Inspection on 04/08/05 for Chilworth House

This inspection was carried out on 4th August 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

Chilworth House 01/02/10

Chilworth House 18/11/09

Chilworth House 20/01/09

Chilworth House 20/05/08

Chilworth House 14/11/07

Chilworth House 15/11/06

Chilworth House 19/12/05

Chilworth House 13/01/05

Chilworth House 02/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Chilworth House 7 Rectory Avenue High Wycombe Bucks HP13 6HN Lead Inspector Christine Sidwell Unannounced 4th August 2005 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. Chilworth House Version 1.10 Page 3 SERVICE INFORMATION Name of service Chilworth House Address 7 Rectory Avenue, High Wycombe, Bucks, HP13 6HN 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) 01494 526867 01494 526140 Lloyd Scott Healthcare Limited Jenny Brown Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Chilworth House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th January 2005 Brief Description of the Service: Chilworth House is a care home providing personal care and accommodation for thirty two older people. It is privately owned. The home is situated in High Wycombe and is a short drive away from the amenities that a large town can offer. The home has been owned and operated by Lloyd Scott Healthcare since 1998 and has undergone many improvements since then. It is a wellmaintained Edwardian building and the improvements are in keeping with the style of the building. There are twenty-six single bedrooms and two double rooms, which are comfortably furnished. The home has two lounges and a pleasant conservatory. There is a sheltered outside sitting area and well-kept garden. There is an experienced staff team. Chilworth House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the report of an unannounced inspection, which took place in the evening of the 4th August 2005. Care plans, medication records and other records were examined. Care practices were observed. The home manager and the evening carers were spoken to. Six residents and two families were also spoken to during the evening. In addition eight residents, three relatives, two general practitioners and one other healthcare professional returned the comment cards distributed as part of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There is an activities programme and various entertainers visit the home. Residents can also go out using dial a ride and a local taxi firm. There is room to develop this further and to ensure that all residents have the opportunity to participate in an activity that they enjoy. The home should be more responsive to complaints and see them as an opportunity to learn. Chilworth House Version 1.10 Page 6 The remaining radiators should be covered or replaced with low surface temperature radiators before the heating is switched on in the autumn. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chilworth House Version 1.10 Page 7 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 Chilworth House Version 1.10 Page 8 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) None These standards were not assessed at this inspection but were met at the last inspection which was carried out on the 13th January 2005 EVIDENCE: Chilworth House Version 1.10 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, 9 and 10 Care plans are in place, which give staff the information they need to care for residents. Resident’s healthcare needs are met and they receive their medication in a safe and timely manner. Residents are treated with respect and their privacy is protected. EVIDENCE: All residents were seen on the day of the inspection. They were well groomed and staff had clearly helped them to maintain their personal hygiene. Four care plans were selected at random and assessed. All had pre-assessment documents, indicating that residents had been assessed before they moved to the home. They also had care management assessments where appropriate. The care plans contained evidence that residents are assessed for their risk of developing pressure damage. No residents had pressure damage on the day of the inspection. Resident’s continence needs are assessed and the Primary Care Trust provides the appropriate aids. A nutritional assessment is undertaken. There is evidence in the care plans that residents have access to secondary health care. One resident said that she was looking forward to her impending visit to the local Ear, Nose and Throat consultant. There was evidence in the care records to show that residents have sight tests and access to an optician. Chilworth House Version 1.10 Page 10 Residents are registered with a local General Practitioner who visits the home regularly. There is a medication policy in place. The home uses a dossette system prepared by a local pharmacy. The pharmacist provides advice and visits the home on a quarterly basis. One resident likes to retain the responsibility for administering her own medication and there is a risk assessment to allow for this. Medication records are kept and the medication administration records are completely accurately. The senior carer who was administering the medication on the evening of the inspection was observed to be undertaking this carefully and accurately. The controlled drugs were stored and administered correctly. There is a small drugs refrigerator. The temperature of the refrigerator is monitored. The General Practitioner reviews medication if necessary on his weekly visits. Four members of staff have received training in drug administration. The staff were observed to be treating residents gently and with respect. Personal care is given in resident’s own rooms. Residents may have a telephone in their rooms if they wish and some have chosen to do so. One resident spoke to the inspector and said that the telephone was her ‘lifeline’ as she was able to stay in contact with her family. The General Practitioners who returned the comment cards distributed as part of the inspection said that they could see residents in private and felt that their advice was included in the care plans. Chilworth House Version 1.10 Page 11 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) 12, 13 and 15 The home is welcoming to families and friends enabling residents to maintain contact with their families. There is an activities programme which gives residents variety and diversion during the day. There is room to develop this further to ensure that all residents have the opportunity to engage in a pastime that they enjoy. The meals are varied and although the evening meal is plain, residents said that they enjoy their