Inspection on 22/08/07 for Chataway Residential Home

This inspection was carried out on 22nd August 2007.

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 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

Chataway Residential Home 04/06/08

Chataway Residential Home 23/05/06

Chataway Residential Home 03/10/05

Chataway Residential Home 26/07/05

Chataway Residential Home 21/05/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Chataway Residential Home 4 East Avenue Whetstone Leicestershire LE8 6JG Lead Inspector Debbie Williams Key Unannounced Inspection 22nd August 2007 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 Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chataway Residential Home Address 4 East Avenue Whetstone Leicestershire LE8 6JG 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) 0116 2848306 0116 2848306 Clearvision (GB) Limited Mrs Elaine Hiles Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability over 65 years of age (3) of places Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one falling within category PD(E) may be received into the home when there are already 3 persons of category PD(E) accommodated in the home. 23rd May 2006 Date of last inspection Brief Description of the Service: Chataway Residential Home is situated on a small cul-de-sac, close to the centre of Whetstone, and provides accommodation for up to fourteen older persons. The home is an extended detached house. Accommodation is on two floors; access to the first floor is via stairs or stair lift. There is a large lounge/dining room and conservatory. The home has a small but pleasant courtyard and garden area to the rear of the property leading from the conservatory. The home has both single and shared rooms, some with ensuite facilities. The home is situated close to some local shops, and is serviced by a bus route to the city Leicester. At the time of this inspection the weekly fee ranged from £320 to £400. A copy of the last inspection report was available at the home. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours on the 22nd of August 2007. This inspection was positive, good outcomes were achieved in most areas. Poor outcomes were achieved in one area and adequate outcomes in one area. The main method of inspection used was ‘case tracking’ which meant selecting three residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. One staff member was spoken with and the manager and the deputy manager of the home were also available for discussion and feedback throughout the inspection. Staff records were looked at to make sure staff get the training they need and checks are carried out on staff before they commence their employment. A partial tour of the premises also took place in order to assess environmental standards. The provider’s annual quality assurance assessment and resident and relative/ carer surveys were also used to provide evidence for this inspection. Five resident surveys and two relative/carer surveys were returned, all were positive about the service. One service user survey indicated there could be more activities on offer. Two relative surveys gave the following comments -: The health care and cleanliness is good. They are very caring and the home is clean, they look after my mother well. What the service does well: Assessment procedures are thorough and ensured that the service can meet the resident’s needs before they move into the home. Care plans were comprehensive and addressed all assessed needs. Staff received the training they required to do their jobs. Adult protection policies and procedures were robust and minimised any risk. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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 Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2 and 3 (standard 6 not applicable to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need before moving into the home. Resident’s needs are assessed before they move into the home. EVIDENCE: A copy of the home’s service users guide and Statement of purpose was seen. The manager said that these documents were provided to all prospective residents. Residents spoken with were unable to confirm whether or not this information had been provided, this was because of communication difficulties or because the resident’s family had organised the admission to the home. Five residents surveys that were returned to the inspector shortly after this inspection confirmed that enough information had been provided about the Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 9 home before they had moved in. Three of the surveys confirmed that a contract of terms and conditions had been provided. The manager said that a full needs assessment is carried out prior to the resident moving into the home, the needs assessment is carried out by the manager or the deputy manager, examples of the pre admission assessments were seen in the records of case tracked residents. One resident who had recently moved into the home had spent a day at the home before making the decision to move in. A one-month trial period is offered to all residents moving into the home, this was stated in the home’s contract/terms and conditions. Assessment records seen were comprehensive, and included risk assessments. Social work assessments were seen where applicable. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s health and social care needs are mostly met. EVIDENCE: Individual care plans were in place for each resident. The care plans for three case tracked residents were inspected, these appeared to address all assessed needs and included religious/cultural and social needs. Care plans were reviewed on a monthly basis or more often if any changes occurred. Evidence was seen within care records of GP visits and community nurse visits. There were four GP surgeries providing a service at the home at the time of this inspection. Residents spoken with felt they could see their Doctor when they needed to. Staff spoken with said that senior staff on duty asked the GP to come in as required. Four of the five resident surveys returned said that residents did get the care and support and medical support they required. One Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 11 resident survey returned said that they usually got the care and medical support they required. Risk assessments were in place regarding risk of developing pressure sores, staff consulted with community nurses regarding any treatment or specialist equipment required. All staff that administer medication have received training in this area, certificates for this were seen within staff files. The home has a contract with a local pharmacist who also provides advice and support. Medication administration records seen appeared accurate and in good order, this included controlled medication records. The manager carries out audits to ensure that medication policies and procedures are adhered to. None of the residents living at the home at the time of this inspection were managing their own medication. Residents spoken with were happy with the way staff managed and administered their medication. The inspector overheard one member of the care staff speaking to a resident in a manner that may not have been considered respectful or appropriate, a requirement was made regarding this. Residents spoken with felt that staff did treat them with respect and maintained their privacy and dignity. