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Inspection on 08/06/10 for The White House, Bodmin

Also see our care home review for The White House, Bodmin for more information

This is the latest available inspection report for this service, carried out on 8th June 2010.

CQC found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Each person has a care plan in place. These include some risk assessments and some care plans. Daily records are maintained and these are detailed and comprehensive.

What the care home could do better:

We looked at care plans for three people who have specific care needs. The care plans have some risk assessments and some monitoring tools to identify if peoples needs and level of dependency have changed. However, not all areas of assessed and identified risk have a assessment in place. Because these risks have not been assessed not all areas of need have an associated plan of care. This is needed to ensure that staff working at the home have a clear plan to follow to ensure that all areas of assessed risk and need are met. The areas identified at this time as needing a specific care plan included, people who have a high risk of falls, mobility needs and assistance with personal care. To not include a specific plan for each area may mean that staff do not know the detail of care needed and there is a risk that care needs may not all be met. The registered manager must ensure that all areas of risk have a risk assessment in place and where needed a plan of care to meet that risk safely. We looked at the daily records for all three care plans. These daily records were detailed and comprehensive. They highlighted the care given and identified changes in peoples needs. These needs and changes need to be added to the persons care plan to ensure that the care plan is current. The detail provided for staff must be clear and specific to include how and when people would be monitored, how records will be kept and who to report changes too. Furthermore, this will mean that when care plans are reviewed the information in them informs the reviewer of the most current health and welfare of the person and the current care needs. To have accurate records also provides a clear audit trail of decisions made about care needs and any changes made. The registered manager must ensure that each persons care plan includes a plan of care for all areas of assessed need and is detailed and person cenetered. We observed from reviewing records that Medication Administration Records which are hand transcribed are not signed and dated by two people. The registered manager is recommended to ensure that all hand transcribed medication records are signed by two staff to ensure that there is no risk inaccurate transcribing.

Random inspection report Care homes for older people Name: Address: The White House, Bodmin 40 Castle Street Bodmin Cornwall PL31 2DU three star excellent service 02/12/2008 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: Gail Richardson Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: The White House, Bodmin 40 Castle Street Bodmin Cornwall PL31 2DU 0120872310 0120879381 whitehousecarehome@googlemail.com www.whitehousecarehome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Eves Carkeek Type of registration: Number of places registered: Conditions of registration: Category(ies) : Platinum Care Limited care home 34 Number of places (if applicable): Under 65 Over 65 11 11 34 5 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 0 Service users to include up to 11 adults aged over 65 years with a mental illness (MD[E]) Service users to include up to 11 adults aged over 65 years with dementia (DE[E]) Service users to include up to 2 adults between the ages of 60-65 years. Service users to include up to 34 adults of old age (OP) Care Homes for Older People Page 2 of 9 Service users to include up to 5 adults aged over 65 years with a physical disability (PD[E]) Date of last inspection Brief description of the care home The White House is a care home providing personal care and accommodation for thirty four older people. Eleven of the thirty four beds are available to service users with a dementia or a mental disorder. The home provides a respite care service in a dedicated bedroom through a booking service which is well used. The home is a large premises situated on a hill overlooking Bodmin town to the Gilbert Memorial and the surrounding countryside. The premises has a garden on the West and North side of the home. Car parking is available in the grounds of the home. The building is a two-storey Victorian house, which has been extensively modernised including a three storey extension. Internally, the house has been adapted whilst retaining the characteristics and age of the building. Accommodation includes two separate dining rooms and two lounges, which are available on the ground floor as are some bedrooms. All bedrooms are for single occupancy use. A total of nineteen bedrooms on all floors of the home have ensuite facilities. Access between floors is aided by a passenger lift and a stairlift. The fee scale is available from the service. 0 2 1 2 2 0 0 8 Care Homes for Older People Page 3 of 9 What we found: This was an unannounced inspection, which took place over two hours on the 8th June 2010 by Compliance Inspector Gail Richardson. For the purpose of this inspection the term We will be used when referring to the Care Quality Commission. The random inspection is part of a review as a result of a safeguarding concern raised. The purpose of this inspection was to review the risk assessment and care planning process used by the service to inform staff how to manage peoples care needs. We looked at care records for the three people and discussed care records and management practice with the registered manager . 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 Care Homes for Older People Page 4 of 9 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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 7 15 The registered manager 09/07/2010 must ensure that all areas of risk have a risk assessment in place and where needed a plan of care to meet that risk safely. This will provide a clear plan for staff to follow to ensure that people using the service needs will be met. 2 7 15 The registered manager must ensure that each persons care plan includes a plan of care for all areas of assessed need. This will provide a clear plan for staff to follow to ensure that people using the service needs will be met. 09/07/2010 Care Homes for Older People Page 7 of 9 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 9 The registered manager is recommended to ensure that all hand transcribed medication records are signed by two staff to ensure that there is no risk inaccurate transcribing. Care Homes for Older People Page 8 of 9 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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