Inspection on 04/10/05 for Chestnut Court Rest Home

This inspection was carried out on 4th October 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 13/04/05

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 Rest Home 9 Copse Road New Milton Hampshire BH25 6ES Lead Inspector Keith Hopkins Unannounced Inspection 4th October 2005 10:30 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 Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 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. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chestnut Court Rest Home Address 9 Copse Road New Milton Hampshire BH25 6ES 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) 01425 620000 Goldenpride Limited Mrs Patricia Harrison Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th April 2005 Brief Description of the Service: Chestnut Court is set in a residential area in New Milton 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 en suite facilities. 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 Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Six hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and deputy manager. The inspectors also spoke privately with two members of staff, two visiting relatives and a GP. Most of the residents were observed making use of communal areas and their bedrooms and a number were spoken with briefly. Three residents were spoken with at greater length in their bedrooms. What the service does well: What has improved since the last inspection? What they could do better: Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 6 The home needs to continue with its programme of redecoration to improve the physical environment. A safer environment needs to be created through the completion of the installation of radiator covers and of thermostatically controlled mixer valves to wash hand basins and baths. Reports of visits to the home by the registered provider need to be sent to the commission. 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. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 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 Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 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): 6. The home provides a good degree of support and assistance to the occasionally admitted resident who wishes to return to their own home. EVIDENCE: The care plan relating to a resident hoping to return home the day following the inspection was looked at and confirmed the assistance afforded to her by the home, relatives and health care professionals such as the GP. She confirmed directly to the inspectors her expectation of returning home and said that she was satisfied with the service provided during the seven to eight weeks she had spent at the home. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 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): 9 and 10. Residents are well protected by the home’s policy and procedures for the dispensing of medicines, and have their privacy and dignity respected by staff. EVIDENCE: The home has a policy for dealing for dealing with medication and the procedure for dispensing medicines was discussed with a member of staff. This conformed with good practice guidelines. Eight staff members had been trained in dealing with medication. At the time of the inspection medicines, including controlled drugs were securely stored and associated records were up-to-date. The inspector was informed that no residents, many of whom have dementia, are currently able to deal with their own medication, and written risk assessments supported this statement. A visiting GP confirmed that he was called out in appropriate circumstances, and a resident confirmed that medical care was given in bedrooms. Observation during the inspection showed that the manager and staff have a good awareness of how to protect residents’ privacy and dignity. They were Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 10 seen to knock on doors and await a response before entering and spoke to residents in a respectful way. Residents were addressed by their name of choice, and all residents seen were dressed appropriately. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, and 14. Residents enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged and appreciate the welcoming and homely atmosphere. EVIDENCE: At the time of the inspection several residents were relaxing in the lounge, whilst others had chosen to spend time in their bedrooms. A singer visited the home in the afternoon and a visiting relative said that there was ‘plenty of entertainment’. Two residents confirmed that they were able to go out shopping locally together and a third said that she was about to go out with a member of staff. An exercise class was provided on a regular basis and care documentation examined confirmed residents’ partaking in this. Visitors to the home are made welcome with one commenting that she came at odd hours and was always offered a cup of tea. Both visitors were complimentary about the home, one saying it was ‘excellent’ and the other that he had ‘no complaints’. The inspectors were informed that relatives meetings had just started and were expected to be held on a six-monthly basis Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 12 in future. The manager said that she was hoping to invite someone from the local Alzheimer’s Society to a future meeting. One resident said that there was entertainment and that a church service was held. Other residents confirmed the extent to which there were choices over everyday activities, saying, for example, that they could spend time in their rooms if they wished, and go to bed at a time of their own choosing. Two residents were seen to be helping lay the tables in one of the dining rooms. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 13 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): 16 and 18. The home has a suitable complaints procedure, which residents are aware of and feel able to use. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which is available to each resident in his or her bedroom. All three residents spoken with privately said that they ‘no complaints’, and one explained that if she had then she would raise this with her keyworker or directly with the manager. Residents all appeared to have a good degree of confidence that any issues raised would be dealt with, and a relative confirmed that she would speak to the manager if she had any concerns. There has been one complaint from a member of staff for the home to deal with in the last 12 months, this being dealt with in a timely manner, and with the manager explaining the action taken to address the issue raised. The home also has a policy and procedure relating to adult protection, information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. One member of staff, for example, said that she would write down what was told to her and then tell the manager. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 14 Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 15 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): 20, 23 and 25. A comfortable standard of accommodation is provided for residents in both communal and private areas, with improvements to the building continuing. However, a greater degree of safety needs to be provided in some areas. EVIDENCE: Since the previous inspection a second dining area has been created on the ground floor, giving residents a choice as to where they wish to eat. The manager confirmed the continuing programme of upgrading of the communal areas and en-suite facilities, for example the fitting of new carpets in the hall and some corridors, the inspectors noting how much brighter and ‘fresher’ looking some areas of the building now were. All bedrooms have en-suite facilities, one resident saying that she liked her own bathroom and that she was able to use this without assistance. Residents’ Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 16 bedrooms looked homely, as they had been able to bring items of their own furniture and possessions with them. One resident said that she had just had a new bed, which she had chosen herself and that she was waiting for other furniture to be delivered. Thermostatically controlled mixer valves still need to be fitted to some baths and wash hand basins where a risk assessment indicates this as necessary . It is planned that this will be done as and when individual en-suite facilities are upgraded. Since the previous inspection some radiators have been fitted with covers, the manager telling the inspectors that the rest were due to be done on the following Thursday. Residents have access to the garden which has a patio area and gazebo. There is a CCTV camera outside the front door for security purposes. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 17 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. Residents are cared for by a dedicated and well-trained staff team. EVIDENCE: Staff spoken with by the inspectors confirmed that they had attended a wide variety of training courses. These included First Aid, Food Hygiene, Health and Safety, Medication, Infection Control, Moving and Handling, Adult Protection and Dementia. A staff record examined confirmed the home’s induction programme for new members of staff, and also the formal supervision in place, whereby the manager supervises senior staff who in turn supervise others. The manager confirmed her recent obtaining of the Registered Manager’s Award and the deputy manager said that she had just started this herself. Staff confirmed that the home had improved since the current manager was appointed, and that they enjoyed working there. One resident said that ‘the staff look after us well’, and another said ‘it does not matter what you ask the staff, they are always willing to turn around and do something for you’. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 18 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): 33, 35 and 38. Residents and their relatives have a means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. This could be further enhanced by the reporting of visits by the registered provider as required by regulation. EVIDENCE: The inspectors were informed that , as a part of the home’s quality assurance programme, questionnaires were sent on a yearly basis to residents’ relatives and also to care managers. Once views were received changes were put into practice as appropriate. Residents spoken with all commented on how nice the home was, and are consulted informally regarding the services offered. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 19 The home’s manager confirmed that some assistance was given to a number of residents in dealing with day-to-day spending and that monies were held on behalf of some residents. The inspector examined records and receipts kept in respect of two residents and noted that these tallied accurately with monies held securely for safekeeping. A visitor confirmed that clear information had been made available regarding fees prior to his relative entering the home. No immediately obvious hazards to health and safety were observed by the inspector during the inspection. A sample of policies and records required by regulation were inspected and were in order and up to date. This included the home’s policies relating to clinical waste, use of protective clothing and confidentiality. The manager informed the inspectors that the provider arranged for regular visits to the home to be made under Regulation 26, although copies of reports of such visits had not always been received by the commission. Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 20 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X X 3 X 2 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 X X 3 X 3 X X 2 Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP2525 Regulation 23 Timescale for action Thermostatically controlled mixer 31/03/06 valves must be fitted locally to all areas where a risk assessment indicates this to be necessary to prevent risks of scalding. Previous timescale of 31/07/05 not met. Reports of visits made by the provider must be forwarded to the commission. Requirement 2 OP3838 26 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 22 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 Chestnut Court Rest Home DS0000011777.V249901.R01.S.doc Version 5.0 Page 23 - 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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