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Inspection on 28/06/05 for Charnwood House

Also see our care home review for Charnwood House for more information

This inspection was carried out on 28th June 2005.

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

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

Many of the staff have worked at the home for many years and have a good knowledge of the Residents they care for. The visitor who spoke to the Inspector stated that the home was lovely and the staff were brilliant. She stated that she and her family were always made welcome and that her Aunt was treated as an individual and with respect and dignity. She stated that the staff always let her know what was happening and that they never over react and that two particular carers were exceptional, as they always seemed to give that little bit extra. This visitor stated that she was confident that her Aunt was safe in the home and well looked after. One Resident who spoke to the Inspector stated that he had chosen the home himself and he had never regretted the decision he had made. Another Resident stated that she liked living in the home because it was close to where her family lived so she saw them regularly.

What has improved since the last inspection?

Personnel files now contain the required information.

CARE HOMES FOR OLDER PEOPLE Charnwood House 2 The Avenue Fairfield Stockton-on-Tees TS19 7EY Lead Inspector Julia Connor Unannounced 28 June 2005 10:40 am 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 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. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Charnwood House Address 2 The Avenue Fairfield Stockton-on-Tees TS19 7EY 01642 884001 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mary Elizabeth Serwan Mr Rajman Serwan Mrs Mary Elizabeth Serwan Care Home 16 Category(ies) of DE(E) Dementia - over 65 (16) registration, with number of places Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th November 2004 Brief Description of the Service: Charnwood is a care home providing personal care for older people with mental health needs. It is a large Victorian/Edwardian detached house providing both single and shared accommodation for 16 Residents. There are 12 single bedrooms and 2 double bedrooms. The single bedrooms are a minimum of 10 sq.m and the double bedrooms are a minimum of 16 sq.m. There is a passenger lift giving access to the upper floor. There are three lounges (one of which is for those Residents who smoke) and a large communal dining room. There is a small car park at the front of the home. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 10.40 a.m. and concluded at 1.45 p.m. Four Residents, one visitor and two members of staff were spoken to during the inspection. What the service does well: What has improved since the last inspection? 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. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 7 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 standard(s) 1 and 2 The Residents have the information they need to make an informed choice about where to live. Residents have a written contract with the providers of their care. EVIDENCE: The home has a statement of purpose and a Service User Guide, which can be accessed by anyone who wishes to know what facilities and services the home can offer. There was a written contract in the two sets of Residents documentation that was audited. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7 and 8 The Residents health, personal and social care needs are set out in an individual plan of care, and their health needs are fully met. EVIDENCE: The care documentation that was audited contained in depth information about the Resident. Care plans were written once a need had been identified within the assessment process. Risk assessments had been written once a risk had been identified in the assessment process or following an evaluation of a care plan. Care plans are reviewed on a monthly basis. It was evident from reading the documentation that a lot of care and attention had been taken by the carer recording the information. All the documentation had the Residents next of kin’s signature to show that they had been involved in their Relatives care planning. Doctors, District Nurses, Chiropodists etc are requested to visit the Resident as and when necessary. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 9 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 standard(s) 15 Residents receive a wholesome appealing well balanced diet. EVIDENCE: On the day of the inspection lunch was mince and onion pie, vegetables and mashed potatoes with cornflake tart and custard to follow. The Residents who spoke to the Inspector said that the lunch had been very nice as were all of the meals that were served. One Resident informed the Inspector that his favourite meal was Sunday lunch because he loved roast beef, Yorkshire puddings and roast potatoes. There was staff available to give assistance to those Residents who required it. The visitor who spoke to the Inspector told how her relative had had a birthday tea last week, which everyone had enjoyed. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 10 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 standard(s) 16 and 18 Relatives are confident that a complaint would be taken seriously. Staff have had training in the protection of vulnerable adults. EVIDENCE: There have been no complaints regarding the home in the last twelve months. The visitor who spoke to the Inspector stated that she had never had to make a complaint but was confident that should she need to do so it would be dealt with appropriately. There is a policy and procedure for staff to follow should they receive a complaint. There was evidence in the training files that the staff had received training in abuse and the protection of vulnerable adults. The staff who spoke to the Inspector confirmed they had received training and were aware of what action to take should they become aware of any form abuse towards the Residents. The home has a copy of the No Secrets Protection of Vulnerable Adults Teeswide Guidance. The visitor who spoke to the Inspector stated that she could go home after visiting her Aunt and be confident that she would be well looked after and that the staff would contact her if there were any worries or concerns regarding her Aunt. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19, 20, 21, 23 and 24 Residents live in a well-maintained environment with bedrooms that are comfortable and suit their needs. There are sufficient toilets and bathrooms to meet the needs of the Residents. EVIDENCE: The home is well maintained, the Residents are encouraged to make their bedrooms as homely as they wish, one Resident had brought her own bedding in to the home with her. One of the double bedrooms is currently being used as a single bedroom; two Residents who both agreed to share occupy the other double bedroom. There is a curtain that is drawn to ensure privacy and dignity is maintained at all times. There are three lounges to give the Residents a choice of where they would like to sit. There is a quiet lounge, smoking lounge and a lounge with a television in it. There is a garden area that the Residents and relatives can access should they chose to do so. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 12 There are sufficient bathrooms and toilets to meet the needs of the Residents who live in the home. The Residents, visitor and staff who spoke to the Inspector all stated that the environment was homely. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 and 30 Staff are being trained to NVQ level 2 that should ensure that they can meet the Residents needs. Residents are protected by the home’s recruitment procedures. Staff receive training to ensure they can meet the needs of the Residents. EVIDENCE: 62.5 of the staff have their NVQ Level 2 or 3 in care and the remaining staff are currently studying for their NVQ Level 2 or 3. The personnel files that were audited contained the required information as stipulated in schedule 2 of the Care Homes Regulations 2001. An audit of the training files showed that mandatory training (fire, and manual handling) and Resident specific training such as Optical Awareness, Dementia Awareness and No Secrets, had taken place. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 36 The home is run and managed by a person who is fit to be in charge. Staff are appropriately supervised. EVIDENCE: The Manager has the required nursing and management qualifications to ensure that the needs of the Residents are fully met. The Residents, visitor and staff spoke highly of the Manager. The care staff receive regular formal supervision. This was evidenced within the personnel files and confirmed by the staff that spoke to the Inspector. Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x x STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x 3 x x Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 16 NO Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Charnwood House B51-B01 S4 Charnwood House V235570 280605 Stage 4.doc Version 1.40 Page 18 - 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!