Inspection on 09/02/06 for Chimnies Residential Care Home

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Chimnies Residential Care Home 18/12/06

Chimnies Residential Care Home 02/08/05

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 Kent ME3 9BL Lead Inspector Jo Griffiths Unannounced Inspection 9th February 2006 1:00 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 Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 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 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) Mr Kim San Ong Mrs Marilyn Janet Ong Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 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 an en-suite bathroom. 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 DS0000029262.V283139.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between 1.00pm and 5.30pm. The owners were present and gave feedback on the progress since the last inspection. For the purpose of this report the people living at Chimnies have been referred to as the residents of the home. A tour of the building was undertaken, some staff and residents spoken with and some records inspected. 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. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Prospective residents are given the information they need about the home and are invited to visit prior to moving in. They have their needs assessed and know that these can be met by the home. Residents have a contract for their care. EVIDENCE: The Statement of Purpose and Service User Guide provides residents with the information they need to make a decision about moving to the home. They are able to visit to assess the home and meet other residents before moving in. The home does not provide any intermediate care and therefore standard 6 is not applicable. Residents have a full assessment of their needs to ensure they can be met by the home. Residents’ needs are well met and those spoken with confirmed that their agreed care plan is being met. Each resident has signed a contract with the home for their care, this outlines the terms and conditions of their stay. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Residents have a care plan that meets their needs. They have their health needs met by the primary care team and they are supported to manage their medication safely. Residents feel they are treated with respect and their privacy and dignity is maintained. EVIDENCE: Each resident has an individual plan for his or her care. These have been developed since the last inspection and are now detailed and easy to follow. They are reviewed at least monthly, but it is recommended that the actual care plan document be updated to reflect any reviews. Residents are involved in drawing up their care plan and one said that they had a copy in their rooms. It is recommended that the daily record document be signed. The Primary Care Team meets residents’ health needs. Residents are registered with a GP of their choice. The GP, dentist, optician, district nurse and chiropodist visit the home. Records are kept of all visits by health professionals. It is recommended that residents’ weight be monitored particularly where there is a concern about appetite. The owner has sought advice from the district nurse and continence nurse where appropriate. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 9 Residents’ medication is stored and administered safely. Records are accurate and well maintained. It is recommended that where handwritten entries are made on the M.A.R sheet these be counter signed. Residents spoken with said that they felt their dignity was maintained and said that the staff were respectful. Comments included “the staff are very kind and caring, they could not be better here”. Residents can use a telephone in private if they wish and said that their mail arrives unopened for them. There are locks on bedroom and bathroom doors to promote residents privacy. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents enjoy fulfilled and interesting lives and are supported to maintain contact with family and friends. They enjoy a varied menu and are supported to exercise choice in their lives. EVIDENCE: A timetable of activities is displayed in the home including bingo, quizzes, games and sing-a-long. During the inspection most residents were taking part in a game of bingo. All the residents spoken with said they were happy with the activities available and were able to choose whether to join in. Most residents have a television in their room and there were 3 televisions in the communal areas. Some residents have a newspaper delivered daily and there were books for residents use. Residents said they can receive visitors when they choose and see them privately in one of the lounges or their own room. A number of visitors were at the home during the inspection. Residents said that they can choose when to get up and go to bed. There is a 2 week menu planned for the residents although the owner described how this can be flexible to accommodate seasonal foods and residents requests. There is a choice of two meals at dinner and supper and records showed a balanced diet was provided. The residents said they enjoyed the food and always had sufficient. They can ask for snacks, tea or coffee at any time and there were bowls of fruit placed in the lounges. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Residents know how to make a complaint and know that their concerns will be taken seriously. They are protected from abuse but would be further safeguarded if staff were trained in the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure and residents have been issued with a copy of this. Residents spoken with said they knew how to make a complaint if they needed and felt comfortable to do so. There have been no formal complaints received by the home recently and any minor concerns or requests were seen to have been addressed appropriately through the residents meetings. A policy for the protection of vulnerable adults is in place and staff are made aware of this through their induction and supervision. However it is recommended that staff undertake training in adult protection to further ensure that residents are protected. There have been no referrals under the POVA scheme. