted to the home. The Manager described how she has been reviewing the pre admission documentation to Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: ensure it is fully compatible with changes brought about by the introduction of the Mental Capacity Act 2005. If prospective residents are assessed to be suitable for the service, an overnight visit is offered before an admission date is set to ensure that everybody is happy and comfortable with the move. A settling in period of three months is offered to each resident after which a review is carried out with all the people involved in the initial placement. The AQAA indicates the Service User Guide and Agreement has been translated into a format that is appropriate for whom the service is intended and to make them more user friendly. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents individual needs are clearly recorded and reviewed through the care plan system. Residents are supported in making choices and decisions about their lifestyles and in taking appropriate risks. Evidence: Each person has a care plan to provide staff with information about the support they need and to ensure their needs are met in an appropriate and preferred way. The plans of four residents were inspected in detail. The care plans have been much improved since the last inspection. They are now less cumbersome and important information is more readily accessible. The care plans include pictures that demonstrate the persons likes and dislikes and things and people that are important to them. The residents spoken with are familiar Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: with their care plans. The daily records seen are detailed and of a good quality. They are descriptive of the days activities and convey how the resident has responded during the day and how they feel emotionally. This gives a full picture of the persons lifestyle and helps when it comes to reviewing care plans. Most residents present their own care plan using a power point presentation at these reviews. This is a good example of keeping the person at the centre of the plan. Through discussion with the staff and residents and from reading the care plans, it is evident that residents are given full support and encouragement to maintain personal contact with health and social care professionals. Staff are aware that residents have the right to take responsible risks. Risk assessments are carried out in response to individuals needs and to events which indicate risk management processes are needed. Residents have regular opportunities to contribute their views and ideas with regard to the running of the home and are well supported in this. The home should ensure surveys, especially those used as a part of reviews, are dated. The home does not act as appointee for residents monies. This is done via family members or local authority financial services. Residents have access the homes petty cash for personal spending and this is invoiced to their appointee for reimbursement each month. The monthly visits done by the company looks at the handling of residents finances. Records seen are kept in a manner that maintains confidentiality and there are facilities for them to be stored securely when not in use. Interaction between residents and staff was observed to be very good showing genuine respect, friendship and appropriate familiarity with each other. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy individual lifestyles and are supported to develop their life skills. They have the opportunity to experience a variety of social, educational and recreational activities. Evidence: From observation, discussion and records it is clear that residents are treated as individuals and are consulted about their different interests and aspirations, which are recorded in their personal care plans. Activities and opportunities for personal, emotional and social development and provided accordingly. These take account of individuals abilities and include attendance at college, day centres, leisure activities and relationships with friends and family. Residents spoken with clearly enjoy the activities they participate in. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: The home is in the centre of the town where there are shops, pubs and restaurants and records show that residents are encouraged and supported to use these local community facilities. There are various group outings. Residents spoke enthusiastically of holidays they have had and of those being planned. There are not currently any residents who have expressed a desire to regularly attend religious services or practices. Staff described how they would be supported should they choose to do so. People living at the home can receive visitors when they wish and have use of a telephone to call family and friends. The staff members spoken with understand the need to support residents in building and maintaining appropriate relationships. Residents participate in planning the menus and say they enjoy a variety and choice of meals. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from sensitive and flexible support that meets their individual needs and preferences. Evidence: Discussion with staff clearly shows they are aware of the type and nature of the support required for individuals care needs. They have a very good understanding of the preferred routines and varying requirements of each person. They provide flexible support to residents based on individual choice and personal care is provided in private to promote the dignity of residents. Through discussion with the residents and assessing the four care plans, it is evident residents have ready access to health and social care professionals. Residents are supported with any routine and specialist appointments. Each has a Health Action Plan, that they have been supported to complete and keep up to date. These contain all their health information, details of medication they are currently taking and names and contact numbers of health professionals working with them. They can take these booklets with them to appointments and have all the information they may need at Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: hand. A survey returned to us by a health care professional included the comment I have generally been very impressed with the care and understanding shown to the clients during my contact with them by the attending staff. A procedure is in place for the storage and administration of medication by the home, which aims to protect residents and there are safeguarding checks in place. Records show that all staff administering medications have been trained and signed off as being competent to do so. The administration records seen are completed appropriately. Residents would be supported in managing their own medicines, within a risk assesed process. