Inspection on 13/04/05 for Chestnut Court Rest Home

This inspection was carried out on 13th April 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chestnut Court Rest Home 23/07/08

Chestnut Court Rest Home 07/08/06

Chestnut Court Rest Home 04/10/05

Chestnut Court Rest Home 08/11/04

Chestnut Court Rest Home 27/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Chestnut Court 9 Copse Road New Milton Hampshire BH25 6ES Lead Inspector Keith Hopkins Unannounced 13.04.05 10:30 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 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. Chestnut Court Version 1.10 Page 3 SERVICE INFORMATION Name of service Chestnut Court Address 9 Copse Road New Milton Hampshire BH25 6ES 01425 620000 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Goldenpride Limited Mrs Patricia Harrison CRH 25 Category(ies) of Dementia - over 65 years of age (25), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (25), Old age, not falling within any other category (25) Registration numberH030000448 Chestnut Court Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08.11.04 Brief Description of the Service: Chestnut Court is set in a residential area close to local amenities and the town centre. It provides residential care for up to 25 elderly residents, some of whom may have dementia. The home is on ground and first floors and there is a lift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Twenty three of the bedrooms are single and one is a double, with all these having an en suite toilet. There are two communal toilets on the ground floor and a bathroom on the first floor. There is a garden to the rear of the property. Chestnut Court Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four hours were spent visiting the home. The opportunity was taken to look round the home, view records and policies and to talk to the manager, deputy manager, and two other staff on duty. Most of the residents were seen, several were spoken with, and three residents were spoken with at greater length in private in their bedrooms. What the service does well: What has improved since the last inspection? What they could do better: The home needs to continue with its programme of redecoration to improve the physical environment. A safer environment needs to be created through Chestnut Court Version 1.10 Page 6 the completion of the installation of radiator covers and of thermostatically controlled mixer valves to wash hand basins and baths. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chestnut Court Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Chestnut Court Version 1.10 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 standard(s) 2 and 3. The assessment process is well managed which ensures that service users needs will be met. EVIDENCE: Prospective service users are assessed at the care home or the manager would meet them in their own home. Three initial assessments, made before the residents concerned were admitted to the home, were examined and contained a good level of detail. One resident said that she had waited for a vacancy at the home before moving in. One resident confirmed that she had moved into the home together with a friend several years ago from another residential home. Residents have a written agreement with the home, which they are able to read and sign if they wish. Chestnut Court Version 1.10 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 standard(s) 7, 8, and 10. Residents are well looked after in respect of their health and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care plans have recently been revised and contain a good level of detail, with a needs assessment. They include information regarding access to specialist health care staff, such as a dentist, optician and community psychiatric nurse and are reviewed monthly. One resident referred to the hospital treatment she had had. One resident said that the staff were nice, and helpful. Staff were observed to knock on bedroom doors and await a response before entering and spoke to residents in a respectful way. The manager confirmed that residents have a choice of doctor from within three local practices. Chestnut Court Version 1.10 Page 10 Chestnut Court Version 1.10 Page 11 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 standard(s) 15. Residents enjoy a wide choice of meals, which are attractively presented and served communally or in private if this is requested. EVIDENCE: Care plans provide for the confirmation of food preferences and meal patterns. Menus examined were varied, and one resident said ‘They did an omelette just for me. No-one else had one’ The mid day meal was seen to be well presented, and there is a choice available. Snacks are freely available. Chestnut Court Version 1.10 Page 12 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 standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Chestnut Court Version 1.10 Page 13 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 standard(s) 19, 20, 21, 23, 24, 25 and 26. A comfortable standard of accommodation is provided for residents with improvements to the building continuing. However, a greater degree of safety needs to be provided in some areas. EVIDENCE: There are two communal toilets on the ground floor and a bathroom on the first floor. Two residents confirmed that they had everything they wanted in their rooms and one said that she was waiting for a minor repair to be made in her ensuite facility. The manager said that the en-suite baths were little used and were therefore being replaced with showers. Chestnut Court Version 1.10 Page 14 All bedrooms have an en-suite toilet and residents said these were useful. Residents’ bedrooms looked homely, as they had been able to bring items of their own furniture and possessions with them. Décor has been improved in some areas but there are other areas where improvements are needed. Thermostatically controlled mixer valves still need to be fitted to some baths and wash hand basins. The previous requirement regarding this remains outstanding. Some radiators still have to be fitted with covers. All areas of the home smelled pleasant and were cleaned to a high standard. A resident commented on how nice the garden was. Chestnut Court Version 1.10 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, and 30. Staff at the home are well trained and supported and employed in sufficient numbers to meet residents’ needs. EVIDENCE: One resident said that the staff were nice, and care staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner. The staff rota indicated there to be four carers on duty and the manager said that there were sufficient staff hours allowed for within the budget to avoid the use of agency staff at times of sickness or holidays. Three staff files examined indicated a sound recruitment process, and evidence of an induction programme upon appointment. Two staff are to undertake a five day course in dementia, three are to commence NVQ Level 2 training later this month and a further two in September 2005. Staff have also been trained in moving and handling, first aid and fire safety. Chestnut Court Version 1.10 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31. The home is well managed by a competent manager who ensures staff and service users needs are met. EVIDENCE: The recently registered manager has obtained the Registered Manager’s Award and is aware of her responsibilities. She is approachable and has an open style of management. The care planning system has been improved and the manager said that the owner gave her freedom to make necessary changes. A resident said that the manager was good. Chestnut Court Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x x Chestnut Court Version 1.10 Page 18 Yes 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 25 Regulation 23 Timescale for action Thermostatically controlled mixer 31/07/05 valves must be fitted locally to all areas to which residents have access to prevent risks of scalding. Previous timescale of 31/12/04 not met. Radiator covers must be fitted to all radiators to prevent risks of burning. Requirement 2. 25 23 31/07/05 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 Good Practice Recommendations Chestnut Court Version 1.10 Page 19 Commission for Social Care Inspection 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 Chestnut Court Version 1.10 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. 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