Inspection on 04/02/08 for Chilton Care Centre

This inspection was carried out on 4th February 2008.

CSCI found this care home to be providing an Good service.

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 01/03/07

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 Mary Blake Key Unannounced Inspection 09:30a 4th & 7th February 2008 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.V356883.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.V356883.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 chiltoncarecentre@yahoo.co.uk www.guardiancarehomes.co.uk Guardian Care Homes (UK) Limited Vacant Care Home 40 Category(ies) of Dementia (18), Old age, not falling within any registration, with number other category (22) of places Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 22 2. Dementia - Code DE, maximum number of places 18 The maximum number of service users who can be accommodated is: 40 1st March 2007 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 forty 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 £411 to £431. The statement of purpose and service user guide is available to residents and families. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 1st March 2007 • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals, including surveys. The Visit: An unannounced visit was made on 4th February 2008 and a further visit was made on 7th February 2008. During the visit we: • Talked with people who use the service, relatives, staff, the manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. • Two resident and two relative questionnaires were received prior to the site visit. These were varied the majority being very positive although some concerns were raised about the closure of the nursing care provided. We told the acting Manager what we found. What the service does well: Staff were kind and considerate when helping residents. Residents and relatives explained the admission process; this usually includes a visit from the manager. This helps new residents identify their own needs and enables staff to meet their needs during their stay. The service gives good support to enable individuals to make decisions and participate in the running of the home. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 6 Residents said, and it was seen, that staff were kind, considerate and supportive. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. The home and staff create a positive atmosphere, which residents commented upon and which is welcoming to families and visitors. There is a complaints procedure and in addition resident views are actively sought. Residents felt their views were listened to and acted upon. The home is furnished and decorated to a high standard and provides comfortable and pleasant surroundings for residents. Individual bedrooms are very well furnished and are ensuite. Aids and adaptations assist the residents to move freely and independently around the home. Bathrooms and showers are of a good standard with a number of assisted facilities to enable residents to feel more comfortable and supported to enjoy this time. The communal areas are well decorated and used for a range of social events. Residents live in a home, which is well run and managed. What has improved since the last inspection? What they could do better: Recruitment processes must be improved to obtain relevant information this helps protect residents. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 7 Training files and training programme must continue to be updated to reflect and highlight training achieved for all staff. 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.V356883.R01.S.doc Version 5.2 Page 8 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.V356883.R01.S.doc Version 5.2 Page 9 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, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families have the information they need to make an informed choice on where they live. Residents have their needs fully assessed by care staff and have opportunities to visit before admission to the home. EVIDENCE: The statement of purpose and service user guide has been updated and are available to residents and their families, these gave all relevant information and are in an easy to read format. Pre-admission assessments are undertaken and reflect the needs of the residents. Care plans had good information to ensure that the home can meet Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 10 the needs of the prospective resident. The acting Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. Residents and relatives spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 11 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. The residents are having their health and personal needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner. This is shown in the documentation and care plans in place. The residents receive their prescribed medication in line with safe working practices. These systems ensure that residents receive their medication in a safe and appropriate way. EVIDENCE: Three care plans were examined; they were of a good standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion. The plans had been consistently reviewed and updated on a regular basis. The care plans showed that the residents have access to all NHS services and facilities if required. A number of assessment tools are in use. Daily reporting Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 12 of residents care was satisfactory with any changing health care of residents being reviewed and updated in the care plan. Comments “General care (hygiene, nutrition etc) very good” “I have not come across anything that I could say needs changing, yet”. The medicines in the home are well managed and safely disposed. The medicines were stored safely. The controlled drugs procedures were satisfactory. Staff were treating residents with respect and dignity. Personal care was given in privacy. Staff used residents preferred name at all times. Relatives and residents were very complimentary about the staff in the home and felt that they were able to have privacy in their own rooms Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. A limited range of social activities is in place, which is thoroughly enjoyed by residents and their families. The food served is good and the residents are happy with the quality and the quantity. EVIDENCE: Residents were generally happy and enjoyed being able to move freely around the home. Relatives and residents felt that there was sufficient social activities programme both within and outside of the home but were pleased that this was currently being developed to add more. Comments “ The daily activities that had been provided were varied and thoroughly enjoyed by residents. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 14 Comments received “Very little activities, could do with some entertainment at times”. The appointment of a social activities coordinator had improved the range and choice of ways residents can fill their days. Residents take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. All residents said that they are able to make choices about how they spend their day. The residents’ bedrooms were personalised and residents said they were very happy with the decoration and furnishings. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Relative comments “I am made welcome every time I visit Mum”. The meals served were good and all of the residents enjoyed the food, which was well cooked. Staff support was on hand. The tables were nicely set and breakfast and lunch were seen as social occasions. Hot and cold drinks were readily available. The cook is part of the staff team and made themselves available to residents for comments and requests. Residents comments “the food is lovely” “good choice” “too many carrots” “nice and tasty”. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 15 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. The home ensures residents and relatives aware of the complaints policy by making it available in a variety of places. Complaints are managed satisfactorily and the necessary action taken and recorded. The acting Manager and staff had completed training in the Protection of Vulnerable adults, further training is planned and this is necessary to ensure that residents are protected. EVIDENCE: The complaints procedure is displayed in the home and available to each resident. The records of the complaints made to the home was examined and was satisfactory and showed that complaints were dealt with quickly. Residents and relatives spoken to knew how and who to complain to and were confident that their concerns would be dealt with commenting “No concerns raised to date” “I have never had any concerns about mums care since she went into the care home” “staff listen to any worries I have” “the manager sorts things out”. The acting Manager stated that staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. The acting Manager and the majority of staff had Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 16 completed Protection of Vulnerable Adults training and dealt appropriately with any concerns. Further staff training is planned. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. The residents stay in a safe environment. There are good communal areas, bedrooms are ensuite and there are assisted baths and showers. There are a wide range and number of adaptations and aids to assist residents to move freely around the home. The entire home is decorated and furnished to a high standard. The home is very clean, pleasant and hygienic. EVIDENCE: The new home is purpose built over two floors to provide care for a range of need. The residents’ accommodation is divided across both floors. The ground floor is used for support services like the office, staff room, kitchen and laundry. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 18 The location and layout is suitable for the residents who come to stay here. There are lounges and dining rooms. These are pleasantly decorated and furnished. Residents were able to move freely around the communal areas and there was a range of television and audio equipment available for their use. There are assisted bathrooms and showers on each floor, toilets near to all communal areas as well as ensuite facilities in each bedroom. The vinyl flooring throughout the home was very clean but looked marked and unsightly. Residents were very positive about the home “well decorated” “very clean and tidy”. The home was extremely clean and has good hygiene practices. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 19 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 adequate This judgement has been made using available evidence including a visit to this service. The acting manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place generally protect residents with some minor shortfalls that need to be addressed. External and internal training takes place and is under review and should provide residents with a skilled, consistent staff team. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels for current number of residents. When sickness and staff holidays occur home staff provide cover. Three staff recruitment files were examined and were generally satisfactory although references were not always obtained. Staff undertake induction, mandatory training, National Vocational Qualifications in Care and other training. This was under review by the acting Manager with evidence of planned training. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 20 Residents and families commented “Lots of things good about the home, good staff but not enough of them and more experience needed” “Training staff could improve” “There is someone to see to Mums needs 24/7 and I feel I can get on with my life knowing mum is in good hands”. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 21 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. Residents live in a home, which is well run and managed by an experienced and qualified person. The acting Manager has good systems in place to organise the home taking into account the needs and wishes of the residents. Good quality systems have been established and are being developed. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 22 EVIDENCE: The acting Manager has been appointed and has not yet completed the fit person process with the Commission for Social Care Inspection. The acting Manager is only responsible for Chilton Care Centre. The acting Manager has an open and inclusive style that was commented upon by staff, residents and relatives. Regular meetings had been held for residents, relatives and staff to discuss practices and running of the home. Quality assurance and audit systems are comprehensive. Monthly proprietor visits are undertaken. Accidents are recorded effectively with accident analyses being completed and risk preventions being undertaken to safeguard residents. A sample of resident monies showed that the system for checking resident’s monies was satisfactory. Fire and other system testing had been undertaken at the recommended timescales and good systems established for maintenance to be undertaken as necessary. Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 3 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 3 13 3 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 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 18 Requirement The Registered Provider must ensure that staff recruitment systems obtain all relevant information/ The Registered Provider must provide a training programme giving details that all staff have current accreditation for mandatory and national vocational training. Timescale for action 01/04/08 2 OP30 18 01/04/08 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 Refer to Standard OP19 Good Practice Recommendations To replace the vinyl flooring throughout the home which appears marked and unsightly Chilton Care Centre DS0000067881.V356883.R01.S.doc Version 5.2 Page 25 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.V356883.R01.S.doc Version 5.2 Page 26 - 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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