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected by clear policies and procedures. They are enabled to offer comment or complaints. Evidence: The complaints procedure is readily available to people who use the service. Since the last inspection, this has been made available in a format more easily understood. The Manager undertook to amend the complaints procedure to include the information that residents can inform their Care Managers if they are not happy with the service. The Home keeps a record of all complaints received by them, the result of the investigation and how the complaint has been resolved. Records show the home has not received any complaints in the last twelve months and the Commission has not directly received any information regarding complaints about the home since the last inspection. There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The staff members spoken with have a sound understanding of safeguarding vulnerable adults procedures and of the need to be mindful of individuals needs. The Manager stated any allegation of abuse would be referred to the concerned agencies without delay. There have not been any safeguarding alerts in the last twelve months. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a comfortable and generally well maintained home. Evidence: Newpark offers a clean and comfortable environment for people to live in. The Manager described an ongoing programme of redecoration and refurbishment. Since the last inspection, some rooms have been redecorated and some new furnishings bought. It is a large semi detached house in a residential area with accommodation over three floors. The home does not have a shaft lift and all the bedrooms in the main house are located on the first and second floors. All parts of the home are currently accessible to the people living there. The provider is aware that residents needs are changing as they get older and is looking at the possibility of installing a lift. Each person living at the home has their own bedroom that has been furnished and decorated to reflect their tastes. Residents can choose to spend time in their bedrooms, the lounge, the conservatory or spacious dining room. Staff say the toilet and bathroom facilities are suitable for residents needs. The hot Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: water temperature was hand tested at several places and found to be safe. Those parts of the home seen were clean and free from offensive odours. The home previously employed a part-time cleaner. Now, staff follow a cleaning schedule and support residents in doing cleaning tasks within their capabilities. The garden is well maintained and residents say they enjoy using it in the pleasant weather. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust recruitment processes are followed to ensure only properly vetted people work at the home. Residents have motivated, interested and dedicated staff who provide good care and support. Evidence: Robust recruitment processes are followed to ensure only properly vetted people work at the home. People applying to work at the home have to complete an application form, provide two references and have a POVA and Criminal Records Bureau (CRB) check and attend an interview. Staff files are better organised, making it easier to monitor the required documentation is in place. There is an induction programme in place for new staff and staff say there is regular ongoing training to ensure they have the knowledge and skills to meet residents needs. This was confirmed by records seen. The Manager acknowledges a training matrix would give a management overview of courses attended and those booked. Staff meetings are held regularly and staff spoke of there now being regular Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: supervision and appraisals. Residents indicate they like the staff and find them approachable and kind. Throughout the site visit there was evidence of good relationships between staff and residents. There was a good balance between encouraging residents and recognising when they needed time and space to themselves. Conversation and activities were inclusive and gave residents time to express themselves. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of residents. There is an open and friendly atmosphere. Evidence: The Manager has worked at Newpark for a number of years, has a degree in Learning Disabilities and has achieved the Registered Managers Award. The Manager said she continues to be supernumerary to the rota often enough to monitor the standard of care records, the environment and to keep abreast of good practice guidelines. There is evidence that the management of the day to day running of the home has become more robust since the last inspection. The monitoring of health and safety in the home is to a good standard and equipment is serviced as required to maintain a safe home and facilities. There are regular environmental risk assessments to help safeguard people at the home. The standard of cleanliness in the kitchen and surrounding area is satisfactory, and food hygiene regulations are being followed. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: There are records of regular checks of the fire emergency systems and staff spoken with have a sound understanding of emergency procedures. Since the last inspection, the fire door leading to the kitchen has been fitted with an automatic closing device to help better safeguard people. Health and safety within the home is assessed as part of the monthly visit conducted by the organisation and required by Regulation. These visits are also used to audit the homes handling of money on behalf of residents to safeguard all concerned. There are residents meeting every 2 months and a new quality assurance system has been introduced to enable stakeholders to make their views known. The results of these are recorded and an action plan devised accordingly. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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. 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