Inspection on 09/09/05 for Chalkney House

This inspection was carried out on 9th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chalkney House 04/10/06

Chalkney House 12/01/06

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 9th September 2005 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.V250623.R01.S.doc Version 5.0 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.V250623.R01.S.doc Version 5.0 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 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 24 persons) 16th December 2004 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 24 older people. 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. 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.V250623.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which was carried out over one day in December 2005, lasting 6.5 hours. The inspection process included: discussions with four service users, five relatives, the registered manager and staff, premises observation of five service users’ bedrooms, bathrooms, communal areas and gardens; and inspection of a sample of policies and records. Twenty-one of the thirty-eight standards were inspected, of these eighteen were meet, two were partially meet, with the remaining one being a major shortfall. What the service does well: What has improved since the last inspection? What they could do better: The home needs to improve its staff recruitment practices to ensure that they fully comply with statutory requirements. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 6 The home needs to ensure that all of the staff team are trained to recognise the signs of abuse, and to know the action/s to be taken where it may be suspected. The home needs to ensure that it undertakes all reasonable actions to ensure that service users’ health and welfare are protected (this relates specifically to NMS 25). 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.V250623.R01.S.doc Version 5.0 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.V250623.R01.S.doc Version 5.0 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): 3 and 4. Service users’ needs are assessed by the home prior to the provision of the service. The home was deemed to be well equipped and staffed by a competent staff team to meet the needs of service users. EVIDENCE: The care plan of a service user recently admitted to the home was sampled, and was seen to contain evidence of a pre-admission assessment having been carried out by the registered manager of the home. Discussion with the registered manager indicated that there was a clear understanding of the needs of older people. In this respect the home was deemed to demonstrate its capacity to meet the assessed needs of the service users. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 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): 7 8, 9,and 10. The service users’ plans identified their health, personal and social care needs. Service users’ healthcare needs were well documented and recorded. The home’s medication practices were seen to be safe. Discussion with service users indicated that they were always treated with dignity and respect. Healthcare and personal care was reported to always be carried out in private. EVIDENCE: The care plan of the service user recently admitted to the home was sampled, and seen to be derived from the pre-admission assessment carried out by the home manager. The care plan was seen to identify problem areas, with guidelines/actions to be followed by staff. Care plans evidenced records being kept of service users’ healthcare input. Discussion with one service user indicated regular contact with District Nursing services. On the day of the inspection District Nurses were seen visiting the home. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 10 Discussion with one service user, who was on bed rest, indicated that personal care and visits from healthcare professionals are always carried out in private. Discussion with relatives confirmed that service users are free to choose where they receive their visitors. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 11 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): 12, 13, and 15. Daily living activities were seen to be flexible to meet the needs of the service users. Evidence was seen of service users being supported to maintain links with their families. Food provided by the home was seen to be varied and nutritious, and provided in a homely relaxed environment. EVIDENCE: Discussion with a number of service users and relatives during the course of the inspection indicated that they felt routines at the home were flexible to meet the needs of the service users. Service users spoke of meals and mealtimes being flexible. Relatives spoken with spoke of being welcome to visit at anytime and of the staff always being welcoming. Evidence was presented of the home having held a recent quiz evening to which relatives had been invited. Relatives reported that the quiz night had been very popular and enjoyed by all. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 12 When asked about the food provided at the home service users were unanimous in their view that the food was good. The meal presented on the day was seen to be varied and nutritious. Service users who required assistance with eating were seen to be appropriately supported. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 13 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 complaint procedure was clear and concise; service users spoke of knowing who to address their concerns to. The home’s adult protection procedure was robust, although staff were identified to be in need of update training. EVIDENCE: The home has a Complaints Policy/Procedure which was seen to meet with regulatory requirements, including timescales, as well as contact details of the local Commission for Social Care Inspection office. The home maintains a complaints/compliments log. No complaints had been received by either the home or the Commission for Social Care Inspection since the last inspection. The home has a Policy/Procedure on recognising and responding to abuse. All staff have copies of the Essex County Council’s Guidelines. The manager reported that staff have had training in this area in the past, although all attempts to organise update training have failed. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 14 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, 21, 22, 25, and 26. The location and layout of the home was suitable for its stated purpose, being safe and well maintained. The bathing and toileting facilities at the home were adequate to meet the needs of service users. A range of aids and adaptations were available at the home to enable service users to maximise their independence. On the day of the inspection the home was found to be clean and tidy, and free from any unpleasant odours. EVIDENCE: The home has a welcoming atmosphere. All areas of the home were accessible, and the home was deemed to be in a reasonably good state of repair and decoration. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 15 Furniture and fittings were appropriate to the needs of the service user group, however the registered manager spoke of the intention for the furniture to be replaced in the near future. The bathing and washing facilities at the home were deemed to be adequate to meet the needs of the service user group. A tour of the premises evidenced that a range of aids and adaptations was available, e.g. hoists, hand grab rails, bath chairs and specialist chairs for service users with physical needs. Heating and lighting in service users’ rooms were adequate. At the previous inspection the need was identified for a radiator cover to be fitted on the radiator outside of room 2. This was now seen to have been addressed. However, a number of service users’ rooms continue to require pre-set thermostatic valves fitted to the hot water outlet points. This matter, to date, has not been resolved and requires addressing as a matter of urgency. In the meantime, it is strongly recommended that the water temperature outlet points at the sites applicable be checked daily. On the day of the inspection the home was clean and tidy and free from any offensive odours. Both service users and relatives confirmed that this was always the case. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 16 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): 28 and 29. Service users are supported by a team of staff who are competent and well trained. The home’s recruitment practices are generally sound in terms of protecting service users, however some minor additional work is required to ensure that they fully comply with regulatory requirements. EVIDENCE: The home has eighteen care staff, eight of whom are qualified at N.V.Q level 2 or better; a further five are in the process of completing the award. The home is well on course to achieve the 50 target by December 2005. The home’s deputy manager takes responsibility for leading on training matters. The home’s recruitment files were sampled. Two were found to be in order, however the other did not contain copies of any references. The manager was reminded of the need to ensure that all of the documentary evidence, as required by Schedule 2 of the Care Homes Regulations, needs to be held on file. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 17 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): 31, 32,and 33. The registered manager has extensive experience of working in the care sector and has worked at the home for a considerable number of years. The ethos of the home is one of openness and inclusiveness. Relatives were very complimentary of the registered manager’s accessibility. The home works proactively to seek the views of service users and relatives. EVIDENCE: The manager has many years’ experience in the care sector and has worked at the home for eighteen years, and is very knowledgeable in respect of the needs of older people. The registered manager is registered for the Registered Managers Award. In addition, the deputy manager is registered for both the Care and Management Award. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 18 During the course of the inspection the manager was seen and heard interacting with staff in what appeared to be a good style. Relatives spoke of the manager being open, approachable, always readily accessible and always willing to help. This was further supported by comments received from two service users. Questionnaires are disseminated to service users and staff on an annual basis; this was confirmed in conversation with relatives. On return of the questionnaires the manager analyses the responses and responds accordingly. The manager spoke of service users’ meetings taking place three times a year. Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 19 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 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x 3 3 x x 1 3 STAFFING Standard No Score 27 x 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x x x x Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 13 (6) Requirement The registered person must ensure that staff receive the necessary training to ensure that service users are protected from the risk of harm or abuse. This relates specifically to the need for all staff to receive update training in the protection of vulnerable adults. The registered person must ensure that the remaining preset temperature valves are fitted to individual service users’ bedroom hand basins. The previous timescale of 29th February 2005 was not met. The registered person must not employ staff at the care home without ensuring that all of the documentary evidence required under Regulation 19, Schedule 2 of the Care Homes Regulations, is held on file. Timescale for action 31/12/05 2 OP25 13 (3) (4) (a) (c) 31/10/05 3 OP29 19 Schedule 2. 31/12/05 Chalkney House DS0000047576.V250623.R01.S.doc Version 5.0 Page 21 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.V250623.R01.S.doc Version 5.0 Page 22 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.V250623.R01.S.doc Version 5.0 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!