Inspection on 09/02/06 for Chevy Chase

This inspection was carried out on 9th February 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 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 14/10/05

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 Inspection 9 February 2006 10:15 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 Chevy Chase DS0000000527.V276096.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. Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chevy Chase Address Percy Arms Hotel Otterburn Northumberland NE19 1NR 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) 01830-520057 01830 520561 percyarmshotel@yahoo.co.uk Mrs A Emerson Mr C Emerson Mrs Marie Elizabeth McStay Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th October 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 DS0000000527.V276096.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and follows an inspection done in October 2005. The inspection lasted 7 hours and in that time I spoke to the manager, staff and several residents. I reviewed a selection of the home’s records and toured the premises. 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 DS0000000527.V276096.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 Chevy Chase DS0000000527.V276096.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): 1, 2. Information about the home is available to prospective residents. Some references to nursing care should be amended. New residents are provided with a contract. EVIDENCE: A Statement of Purpose and Service User Guide are available to prospective residents providing information about the home and the care provided. Some references that may lead readers to assume the home provides nursing care should be removed or amended. Each resident is supported by either a local authority contract or the home’s terms and conditions if privately funded. Chevy Chase DS0000000527.V276096.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): 9. The home has a suitable system for storage and handling of medicines in the home. EVIDENCE: The homes system for the receipt, recording, storage, handling and administration of medicines in the home is appropriate. Staff have received training in the handling of medicines. Chevy Chase DS0000000527.V276096.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, 14, 15. Although very limited information was written regarding residents preferences and social interests, those residents spoken with were content in the home. Residents are aware that there records are maintained safely and that support is available from external agents. Residents are provided with well balanced meals at times that suit them. EVIDENCE: Three care plans reviewed contained only limited information about the past life of the resident and their hopes and expectations. Only of file contained a social history and details of a preferred routine. The records show some general improvement and this should be sustained. The home provides some activities for residents and on the day of inspection residents were seen enjoying each others company and staff were observed stimulating residents and providing some beauty therapy. The log that records activities in the home could not be found. Some residents commented that more activities would be desirable but generally those residents spoken with were content. Residents spoken with were happy with the food provided. Details of forthcoming meals are recorded in the dining area. Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 10 One resident spoken with during the morning was eating a late breakfast of her choice in the dining room. The care records contained information regarding data protection. This was explained to each resident and a signature confirming this was recorded whenever possible. The majority of residents enjoy family support and when this is not available the manager ensures the local authority are aware to enable advocacy to be provided. Chevy Chase DS0000000527.V276096.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, 18. Residents are confident their concerns are listened to. Staff are supported to protect residents with appropriate training and supportive information. EVIDENCE: Each resident is provided with a copy of the home’s complaints process. No complaints have been recorded in the log maintained for matters of this nature. Those residents spoken with confirmed how they would complain if this was necessary. Staff are trained in abuse awareness and local and health authority guidance is available to them in the home. Chevy Chase DS0000000527.V276096.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, 26. The home is recently decorated, clean and safe for residents. EVIDENCE: Since the last inspection the entrance lobby and corridors have been redecorated giving the home a brighter homely feel. On a tour of the home the majority of maintenance tasks identified at the last inspection were done and a reasonable standard of maintenance is achieved. The home is clean and generally safe for residents. Chevy Chase DS0000000527.V276096.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): 29, 30. New staff have been recruited through an agency to ensure minimum staffing levels can be maintained. Staff training is in place to ensure an appropriate standard of care is maintained. EVIDENCE: To enable the home to meet its commitment to residents two European staff have been recruited through an agency. The home has followed appropriate recruitment procedures and these staff are being inducted into the home by the manager. In addition each staff members training needs have been assessed and a range of training is in progress to ensure a good standard of care is provided in the home. Chevy Chase DS0000000527.V276096.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): 31, 33, 35. The manager is experienced and is aware of the needs of the residents. Procedures to ensure the home is safe are in place and staff training is done. Approprite procedures are in place for residents finances. EVIDENCE: The manager is experienced and has worked in care for many years. She is aware of the needs of older people and demonstrated a good awareness of the residents. The time she is able to spend carrying out management tasks is limited due to the amount of shifts she works in a carer’s capacity. This is being addressed with new staff having been recently recruited. She is currently working towards the Registered Managers Award. 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 and a certificate to Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 15 confirm the home is insured to meet its legal liabilities was provided following the last inspection. Monies held for residents are recorded in a log and each transaction is countersigned. A receipt is kept for any purchases made on behalf of a resident. Chevy Chase DS0000000527.V276096.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 2 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X X Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 17 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 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. THIS REQUIREMENT IS OUTSTANDING FROM A PREVIOUS INSPECTION. To enable the home to provide appropriate activities the expectations of residents should be obtained together with appropriate life history information. Activities provided in the home should be reviewed and a log to record these activities should be available for inspection The manager should obtain the Registered Managers Award and management time required to run this home efficiently should be provided within the staffing rota. THE REQUIREMENT TO PROVIDE THE MANAGER WITH SOME ADMINISTRATION TIME WAS A REQUIREMENT AT THE LAST INSPECTION. Timescale for action 31/03/06 2. OP12 15 31/03/06 3. OP31 9(2(b(i) and 18(1(a) 30/08/06 Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 18 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 Chevy Chase DS0000000527.V276096.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000527.V276096.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. 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