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Routines of daily living were not always made flexible and therefore did not always meet residents’ expectations and preferences. EVIDENCE: Residents spoken with did not always feel they could spend their day, as they preferred. One resident said they were happy to go to bed at 8 pm but this was to suit staff rather than themselves. Another resident said they didn’t feel they could spend time in their room during the day and were expected to go to bed at 8 pm. The manager did not feel this was a general problem in the home and felt that routines of daily living were flexible in order to meet resident’s needs, the manager agreed to speak with staff to ensure that residents were able to exercise choice and autonomy. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 13 Individual needs and preferences including cultural and religious needs were addressed within individual care records. One resident said they would like more opportunity to take part in recreational activities. Four of the resident surveys returned said there were activities arranged by the home that they could take part in. One resident survey returned said ‘there could be more’. One resident spoken with described the entertainer that had been in the previous week and said they had enjoyed it. The manager said that communion was held at the home once a fortnight. One resident spoken with confirmed this and said that friend’s form their church were made welcome. Occasional trips out to garden centres or other places of interest were arranged, the last one took place in June and six residents went out. Further fundraising was ongoing in order to raise money to hire a minibus for further trips out. Arrangements for visiting were unrestricted and residents and staff spoken with confirmed this. Residents spoken with were happy with quality and quantity of meals and drinks provided. The cook said that adequate resources were provided and that staff had full access to the kitchen in order to make drinks or snacks for residents. Menu records were seen; a wholesome and nutritious diet was on offer. There was not always a choice on the menu but the cook said that an alternative could always be made and that she spoke with residents on a daily basis to find out if they required anything different. All food was home made. Diabetic and vegetarian diets were being provided at the time of this inspection. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures in place minimise risk for residents. EVIDENCE: Five of the five resident surveys returned confirmed they were aware of how to make a complaint. Residents spoken with said they would speak with staff if they had a concern or complaint. The home has a complaints procedure and maintains records of all complaints received. Staff spoken with had received adult protection training. The manager was aware of the correct adult protection policies and procedures and staff had access to the relevant policies. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well-maintained and comfortable environment. EVIDENCE: All areas of the home seen appeared clean and hygienic. Residents spoken with were satisfied with the standard of cleanliness and décor in the home. The lounge area was extremely homely and domestic in character. There was an ongoing maintenance programme in place. Plans for the next twelve months include widening the doorway leading into the lounge, re tiling the kitchen area, replacing work surfaces, redecoration of the front hall and several of the bedrooms and a new carpet for the lounge area. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 16 Staff had received infection control training and were aware of the correct policies and procedures. A recommendation was made that care staff do not use the kitchen hand washing facilities. All staff had access to alcohol hand rub in order to decrease the risk of cross infection. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by competent staff and are protected by recruitment procedures. EVIDENCE: At the time of this inspection there were ten residents living in the home. There were four care staff in the morning and two care staff in the afternoon/evening, there was one care staff member on duty during the night with one other person on call. Separate catering and domestic staff were also employed. Residents spoken with felt there were enough staff on duty and that staff were competent and could meet their needs. Five of the home’s care staff had achieved a National Vocational qualification in care. Staff records were inspected for one staff member, all required checks and references were in place. Training records were seen and these included protection of vulnerable adults, fire safety, medication, dental awareness, moving and handling, infection control and basic recording skills. The manager and deputy manager Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 18 had also received training in bereavement, Parkinson’s disease, epilepsy and equality and diversity. Induction training is provided to all staff and records of this were also seen. The Skills for Care (a national training organisation) induction training was used for staff undertaking a National Vocational Qualification. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well run and in the best interest of residents. EVIDENCE: The registered manager has a National Vocational Qualification level four in care and the Registered Managers award. Regular staff meetings are held. Staff and residents spoken with said they would be happy to speak with the management team regarding any concern or any issue. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 20 Resident satisfaction surveys are regularly distributed in order to obtain residents feedback. The manager carries out environmental audits and risk assessments. Residents and or their families handle their own financial affairs; one resident spoken with confirmed this. Staff supervision records were seen. One staff member spoken with felt they did receive the supervision and support required to do their job. Routine maintenance and safety checks are carried out. Certificates were seen for this and this was also confirmed within the provider’s annual quality assurance assessment. Staff had received the relevant health and safety training and had access to all polices and procedures. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 21 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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 22 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 OP10 Regulation 12(4)(a) Timescale for action Staff must be instructed to speak 30/09/07 to residents in a manner that respects their dignity at all times. Routines of daily living must be made flexible In order to meet 30/09/07 the needs and preferences of residents. Requirement 2 OP12 12(3) 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. 2 Refer to Standard OP26 OP12 Good Practice Recommendations It is recommended that care staff do not use the hand washing facilities in the kitchen area. It is recommended that the range of activities on offer is reviewed in order to ensure they meet the needs of residents accommodated. Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Chataway Residential Home DS0000061583.V340984.R01.S.doc Version 5.2 Page 24 - 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!