food. EVIDENCE: Residents are able to see their families in their own rooms if they wish. Three families returned the comment cards sent out as part of the inspection and all said that they were welcome at the home at any time. One resident, who had been on respite care, said that she was pleased with ‘staff kindness in giving her family tea and cake when they visited’. Two families were spoken to on the evening of the inspection and they confirmed that they could visit at any time and that they could see their family member in private if they wished. They confirmed that they were kept informed of important matters affecting their relatives. The home endeavours to help residents who wish to attend local day centres although this is not always possible, partly due to the fact that the local day centres often reserve their places for people living alone at home. The home uses the local dial a ride scheme and local taxis to take residents out. There is a programme of activities in the home and most of the residents who returned the comment cards sent out as part of the inspection Chilworth House Version 1.10 Page 12 said that the home provided suitable activities, although three residents said not. There is a varied meal plan. On the evening of the inspection residents had a choice of burger and beans, cheese on toast or soup and sandwiches. The main meal is at lunchtime. A carer prepares the evening meal and an additional carer is on duty to care for residents until the meal is completed. Drinks are available during the meal and cups of tea afterwards. The residents who returned the comment cards said that they enjoyed the food. The residents spoken to on the evening of the inspection also said that they had enjoyed their meal and that they had had sufficient to eat. Chilworth House Version 1.10 Page 13 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) 16 and 18 The home’s complaints policy gives residents and their families the opportunity to air their concerns, although the home should reassure residents and families that they are free to contact the Commission for Social Care Inspection if they wish. The home’s protection of vulnerable people procedures and staff training help to protect residents from abuse. EVIDENCE: There is a complaints policy in place. The Commission for Social Care Inspection has received one verbal complaint from family members since the last report. The proprietor dealt with this, although the notes of the meetings with the family showed that the proprietor was unhappy that the resident and the family had contacted the Commission for Social Care Inspection. Whilst it understandable that the proprietor would wish to resolve any concerns himself, residents and their families should be reassured that they are free to contact the Commission for Social Care Inspection at any time. The residents who returned the comments card said that they knew whom to contact if they were unhappy with their care. There are protection of vulnerable people and whistle blowing policies in place. The staff spoken to said that they have received training in the protection of vulnerable older people. One staff member raised an issue of concern at the previous inspection and told the inspector, at this inspection, that she felt that the proprietor had followed up her concerns. The home has a copy of the Buckinghamshire multi-agency strategy for the protection of vulnerable people. Chilworth House Version 1.10 Page 14 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 and 24 The home is well decorated and maintained and provides a comfortable environment in which residents can live. Some radiators are not covered and could pose a hazard to frail elderly residents. Individual bedrooms are attractive and residents are able to personalise them with their own belongings, easing the transition from home to residential care. EVIDENCE: The home is well maintained and was clean and tidy on the evening of the inspection. There were no offensive odours. The gardens are attractive and well kept. At the previous inspection, a requirement had been made that all radiators and storage heaters were protected or low surface temperature radiators fitted. This is now almost complete. The remaining radiators must be covered or replaced before the central heating is turned on in the autumn. There are no CCTV cameras. Resident’s bedrooms are comfortable and well maintained. They are encouraged to bring personal items of furniture and mementos from their previous home and many have done so. The home is currently being extended in order to provide all single rooms some of which are ensuite. Screening is provided in the current double rooms to allow Chilworth House Version 1.10 Page 15 privacy. One very small bedroom is no longer in use and is to be used as a relaxation and massage room. Chilworth House Version 1.10 Page 16 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) None These standards were not assessed at this inspection but were met or almost met at the last inspection undertaken on the 13th January 2005. EVIDENCE: Chilworth House Version 1.10 Page 17 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) None These standards were not assessed at this inspection but were met or almost met at the last inspection undertaken on the 13th January 2005. EVIDENCE: Chilworth House Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x x x 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 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 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 Standard No 16 17 18 Score 2 x 3 x x x x x x x x Chilworth House Version 1.10 Page 19 Are there any outstanding requirements from the last inspection? yes, but not assessed at this 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 .25 Regulation 13 Requirement The remaining radiators must be guarded or have low surface temperatures by the time the central heating is switched on. Timescale for action 31.10.05 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. Refer to Standard 12 16 Good Practice Recommendations The activities programme should be further developed to ensure that all residents can participate in an activity which they enjoy. The proprietor and manager should be open to complaints and use them to improve the service. Chilworth House Version 1.10 Page 20 Commission for Social Care Inspection Cambridge House, Smeaton Close 8 Bell Business Park, Aylesbury Buckinghamshire HP19 8JR 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 Chilworth House Version 1.10 Page 21 - 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. 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