Inspection on 04/06/08 for Chataway Residential Home

This inspection was carried out on 4th June 2008.

CSCI found this care home to be providing an Adequate service.

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 22/08/07

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 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Chataway Residential Home 4 East Avenue Whetstone Leicestershire LE8 6JG Lead Inspector Debbie Williams Unannounced Inspection 4th June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chataway Residential Home DS0000061583.V366026.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.V366026.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.V366026.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. 22nd August 2007 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.V366026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection was unannounced and took place on the 4th of June 2008 and was facilitated by the registered manager The main method of inspection was called ‘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. The inspector was accompanied by an ‘expert by experience’ during this inspection. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The expert by experience spoke with several residents and had lunch with residents in the dining room. 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 was also used to gather evidence for this key inspection. An immediate requirement was made regarding the manner in which one care staff member spoke to residents, this did not seem to be reflective of staff attitudes in general as residents spoken with praised the staff employed and described the relationships they had with staff as positive. What the service does well: Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 6 Residents praised the relationships they had with staff, one resident said they had a lot of fun; another resident described one staff member as very caring. Care plans addressed all assessed needs and individual needs and preferences were recorded. Medication was managed efficiently and ensured that people living in the home received their prescribed medication and were protected. Over fifty percent of care staff had achieved a National Vocational Qualification in care. What has improved since the last inspection? What they could do better: The providers must ensure that all care staff are instructed to treat people who live in the home with respect at all times. Staff induction training should be delivered in line with national training organisation specifications in order to ensure that staff are well trained and competent. Residents spoken with felt that the range of activities should include opportunities to take part in activities outside of the home. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 7 More attention is required to the décor in the home in order to bring it up to a comfortable and attractive standard. A more comprehensive quality assurance system would enable the providers to monitor the quality of service provided in all areas. 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.V366026.R01.S.doc Version 5.2 Page 8 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.V366026.R01.S.doc Version 5.2 Page 9 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 1,3,4 and 5 (standard 6 is 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. People are provided with the information they need to make an informed decision before moving into the home. People who move into the home can be assured that their needs can be met. EVIDENCE: A service users guide is provided to all prospective residents and this sets out the terms and condition of residency and services provided. Therefore prospective residents are able to make an informed choice before moving into the home. We looked at assessment records for people living in the home. An assessment of needs is carried out prior to admission and this ensures that nobody moves into the home unless their needs can be met. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 10 Assessment procedures also included risk assessments in order to promote protection for people living in the home. Where possible prospective residents are encouraged to visit the home and spend time in the home before making a decision about moving in. There were no residents from ethnic minority communities living at the home at the time of this inspection. Care staff had undertaken equality and diversity training via a distance-learning course. Individual needs and preferences including cultural and religious needs were recorded within individual care plans and residents spoken with confirmed that these needs were being met. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 11 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. People living at the home have their health and personal care needs met. EVIDENCE: One care worker was heard speaking to residents in the lounge area in an impolite and unprofessional manner, an immediate requirement was made regarding this, to which the providers took immediate action in order to protect people living in the home. This did not seem to be reflective of peoples experience in general as residents spoken with said that staff maintained their privacy and dignity and were respectful. One resident said they had a lot of fun with the staff. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 12 Speaking with residents and looking at care records confirmed that people living in the home had good access to healthcare services. Where possible residents are enabled to stay with their respective GP after moving into the home. Community nurses were responsible for the assessment and treatment of wounds and pressure sores and the home’s staff followed their guidance and instruction. Separate records were also maintained recording any incidence of pressure sores or wounds and these confirmed that staff were taking appropriate action. Where applicable social services care plans were included within care records. Care plans were reviewed at least monthly and this ensured that peoples changing needs could be met. None of the people living in the home were managing their own medication at the time of this inspection but the manager said there were polices and procedures in place for this; this is also stated within the service users guide. Residents spoken with felt their medication was managed safely and efficiently. We looked at medication administration records and storage areas and found them to be accurate and up to date. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. People living in the home should be offered more opportunities to make choices about their lifestyle preferences and expectations. EVIDENCE: Residents spoken with said that routines of daily living were flexible in order to meet individual needs, although one person said they would occasionally prefer to go to bed later in the evening, the manager said this would be accommodated. One resident said that staff enabled them to maintain their independence. A limited number of activities were on offer and residents said they would like more opportunity to take part in activities outside of the home. Care staff had undertaken equality and diversity training via a distancelearning course. Individual needs and preferences including cultural and Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 14 religious needs were recorded within individual care plans and residents spoken with confirmed that these needs were being met. At the time of this inspection there were no separate catering staff during the week, the menu was planned and prepared by the manager or deputy manager. The lunchtime meal was served during this inspection and this was well presented and appetising. The expert by experience was also served lunch and was impressed with the quality of food provided. People were not offered a choice but could ask for an alternative if they did not like the meal provided, residents spoken with confirmed that this was the case. It was recommended that that in order to maximise peoples choice and autonomy, that a menu offering a choice of meals which would meet the nutritional needs and preferences of people living in the home be provided. Staff were seen assisting residents with their meals in a sensitive and appropriate manner. There were no restrictions on visiting and people spoken with said their visitors were made to feel welcome and this enabled them to maintain contact with family, friends and the local community. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 15 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. People living in the home are protected by policies, procedures and staff training in this area. EVIDENCE: A record of all complaints received is maintained, no complaints had been lodged since the last key inspection in August 2007. The provider’s complaints policy is included with the service users guide and this sets out the timescales and investigation procedures. Policies were also in place for whistle blowing and protection of resident’s rights. Residents said they would feel comfortable making a complaint and that staff and management would listen and take appropriate action. People can be assured that their complaints would be taken seriously and investigated. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 16 Staff spoken with were aware of national safeguarding adults policies and procedures and could describe the steps they would take to protect the health, safety and wellbeing of people living in the home. One resident spoken with said that if they felt unsafe in anyway they would speak with a staff member about their concerns. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 17 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 19,20,21,24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers a safe environment suitable for the needs of people living in the home. More attention is required to ensure all areas are well maintained to provide an attractive and comfortable living space. EVIDENCE: A tour of the premises was undertaken. While some refurbishment and redecoration had taken place since the last key inspection in august 2007, the furnishings and décor were in need of some updating in the corridors, communal bathrooms and bedroom areas in order to provide a comfortable and attractive environment for people living in the home. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 18 All areas of the home seen were clean and hygienic and people spoken with confirmed that the home was always clean and fresh. Staff had received infection control training and this minimises the risk of cross infection. There was one communal lounge and dining area and a separate conservatory sitting area leading to a small paved garden. All areas of the home were accessible to people with a disability. Routine maintenance to comply with local fire service and environmental health requirements was being carried out. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are cared for by competent staff and are protected by recruitment procedures. EVIDENCE: Staff and residents spoken with felt there were sufficient numbers of staff on duty to meet the needs of people living in the home. One staff member spoken with confirmed that references had been obtained and a Criminal Records Bureau check carried out before employment was commenced, this promotes protection for people living in the home. Staff files seen also contained all required checks and references. Training records were seen; care staff had received all required health and safety training and were competent to meet the needs of people living in the home. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 20 There was no formal induction training although the manager said that a national training organisation induction training pack was going to be introduced and would be undertaken by all new staff. Over fifty percent of care staff had achieved a National Vocational Qualification in care. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 21 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 31,32,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well run and in the best interests of people living in the home. EVIDENCE: Residents and staff spoken with felt supported by the management approach and felt their views or concerns would be listened to and taken seriously. A quality monitoring system was in place based on the views of people living in the home. Regular residents and staff meetings were held. A recommendation was made that the quality assurance programme be expanded and audits be Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 22 carried out in all areas, this is to ensure that people receive a good quality service. Risk assessments for the environment and for safe working practices were reviewed every three months. An annual fire risk assessment is carried out and routine maintenance checks were carried out in line with the relevant legislation. Information provided within the annual quality assurance assessment stated that the premises and equipment within had been tested and maintained as recommended. This promotes protection for people living and working in the home. Accident records are maintained and any event affecting the wellbeing of people living in the home is reported to the commission for social care inspection. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 23 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 x 3 3 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 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 2 x x 2 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 x x 3 Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 24 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 05/06/08 to residents in a manner that respects their dignity at all times. All new staff employed should receive induction training that meets national training organisation specifications. 05/06/08 Requirement 3. OP30 18 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 OP15 Good Practice Recommendations In order to maximise peoples autonomy and choice, people living in the home should be given a choice at meal times and the menu should be planned in advance in order to take into account residents preferences and nutritional needs. It is recommended that the range of activities on offer is reviewed in order to ensure they meet the needs of DS0000061583.V366026.R01.S.doc Version 5.2 Page 25 2. OP12 Chataway Residential Home residents accommodated. 3. 4. OP33 OP19 The quality assurance system could be expanded to include all aspects of services provided in order to ensure that people are receiving a quality service. Some attention to décor and furnishings is required in the corridors, communal bathrooms and bedrooms in order to provide a comfortable and attractive environment for people living in the home. Chataway Residential Home DS0000061583.V366026.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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.V366026.R01.S.doc Version 5.2 Page 27 - 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!