Care Home: Newstead Nursing Home

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What the care home does well The needs of prospective residents are assessed and their suitability considered prior to their admission. The health, personal and social care needs of individuals are set out in well recorded individual care plans and are generally well met. Meals are balanced and suitable to the needs of people in the home. People have choice over the meals they eat. The home is an attractive environment that is suitably equipped for meeting the needs of people living in the home. There is overall good management and organisation of the service to benefit the residents living in the home. What the care home could do better: The service needs to ensure contact and good communication with significant professionals involved in the care of prospective individuals as part of their assessment prior to their admission. Medication practises are generally well observed however further improvements could be made to the storage and auditing of medication to ensure the health, safety and wellbeing of residents. Residents could benefit from having a wider choice of activities. Staff training could be expanded to include mental health awareness. Random inspection report Care homes for older people Name: Address: Newstead Nursing Home Denewood Road Highgate London N6 4AL two star good service 27/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nurcan Culleton Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Newstead Nursing Home Denewood Road Highgate London N6 4AL 02083484611 02083417459 newstead@goldcarehomes.com www.goldcarehomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) GCH (Heath Lodge) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 36 Number of places (if applicable): Under 65 Over 65 0 0 36 0 0 dementia learning disability old age, not falling within any other category physical disability terminally ill Conditions of registration: 36 36 0 1 36 One (1) place for a service user under the age of 65, with a physical disability, can be accomodated One specified service user who is under 65 years of age may be accommodated in the home. The home must advise the registering authority at such times as the specified service user attains 65 years of age or vacates the home. Date of last inspection Care Homes for Older People 2 7 0 5 2 0 0 9 Page 2 of 8 Brief description of the care home Newstead Nursing home has since 1 August 2005 been owned by a private company called Gold Care Homes. Newstead can provide residential accommodation and nursing care for up to thirty-six older people. There are nursing staff available both during the daytime and awake throughout the night. There are 36 single bedrooms. There are two lounge/dining areas, with separate conservatory and a garden. The home is situated in a residential area of Highgate. The areas used by the residents are arranged over the ground floor and are wheelchair accessible. There is an area that is used solely by the staff and this is on the first floor. There are two wings, Thompson and Goldsmiths. The stated aim of the home is to provide long-term nursing care for elderly people with complex needs who require 24-hour supervision, a homely environment which reflects the service users rights of personal choice, dignity and privacy and to implement individualised care plans in conjunction with service users? needs and wishes. The current weekly fees for accommodation in the home range from £ 528 to £850. Following Inspecting for Better Lives the provider must make information available about the service, including inspection reports, to residents and other stakeholders. A copy of this Inspection report can be requested directly from the home or via the CSCI website (web address can be found on page 2 of this report.) Care Homes for Older People Page 3 of 8 What we found: This is the report of a random inspection that took place on 24th May 2010. The inspection was prompted by safeguarding concerns expressed by the GP and other individuals about the care in the home. The inspection was conducted jointly by two inspectors and lasted eight hours. This was to ensure there had been no change in the quality of service at Newstead since its last inspection. We looked at whether the home was meeting National Minimum Standards and if the home was following its regulatory procedures. The inspection also reviewed the requirements made at the last inspection and examined whether improvements had been made to the service since the last inspection. The inspection was targetted to cover the standards and regulations applicable to the safeguarding concerns that had been raised. The inspectors spoke with the manager, project manager and responsible individual to the home. We examined a sample of six files of people using the service. We cross checked the information in these files to check for consistency and actions taken against information identified in referrals and assessments, care plans, risk assessments, daily monitoring charts and daily records taken by staff. We also took into account the homes Annual Quality Assurance Assessment, the homesannual self assessment of their service and in addition any other quality assurance report related to the quality, improvement and development of the service. There were 33 residents in the home at the time of the inspection. We spoke with approximately ten residents, four relatives and four staff members. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 Medicines are required to be stored according to the labelled directions. To ensure the welfare of residents. 17/07/2009 2 9 13 Medicine administration records are required to be complete and accountable with full information provided. to ensure that medicines are administered to the homes residents as prescribed. 17/07/2009 3 9 13 Documented policies and procedures are required to be updated and include additional information. To provide more effective guidance to staff involved in the administration of medication. 17/07/2009 Care Homes for Older People Page 5 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must ensure that medication requiring refrigeration at all times, is stored appropriately, to ensure the health and wellbeing of people living at the home. Health and safety reasons. 18/08/2010 2 9 13 The home must have clear 18/08/2010 guidelines regarding the use of PRN (as required) medicine including how it should be administered. Records must state the circumstances at the time of each usage. This is to ensure that residents are safeguarded from the inappropriate administration of medicines. Health and safety Care Homes for Older People Page 6 of 8 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 1 3 Ensure that contact is made with key professionals involved in the care of prospective residents prior to their admission to the home as part of the admissions procedure. The admissions procedure could be updated to reflect this. We recommend that the use of the symbol F on the medication administration records is accompanied by an explanation of its meaning in each particular instance, to ensure that medicines are administered appropriately according to peoples needs. It is recommended that auditing procedures be strengthened to ensure that no medicines are allowed to run out, to ensure that peoples medicine needs are safely met. It is recommended that the home continues to look at ways of providing a broader range of activities for residents in order to increase their opportunities and choice of activities and for their increased sense of wellbeing. It is recommended that mental health awareness training be provided to staff members working within the home. 2 9 3 9 4 12 5 30 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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