Care Home: Newton Care Homes Ltd

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What the care home does well `Staff recognise my (relative) as an individual who has dreams and ambitions about himself and his life`. (Comment from a relative). `I want to live here. I like it here`. (Comment from a resident). `So far the care home has met all my (relative`s) cultural needs and the staff have also learnt how to cook certain foods, which is brilliant. I am certain the home will be able to deal with other people`s race, gender and faith needs`. (Comment from a relative). We found that the care needs of people living in the home are very well assessed and recorded. Possible risks for each person living in the home are also well assessed and recorded. The home provides very good standards of private and communal accommodation. The cultural and faith needs of people living in the home are recognised and staff work well together to make sure these needs are met. The home`s manager and staff work well with other health and social care professionals to make sure residents` care needs are met. What has improved since the last inspection? No requirements were made following the last inspection of the home in October 2007, as no residents were living in the home at that time. What the care home could do better: We have made one requirement following this inspection. The home`s manager must make sure that she tells the Commission about significant incidents that affect the welfare of people living in the home. CARE HOME ADULTS 18-65 Newton Care Homes Ltd 111 Harrow View Harrow Middlesex HA1 4SZ Lead Inspector Tony Lawrence Key Unannounced Inspection 8th April 2008 09:20 Newton Care Homes Ltd DS0000069108.V361118.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 Newton Care Homes Ltd DS0000069108.V361118.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. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Care Homes Ltd Address 111 Harrow View Harrow Middlesex HA1 4SZ 020 8728 9044 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) newtonhouse28@yahoo.co.uk Newton Care Homes Ltd Lina Tanna Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Newton Care Homes Ltd DS0000069108.V361118.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 categories: 2. Learning Disability - Code LD The maximum number of service users who can be accommodated is: 4 3rd October 2007 Date of last inspection Brief Description of the Service: Newton House is a registered care home providing support and accommodation for four people with a learning disability. When we visited, two people were living in the home and there were two vacancies. The home is a large detached property in a residential street close to central Harrow and is suitable for use as a care home. There are bedrooms on the ground, first and second floors, a bath or shower room and toilet on each floor, communal areas on the ground floor and a large garden with deck area. There is parking available at the front of the home. The manager told us that the weekly fee varies, depending on the person’s care needs. Further information about fees can be obtained from Newton Care Homes Limited. Newton Care Homes Ltd DS0000069108.V361118.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. It was not possible to award an Excellent, 3 star quality rating following this inspection as the home has only been providing services for four months and needs to demonstrate a track record of consistently excellent outcomes for residents. This unannounced key inspection took place on Tuesday 8th April 2008 from 09:20 – 16:00. During the day we spent time talking with the two people living in the home, staff on duty, the home’s manager and the company’s Director. We reviewed the care of both residents by talking to each person and their key worker and reviewing care records kept in the home. Residents, their relatives, staff working in the home and other people sent us confidential questionnaires and we also have included their comments in this report. What the service does well: What has improved since the last inspection? What they could do better: Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 6 We have made one requirement following this inspection. The home’s manager must make sure that she tells the Commission about significant incidents that affect the welfare of people living in the home. 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. Newton Care Homes Ltd DS0000069108.V361118.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 Newton Care Homes Ltd DS0000069108.V361118.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 and 4. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. All new residents receive a comprehensive needs assessment before admission. This is carried out by staff with skill and sensitivity. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the ethnic and diversity needs of the individual. EVIDENCE: ‘I want to live here. I like it here’. (Comment from a resident). During this visit we checked the care plan files of both people living in the home. We saw that each file included a detailed pre-admission assessment of the person’s care needs that had been completed by the home’s manager. The assessments covered each person’s personal and health care needs and how these would be met in the home. We saw evidence that the potential resident, their relatives and professionals working with them had been involved in the assessment. The manager told us that one person moved into the home in December 2007 and the second person moved in the week before our inspection. The manager also told us that to complete her assessment, she had visited the first resident Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 9 in his previous care home and also in his parents’ home. The resident also told us that, before moving in, he had visited Newton House twice with staff from his previous home and his parents. We found that the recent admission had been well managed by the home, although no introductory visits were arranged, at the request of Social Services and the resident’s family. Staff from the home did meet the resident at his day service before he moved in and we saw that the manager had completed a detailed pre-admission assessment. Two residents who returned confidential questionnaires told us that they had received enough information about the home before, or shortly after, moving in. Four staff working in the home who returned questionnaires told us that they ‘always’ received enough information about residents’ care needs before they started working with them. Two relatives who returned questionnaires told us that they had also received enough information about the home. Newton Care Homes Ltd DS0000069108.V361118.