Inspection on 01/03/07 for Chilton Care Centre

This inspection was carried out on 1st March 2007.

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.

Other inspections for this house

Chilton Care Centre 08/12/08

Chilton Care Centre 04/02/08

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 Chilton Care Centre Hunter Terrace Chilton Co. Durham DL17 0EX Lead Inspector John Trainor Unannounced Inspection 13:55 1 & 2 March 2007 st nd 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 Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chilton Care Centre Address Hunter Terrace Chilton Co. Durham DL17 0EX 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) 01388 724011 01388 724012 www.guardian-care.com Guardian Care Homes (UK) Limited Patricia Slater Care Home 40 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (40), Old age, not falling within any other of places category (40) Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home may accommodate a maximum of three people aged 55 years and over in the category of DE. Newly registered service first inspection. Date of last inspection Brief Description of the Service: Chilton Care Centre provides a home to older people who need help with their personal care needs and older people who have dementia. The home was first registered in 2006 and provides accommodation over two floors. Set in the village location of Chilton the home is near local shops and is on a bus route. There is a choice of communal lounge areas and dining areas. There are 40 rooms. All have en suite facilities with shower. There are communal bathrooms where people can be assisted to have a bath if needed. Fees at the time of inspection ranged from £346.50 to £608.00. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection involved the home providing information to the Commission for Social Care Inspection, before a site visit, which was unannounced and lasted 8.5 hours over two days. During this visit records were inspected including care plans and health and safety records. Care practices were observed. People were spoken to including people resident, staff and management. There was a tour of the building. 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. The summary of this inspection report can be made available in other formats on request. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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 Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People were given some information on the home to let them make an informed decision to move in. EVIDENCE: All care files inspected had assessment of need documented. The manager went to assess people prior to admission to make sure they would be able to look after them. People said they could visit the home before they decided to move in. The home had a statement of purpose and service user guide giving information to people about the home. Not all people had contracts. The manager was in the process of issuing them. The home did not confirm to people, in writing, that it can meet their needs after doing an assessment. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had their health and personal care needs looked after in a planned way. EVIDENCE: All files inspected had care plans including risk assessment and risk management. Including greater detail of what people like, dislike and how they like to be cared for would improve the care plans. Care plans were reviewed regularly. People were treated with dignity and respect by staff on the day of the site visit and said the staff treat them well at all times. Medicines were stored administered and recorded safely. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 9 Care files showed people had access to health professionals like doctors and nurses when they needed them and people confirmed they could see the doctor if they needed to. One person said, “If you’re poorly they see to you and get the doctor.” Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People did not have enough to occupy their time in away which met their preference and expectation. EVIDENCE: The home had just managed to appoint an activities co-ordinator. It was her first day at work on the day of the site visit. People were hopeful things would improve with the new co-ordinator who had been round to see them to ask what things they would like to do. Menus offered choice but were under revision to make sure the choice offered was meaningful. People said the food was generally good and were happy with their diet. Relatives can and do come to have dinner with their family member if they wish and also reported the food was good. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were protected by the homes policies on abuse and complaints procedure. EVIDENCE: The home had a complaints and concerns procedure and a policy on adult protection from abuse. They had a copy of the multi agency strategy and procedure to identify what to do in case of abuse and the homes own policy made reference to following the local protocol. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People lived in a safe, clean and comfortable home. EVIDENCE: Rooms were clean and well decorated. belongings. People could bring in their own Each floor had a sluice facility and toilets and bathrooms had liquid soap and paper towels to promote good infection control practices. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 13 One person did not have the bumpers for the bed rails on their bed. This need had been identified from the risk assessment. The home was using quilts to cushion the sides and upon requirement immediately secured appropriate bumpers to the bed within the timescale required by the Commission. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were deployed in sufficient number and with sufficient skill to meet the needs of the people resident. EVIDENCE: There were not sufficient staff deployed to meet residential forum guidance. However the manager was covering shifts working overtime to meet the needs of the people in the home so the deficit was covered. A new staff nurse was due to start on the week of inspection which would add to the staff available to deploy. People had good feedback of the staff. “The staff are always pleasant and caring.” “Staff are excellent, always available.” “Very helpful and always pleasant.” “Always there for mam and us to talk to. They never too busy to spend time with us.” “If we could have hand picked them ourselves we couldn’t have picked better.” Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 15 Staff members felt there were enough people deployed to look after everyone and people said they were well looked after. 100 of staff were trained to NVQ 2 or above. The home was committed to training. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed in the interests of the people living there. EVIDENCE: The manager had an NVQ level 5 and diploma in management as well as being a qualified nurse. There was a fire risk assessment and the manager was liaising with the fire officer. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 17 Service user money records were being kept and receipts kept. All entries needed to be countersigned to ensure protection of people’s money. Safety checks were being maintained. There was a current electrical hard wiring certificate in place Checks on water, emergency lighting, windows, hoists and nurse call were being conducted. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 18 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 1 3 X X N/A 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 1 13 3 14 3 15 2 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 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? N/A 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 5(1(bd)), 6 Requirement The registered provider must revise the service user guide to make explicit any difference in fee between people paying for their own care and people whose care is funded, in whole or in part, by a person other than the service user. And shall notify the Commission for Social Care Inspection and service users of the revision when completed. The registered provider must provide people with a contract or statement of terms and conditions. The registered provider must confirm in writing that it is able to meet the health and welfare needs of a person, following assessment and before they move into the home. The provider must make arrangements to enable people to engage in local, social and community activities. Timescale for action 30/04/07 2 OP2 5, 14 (1(d)) 30/04/07 3 OP12 16 (2(m)) 30/04/07 Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 20 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 OP7 OP15 OP27 OP35 Good Practice Recommendations Including greater detail of what people like and dislike and how they like to be cared for would improve the care plans. Menus should be revised to ensure people have a real choice at mealtimes. Staffing numbers should be maintained at a level where people’s needs can be met whilst enabling the manager to be supernumerary. Recording procedures for service user monies should be robustly followed with two signatures for all transactions. Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Chilton Care Centre DS0000067881.V328957.R01.S.doc Version 5.2 Page 22 - 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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