Inspection on 02/08/05 for Chimnies Residential Care Home

This inspection was carried out on 2nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Chimnies Residential Care Home 18/12/06

Chimnies Residential Care Home 09/02/06

Chimnies Residential Care Home 31/01/05

Chimnies Residential Care Home 02/08/04

Chimnies Residential Care Home 23/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Chimnies Residential Care Home Stoke Road Allhallows Rochester ME3 9BL Lead Inspector Patricia Green Announced 2 August 2005 11.00am 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. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Chimnies Residential Care Home Address Stoke Road Allhallows Rochester Kent ME3 9BL 01634 270119 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) Mr Kim San Ong Mrs Marilyn Janet Ong Care Home 29 Category(ies) of OP Old Age (29) registration, with number of places Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One resident born 19/11/1937 Date of last inspection 31 January 2005 Brief Description of the Service: Chimnies Care Home is a detached premises situated in a rural area on the outskirts of Allhallows Village, with extensive views across the countryside. Accommodation is on two floors and all bedrooms offer single accommodation; two with en-suite. There is ample car parking space at the front of the premises. There is a garden area to the rear and side of the property, with a paddock adjacent where the owners 2 ponies and donkey are kept. The Proprietors, Mr & Mrs Ong, have many years experience in the caring profession. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was Announced; during the Inspection the premises were toured, a range of documentation was viewed and the owners, staff and residents were spoken to. What the service does well: What has improved since the last inspection? Care planning records have been developed with now a more detailed recording of assessed needs. Risk Assessments have also been developed since the last Inspection of the Home. Monthly ‘reviews’ of care needs by Keyworkers have now been introduced. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 6 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. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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 Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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) This section not assessed during this Inspection EVIDENCE: Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 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, 9 & 10 The residents care needs are partially safeguarded from the assessment process that has been introduced and the monthly reviews undertaken; however there is a need for residents daily care needs to be fully identified, with this to include the daily support required and the aims and goals of care. EVIDENCE: During the Inspection a selection of care planning records were viewed; acknowledgement is given to the development of these records since the last Inspection of the Home, with more detailed assessment now in place; however there is still a need, as discussed and agreed with the Proprietors, for clear identification of the residents daily care requirements, how the support is to be delivered and the aims and goals of care. It is also acknowledged that Risk Assessments have been developed, however in line with the development of care planning, ‘risk’ needs to be included as part of the overall support required by the resident. During the Inspection the Proprietors said that they are well supported by local ‘health professionals’, including District Nurses, with the majority of residents registered with the local GP practice. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 10 In discussion with the Proprietors, staff and residents it was evident that focus has been given to ensuring that the resident’s privacy and dignity is upheld in the delivery of care; residents spoken to praised the staff for their attentiveness; one resident whom had recently moved into the Home particularly commented that the staff were ‘very helpful and supportive’. On touring the Home a resident spoken to said she chooses to spend much of her time within her room, which she very much enjoys, engaged in her own personal activities and ‘enjoying the view’. During this Inspection the area of medication administration and storage was partially discussed; appropriate safe storage of medication to be followed up at the next Inspection of the Home; reviewing storage to ensure safe practice (Recommendation from previous Inspection) remains a Recommendation within this report. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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 The residents’ quality of life is enhanced by the activities programme in place, the opportunity for them to voice their views and regular contact that is encouraged with family and friends. EVIDENCE: An ‘activities’ programme has been introduced with a staff member now employed for additional hours particularly for this purpose; activities arranged include ‘relaxation’, card games, quiz’s, ‘exercise with ball games’ and bingo arranged weekly (with the support of a volunteer coming to the Home). In addition regular entertainment is arranged, with a ‘sing –a-long session’, with a visiting singer, approximately every six weeks. Residents meetings are held regularly encouraging the views of residents in all aspects of life in the Home; minutes are kept of these meeting and were seen during the Inspection. As the Proprietors are very much involved in the daily life of the Home, there is regular contact between themselves and the residents, with the Proprietors saying they welcome the views of residents; residents spoken to commented that they were able to make their views heard and felt they were ‘listened to’. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 12 Residents said that family and friends are welcome at the Home to visit and can stay as long as they wish; as a number of residents come from the local area there is generally frequent contact with family members. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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) This section not assessed during this Inspection. EVIDENCE: Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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, 20, 22, 23, 24, 25 & 26 Service users benefit from living in an environment which is clean, well maintained and offers a comfortable lifestyle; however evidence is still to be obtained of the assessment of the premises for specialist equipment, by a qualified person in this field. EVIDENCE: The Home is situated in a very pleasant rural environment, with extensive views over the countryside; there are garden areas and a paddock (with 2 ponies and a donkey) adjacent to the premises, for the enjoyment of residents. The Home is well maintained and on touring the premises was noted to be kept to a good standard of general cleanliness and free from any unpleasant odours. Within the Home there is a choice of communal areas, the Home having two sizable lounges with comfortable furnishings and dining area. Residents’ bedrooms are all individual in appearance, with the majority having very pleasant views; they were noted to be nicely furnished with many Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 15 personal items having been brought with the resident on moving into the Home. In discussion with residents and staff it is evident that the resident’s bedroom is seen as very much their own personal space; residents spoken to said that they are able to use freely all the communal areas of the Home and to go to their own room as they choose; it is acknowledged that for some residents a ‘risk assessment’ has been undertaken for the use of stairs/lift and that the outcome maybe that staff assistance is required in managing these areas. During this Inspection evidence was not able to be obtained that an assessment of the premises for specialist equipment has been undertaken by a qualified person; this remains a Recommendation from the previous Inspection of the Home. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 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) 27, 28 & 30 Residents are now more fully protected by the training that has been undertaken by staff and the increase in staff hours that has been agreed by the Proprietors; however there is a need for staffing levels to be closely monitored so as to ensure that appropriate numbers of staff are on duty at all times to meet the dependency needs of the residents and for NVQ and general care practice training to continue to be supported for the staff team. EVIDENCE: The staff group at the Home has remained relatively stable, with many staff members having worked at the Home for a number of years. Since the previous Inspection of the Home additional staff hours have been agreed (during the early afternoon period on 3 days a week); a member of the Care staff has taken on additional responsibilities for ‘activities’, which is the focus for these additional hours. The Proprietor said that this appears to be working well, however this is to be kept under review, with staffing levels in general to be closely monitored to ensure the dependency needs of all residents as identified are met. Training is an area that has been focused upon since the last Inspection, with staff having responded well to undertaking the necessary training; evidence was gained that staff members have undertaken training in areas of ‘First Aid’, ‘Food Hygiene’, ‘Moving & Handling’, ‘Fire Safety’, ‘Infection Control’ and ‘Medication Awareness’. The Proprietors are supporting staff to undertake NVQ training at Level 2, with confirmation given that four staff have now completed this training, with a further six members currently studying at this level. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 17 Advice was given to the Proprietors in relation to devising a ‘training matrix’ for easy reference of training undertaking by staff; a Recommendation is made in this report in relation to the continuation for staff to be supported to undertake a broad range of care practice training courses and NVQ training. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 18 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, 33 & 36 Residents are not fully safeguarded due to the need for the Proprietors to keep themselves fully up to date with additional/refresher training, including NVQ training at the appropriate level. There is a need for a more formalised Quality Assurance system to be introduced. EVIDENCE: The Home is managed directly by the Proprietors on a day to day basis; it is acknowledged that the Proprietors have many years experience in caring for Older people and in running a Care Home; however there is a need as discussed with the Proprietors to keep up to date with their own training, either as new or refresher, training. The need for training in Supervision skills (supervision to have a broader remit) was particularly highlighted as well as the need to develop an understanding of staff ‘Appraisals’ and their implementation into the workings of the Home. Mr Ong has commenced studying for a NVQ at Level 4; a Recommendation has been made for this level Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 19 of training to continue as well as other relevant training in managing a Care Home. In the day to day life of the Home, the Proprietors have regular contact with the residents; a residents meeting is organised with minutes kept of these meetings. It is evident that the views of residents are sought, however it is recommended that a more formalised Quality Assurance system be introduced, with the possible use of Questionnaires to seek the views of both residents and their relatives/visitors to the Home, with a collated record then to be kept of feedback obtained. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 20 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 x 2 3 3 3 3 STAFFING Standard No Score 27 2 28 2 29 x 30 2 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 2 x x 2 x x Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 21 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 7 Regulation 15(1) Requirement Care Plans to be developed to clearly outline the daily care and support required by the resident, including aims and goals of care; Risk assessments to be developed further linking with identified ares of care and support. Timescale for action 31st Oct 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. 3. 4. 5. 6. Refer to Standard 9 22 27 28 30 31 Good Practice Recommendations Appropriate storage of medication to be reviewed and changes required to be implemented. It is recommended that an assessment of the premises for specialist equipment is undertaken by a qualified person. Staffing levels to be closely monitored in accordance with the dependency needs of the residents. It is recommended that staff continue to be supported to undertake NVQ training. It is recommended that staff continue to be supported to undertake a broad range of care practice training. It is recommended that relevent training is undertaken by the Proprietors to assist them in their day to day management of the Home; this to include NVQ training. H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 22 Chimnies Residential Care Home 7. 8. 33 36 It is recommended that a formalised quality assurance system be implemented, use of questionairre etc. It is recommended that training in supervision skills be undertaken by the Proprietors; an annual staff Appraisal to be introduced. Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent. ME16 9NT 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 Chimnies Residential Care Home H56-H06 S29262 Chimnies V232966 020805 Stage 4.doc Version 1.40 Page 24 - 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. 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