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Residents live in a well maintained, comfortable and safe home. They have plenty of private and communal space and access to sufficient bathroom facilities. The home is kept clean and meets the needs of the residents. EVIDENCE: Residents are accommodated in single bedrooms and have access to sufficient bathroom facilities, including assisted baths. There is a mobile hoist and a fixed ceiling hoist for use by residents. Residents have access to 2 large lounges and a spacious dining room. All areas of the home are well maintained and furnished to a high standard. The home was generally very clean and hygienic, although it was noted that there was a slight unpleasant odour in one bedroom carpet. Residents said the home is always clean. It is recommended that paper towels be introduced for staff use in bathrooms. The owner confirmed that residents hand towels are washed daily as a minimum. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 13 The home was warm and lit appropriately for the needs of the residents. Radiators have been covered to protect residents. Chimnies has a homely feel with comfortable seating and décor and books, pictures, televisions and radio in the communal areas. There is a shaft lift for residents to get to the first floor. Residents spoken with said they were happy with their rooms and had all the furniture they needed. Most commented on the lovely views from the bedroom windows. Residents can access a large safe garden that has a decked seating area with views of the adjoining paddock. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Residents are safely supported by sufficient numbers of qualified staff. They would benefit from further training for staff and tighter recruitment procedures to further protect them. EVIDENCE: There are sufficient staff on duty to meet the needs of the residents and there is always a senior carer on shift. Residents spoke highly of the care staff and said they were caring and respectful. They also confirmed that staff respond quickly to the call bells and are accommodating of their needs. Over 50 of care staff have achieved or are working toward their NVQ award. Most staff have completed training in areas of health and safety and senior staff have undertaken training in medication. It remains a recommendation that the owner introduces a training matrix in order to easily monitor staff training requirements and when updates are needed. This standard can then be inspected in further depth at the next inspection. It is recommended that staff undertake training in adult protection. The Owners were advised of the need to introduce a full induction for new staff and it was recommended that they contact “Skills for Care”, the national training organisation, for advice on this. Not all staff files contained a CRB disclosure applied for by the owners. There is a low staff turnover rate at the home leading to stability in care for the residents. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 Residents benefit from a home run by experienced and competent owners, but would further benefit from the owners undertaking a management qualification. Residents are regularly consulted on their views of the home. Residents health and welfare are protected and their finances are kept safe. They are protected by the homes policies and procedures. EVIDENCE: The owners manage the home between them on a daily basis. They have not undertaken any the appropriate management qualifications yet. This must be arranged if they plan to continue to manage the home without employing a Manager. Residents spoken with said they felt the owners were approachable and the staff said they felt well supported. Regular supervision sessions have taken place. Residents views of the home are sought regularly. They have meetings in the home every 3 months and these are recorded. Evidence was seen of where Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 16 residents comments had been acted upon. Surveys are sent out annually to residents and their relatives and the comments collated and displayed on the notice board. The owner was advised that a copy of any quality review of the home should be sent to CSCI. There are clear policies for staff to work to for the protection of residents. Those relevant to residents have been included in the Service User Guide that is displayed in each bedroom. Some residents deposit money with the home for safekeeping. Where this occurs its is recommended that the records of this are signed by 2 members of staff. Risk assessments have been completed for residents and there were no immediate risks to residents health and welfare at the time of inspection. Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 17 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 2 8 2 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 2 3 4 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 3 2 3 Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 18 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 OP18 Regulation 13(6) Timescale for action The registered person shall make 31/05/06 arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. In that, All staff must undertake training in the protection of vulnerable adults. 2 OP26 16(2)(k) The registered person shall having regard to the size of the care home and the number and needs of service users keep the care home free from offensive odours. In that, carpets must be cleaned to remove unpleasant odours. 3 OP29 19(1)(b) The registered person shall not employ a person to work at the care home unless subject to paragraphs (6), (8) and (9), he has obtained in respect of that person the information and documents specified in DS0000029262.V283139.R01.S.doc Requirement 28/02/06 01/03/06 Chimnies Residential Care Home Version 5.1 Page 19 paragraphs 1 to 9 of Schedule 2. In that, a CRB disclosure must be applied for in respect of all members of staff following the guidance from the Criminal Records Bureau. 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 1 2 3 Refer to Standard OP7 OP9 OP15 OP26 Good Practice Recommendations It is recommended that care plans be updated to reflect any reviews that have taken place. It is recommended that any handwritten entries on the MAR sheet be checked and signed by 2 staff. It is recommended that residents weight be monitored and records kept. It is recommended that bars of soap are not used in shared bathrooms to avoid cross infection risks. It is also recommended that paper towels be available for staff use in bathrooms. It is recommended that the staff induction be to the standard of the National Training Organisation (currently Skills for Care). It is recommended that the owner completes an NVQ level 4 in Management if a Manager is not appointed to the home. It is recommended that the daily record be signed by the person completing it. It is also recommended that 2 people sign entries in residents’ financial records. 4 5 6 OP30 OP31 OP37OP35 Chimnies Residential Care Home DS0000029262.V283139.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 DS0000029262.V283139.R01.S.doc Version 5.1 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. You have been warned!