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 and 9. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. The care plan is developed with, and owned by the person using the service. It is based on a full and up to date holistic assessment. It includes reference to equality and diversity and clearly addresses any needs identified. EVIDENCE: ‘I tell the staff what I want to do and they help me’. (Comment from a resident) ‘I decide what I want to do and where I want to go and the clubs I want to go to’. (Comment from a resident). ‘Staff recognise my (relative) as an individual who has dreams and ambitions about himself and his life’. (Comment from a relative). Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 11 ‘Staff encourage clients to have a wide experience in the community and have a good knowledge of services’. (Comment from a social care professional). ‘The service does well in confidentiality, choices, equal rights and also in terms of activities in the community’. (Comment from a member of staff). During this visit we looked at the care plan files of one resident who had lived in the home since December 2007 and another person who had moved into the home shortly before this inspection. We saw that the manager and staff from Newton House had used their pre-admission assessment and information from other professionals to complete a detailed care plan for the person who had moved into the home in December 2007. We saw clear evidence that the resident, his family and other significant people had been involved in developing the care plan. The plan was person centred and covered activities, health and personal care issues, behavioural issues, cultural and faith needs. There was clear guidance for staff in the plan on how each identified need would be met in the home. We felt that the standard of care planning for this resident was excellent. We saw that this resident’s file also included excellent assessments of potential risks, including personal safety and safety of the resident and other people in the home and the local community. The risk assessments included clear and detailed guidance for staff on how identified risks should be managed. The second person’s care plan file included a detailed care needs assessment completed by the home’s manager and other information provided by Social Services. This included a record of a care reviews held in 2005 and 2007 and a record of a psychiatric review completed in March 2008. The resident had only moved into the home a week before this inspection and the manager told us that the care needs assessment and other information would be used to develop a care plan and detailed risk assessments as part of the person’s trial period. Two residents who returned confidential questionnaires told us that they ‘always’ make decisions about what they do each day and they can do what they want to do during the day, in the evenings and at weekends. Newton Care Homes Ltd DS0000069108.V361118.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 and 17. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into community life and leisure activities in a way that is directed by the person using the service. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. EVIDENCE: ‘I like seeing my family, playing drums and watching football and wrestling’. (Comment from a resident). ‘The food here is really good’. (Comment from a resident). ‘The care home has always encouraged my (relative) to keep in touch and vice versa’. Comment from a relative. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 13 ‘As clients have complex needs, they may not always be able to make safe choices, but they are helped by staff to make safer choices’. (Comment from a health care professional). ‘So far the care home has met all my (relative’s) cultural needs and the staff have also learnt how to cook certain foods, which is brilliant. I am certain the home will be able to deal with other people’s race, gender and faith needs’. (Comment from a relative). During this visit we checked the care plans for both residents and the daily care records completed by staff working with each person. We saw clear evidence that both residents regularly take part in activities they choose, in the home and the local community. One person has a full-time day service placement and staff from Newton House made sure that this was not disrupted when the person recently moved into the home. Staff had also made sure that the person was supported to go to social clubs that he enjoyed. We saw good evidence in both people’s care plan files that they are asked about activities they enjoy and staff support is provided to enable them to participate, including in the evenings and at weekends. During this visit one resident was at the day service during the day, returning home at 15:00. Staff supported the second person with craft activities in the morning. After lunch, he was supported to go on public transport to the local library, where he used the internet before returning home. This resident told us that he had enjoyed his day and he was looking forward to watching football on the TV that evening. Both care plan files included details of the residents’ families, friends and other significant people. The arrangements for contacting these people were well known to staff who spoke to us and daily care notes showed us that contact is regularly encouraged and facilitated. We saw that the home’s routines and activities are person centred, individualised and reflect individual’s diverse needs with regard to diversity. Staff told us that they were aware of residents’ cultural needs and how these should be met. We saw that staff support people to go to culturally appropriate activities, including places of worship, social clubs, concerts and films. One resident told us that staff had helped them to buy culturally appropriate music and films, which they listened to and watched in their bedroom. We saw that staff were also aware of residents’ sexual orientation. This was dealt with sensitively and we saw that staff were responsive to individual’s changing needs, choices and wishes. We saw that the home has a weekly menu that includes a variety of nutritious meals with choices available at each meal time. One resident told us that he really liked the curries cooked by staff. The dining room provides a bright and comfortable space for residents who choose to eat meals together. Newton Care Homes Ltd DS0000069108.V361118.