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Inspection on 18/01/06 for Chesterholm Residential Care Limited

Also see our care home review for Chesterholm Residential Care Limited for more information

This inspection was carried out on 18th January 2006.

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.

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

The residents feel they are well looked after and respected by staff that are caring, helpful and seem to know what they are doing. They also all feel safe and comfortable at the home. The staff team is trained and able to meet the needs of the residents. There is an on-going training programme for staff including national qualifications in care so that they have the necessary knowledge and expertise to provide good care.

What has improved since the last inspection?

The home has improved its laundry facilities and has an on-going programme for maintaining, repair and replacement of furnishings, flooring and redecorating of the home.

What the care home could do better:

The home has a good informal system for looking at the quality of the service they provide. The manager confirmed that she would look a how to keep meaningful records and procedure for auditing the service`s performance. The home gains the opinions of the residents and family, and the manager confirmed that she would provide a summary of the surveys for residents, relatives and others.

CARE HOMES FOR OLDER PEOPLE Chesterholm Residential Care Limited 10 Britten Road Lee On Solent Hampshire PO13 9JG Lead Inspector Isolina Reilly Unannounced Inspection 18th January 2006 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 Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chesterholm Residential Care Limited Address 10 Britten Road Lee On Solent Hampshire PO13 9JG 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) 023 9255 0169 023 9279 6812 Chesterholm Residential Care Limited Susan Stacey Care Home 15 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15) Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the categories MD and DE must be at least 50 years of age 31st May 2005 Date of last inspection Brief Description of the Service: Chesterholm Lodge is a care home providing personal care and accommodation for up to fifteen male and female service users over the age of 50 years with various old age, dementia and mental disorder care needs. The home has two beds set aside as intermediate care beds and provides day care for one service user. Mrs Kay Moss owns the home and employs Mrs Sue Stacey as the registered manager. The home is registered as a limited company. Chesterholm Lodge is situated in a quiet residential area within walking distance of the seafront and local amenities. The home is a two-storey domestic house in keeping with the local area. There is a mature front garden laid mainly to lawn with a patio area and ample parking at the rear of the house. A chair lift provides level access between the ground and first floor. The home has nine single bedrooms of which five have en-suites and a further three double bedrooms without en-suite facilities. There are two lounges with diners areas and a conservatory that is used as a smoking area. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second unannounced inspection took place over one day. The inspector looked around the home, view records, procedures, spoke with residents and staff, and observed the interaction between them. The manager and deputy helped the inspector during the visit. The home supplied the commission with additional pre-inspection information and comment cards were received from residents, relatives and a health professional. The responses were positive and stated that the home provide a good service. This and the previous inspection report of 31st May 2005 can be read together for a full summary of how the home has done against the key National Minimum Standards. What the service does well: What has improved since the last inspection? What they could do better: The home has a good informal system for looking at the quality of the service they provide. The manager confirmed that she would look a how to keep meaningful records and procedure for auditing the service’s performance. The home gains the opinions of the residents and family, and the manager confirmed that she would provide a summary of the surveys for residents, relatives and others. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 6 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. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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 Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key standards were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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 the following standard(s): The above key standards were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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 the following standard(s): The above key standards were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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 the following standard(s): The above key standards were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 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 the following standard(s): 19 The home presents as a clean, homely, comfortable and suitable environment for the residents. The standard of the décor within the home is good with evidence of on-going maintenance and improvements. Key standard twentysix was assessed and met at the previous inspection on the 21st June 2005. EVIDENCE: On the tour, the home was found to be clean, warm and no offensive odours were detected. The deputy manager explained that the decorating was on going with a further four bedrooms having been fully redecorated, flooring, soft furnishings and furniture replaced. The home’s maintenance man was seen by the inspector moving furniture from two bedrooms in anticipation of new furniture arriving. He also confirmed that the redecoration programme was on schedule this include work in the garden during the summer. This included hall, stair case and landing had been redecorated since the last inspection, a new tumble dryer had been installed to improve the laundry facility, the toilet near one of the lounges has been replaced and a vanity unit in one of the bedrooms. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 13 The residents spoken with felt the home is kept nice and is being looked after. They confirmed that the maintenance man was always busy. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 The home has a good record for supporting staff to undertake appropriate qualifications in care. The key standards twenty-seven, twenty-nine and thirty were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: The residents spoken with described the staff as ‘caring, friendly, helpful and there when they are needed. They also stated that the staff knew how to care for them. The staff spoken with felt there were sufficient staff on shift to do the work. The inspector was able to sample training certificates for three staff and found them to contain evidence of National Vocational qualification (NVQ) 2 in care along with other training undertaken. The staff spoken with confirmed that six out of the eleven care staff employed by the home have achieved a NVQ level 2 in care and two of the staff were seen proudly wearing their NVQ badge. The staff stated that three staff are about to start their NVQ 3 in care. The manager confirmed this and stated that a further three carers are about to start their NVQ 2 in care. The manager shared with the inspector the home’s new forms for recording the recently amended Skills for Care induction standards and programme. She also confirmed that is looking for two staff to commence their Skills for Care foundation training. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 The home is run well by an effective manager. There is a system for gaining the residents opinions on the day-to-day running of the home. A formal and fully auditable quality assurance system on the performance of the home is to be developed. The key standards thirty-five and thirty-eight were assessed and met at the previous inspection on the 31st May 2005. EVIDENCE: The manager undertakes regular update training with the staff team and is in the process of completing her National Vocational Qualification 4 in care and will be enrolling on the NVQ Registered Manager’s Award this year. She has experience in residential care with this particular client group. The residents described the manager as very approachable, available when needed and answers their questions and concerns promptly. They stated that she does her job well. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 16 The staff spoken with confirmed that there is a clear line of authority within the home and described the manager as supportive and approachable. They confirmed that they feel involved in the day-to-day running of the home and they valued and listened to. The residents spoken with confirmed that there are regular resident’s house meetings were they are often asked about changes and their views. The staff spoken with confirmed that they attend staff meeting were they are able to share ideas and find solutions to any issues identified. These meetings are minuted and the minutes are available from the office. The manager shared the survey questionnaires completed by residents and relatives and explained actions taken. These reflected that individuals are happy with the care provided. The inspector discussed with manager about publishing a summary of the survey findings and actions taken for residents, relatives and others who maybe interested. The manager suggested the summary could be placed in the home’s service user guide. There is an informal audit system that looks at how the home is performing. This was discussed with the manager who agreed that she would develop a formal system for recording the auditing activity within the home. Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Chesterholm Residential Care Limited DS0000064256.V279286.R01.S.doc Version 5.1 Page 20 - 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!