Inspection on 09/01/06 for Chestfield House Nursing Home

This inspection was carried out on 9th 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.

Other inspections for this house

Chestfield House Nursing Home 04/12/08

Chestfield House Nursing Home 10/05/07

Chestfield House Nursing Home 05/09/06

Chestfield House Nursing Home 17/10/05

Chestfield House Nursing Home 20/09/04

Chestfield House Nursing Home 20/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Chestfield House Nursing Home The Ridgeway Chestfield Whitstable Kent CT5 3JT Lead Inspector Tina Thomas Unannounced Inspection 9th January 2006 02:00 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 Chestfield House Nursing Home DS0000026087.V276991.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. Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chestfield House Nursing Home Address The Ridgeway Chestfield Whitstable Kent CT5 3JT 01227 792281 01227 793046 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) Unique Help Group Limited Vacant Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Of the 31 nursing beds 3 are registered for the admission of residential clients. PD (Physical Disability) is limited to one (1) person whose date of birth is 19.06.1942 DE (E) is limited to one (1) person whose date of birth is 17.10.1913 Date of last inspection 17th October 2005 Brief Description of the Service: Chestfield House is a converted property, originally built as a farmhouse in 1751. The House has been extensively renovated and provides accommodation for 31 service users. Accommodation is situated on two floors and comprises of 23 single and four shared bedrooms, 14 of which have en-suite facilities. The Home has a three-person shaft lift, which accesses all rooms on the first floor. Each bedroom has a TV and telephone point and a call-bell system. Some service users have, at their own cost, chosen to have their own direct telephone lines installed. The Day space consists of a main lounge and Dining room on the ground floor and a small “Quiet lounge“ on the first floor. The Home is located near the town of Whitstable and can be easily reached via the Thanet Way. Public transport is available a short distance away from the Home. The Home has car-parking facilities for several vehicles. Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted between 9.30am-3.30pm. The inspector was assisted throughout the inspection by Mrs Liz Walton, the manager, and additionally for part of the inspection Mrs. Eileen Laherty, the Area Manager. The inspector spoke with people that live at the home and some staff during the inspection. The inspection covered in the main key standards that were not addressed in the homes Annual Inspection that was conducted in October 2005. The Manager has applied to registered with Commission. The application is currently being processed. What the service does well: 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. Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 6 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 Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 7 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): These standards were not assessed at this inspection. Standards 1-5 were all met in the last inspection of October 2005. The home does not offer care referred to in Standard 6. EVIDENCE: Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 8 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): 7,8,9 People that live at the home have an individual plan of care. People’s health care needs are fully met. The homes policies and procedures for administering medication safeguard the people that live there. EVIDENCE: A number of care plans were viewed. Care plans are developed from the information that is gathered at the initial pre-admission assessment and additionally for some people, the care manager’s assessment of needs. Care plans were well written, and well reviewed. They held appropriate information to enable staff to care for the people who live in the Home. Suitable risk assessments are in place to ensure as far as reasonably practicable the safety of people living in the home. People sign agreement of their care plan. The Home had suitable equipment and aids to prevent pressure sores. Discussion with staff and the people that live at the Home indicated that they all thought needs were being met. People that live in the home expressed that the staff maintained their privacy and dignity, for example people that live in the home said that staff always knocked on the door before entering. Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 9 Records for the receipt, administration and disposal of medicines were viewed. They are well documented and appropriately recorded. The home has a suitable medication room, with a sink, and controlled medications cupboard. Medication amounts were cross-referenced to the controlled medicines book and found to tally. It was noted that one of the locks was broken on a medicine cupboard. This was addressed immediately. Medication administration records were well recorded. Chestfield House Nursing Home DS0000026087.V276991.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): Standards 12,13,14,15 were not inspected at this inspection. At the Announced Inspection of October 2005 they were all found to be met. EVIDENCE: Chestfield House Nursing Home DS0000026087.V276991.