CARE HOMES FOR OLDER PEOPLE
Chase House Rest Home Hindhead Road Hindhead Surrey GU26 6AY Lead Inspector
Miss Marianne Barham Announced Inspection 05 September 2005 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. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Chase House Rest Home Address Hindhead Road Hindhead Surrey GU26 6AY 01428 652763 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 Kathleen Harris Mrs Kathleen Harris CRH (PC) 16 Category(ies) of Old age, not falling within any other category registration, with number (OP) 8. of places Dementia - over 65 years of age (DE(E)) 6. Physical Disability - over 65 years of age (PD(E)) 2. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: There are no additional conditions of Registration Date of last inspection 10 November 2004 Brief Description of the Service: Chase House is a large detached property located in the village of Hindhead. The service provides accommodation and care for up to sixteen older people, six of whom may also have dementia. The accommodation is arranged over two floors, with the first floor being reached by stairs or chair lift. At present all bedrooms are used single occupancy, however two of the bedrooms are registered for use as a double room. All bedrooms have a hand wash basin and some rooms have en-suite facilities or adjacent bathroom/toilet. There is a spacious communal lounge and dining room and also further seating areas throughout the home. There are several bathrooms and toilets located on boths floors, all of which have adapted facilities for those with mobility problems. The home has extensive gardens to the rear of the property and these are well maintained and accessible to the service users. There is parking for a limited number of cars to the front of the building. The home does not have its own vehicle but accesses a mini-bus from Age Concern for trips out. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection carried out at 10.30am by Marianne Barham, lead inspector for the service. The inspection was undertaken over a period of three hours and was the first inspection in the Commission for Social Care Inspection (CSCI) year April 2005 to March 2006. The registered manager Mrs Kathleen Harris was present, records relating to the care of service users and running of the home were examined and a total of eleven service users and seven members of staff were spoken with during this inspection. Several comment cards were received from relatives of service users prior to this inspection, all of which were complimentary about the care and services provided by the home. What the service does well: What has improved since the last inspection?
The home has employed a training manager to be responsible for all staff members training and development needs. The training manager has developed a training programme for the home and this makes sure that all members of staff receive the right training needed to carry out their duties effectively.
Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 6 Covers have been fitted to all communal radiators and a larger fireguard has been fitted to the open fire in the lounge to minimise risk to service users, meeting requirements made at the last inspection on 10th November 2004. All care plans are now signed by the service user or a representative to show that they have been involved in the planning of their care. This meets a requirement made at 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. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 standard(s) 2 and 3 Each service user has written contract with the home and does not move into the home unless their needs can be met. EVIDENCE: Contracts stating terms and conditions of residence and fees charged are provided to all service users. A copy of the contract is kept on file by the home. The contracts are in line with the recent guidance from the Office of Fair Trading. All service users and/or their representative sign the contracts. The home carries out a detailed assessment on service users before they are admitted to the home. The assessments used cover all aspects of the persons needs including their social, recreational and emotional needs. The assessment is carried out by, the manager during a visit to the home. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 standard(s) 7 and 11 Service users have an individual plan detailing their health, personal and social care needs. They and their families can be sure that they will be treated with sensitivity and respect in the event of their death. EVIDENCE: Each service user has a care plan generated from the initial assessment. The care plans are comprehensive and give clear and detailed instructions to care staff on how to meet the needs of the individual. Detailed risk assessments are in place, which give clear guidance to care staff on how to minimise risks to themselves and the service users. The care plans had been signed by, the service user or a representative, meeting a requirement made at the last inspection on 10th November 2004. The home has comprehensive policies and procedures in place for dealing with the dying person and death of a service user. Staff members are made aware of these policies through the induction process and are asked to sign to show that they have read them. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 standard(s) 12, 13 and 14 Service users experience a lifestyle in the home that reflects their social, recreational and religious preferences, interests and needs. They are able to exercise control over their lives and are supported to maintain contact with family and friends. EVIDENCE: The home employs an activities coordinator who organises and carries out a range of leisure pursuits in the home. A timetable of activities is produced weekly, with service users being involved in deciding the activities on offer. The home has strong links with the local church, with services being held in the home and also volunteers from the church supporting service users to attend services at the church. The home organises parties throughout the year and a travelling theatre group performs three times a year. The home hires a mini-bus from Age Concern for trips out when the weather is fine. Service users can receive visitors at any time without an appointment. Visitors are able to stay for meals at no charge and can see service users in their rooms or in any of the communal seating areas. Comment cards received from relatives of service users stated that they are made to feel welcome in the home.
Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 standard(s) 17 and 18 Service users legal rights are upheld and they are protected from abuse by the home. EVIDENCE: The policies and procedures in the home are designed to protect the rights of service users, all are registered to vote and take part in the civic process through the postal voting system. The home has policies in place for whistle blowing and has recently reviewed and updated the policy on the protection of vulnerable adults from abuse. All members of staff have received training on adult protection and the manager has attended the Surrey Multi-Agency training. A copy of the most recent Surrey procedures is available. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 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 standard(s) 19, 24 and 26 Service users live in a clean, safe and well-maintained environment. Their bedrooms are comfortable, pleasantly decorated and they are able to have their own belongings around them. EVIDENCE: The home is clean and spacious, with all communal areas being pleasantly decorated and comfortably furnished. There are ample bathrooms and toilets, all of which have adaptations to assist those with mobility problems. The home has extensive gardens that are well tended and accessible to the service users. Service user’s bedrooms are comfortable and clean and are personalised with their own belongings. Most have a hand washbasin though some do have ensuite facilities or a bathroom adjacent to them. Service users spoken with were happy with their rooms. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.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 and 30 Service users are supported by a safe and adequately trained staff team, who are competent to do their jobs. EVIDENCE: The home has recently employed a training manager who is responsible for identifying the training needs of the staff team, devising a training programme for the home and carrying out or organising training as appropriate. There is a dedicated training notice board for the staff that shows the planned programme of training both in mandatory and developmental courses. The board also details NVQ training and information on future courses. The manager holds the NVQ level 4 and Registered Managers award and five staff members hold the NVQ level 3 in care. A further three members of staff have commenced the NVQ level 2 in care course recently. The manager has recently commenced the NVQ Assessor training. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.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) 35 and 38 The service user’s financial interests are safeguarded, and their health, welfare and safety is promoted and protected by the home. EVIDENCE: The home is not involved with service user’s finances and any services extra to the fees are invoiced directly to the service user or a representative. A small amount of cash is held for some service users and robust procedures are in place for the accounting of this. The home carries out regular health and safety audits and also employs an outside firm to carry out an annual audit and risk assessments. Fire safety audits are carried out and recorded and all equipment is serviced regularly. Staff members receive training on health and safety issues at induction and are updated annually. Members of staff spoken with confirmed that they received the training.
Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 15 The home has fitted covers to all communal radiators and has purchased a larger fireguard for the open fire in the lounge. This meets requirements made at the last inspection on 10th November 2004. Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 16 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 x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x x x x 3 x x 3 Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 17 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 Chase House Rest Home H58 H09 s41177 Chase House v239345 050905 Stage 4 ann.doc Version 1.40 Page 18 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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