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 and 20. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive effective personal and healthcare support using a person centred approach with support provided based upon the rights of dignity, equality, fairness, autonomy and respect. The home has developed efficient medication policy, procedure and practice guidance. EVIDENCE: ‘The team are proactive at seeking health advice when unsure of complex concerns, such as epilepsy’. (Comment from a health care professional). We saw that each resident’s care plan file included detailed information about their personal care needs. Files also included clear guidance for staff on how each person’s needs should be met in the home. The staff guidance was person-centred and focussed on increasing residents’ independence. One bedroom has an ensuite bathroom and toilet and there are two other bath / shower rooms and toilets for people living in the home. Staff told us that they were aware of the need to respect residents’ privacy and dignity and were able to give us good examples of how this is part of residents’ daily routines. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 15 We also saw that residents’ health care needs were well assessed and recorded as part of their care plans. One resident had a Health Action Plan that had been completed soon after he moved into the home in December 2007. The plan covered all aspects of people’s health needs and, where necessary, referrals had been made to relevant healthcare professionals. We saw that the home’s manager and staff have made good links with the local multidisciplinary Learning Disability Team and referrals have been made to relevant clinicians, including psychiatric and community nursing services. We saw that the home uses a Monitored Dosage System provided by Boots for residents’ prescribed medication. All medication is securely stored in a lockable metal cabinet. We checked the Medication Administration Record (MAR) sheets for both residents. Care staff had completed these very well and we saw no errors or omissions. A social care professional who returned a questionnaire told us that individual’s health care needs are usually properly monitored and attended to by staff in the home. Newton Care Homes Ltd DS0000069108.V361118.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 and 23. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are cared for safely. The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. Staff working at the service know when incidents need external input and who to refer the incident to. All staff understand what restraint is and alternatives to its use in any form are always looked for. EVIDENCE: ‘The home provides a safe home environment for my service user. Staff have shown they can be flexible in their support of my client’. (Comment from a social care professional). The manager told us that the home has a complaints procedure that has been given to residents and their representatives. No formal complaints have been received since residents have been living in the home. Staff told us that they were aware of the procedure and the importance of supporting residents to comment on the care they receive. The two support workers who spoke to us said that they knew about the local authority’s safeguarding adults policy and procedures. Both staff were clear about actions they would take if they had any concerns about residents’ safety or welfare. Both staff said that they had completed safeguarding adults training as part of their National Vocational Qualification (NVQ) training. The manager confirmed that there have been no safeguarding concerns or investigations. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 17 We saw in the daily care notes completed by staff that there had been two incidents involving residents that should have been reported to the Commission. One incident involved the physical restraint of one resident. In the second incident, the police were involved following an incident in the local community. While we felt the incidents had been well managed and recorded by the manager and staff working in the home, the manager must make sure that she notifies the Commission of any future incidents affecting residents’ welfare. This is a requirement of the Care Homes Regulations. Two health and social care professionals who returned questionnaires told us that they were confident the home would respond appropriately if they, or a resident, raised any concerns about their care. Two relatives who returned questionnaires told us that they were confident the home’s Manager would deal with any concerns they raised. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 18 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, 27, 28, and 30. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. EVIDENCE: ‘I really like my room’. (Comment from a resident). Newton House is a large detached property on a busy residential road, close to the shops and transport links of central Harrow. There are bedrooms on the ground, first and second floors, a bath or shower room and toilet on each floor, communal areas on the ground floor and a large garden with deck area. There is parking available at the front of the home. The ground floor is accessible for people with mobility difficulties but the home is not suitable for people using wheelchairs, as there are steps to the front door. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 19 During our visit, one resident showed us his bedroom and we also saw the three other bedrooms and all communal parts of the home. We saw that the home provides very good standards of spacious, comfortable, well decorated and well furnished accommodation. In particular, all four bedrooms are very large and one has an ensuite bathroom and toilet. The two occupied rooms we saw had been well personalised. Communal areas are also spacious and comfortable. In addition to the ensuite facilities in one bedroom, the home has a bathroom and toilet on the first floor and an accessible shower room and toilet on the ground floor. During our visit, all parts of the home were clean and hygienic. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 20 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 and 35. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service has plentiful staff available at all times to support the needs, activities and aspirations of residents in an individualised and person centred way. The service is innovative and shows a high level of awareness of staffing levels needed. There is evidence that staff demonstrate a thorough understanding of the particular needs of individuals, and can deliver highly effective person centred care. EVIDENCE: ‘I like the staff, they take me out’. (Comment from a resident). ‘The Manager and all the staff provide a brilliant, caring, professional service’. (Comment from a relative). ‘Our personal contacts with staff were very favourable. They seem dedicated and consistently polite, positive and supportive’. (Comment from a relative). Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 21 ‘The care workers are polite, encouraging and caring. They are dedicated and supportive in their daily activities and at times go out of their way to please’. (Comment from a relative). ‘My induction went so well’. (Comment from a member of staff). The manager told us that she has a team of three permanent full-time Support Workers and bank staff are also used when needed. More permanent staff will be recruited as vacancies in the home are filled. The home is able to provide individual residents with 1:1 and 2:1 staff support if needed and this is reflected in the staff rota that we saw. We felt that this level of staffing was sufficient to support the two people living in the home during our visit. During this visit we spoke with two of the Support Workers on duty. One person had completed their National Vocational Qualification (NVQ) Level 3 training. The second person had completed their NVQ Level 2 training and plans to start their Level 3 training. Both members of staff were able to give us detailed information about the two people living in the home, their care needs, aspirations, routines and significant people in their lives. During this visit we saw that staff worked well together to make sure that residents were supported to take part in activities in the home and the community. We also checked the staff files kept in the home. Both files included completed application forms, written references, Criminal Records Bureau (CRB) and Pova First checks, proof of identity and copies of qualification and training certificates. The files were well organised and included all of the information needed to make sure that residents are supported by appropriately qualified and experienced staff. Four staff who work in the home returned our questionnaires. All four people said that their induction covered everything they needed to know ‘very well’. All four staff told us they received relevant training that helped them to understand and meet individual’s care needs. All four people told us they met regularly with the home’s Manager for support and discussion about how they were working. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 22 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, 38, 39, 41 and 42. People living in the home experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. EVIDENCE: ‘We are confident the Manager, who kindly keeps in touch, will tell us anything we need to know’. (Comment from a relative). ‘Excellent care home! I am so happy my (relative) has found a good home. He is well looked after. The Manager and all the staff provide a brilliant, caring, professional service’. (Comment from a relative). Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 23 ‘The Manager of the care home is a very caring, friendly, understanding person’. (Comment from a relative). The manager told us that she is a qualified Social Worker with 17 years experience of work with children, people with a physical disability, older people and people with a learning disability. The Commission has registered the manager as a fit person to manage a care home. The manager also told us that she plans to start her National Vocational Qualification (NVQ) Level 4 training later this year. We felt that the manager communicates a clear sense of direction to staff and is able to demonstrate a sound understanding and application of ‘best practice’. We felt that equality and diversity, human rights and person centred thinking are given priority by the manager who is also able to demonstrate a high level of understanding and demonstrate best practice in these areas. We saw that the views of residents about the care and support they receive are recorded as part of their care plans and in daily care notes completed by staff. During this visit we checked a selection of records kept in the home, including residents’ care plans and risk assessments, daily care notes and medication records. We felt that the standards of care recording in the home were excellent. We found no health and safety issues during this visit. The home has been refurbished to high standards and records are kept by staff of regular health and safety checks. Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 24 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 4 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 3 28 3 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 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 4 3 X 4 3 X Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last inspection? 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. 1. Standard YA23 Regulation 37 Requirement To make sure that residents are cared for safely, the manager must make sure that the Commission is told of any significant incidents that affect residents’ welfare. Timescale for action 30/06/08 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 Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. Extracts may not be used or reproduced without the express permission of CSCI Newton Care Homes Ltd DS0000069108.V361118.R01.S.doc Version 5.2 Page 27 - 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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