Inspecting for better lives Thematic inspection report
Care homes for older people
Name: Address: Chestfield House Nursing Home The Ridgeway Chestfield Whitstable Kent CT5 3JT The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a thematic inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lisbeth Scoones Date: 0 4 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Chestfield House Nursing Home The Ridgeway Chestfield Whitstable Kent CT5 3JT 01227792281 01227792281 espringett@njch.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Unique Help Group Limited care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 31 0 Over 65 0 31 Conditions of registration: The maximum number of service users to be accommodated is 31. The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Date of last inspection Brief description of the care home Chestfield House is a large detached property situated in a quiet residential area in Chestfield, near to the seaside town and amenities of Whitstable. The home can easily be reached via the M2 motorway, and the Thanet Way. It is part of the Unique Help Group of nursing homes and the group have another 4 nursing homes in the area. The house has been extensively renovated and provides accommodation for up to 31 Care Homes for Older People
Page 2 of 9 residents. Accommodation is situated on two floors and comprises 23 single and 4 shared bedrooms, 14 of which have en-suite facilities. There is a passenger lift, which provides easy access to all rooms on the first floor. There are communal areas on both floors and gardens at the rear of the property. Car parking is available for several vehicles. The current fees for the service at the time of the visit range from £318.12 to £650.00 (a shared room used for single occupancy) per week. Information on the Homes services and the CSCI reports for prospective residents will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is espringett@njch.co.uk Care Homes for Older People Page 3 of 9 What we found:
This unannounced random inspection was carried out on 4th December 2008. Throughout the inspection, assistance was provided by the registered manager in a helpful and professional manner. The Group manager was at the home to carry out a Regulation 26 visit and was present at the feedback. The purpose of the random inspection was to examine those standards relating to cleanliness, infection control, maintenance and dignity. These issues were recently reported to the CSCI as a complaint. The registered manager was not aware that the complaint had been made. An accompanied tour of the home was made and some of residents bedrooms, ensuite bathrooms, toilets, bathrooms and lounges visited. The tour identified several areas where the standard of cleanliness was not adequate. It further identified that a room was chilly, an ill fitting window, a rusty commode, a cluttered sluice, a broken foot operated bin and a poor view for some residents due to discarded items outside the home. A domestic member of staff was on duty from 8-14.00. The laundry assistant was off sick that day. The home currently does not operate a formal cleaning schedule and no recorded audits are carried out in respect of cleanliness. During the tour six residents were spoken with. They expressed their satisfaction with the service. A lunch time meal was observed. The registered nurse, care staff, chef, kitchen assistant and domestic on duty were spoken with. Records were examined in relation to staff training, staff rota, complaints and quality assurance. An Annual Service review (ASR) was carried out in May 2008. Since then the CSCI has received one complaint. The registered manager was made aware of this and carried out an investigation. Occupation at the time of the inspection comprised 26 residents. The registered manager has been working at the home for many years. She is supported by a deputy manager, Group manager and senior staff. In respect of quality assurance a satisfaction survey was carried out in the beginning of the year. Regulation 26 visits are regularly carried out by the Group manager. What the care home does well:
The home has a pleasant and calm atmosphere. Residents spoken with said that they are well looked after and that staff are kind. Staff are good and look after me. I have no complaints were comments made. The manager promotes Equality and Diversity through staff recruitment, training and staff meetings. Residents were enjoying their meal and those residents who needed help were assisted Care Homes for Older People
Page 4 of 9 in a dignified manner. Staff communicated with the residents in a pleasant, unrushed and respectful manner. The home provides a range of activities that interest and provide leisure to the residents. The manager takes residents complaints seriously and acts upon them without delay. Residents said they knew how to make a complaint and felt confident that it would be dealt with. Staffing levels in respect of care are adequate for the number and dependency of the residents. Staff spoken with said that Chestfield House is a good place to work. They feel supported and are provided with many training opportunities. The great majority of staff have an NVQ qualification or are in the process of achieving this. Staff are provided with safeguarding vulnerable adults training. Mandatory training includes infection control, moving and handling, food hygiene, fire safety and First Aid. Further training is provided in palliative and dementia care. The manager is a moving and handling trainer. A recently employed member of staff said that she was enjoying her induction training. The registered manager keeps the CSCI informed of any reportable event. This ensures a good dialogue between the home and the inspector. The Group manager reported that the providers have invested considerably in the home to improve the environment. This includes fire doors, new carpets and profile beds for more dependent residents. What they could do better:
The registered person must ensure that all parts of the home are kept clean and well maintained. This is a requirement of the report. All staff must be provided with Infection control training. This is a requirement of the report. The recording of complaint investigations could be improved by noting the action taken to prevent similar situations from reoccurring. It is recommended that a record be kept confirming that the complainant is satisfied with the outcome of the investigation. Monitoring systems should be in place covering all areas of the home to ensure that the home is clean, hygienically maintained and in good decorative order. A development plan should be in place as part of the quality assurance system to ensure that the home is run in residents best interests. The home would benefit from a staffing review in respect of domestic staff on duty. A formal cleaning schedule should be introduced. The home should ensure that continence aids are discreetly stored and that residents Care Homes for Older People Page 5 of 9 are provided with adequate storage space for their belongings. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a thematic inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 26 23 The registered person shall ensure that all parts of the home are kept clean and reasonably decorated To ensure that residents live in a clean and hygienic environment 31/12/2008 2 38 18 The registered person shall 31/01/2009 ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform This relates to infection control training to ensure that residents are protected from the risks of infection Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
