Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 23/11/05 for Charlotte Rose House

Also see our care home review for Charlotte Rose House for more information

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

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

Residents live in a home, which provides a homely atmosphere and where their privacy and dignity is respected. They are able to make choices and maintain control over their preferred lifestyle and have contact with their family, friends and the local community if they so wish. Food is wholesome and nutritious and residents` feel that their needs are met by sufficient numbers of staff. Comments made by the residents included "I feel happy here and the staff are very good"

What has improved since the last inspection?

Staff are now signing treatment sheets following the administration of any medication. There are five requirements brought forward from the previous inspection in June 2005.

What the care home could do better:

Comprehensive pre-admission assessments must be undertaken prior to admission to the home, in order that all the needs of the individual can be highlighted and an informed decision be made as to whether the home can meet the needs of the individual. Residents must not be admitted out of the home`s registered categories. Care planning must be improved to ensure that all care needs for a resident are highlighted and the care required is detailed. Care plans must also evidence that the resident or their relative/representative are involved in the process. Residents who self medicate must store their drugs securely when not in use.The new window frame in the medicine room must be painted. All the information required for each new employee must be held on file prior to their employment. Radiator guards must be of the type that will prevent any resident from harming themselves if they fall against a hot surface. Staff must receive appropriate training for the residents that they care for and take into account the residents` changing needs. The responsible individual for the company must visit the home unannounced every month and formulate a detailed report, which must be sent to both the manager and the Commission.

