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Inspection on 24/01/06 for Cheswardine Hall Nursing and Residential Home

Also see our care home review for Cheswardine Hall Nursing and Residential Home for more information

This inspection was carried out on 24th 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

This remains a caring and stately environment for those people who live there. The residents are offered a good range of activities in which they may wish to become involved. They continue to be offered a wide choice of meals with all of the food being prepared to a high standard.

What has improved since the last inspection?

No requirements had been made as a result of the last inspection.

What the care home could do better:

It could only enhance the safety of the residents if the home were to fully develop risk assessments for the storage and use of dangerous substances.

CARE HOMES FOR OLDER PEOPLE Cheswardine Hall Nursing And Residential Home Cheswardine Market Drayton Shropshire TF9 2RJ Lead Inspector Mike Moloney Unannounced Inspection 24th 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 Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cheswardine Hall Nursing And Residential Home Address Cheswardine Market Drayton Shropshire TF9 2RJ 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) 01630 661316 01630 661316 stephen@cheswardinehall.com Mr Stephen George Poole Mrs Anne Poole RN Care Home 48 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (26), Physical disability (21) of places Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 48 service users, of whom up to 48 may be Older Persons, 21 may be persons with a Physical Disability, and 1 may be suffering from Dementia. The home must comply with the Staffing Notice as issued by the Shropshire Area Health Authority dated 18th August 1994. 18th October 2005 2. Date of last inspection Brief Description of the Service: Cheswardine Hall was built about 1880 in the style of a large country house, set in beautiful private grounds with a small lake. The Home provides residential and nursing care for a maximum of 48 older people, although on the day of the Inspection there were 29 Service Users in residence. It is owned and managed by Stephen and Anne Poole, both of whom take an active part in the daily operation of the Home. The Home’s furniture, décor, fixtures and fittings reflect the character and opulence of the house. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two and a half hours during the morning. Information was gained from documentation made available by the home, by discussions with the proprietors and a number of the residents and by looking around the building. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Cheswardine Hall has a history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. 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. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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 Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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): EVIDENCE: The key standards in this section were assessed during the last inspection on 18th October 2005. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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): 10 The residents are treated with respect and their right to privacy is upheld. EVIDENCE: During the visit a number of the residents spoke in a complimentary manner regarding how they are treated by the staff. Staff were seen talking to and interacting with the residents in a respectful way; an example being knocking on doors before entering rooms. The home has a range of written policies that cover a variety of activities relating to personal care. These stress the importance of maintaining residents’ privacy and dignity. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 9 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, 14 and 15 The residents are able to take part in a variety of activities should they wish to do so. They are able to maintain contact with their families where practical and they themselves are also able to come and go with help provided as necessary. Meals available to the residents are of good quality. EVIDENCE: At the start of the visit a library van was just leaving the home after one of its visits. Talking to some of the residents confirmed that a variety of activities regularly take place within the home such as historical slide shows, sing-alongs, line dancing demonstrations and ‘chairobics’. The home now has a licenced bar for use by the residents and the proprietors outlined activities that they are considering introducing into this new facility. There are visitors other than families that regularly go to the home such as the hairdresser, local clergymen and, as already mentioned, the mobile library. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 10 During the visit a number of the residents relatives were seen visiting the home and residents confirmed that they feel that their families were made welcome. During this and the last visit the residents were also very complimentary about the meals at the home. The menus showed that they are served a good variety of meals and were seen to be prepared to a good standard. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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): 16 and 18 The service users are protected from abuse. EVIDENCE: The home was seen to have a complaints procedure in place that contains all of the elements required by the Care Homes Regulations 2001. The proprietor confirmed that they had received no complaints since the last inspection. The proprietor also confirmed that there had been no reason to make any referrals under the local adult protection policies during the last year. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.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): EVIDENCE: The key standards in this section were assessed during the last inspection on 18th October 2005. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: The key standards in this section were assessed during the last inspection on 18th October 2005. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 14 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 The home is well run and the safety of the residents would be enhanced by the development of risk assessments for the storage and use of dangerous substances. EVIDENCE: The proprietors both spend a lot of time at the home administering it on a day to day basis. It was clear from watching Mrs Poole in particular that she has a detailed knowledge of the needs of the individual residents. She also discussed issues that had been raised at the residents’ meetings that she had organised. The proprietors also assist some of the residents by storing cash securely for them. They keep records that show when and for what the money is paid or received. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 15 The records of various safety checks were seen such as those relating to fire prevention equipment, the boilers and portable electrical appliances. However, the risk assessments for the storage and use of dangerous substances have not yet been developed. Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 16 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 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 2 Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 17 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. 1 Standard OP38 Regulation 12(1)a Requirement The home must develop COSHH risk assessments. Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Cheswardine Hall Nursing And Residential Home DS0000022241.V267857.R01.S.doc Version 5.1 Page 19 - 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!