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): Standards 16,17,18 were not inspected at this inspection. At the Announced Inspection of October 2005 they were all found to be met. EVIDENCE: Chestfield House Nursing Home DS0000026087.V276991.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): 19,20,24 People at the home live in a safe and well-maintained environment. People have access to safe and comfortable communal facilities although some of the carpeting and furnishings have become aged. Standards 21-26 were inspected at the inspection of October 2005 and were found to be met. EVIDENCE: The lay out and location of the home is suitable for its stated purpose. The Home is accessible and well maintained; the grounds are accessible to wheelchair users and are kept tidy, attractive and safe. The home has a number of communal areas, including two sitting rooms, one upstairs, and a dinning room that are all domestic in nature. Furnishings have become aged in the sitting rooms. Some of the carpets are aged and stained, to a point where the carpet cleaner is no longer effective. The area manager informed the inspector that all homes within the group would be being refurbished. A requirement has been made that the registered Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 13 person prepares a plan of action with timescales re the refurbishment of the home. (Requirement 1 part A) An area of carpet outside Room 44 has become thread bear and must be suitably repaired or replaced (Requirement 3 Part A) The sitting room has a clock that shows the wrong time. This could be disorientating for people that live in the home. One person’s bedroom had a foul smelling odour that was identified at the last inspection. This should be addressed. (Requirement 2 Part A) Chestfield House Nursing Home DS0000026087.V276991.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): 30 EVIDENCE: New staff have an induction, which is in line with Skills for Care. After induction staff are shadowed for two shifts with another member of staff. Staff do not undertake manual handling without having completed training first. All staff receive at least three days paid training per year. Chestfield House Nursing Home DS0000026087.V276991.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): 31,33,35,38 The manager is competent and experienced to run the home and meet its stated purpose, aims and objectives. The home is run in the best interests of the people that live there. People that live in the home have their financial interests safe guarded. The health, safety and welfare of service users is promoted and protected. EVIDENCE: The manager, a registered nurse with experience in care of the elderly, is in the process of applying to undertake suitable management qualifications, but because it has not been completed prior to 2005 standard 31 must be scored a 2. There is no doubt however, that the manager is competent in her role. The home has sent out audits to residents, the results of which have now been returned. The manager is in the process of preparing a report with the outcome. Other quality assurance aids include: service users meetings, staff meetings, matrons meetings, staff supervision, and C.S.C.I and KCC Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 16 inspections The manager has adopted an ‘open door’ policy. Staff, the people who live in the home can approach her at any time. Some people living in the home are unable to look after their own money. In these cases written records of all transactions are maintained. Where the money of individuals is handled, the manager ensures that the personal allowances of these service users are not pooled and appropriate records and receipts are kept. All transactions on behalf of the service user should double sign. (Recommendation made regarding this matter (Recommendation 1 Part A) the inspector viewed these records and audited one and found the total to tally with the amount of money held. Secure facilities are provided for the safekeeping of money and valuables on behalf of the service user. The Inspector observed that the Home is kept in a secure manner. The Manager as far as reasonably practicable ensures compliance with relevant legislation to ensure that the health, safety and welfare of Service User and staff is promoted and protected. Chestfield House Nursing Home DS0000026087.V276991.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 3 8 3 9 3 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 2 x x x 2 x x STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 18 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 OP19 Regulation 23 Requirement The registered provider must produce a plan of action for the redecoration/refurbishment of the home giving reasonable timescales. The home provides private accommodation for each service user, which is furnished and equipped to assure comfort. One identified bedroom has a foul odour this must be rectified Carpet outside room 44 must be suitably repaired or replaced Timescale for action 07/03/06 2 OP24 23 07/03/06 3 OP19 23 07/03/06 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 OP35 Good Practice Recommendations All financial transactions taken on behalf of the service user should be double signed Chestfield House Nursing Home DS0000026087.V276991.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Chestfield House Nursing Home DS0000026087.V276991.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. 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