Inspection on 28/11/05 for Chirnside House

This inspection was carried out on 28th November 2005.

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

Chirnside House 21/05/07

Chirnside House 27/03/06

Chirnside House 21/03/05

Chirnside House 01/02/05

Chirnside House 01/03/04

Chirnside House 02/12/02

Similar services:

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Chirnside House Abbeyfield Close Scotforth Road Lancaster Lancashire LA1 4NL Lead Inspector Mrs Gwen Miller Announced Inspection 28th November 2005 10:00 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 Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 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. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chirnside House Address Abbeyfield Close Scotforth Road Lancaster Lancashire LA1 4NL 01524 541720 01524 541726 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) Abbeyfield (Lancaster) Society Mrs Susan Gail Graves Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate a maximum of 30 Service users in the category OP (older persons over the age of 65) 21st March 2005 Date of last inspection Brief Description of the Service: Chirnside House is a residential home situated on the outskirts of the City of Lancaster and close to local amenities of Scotforth. The Home is part of the Abbeyfield Society and can accommodate up to 30 older people of both sexes and offers a homely environment in an informal atmosphere. The Home has a philosophy of care which includes encouragement of independence whilst providing personal care where needed. All bedrooms in the Home are ensuite and of good size with good standard of furnishings. Residents are encouraged to bring their own furniture and personal items. There are 3 lounge areas plus a designated smoking room. The dining room is spacious and allows all residents to be seated at one time, although meals may be taken in the privacy of ones own room. Activities are offered within the Home and outings are arranged. Information about the Home includes an invitation to visit for a meal or for a day or stay on a trial basis. The home has a very good standard of furnishings and fittings throughout, both the interior and the exterior of the home are very well maintained. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over two half days. The inspection was carried out with Sue Graves, the manager . The inspector spoke with nine residents, relatives, and two staff members on duty. 14 comment cards were received from relatives and residents. Comments were received by telephone from three other relatives. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of three residents, was carried out. The manager completed a pre inspection questionnaire. about the home. Time was spent observing the workings of the home and how staff members supported residents. The inspection included a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: Although the home provides good information for residents and their families, it was clear from comments received by the inspector, that some individuals are unsure about the role of care staff at Chirnside House. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 6 Mrs Graves has suggested she meets with relatives or sends further information to them to clarify this matter. This would be most helpful. 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. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 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 the following standard(s): 1, 2, 3, 5 The home has a detailed assessment that is carried out for all residents to ensure that the care needs of residents are met. Prospective residents are encouraged to stay at Chirnside House for short periods of time to see if they like it, before making a decision to make it their home. EVIDENCE: Chirnside House has produced well written information which gives prospective residents some idea of what it would be like to live at the home. All residents and relatives spoken with said they had the opportunity to visit the home, spend a short stay or a day visit, to give them more information, before making any decision to make Chirnside House their home. Case tracking showed that residents are given a written contract/ statement of terms and conditions of the home Case tracking and resident’s care files showed that very detailed assessments of the physical, intellectual. emotional and social needs, of each resident, have Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 9 been completed so the manager of the home is able to decide whether or not Chirnside House is the right place for the individual person. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 10 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, 10 There is a clear and consistent care planning system in place to provide staff with the information they need to satisfactorily meet the resident’s needs Personal support is offered in this home in such a way as to promote resident’s dignity, privacy and independence EVIDENCE: Care plans are formed from assessments, these detail the care each resident needs, both during the day and at nighttimes. Care plans and reviews are agreed and signed by each resident and the carer involved in their care, these are kept in resident’s bedrooms All care staff are made aware of plans so that everyone works in similar fashion and towards the same goals All comments cards received from residents confirmed they felt well cared for and that their privacy is respected Residents said that staff knock on bedroom doors before entering and they address residents according to their choice, although most prefer Christian names. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 11 The Abbeyfield Society has a policy for “Privacy and Dignity”, which instructs staff on procedures they must use when providing personal care both in the privacy of resident’s bedrooms and in their bathrooms and toilets. This also includes what staff must do if their assistance is needed during medical examinations and treatments. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 12 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 Social activities and entertainments are well managed, they provide variety and interest for the residents. Relatives and visitors are welcomed to encourage contact with the wider community and maintain relationships. EVIDENCE: Once again during this inspection, residents said they chose when to rise and when to retire to bed. Some residents were still in bed at 10.30am, this was their choice, other residents were seen enjoying a late breakfast in the dining room. Residents choose where to spend time during the day, some prefer the lounge areas, including a smoking lounge, some prefer their own rooms and their own individual television or music, whilst three ladies prefer the chairs in the entrance hall. One lady said she enjoyed seeing who comes and goes at the home. Chirnside House employs an activities organiser, copies of events and activities offered, are placed around the home The pre inspection questionnaire listed activities which are currently available at Chirnside House. These included tia chi, music therapy, music and Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 13 movement, board games, crafts, quizzes, holiday at home, and library books and videos. Activities available in the local community included Probus club, and visits to the local pub. Two residents said they were looking forward to the Christmas activities which includes a visit to the pantomime, Christmas shopping trips, a restaurant meal and a variety of singers and entertainers visiting the home. Six comments cards received from residents said “yes” to the question “does the home provide suitable activities”, three replied “sometimes”. On both inspection dates, visitors were noted throughout the mornings, both in the privacy of resident’s rooms and in the communal lounge areas. All six relative’s comments cards confirmed they were welcomed in the home at any time Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 14 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 The home has a satisfactory complaints procedure with some evidence that residents feel their views are listened to and acted upon. The manager and staff have a good understanding of Adult Protection Issues which protect the residents from abuse. EVIDENCE: All residents spoken with during the inspection, said they knew who to speak with if they were unhappy about any aspect of their care. All comment cards received from relatives confirmed that they were aware of the home’s complaints procedure. Since the previous inspection there have been no complaints received by The Commission for Social Care Inspection. The manager carries out surveys to see if residents are happy with services offered by the home, a recent one was to check if residents were happy with having their main meal of the day in the evening instead of at lunch time. One resident said she was not in agreement with the change and had made her views known. The outcome is that in future, residents will have a choice to eat a main meal at lunch time or later in the day. A good abuse procedure provides all staff with clear instruction on what to do if abuse is suspected, furthermore a good whistle blowing policy ensures all staff feel secure to report any unacceptable practice Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 15 These procedures and policies form a part of staff inductions , copies of these are held in staff files. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 16 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, 26 The standard of the home is very good providing residents with an attractive and homely place to live. EVIDENCE: Chirnside House provides a very high standard of accommodation throughout the home. Recently extended to provide additional bedrooms and larger communal areas, the home caters for residents who choose to spend time in pleasant surroundings both within the home and in the garden areas. All residents spoken with during this inspection, said they were very pleased with their bedrooms, all bedrooms seen were noted to be well personalised to individual choice. The pre inspection questionnaire showed there is a very good maintenance programme for both the interior and exterior of the home. All equipment is serviced up to date. When needed, repairs are carried out with urgency to ensure the comfort of the residents in the home. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 17 A reception office has been placed at the entrance to the home, this is constantly manned to both ensure the safety of residents and to welcome visitors as they enter the home. Chirnside House has a very good cleaning routine throughout, which ensures the environment within the home is always pleasant and odour free. All bedrooms have ensuite facilities which, as with other bathrooms, are cleaned daily or more often if required. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 18 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): This standard will be assessed on the next inspection. EVIDENCE: Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 19 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): 35, 38 The home’s policies and procedures have been developed in such a way as to safeguard the finances and welfare of residents. EVIDENCE: The home’s bursar, Mr Fox, maintains up to date records of charges and payments for each resident, these are kept in a locked office and accessed on a need to know basis only and of course available to the resident concerned. Chirnside House does not act as appointee for anyone, residents decide whether to handle their own affairs or allocate the responsibility to their families or solicitors. The inspector has been provided with a list of each resident’s sponsor or advocate who manages their affairs for them. Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 20 Again on this inspection, by observation and from information provided in the pre inspection questionnaire, the home was seen to be as safe as is reasonably practicable ensuring the Health, Safety and Welfare of the residents and staff. Fire procedures, records and risk assessments are completed and risk assessments carried out in relation to safe working procedures in the home. Staff are provided with training in fire procedures, moving and handling, first aid, food hygiene and infection control. Policies and procedures are in place and included in staff training. Accidents, injuries and incidents are recorded and reported to the Commission for Social Care Inspection Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 21 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 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 3 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 x x x x 3 x x 3 Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chirnside House DS0000009964.V260296.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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