Inspection on 07/06/06 for The Chase Care Centre

This inspection was carried out on 7th June 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

The Chase Care Centre 11/07/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Chase Care Centre Whippendell Road Watford Hertfordshire Lead Inspector Alison Jessop Key Unannounced Inspection 7th June 2006 10:00 X10029.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 The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. 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. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chase Care Centre Address Whippendell Road Watford Hertfordshire 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) 01923 232307 manager.chase@lifestylecare.co.uk Lifestyle Care PLC Mrs Mary Hagon Care Home 110 Category(ies) of Dementia - over 65 years of age (61), Old age, registration, with number not falling within any other category (80), of places Physical disability (30) The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection since registration. Brief Description of the Service: The Chase Care Centre can provide accommodation to 110 service users. A 20bed living unit on the ground floor will be dedicated to younger adults who have a physical disability or head injury. A 10-bed living unit on the ground floor is for service users who are physically disabled under the age of 65 requiring nursing care, and can be accessed separately. The first floor will accommodate 40 older people who require nursing care who have dementia; the floor will be divided into two separate living units accommodating 19 and 21 service users. The second floor accommodates 40 older people who require nursing care. A 21-bed living unit for older people who have dementia and a 19-bed living unit for older people who have a physical frailty. Each unit has a separate communal lounge, kitchen diners where there are facilities for service users and visitors to prepare refreshments. Each unit has assigned rooms specifically for activities, with the provision of a quiet room. There is also a snoozlen and gym. The home has a large enclosed garden, this will enable service users to utilize the grounds safely. Closed circuit television is in situ and is discreetly positioned over the main entrances to the home. The home has plenty of storage space and the laundry and kitchen are sited away from service users’ bedrooms. Staff accommodation and a training room are situated on the second floor and is not accessible to service users. The home is located close to Watford town centre and is fully accessible by public transport services. The weekly charges range from £513 to £1500. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection since registration and was carried out by two Regulatory Inspectors. Out of 110 beds, only 27 are currently being utilised. A very gradual admission process has been adopted in order for staff to become familiar with their team, surroundings, policies and procedures and new service users. The unit for younger adults who have physical disabilities had been open only two days. The atmosphere in the home was very relaxed and feedback from service users, staff and visitors was very positive. What the service does well: What has improved since the last inspection? The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 6 This was the first inspection since registration. 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. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 (OP) & 2 (YA) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. EVIDENCE: The manager and/or deputy manager carries out a comprehensive assessment of needs prior to a service user being accepted into the home, ensuring that their needs can be met. The manager stated that she has refused referrals as she did not feel that the home could meet the person’s needs. This reflects highly as the home is currently largely under occupied. The home does not currently provide intermediate care. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 (OP) & 6, 9, 16, 18, 19 & 20 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plan is used as a working tool and is understood by all staff. It is written in clear language and can be used in an emergency by people who are not familiar with its content. Residents’ personal aids are well maintained and the home provides the necessary aids and equipment to support both staff and residents in daily living. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 10 EVIDENCE: The majority of service users had a comprehensive care plan, which was easily accessible. A number of service users did not have a care plan as they have been recently admitted, however staff were able to access comprehensive needs assessments to gain information about service users. It is required that all service users care plans are in place upon admission to the home. Care practice observed was sensitive and dignified, one carer was observed sharing a laugh and a joke with one of the younger adults, which appeared to be a nice interaction. Although pressure areas were being evaluated, each pressure sore in the same area had not been individually evaluated and recorded. Procedures relating medication were generally satisfactory however a couple of small issues were identified. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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 (OP) & 12, 13, 15 & 17 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff resources are provided to allow time for activities and stimulation. Family and friends feel welcome and know they can visit the home at any time. Service users have the choice to bring a limited amount of small goods with them on admission to the home and are encouraged to keep personal items, which are important to them in their own room. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 12 EVIDENCE: The activity co-ordinator was busy organising activities, service users stated that they are offered a range of activities each day. Activity records are maintained and service user responses are also recorded. The manager stated that the home will employ a second activity co-ordinator, they can then be allocated to the younger adults and older persons units. A menu has not yet been planned, this is due to the small number of service users and arrangements with the food supplier have not yet been finalised. All service users were offered Chicken, potatoes and mixed vegetables. Sandwich’s were available as an alternative. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 (OP) & 22 & 23 (YA) Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that meets the national minimum standards and regulations. The outcomes from referrals are satisfactorily managed, however outcomes are not recorded. EVIDENCE: Two complaints have been received, one was raised by a home finder in relation to charges for extra equipment and another from a relative in relation to charges, which was passed to ACS as it was in relation to funding arrangements. This complaint also included a concern about the home, however the home has not responded to this. Although complaints had been recorded, outcomes had not. Staff stated that they are aware of the Whistle Blowing procedure and had an awareness of Adult Protection Procedures. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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 (OP) 24& 30 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rooms are very well planned and have on-suite facilities and are above the average size. The fixtures and fittings are of a high quality, well maintained and can be adapted to meet the wishes of the present resident. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private or in their own rooms. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 15 EVIDENCE: The home is clean, bright and attractively decorated and offers a homely atmosphere. Bedrooms that are occupied have been personalised. Communal areas are spacious and there is plenty of storage space. The garden is safe, accessible area for all service users and raised flower beds have been added which can offer gardening opportunities to service users. The manager stated that garden furniture has been ordered. During the inspection a number of service users were observed enjoying the warm weather and were offered the opportunity to join in with art and crafts. A number of outstanding snagging items are being resolved each day and a file of any maintenance issues is kept in reception, which staff complete if they identify problems. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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 (OP) 32, 34 & 35 (YA) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service sees induction and any probationary period as being an extension of recruitment. EVIDENCE: The manager stated that staff levels are currently higher than is required however she would like staff to be able to settle and be able to familiarise themselves with their team, the environment, policies & procedures and new service users. All staff receive a comprehensive induction and mandatory training prior to working with service users. The training room offers an excellent facility to enable this and the manager and deputy are accredited trainers. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 17 Records pertaining to recruitment are satisfactory and are very organised. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 33, 35 and 38 (OP) 37, 39 & 42 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualification/s and experience and is competent to run the home. She works to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is focused The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 19 and leads and supports a strong staff team who have been recruited and trained to a high standard. EVIDENCE: For those service users who do not wish to or are unable to manage their own finances, the home holds an account and items required are paid for using petty cash. This is later deducted from the individual service users account. Service users and/or their representatives receive a statement once a month, which lists income and expenditure. Staff sign when petty cash taken and receipts are maintained along with staff signatures. A formal quality assurance system has not yet been set up, however the first residents/relatives meeting has been arranged. The manager of the home carries out internal audits of care plans to ensure they are reviewed. The temperature in a number of bedrooms exceeded 30°C. Although all rooms have thermometers, regular monitoring of room temperatures must occur and temperatures must be maintained within appropriate levels. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 4 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 2 The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 21 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 OP7 YA6 Regulation 15(1) Requirement Service user care plans and risk assessments must be available to staff immediately following admission. Evaluation and treatment of individual pressures sores must be recorded separately. Outcomes of complaints must be fully recorded. Room temperatures must be maintained within comfortable parameters, a risk assessment must be carried out in relation to hot temperatures and hydration. Timescale for action 30/06/06 2. 3. 4. OP8 OP16 YA22 OP38 YA42 13 (4)(c) 22(3) 13(4)(c) 30/06/06 30/06/06 30/06/06 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 The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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. The Chase Care Centre DS0000066163.V300607.R01.S.doc Version 5.2 Page 23 - 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!