Inspection on 12/01/06 for Chalkney House

This inspection was carried out on 12th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Chalkney House 04/10/06

Chalkney House 09/09/05

Chalkney House 16/12/04

Chalkney House 28/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Chalkney House 47 Colchester Road White Colne Colchester Essex CO6 2PW Lead Inspector Neal Cranmer Unannounced Inspection 12th January 2006 09:30 X10015.doc Version 1.40 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 Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 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 Older People. 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. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chalkney House Address 47 Colchester Road White Colne Colchester Essex CO6 2PW 01787 222377 01787 222377 chalkneyhouse@aol.com 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) Mr Krishan Parkash Mrs Brenda Scrivener Care Home 33 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (24) of places Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 24 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 9 persons) 9th September 2005 Date of last inspection Brief Description of the Service: Chalkney House is a large detached property set in its own grounds in the village of White Colne. The home provides care for 33 older people; the home is also registered to provide care for up to nine service users who may have a diagnosis of dementia. Accommodation is provided on the ground and first floors, for which access is provided by a lift. There are three shared rooms, with the remainder being single occupancy. A new wing was added to the home in November 2005. There is a large sitting room with a TV, two smaller sitting areas and two dining areas. In the garden there is a shed with heating and a call system for the use of any service users who smoke. The gardens are well maintained and provide lots of space for walking and sitting out in the summer. The home is served by a main bus route to both Colchester and Halstead. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over one day in January 2006, lasting 4.75 hours. The home refers to the people residing at the home as residents, so this will be reflected throughout the remainder of this report. The inspection process included: discussions with three residents, the registered manager and four members of the staff team, premises observation of five residents’ bedrooms, bathrooms, communal areas and gardens; and inspection of a number of policies and procedures. Twelve of the thirty eight standards were inspected on this occasion of which all bar one were met, resulting in the need for one requirement. At the previous inspection of 9th September 2005 twenty one standards were inspected and all the requirements from that inspection were addressed at this inspection. What the service does well: What has improved since the last inspection? Since the previous inspection the home has opened a new wing of nine beds, amending its registration to include nine beds registered to provide care to people who may have a diagnosis of dementia. At the previous inspection the need for staff to attend update training in adult protection was identified. This training has now been scheduled. All the hot water outlet points that were identified as requiring pre-set thermostatic valves have now had the said valves fitted. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 6 The home’s recruitment practices, as assessed through viewing staff files, were found to be in order. What they could do better: 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. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. The home does not provide intermediate care under National Minimum Standard 6. EVIDENCE: As above. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No outcomes for this set of standards were inspected on this occasion. EVIDENCE: As above. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14. Residents are supported to the best of their individual abilities to exercise and make choices. EVIDENCE: None of the residents residing at the home are able to manage their own financial affairs. The only monies managed on behalf of residents are their pocket monies. Two residents’ records were sampled and were found to be in order. Service users are supported when moving into the home to bring with them items of personal possessions. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The home’s complaints and adult protection policies/procedures are sufficiently robust to ensure that residents are protected from harm and/or abuse. EVIDENCE: The home’s complaints procedure, although basic, covers all the salient points of National Minimum Standard 16. The home maintains a log for recording complaints received. At the time of the inspection no complaints had been received by either the home or the Commission for Social Care Inspection. The home has a procedure/policy on adult protection and staff update training required from the previous inspection has now been scheduled for early January 2006. All staff have received copies of the Essex County Council’s guidelines booklet. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 25. Residents live in an environment that is safe and maintained to a high standard. Residents’ bedrooms and personal living areas are comfortably laid out and evidence was seen of people’s personal possessions. Residents are cared for in an environment that is safe and comfortable. EVIDENCE: The home is fit for its stated purpose, being accessible, safe and well maintained. The grounds were kept tidy and safe and were generally accessible to residents. The home is set out in a way that enables residents’ individual and collective needs to be well met. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 13 Residents’ bedrooms visited were all seen to be furnished with appropriate furnishings and fittings, which were all domestic in nature and of a good quality. All rooms were carpeted to a good standard. All rooms seen evidenced that residents were supported to bring with them into the home items of personal possessions. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. Evidence would suggest that the staffing levels of the home are currently adequate to meet the needs of service users, although they will need to be kept under review. The home’s recruitment policies and procedures are robust in terms of protecting service users from harm and/or abuse. Residents are supported by a team of staff who are generally well trained and competent to carry out their roles. EVIDENCE: The home’s duty rotas for 7th-13th January 2006 and 14th-20th January 2006 were sampled. The rotas indicated five carers in the morning with four carers in the afternoon. In addition, a supper lady is on duty from 4-8 p.m. A cook is rostered Monday-Friday with weekends being covered by either the registered manager or their deputy who, when cooking, do not carry out any care related duties. One domestic is rostered on duty every day with a laundry assistant working 9-1 pm Monday-Friday. The manager stated that care staff do now not carry out any domestic related duties. An activities co-ordinator attends the home twice weekly for two one-hour sessions. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 15 Nights are covered by three waking night staff, with either the registered manager or their deputy available on call via the telephone. The registered manager’s hours are supernumerary to the rostered hours. The manager stated that there is always at least one senior carer on every shift. Staffing levels at the home continue to be under review following the development of the new wing. The home employs three members of staff under the age of eighteen who work purely as kitchen assistants and do not carry out any care related duties. No one left in a position of being in charge of the home is under the age of twenty-one. Four staff files were sampled in respect of the home’s recruitment practices. All documentary evidence required under Regulation 19, Schedule 2 of the Care Homes Regulations were in order and as such the home’s practices were deemed to be safe and robust. The deputy manager takes the lead on staff training and spoke of no general training having taken place since the last inspection. However, the following training is scheduled for the very near future: • • • Protection of Vulnerable Adults Medication administration Mandatory fire training. The deputy manager is in the process of reviewing the home’s induction pack, which will comply with Skills for Care Requirements. The deputy manager is a works based assessor D32/33 and is close to completing their D34 Internal Verifiers Award. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 36 and 38. The accounting procedures employed by the home in respect of residents’ monies held by the home were in order. Staff are well supervised by the management team at the home, both formally and informally. Overall the home’s safe working practices were good, although the home’s electrical safety certificate was out of date. EVIDENCE: The home only manages pocket money on behalf of residents. Records sampled were found to be in order. The audit trail provided was basic but clear and concise and easy to track. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 17 The deputy manager of the home takes the lead on the supervision of staff and provides formal supervision every two months, as well as one annual appraisal. Both the registered manager and the deputy spoke of also fostering an informal supervision approach whereby every morning and at the commencement of each shift a brief informal supervision chat takes place. The deputy manager has received training in providing formal supervision through their N.V.Q Level 4 Managers Award. The registered manager has also received training in this area through their Level 4 Advanced Managers Award. The following safety certificates were sampled and found to be in order: • • • • Fire extinguisher safety certificate Oil fired heating commissioning report Hoist service certificate Lift safety certificate. The electrical safety installation certificate was out of date and action needs to be taken as a matter of urgency to redress this matter. All relevant safety certificates relating to the new wing extension were in order. Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 3 x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 3 x 1 Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 OP38 Regulation 13 & 23 Requirement The registered person must ensure that all appropriate safety certificates are available for inspection at the home and that they are current. This relates specifically to the need for the home to have a current Electrical Installation Certificate. Timescale for action 28/01/06 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 Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 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 Chalkney House DS0000047576.V262312.R01.S.doc Version 5.1 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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