Care Home: Scottlyn

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What the care home does well Care plans were available for each resident that showed how their different needs would be met. Care plans were regularly reviewed by key workers. Routines are flexible to ensure that residents are given opportunities to decide how to spend their lives. Each resident is supported to make choices as far as they are able. Residents are supported to use a range of community facilities and participate in activities that are appropriate to their interests and needs. Staff appeared to respect residents rights and to consult with them regarding life decisions as far as possible. Residents are encouraged to eat a healthy diet, but are also supported to choose food that they like and a diet that they enjoy. The kitchen is equipped so that residents can help to prepare their own food or assist in kitchen activities. Residents personal health care needs are well met. All residents have access to healthcare professionals, staff assist residents to attend health checks and hospital appointments. The homes systems for dealing with medication are satisfactory. Staff are trained in the handling of medicines. All medicines were stored and administered correctly. Residents are protected and supported by good complaint and adult protection procedures. Staff understand their role in adult protection and have received training in this area. The home is domestic in style, comfortable, warm and clean. The home suits the residents lifestyle. It is well maintained and decorated throughout. Residents are supported by sufficient numbers of staff. Staff are properly trained to do their job. The homes recruitment process is thorough enough to ensure that residents are safe and that staff are properly screened before employment. There are clear lines of direction and accountability within the staff team. The manager sets clear standards for the running of the home. The quality of care within the home is monitored, this monitoring includes consultation with users of the service. Health and safety checks were up to date, there were no safety hazards identified and all hazardous substances were locked away. What has improved since the last inspection? The fabric of the building has continued to be maintained. The building has been extended to provide further ensuite bedrooms, these are spacious and fitted with good quality furnishings. What the care home could do better: The manager needs to seek registration with CQC. Residents would be safer and perhaps more independent if dining chairs were fitted with arms and skids. Key inspection report Care homes for adults (18-65 years) Name: Address: Scottlyn Mile Road Widdrington Morpeth Northumberland NE61 5QW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Janet Thompson     Date: 2 6 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 25 Information about the care home Name of care home: Address: Scottlyn Mile Road Widdrington Morpeth Northumberland NE61 5QW 01670790482 01670790482 newlife.care@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Newlife Care Services Limited (wholly owned subsidiary of Minster Pathways Limited) care home 8 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 8 Date of last inspection Brief description of the care home Scottlyn is a detached bungalow with ramped access to the front door. It has all single bedrooms. There is a small garden to the front and a large rear garden. The home is owned by Newlife Care Limited and provides personal care for 6 adults with a learning disability. The home is situated in the rural village of Widdrington in a cul-de-sac shared by two other properties. Local amenities and public transport are limited but include a small Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 8 Brief description of the care home supermarket, public house, community centre and GP surgery. Inspection reports and information about the home are readily available. The fees for the home vary, further information can be obtained from the home.. Care Homes for Adults (18-65 years) Page 5 of 25 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: three star excellent 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 is an overview of what the inspector found during the inspection. The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they Care Homes for Adults (18-65 years) Page 6 of 25 care for people. We sent questionnaires to people who use the service and some of the staff at the service. Seven completed questionnaires were returned to us. An unannounced visit was made on 26 November 2009. During the visit we talked with people who use the service, some staff and the manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the manager. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 8 of 25 The manager needs to seek registration with CQC. Residents would be safer and perhaps more independent if dining chairs were fitted with arms and skids. 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 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 25 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 25 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. People are properly assessed, taking account of their needs and wishes, so that they can be assured this is a suitable home and receive an individual care service. Evidence: There have not been any new admissions to the home since the last inspection. The admission of people at that time was judged to be excellent. The information and assessments used remain the same and there have not been any changes to procedure. The statement of purpose for the home is currently under revision to ensure that all information provided is current and up to date. Care Homes for Adults (18-65 years) Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are involved as far as possible in planning their care and making choices about their lives. Evidence: Two care plans were examined and case tracked. This means that we spoke to staff about the individual residents or observed their care then matched our observations to what was written in the care plan. Both case tracked care plans did reflect the actual care needed by the residents. Care plans took account of peoples diverse and differing needs. People were supported to achieve independence and meet individual goals. Other health professionals contributed to the planning of care. These contributions were clearly recorded. Routines in the home are as flexible as possible to enable individual choices to be made. Staff attempt to provide guidance, encouragement and support to services users to enable them to make good choices. Where services users have made choices that are contrary to good advice this is recorded and the service users wishes Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: respected. Decisions are made within a risk framework and advice sought from other professionals where needed. Staff store and keep safe monies for residents. A system is in place to monitor finances. Individual records and accounts are kept and double signatures obtained for all transactions. Care Homes for Adults (18-65 years) Page 13 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can access good social and educational opportunities in the home and wider community. Evidence: Staff support service users to attend a range of social and work related tasks. Service users are encouraged to follow their interests and maintain links with the community. One resident is keen on gardening and the manager described how the rear garden is to be developed to provide better access and raised flower beds. One resident works with Age Concern in a day centre. One resident prefers to socialise as an individual and chooses to spend a lot of time alone. Residents also go out as a group or in pairs to local events and a good range of Christmas entertainment is planned. The manager reported that there is good family support for many residents within the home and this is a much valued contribution to their lives. Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: Daily routines are flexible as far as possible. Service users spend a day at home where they can relax and, in some cases, be assisted to do laundry and cooking. We noted that three residents at home on the day we visited were engaged in doing different things. Staff were attentive to them and were chatting to the residents rather than each other. The kitchen is fitted with low level units to enable residents that are able to help with cooking. There was a good atmosphere at the dining table during lunch and everyone seemed relaxed and happy. The menu appeared varied and nutritious. The food being prepared for the day did match the food stated on the menu. Care Homes for Adults (18-65 years) Page 15 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home receive personal care that meets their needs. They are supported and helped to be independent and can see healthcare professionals as they need. Evidence: Two case files examined showed that residents are provided with care that is flexible and supports their individual needs and wishes. Personal support is provided in private. Residents can choose their own clothes as far as they are able. Records showed that staff are reminded to ensure that attention is paid to residents privacy, dignity and independence when carrying out personal care tasks. Records showed that service users health is monitored and potential problems are dealt with at an early stage. The manager stated and records confirmed that service users are offered regular health checks. Records showed that service users make regular visits to the doctor, dentist and other medical professionals. We carried out a random check of the medication system and medicines held in the home. All medicines were stored, administered and disposed of correctly. Staff have Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: received training in medication management. All medicines administered were signed for and accounted for. One amount of controlled drug was checked and found to be correct. Care Homes for Adults (18-65 years) Page 17 of 25 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 living in the home are listened to. They are protected from harm through policies and procedures and staff training. Evidence: A complaints procedure and complaints record were available in the home. Policies and procedures relating to abuse and adult protection were also available. The staff have received training in this area. The manager is clear about her responsibilities in reporting incidents and complaints to CQC. Care Homes for Adults (18-65 years) Page 18 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and homely environment that meets their individual needs. Evidence: The home is domestic in style and furnished with modern bright furniture. This seems to suit the service users who live there. All service users have been provided with their own bedroom, these were well personalised with individuals personal belongings. The home was clean, bright, airy and free from offensive orders. The home seemed to be warm enough. Furniture and fittings are of a good standard and domestic in style. The dining furniture had been adapted to meet the needs of some of the residents. However, the dining chairs would be safer and meet the needs of more residents if they were fitted with arms and skids. The laundry facilities in the home are domestic in style. Equipment is provided to deal with soiled or infected linen. The laundry floor should be impermeable but was worn and torn in places. The manager confirmed that she has purchased new flooring and is waiting for the floor to be replaced. Care Homes for Adults (18-65 years) Page 19 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are protected through good recruitment and selection procedures. People are supported through good staff training and supervision. Evidence: There are two staff members on duty throughout the day. There is one staff member awake and one sleeping in at night. Two staff recruitment files were checked. They contained evidence that suitable recruitment procedures have been followed. All files contained an application form, two references and evidence of identity check. Staff training records showed that all staff were up to date with statutory required training. Staff have also received training in dementia care, medications, epilepsy and sensory deprivation. The manager stated, and records confirmed, that most of the care staff are qualified to national vocational qualification (NVQ) level two. Staff were observed dealing quietly and confidently with service users. This would indicate that their training has been effective. Care Homes for Adults (18-65 years) Page 20 of 25 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 run in a way that benefits the people who live there. Policies and procedures promote good health and safety in the home. Evidence: The manager has managed the home since January 2009. Prior to this she worked at the home for four years as a senior care assistant. The manager is currently studying for the registered managers certificate. She has not yet been assessed by CQC as fit to manage the home, however, the manager appeared competent and proficient in her management skills. There are quality assurance and quality monitoring systems in place. These include seeking the views of users of the service to measure success in achieving the aims of service. Part of the self-monitoring involves a visit from the proprietors representative, reports of these visits are produced. The last report available was from September 2009. This assured that sufficient areas of the home were reviewed and an action plan was in place to address any shortfalls. The manager reported that these visits should now take place on a regular monthly basis. Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: Health and safety checks and tests were up to date. Checks of the fire prevention system were also up-to-date. There were no obvious hazards to safety, all hazardous fluids were locked away and all exits were clear. Hoists and other equipment used for moving and handling were regularly serviced and checked. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 1 37 8 The manager must apply for registration with CQC. This ensures that the person running the home is fit to do so. 01/03/2010 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 29 Provide dining chairs with arms and skids. Care Homes for Adults (18-65 years) Page 24 of 25 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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