CARE HOMES FOR OLDER PEOPLE Chaucer House 1 Norwood Road Skegness Lincs PE25 3AD Lead Inspector Mrs Sue Daniells Unannounced Inspection 23rd November 2005 10:00 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 Chaucer House DS0000034355.V266990.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. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chaucer House Address 1 Norwood Road Skegness Lincs PE25 3AD 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) 01754 762119 Lonrush Ltd Mrs P D Coulson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability (1) of places Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Chaucer House is a home providing personal care to elderly people over the age of sixty-five. It is situated in the residential outskirts of Skegness within a short car ride of the town centre. Local services within walking distance of the home include hotel-restaurant, post office and shops. The home comprises a detached three-storey building with the accommodation for service users on both ground and first-floor levels. A passenger shaft lift and stair lift has been installed and serves the upper floor. There are fifteen bedrooms, five of which are shared occupancy. The home is registered to provide accommodation for twenty persons, nineteen categorised as old age and one as physically disabled under the age of sixty five. To the front of the premises there is a patio area for sitting out and a small lawned area to the rear. There are no on-site parking facilities for cars although on-street parking is available at the front and side of the home. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on an unannounced basis in November 2005. The inspector was in the home for four and a half hours. Ten residents were residing in the home on that day. Three residents were “case tracked” – a system which looks at the needs of the resident and follows this through by talking to the residents concerned and the staff who deliver the care, as well as observation of care practices. Two members of staff were spoken to and an additional three residents. A sample of regulatory records and policies and procedures were seen and a tour of the premises took place. What the service does well: What has improved since the last inspection? What they could do better: Comprehensive pre-admission assessments must be undertaken prior to admission to the home, in order that all the needs of the individual can be highlighted and an informed decision be made as to whether the home can meet the needs of the individual. Residents must not be admitted out of the home’s registered categories. Care planning must be improved to ensure that all care needs for a resident are highlighted and the care required is detailed. Care plans must also evidence that the resident or their relative/representative are involved in the process. Residents who self medicate must store their drugs securely when not in use. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 6 The new window frame in the medicine room must be painted. All the information required for each new employee must be held on file prior to their employment. Radiator guards must be of the type that will prevent any resident from harming themselves if they fall against a hot surface. Staff must receive appropriate training for the residents that they care for and take into account the residents’ changing needs. The responsible individual for the company must visit the home unannounced every month and formulate a detailed report, which must be sent to both the manager and the Commission. 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. Chaucer House DS0000034355.V266990.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 Chaucer House DS0000034355.V266990.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 Pre-admission assessments are not comprehensive enough to enable the manager to make an informed choice over whether the home can meet their needs. Furthermore, the home must not care for residents with needs that are outside their registration category. EVIDENCE: The pre-admission information regarding three new residents were examined. These showed that a comprehensive assessment is still not being documented prior to the resident’s admission and therefore the manager is not able to fully assess whether the home can meet their needs. One of these documents evidenced that the prospective resident had been part of the assessment process. Two of these residents were able to state that the manager had either visited them or that they had visited the home prior to admission and that she had asked them a number of questions relating to their needs. A third resident was being given day-care by the home with occasional overnight stays. The pre-admission assessment showed that the home was not registered with the Commission to cater for their specialist needs; the manager stated that she would deal with this immediately. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 9 Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 10 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, 9 and 10 Care plans do not reflect all the care needs of the residents and are not detailed enough to ensure that residents receive the care that they require; as a result, this puts residents at risk. Residents are further at risk if drugs for those residents who self-medicate are not stored securely at all times. Residents felt that their privacy and dignity are respected. EVIDENCE: Three care plans were examined and it was found that all of them had insufficient detail regarding how their care was to be given and one of them did not reflect all the care needs required by the resident. A thorough risk assessment was not in place for one of the residents case-tracked. This was disappointing, as previously care plans had improved in the home. Policies and procedures are in place for dealing with all aspects of medication. The monitored dosage system is in place in the home which staff find easy to use and all staff who administer medication have received training from an outside source on this aspect of care. However, one resident who was selfmedicating, did not have the medicines stored securely. Residents spoken to evidenced that they receive their medication in an appropriate manner and at the correct times. Medication sheets were signed after administration of the drugs. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 11 All the residents spoken to were very satisfied that staff respected their privacy and dignity. One resident stated that staff always knocked at their door and waited to be invited in to their room and the inspector noted that a good rapport existed between the residents and the staff during the inspection. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 12 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): 12,13,14, and 15 Residents are able to exercise choice over their lives and can maintain contact with family, friends and the local community. Residents are free to choose their own lifestyle and interests and choices of meals are offered which appear wholesome and nutritious. EVIDENCE: The residents spoken to on the day of the inspection stated that they felt satisfied and contented with the lifestyle that they experienced within the home and that they were able to do exactly as they wished each day. One of the residents stated that they had received an offer to attend church if they wished, but they had declined it and also that they were able to go for a walk if they wanted to. The resident was aware that the home organised trips to the theatre and that they felt they only had to ask if they wanted to do anything and it would be put in place. Some of the residents had attended special outings for lunch with entertainment provided, and a Xmas lunch had already been booked for those who wished to participate. Coffee mornings are arranged at the home on an irregular basis in aid of various charities. Families and friends are encouraged to visit at any time. Shopping trips are also organised when requested. One resident was arranging to have a telephone installed in their room for their own private use. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 13 Lunch served on the day of the inspection was boiled gammon with vegetables and potatoes. Dessert consisted of stewed apple and sago. Residents spoken to were complimentary of the food and one resident on a particular diet was provided with all the specialist foods available. Residents are informed of the menu 24 hours in advance and a choice of menu is always offered to those who dislike a certain food. Currently, the dining room is still utilised as the smoking area when meals are not being served. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 14 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 A complaint’s procedure is in place and residents felt confident that their concerns would be listened to and dealt with in an appropriate manner. EVIDENCE: The home has a complaints procedure in place. A person who wished to remain anonymous passed a complaint to the Commission at the end of July 2005. The complaint was investigated by the Commission and of the seventeen issues raised, eleven were found to be either upheld or partially upheld and requirements to rectify the problems were made. These requirements, relating to the upkeep of the building, availability of equipment, staffing levels, fire risks, resident’s risk assessments and maintenance of duty rotas have all been addressed in a satisfactory manner apart from the item mentioned in the next section. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 15 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 and 25 The home is in need of further work to ensure residents live in a safe and wellmaintained environment at all times. EVIDENCE: The home continues to be refurbished on a rolling programme and an en-suite facility has been provided for one resident. As the result of the complaint, explained in the last section, a window was required to be replaced. This has occurred, although the painting has yet to be completed. However, this is not in an area used by the residents. Residents were happy with their surroundings, with one stating that “I don’t feel I could do any better” A number of radiator covers have been provided in areas used by residents, although residents are currently still at risk if they fell against them because the covers are not rigid. Chaucer House DS0000034355.V266990.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): 27, 29 and 30 The needs of the residents are met by sufficient numbers of staff, although residents are at risk from the home’s recruitment practices. Staff, and ultimately the residents, would benefit from further specialist training. EVIDENCE: On the day of the inspection, the registered manager, a member of care staff and the cook were on duty. There were ten residents living in the home. Residents stated that they were well looked after and that numbers of staff on duty were always sufficient to meet their needs. The atmosphere in the home during the inspection appeared relaxed. The files of three new members of staff were examined. It was found that the majority of information for each applicant was in place although application forms did not request a full employment history and only one written reference was in place for one member of staff; a verbal reference had been received although this was not detailed. Residents felt that staff were trained and competent to do their jobs. All staff had received fire training during the last year and two had received moving and handling training. One member of care staff had undertaken specialist training in mental health awareness. Training in common diseases associated with older people had not been undertaken. Chaucer House DS0000034355.V266990.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): 37 Residents could be at risk if the responsible individual does not make a monthly visit to the home and report on their findings. EVIDENCE: During the inspection, the visitor’s log was examined and it was found that neither the responsible individual, nor their representative had undertaken a visit to the home since 1st June 2005. A monthly unannounced visit is required to be made, from which a report must be produced and sent to the Commission and the manager of the home. This is not the first time this requirement has been highlighted. Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X 2 X STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 1 x Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 19 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 OP3 Regulation 14.1 (a) (c) Requirement A comprehensive assessment must be undertaken for all residents prior to admission, with the input of the resident and/or their representative. Timescale of 31.08.05 not met. Residents must not be admitted out of the home’s registered category of registration. Care plans must be comprehensive in content, cover all care needs for each resident and be detailed in the care that is required. Care plans must evidence that the service user or their representative are involved in the process. Timescale of 31.08.05 not met. The drugs of resident’s who selfmedicate must be stored securely. The new window frame in the medicine room must be painted by the date shown. All the information as detailed in Schedule 2 must be obtained for DS0000034355.V266990.R01.S.doc Timescale for action 31/01/06 2 3 OP3 OP7 12 1 (a) 15.1 23/11/05 31/01/06 4 OP7 15.1 31/01/06 5 6 6 OP9 OP19 OP29 12 4 (a) 23 1 (m) 23 2 (b) 19.5 (d) Sch 2 23/11/06 30/01/06 31/12/05 Chaucer House Version 5.0 Page 20 7 OP25 13.4 (c) 8 OP30 18 (1) (a) (i) 9 OP37 26.4 (c ) each member of staff, prior to their employment. Timescale of 31.08.05 not met. Radiator covers must be fitted 31/01/06 that protect residents from burning themselves if they fall against them. Timescale of 30.09.05 not met. Staff must receive specialist 30/06/06 training relating to the common diseases associated with old age, e.g. promotion of continence, diabetes, stroke, dementia etc. and also receive further training in care planning. The registered provider must 31/01/06 produce monthly reports on the conduct of the home following an unannounced visit. A copy must be sent to the Commission and a copy left at the home. Repeated timescales have not been met, the last one being 31.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations In order to protect residents, it is highly recommended as good practice, that a full employment history of all potential employees is requested during the application process. In order to promote the health of those residents who do not smoke, it is recommended as good practice that consideration be given to ensuring that the dining room be made a non-smoking area and allocating a different area of the home for smoking. 2 OP19 Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Chaucer House DS0000034355.V266990.R01.S.doc Version 5.0 Page 22 - 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!