Inspection on 14/10/05 for Chevy Chase

This inspection was carried out on 14th 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

Chevy Chase 16/04/08

Chevy Chase 10/05/07

Chevy Chase 27/06/06

Chevy Chase 09/02/06

Chevy Chase 21/02/05

Chevy Chase 11/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Chevy Chase Percy Arms Hotel Otterburn Northumberland NE19 1NR Lead Inspector Allan Helmrich Unannounced 14 October 2005 10:15 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. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chevy Chase Address Percy Arms Hotel Otterburn Northumberland NE19 1NR 01830 520057 01830 520561 percyarmshotel@yahoo.co.uk Mrs A Emerson 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) Marie Elizabeth McStay CRH 17 Category(ies) of OP - Old Age (17) registration, with number of places Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No conditions are applied. Date of last inspection 21 February 2005 Brief Description of the Service: Chevy Chase is a care home providing personal care and accommodation for up to 17 older people. The home is attached to the Percy Arms Hotel in the centre of the Northumberland village of Otterburn. The community facilities are limited, however there is a post office and general store, a coffee shop, community centre and social club. The home consists of 15 single bedrooms, 4 of which share 2 private sitting rooms, 2 single bedrooms have en suite toilet and washing facilities. One bedroom is registered for double occupancy. There is a passenger lift installed that gives access to the upper floor. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first annual inspection. It was unannounced and follows a combined visit earlier in the year with the Fire Authority after serious issues regarding the home’s safety were identified. During the inspection that lasted 7 hours, a proprietor, the manager and both staff were spoken to, as were the majority of residents. A tour of the premises was undertaken and samples of the recordings held in the home were reviewed. 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. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 6. Information is available to inform prospective residents about the home. Residents not funded by a local authority have no contract. Prospective residents are assessed before admission to ensure the home can meet their needs. Intermediate care is not provided. EVIDENCE: Copies of the home’s Statement of Purpose and Service User Guide are available in the home to inform anyone interested about the home. The documents contain some references to nursing that should be removed and reference to the previous regulating authority that should be amended. All local authority funded residents have a contract but those who are self funding do not. Some terms and conditions appear in the home’s Service User Guide. Before a resident is admitted into the home the manager to ensure care needs can be met carries out an assessment. Copies of these are in the individual case records. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 8 The home does not provide a rehabilitation service but may accept respite placements into vacant beds. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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, 10 Individual health and personal care needs are detailed in a plan. Residents’ health needs are met. Residents are happy with the level of privacy provided. EVIDENCE: Case records seen detailed the level of health and personal care needs of residents’. The manager reviews these plans regularly. Since the last inspection the manager has addressed the issues with hearing and dental checkups and these are now available to all residents. During the inspection residents were visited by GP’s and community nurses. Staff were seen dealing courteously with residents and attending to their needs in a way that respected their dignity. Staff knocked on bedroom doors before entering but did not wait for permission to enter. Residents spoken with felt their privacy was respected in the home. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 standard(s) 13, 15. Residents can see their visitors in private with any visiting restrictions detailed in the Statement of Purpose. Varied appealing meals are provided. EVIDENCE: Residents confirmed they could meet their visitors in private. Visiting is flexible to meet the needs of residents and any restrictions are detailed in the home’s Statement of Purpose. Since the last inspection a choice of main meal is provided. Residents confirmed they are asked for their choice of meals but the choices are still not displayed. The manager intends to produce a menu for display on each dining table. All residents spoken to enjoy the meals but one resident felt too much food was put on her plate. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 standard(s) 19, 26. The home is not well maintained but it is reasonably clean and safe for residents. EVIDENCE: Since the last inspection and subsequent visits by the Fire Officer and inspectors from the Care Standards Commission, the home has put in place many of the requirements to ensure residents are safe from fire. Doors were not chocked open and corridors were clear of equipment. Some redecoration after repair identified at the last inspection is still to be done and further works that would normally be carried out by a handy person are required. There was no water to the first floor bathroom. Although bedrooms are generally well decorated the communal areas of the home are in need of redecoration. Staff are provided with a toilet but have no facilities for storage and sleepover staff are required to make up a bed each evening in one of the home’s lounges. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 13 Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 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, 28. The home are currently meeting the minimum staffing levels required to ensure residents care needs are addressed. Staff are trained to ensure residents are safe. EVIDENCE: Although the staff team has two vacancies, the care staff and manager are working additional shifts to ensure residents care needs are met. More than 50 of staff employed have a National Vocational qualification in care. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 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, 34, 36, 38. The manager is attempting to maintain her administrative duties and is working towards the Registered Managers qualification. Staff are appropriately supervised. Procedures to ensure the home is safe are in place and staff training is done. Appropriate insurance was not demonstrated. EVIDENCE: The time the manager is able to spend carrying out management tasks is limited due to the amount of shifts she works in a carer’s capacity. She is however working towards the Registered Managers Award and conducts regular supervision sessions with the staff team. Certificates were seen that confirm the home’s lighting and heating systems are safe. Staff are attending a 12 week course leading to a certificate in health and safety. The home’s fire log was appropriately detailed. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 16 A certificate was not available to confirm the home is insured to meet its legal liabilities. An immediate requirement was issued in this respect. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x x 2 x 3 x 3 Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 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 OP1 Regulation 4 Requirement The homes statement of purpose should not infer the home provides nursing care. The details pertaining to the commission should be updated. Each service user should have a valid contract in place. THIS WAS A REQUIREMENT AT THE LAST INSPECTION. The following repair were identified during inspection; in the dining room the doorway requires redecoration following a repair and the ceiling paper is falling off. The seal around the sink should be replaced and the worktop replaced. The public phone should be refixed to the wall. Water should be available in the first floor bathroom. Other small areas that require redecoration after a repair should be attended to. The manager should obtain the Registered Managers Award and staffing should be improved to provide her with the management time required to run this home efficiently. THE REQUIREMENT TO PROVIDE THE MANAGER WITH SOME Timescale for action 30/11/05 2. OP2 5(c) 31/12/05 3. OP19 23(2)(b) 30/11/05 4. OP31 9(2)(b)(i) and 18(1)(a) 31/12/05 Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 19 5. OP34 25(2)(e) ADMINISTRATION TIME WAS A REQUIREMENT AT THE LAST INSPECTION. A current certificate of insurance in respect of the providers liability in relation to death, injury and public liability should be in place. Immediate 6. 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. 2. 3. 4. Refer to Standard OP15 OP26 OP26 Good Practice Recommendations A menu showing the meal choices each day should be displayed. The proprietors should consider the improvement to staff facilities both for storage of personal items and privacy when on sleepover duty. A programme of redecoration of the communal areas should be produced. This programme should have completion dates and be costed. Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Chevy Chase B53-BO3 S527 Chevy Chase V240090 141005 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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