Inspection on 09/05/06 for The Chestnuts Care Home

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Chestnuts Care Home 07/09/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Chestnuts Care Home St Peters Road Arnesby Leicestershire LE8 5WJ Lead Inspector Kim Cowley Unannounced Inspection 9th May 2006 11:00 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 The Chestnuts Care Home DS0000064773.V292449.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. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Chestnuts Care Home Address St Peters Road Arnesby Leicestershire LE8 5WJ 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) 0116 247 8672 0116 247 8672 Chestnuts (Arnesby) Limited Mrs Priscilla Hazel Squires Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Where there are 15 people accommodated in the home within the category of OP, no further persons may be admitted under this category. N/A Date of last inspection Brief Description of the Service: The Chestnuts is a 15-bedded home for older people situated in the village of Arnesby. The accommodation is a detached period property. On the ground floor there is a large beamed L-shaped lounge and a beamed dining room. There are 11 single bedrooms and two doubles on the ground and first floors. The home overlooks Arnesby village green and is close to the local post office. Patio gardens with seating areas surround the home. Weekly buses run through Arnesby to Leicester and Market Harborough. The fees range from £264 to £422 per calendar month. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the Manager and staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home including health and safety and management issues, were inspected. Four other residents, two members of staff, and two visitors were also interviewed. The food and the staff team were commended. What the service does well: This was the home’s first inspection under the new Owner who took over in December 2005. Residents who live at the Chestnuts can expect a homely environment with good quality care given by friendly and experienced staff. The home is well decorated and maintained, clean, and fresh. Residents are well turned out and appear happy and contented. All residents interviewed praised the premises, the staff, and the food. Comments included, ‘This is a good place and I’m happy with everything’, and ‘It’s lovely here and I’m very pleased with the care I get.’ One relative said, ‘My (relative) is very happy here. This home has a family feel to it and all the residents, staff and visitors get on well. ’ The home has a full-time cook who has worked at the home for 11 years. Healthy eating is encouraged and most food served is homemade. Shopping is done in the village and at local supermarkets and local produce is purchased. Residents made many positive comments about the food including, ‘The food’s very good’, and ‘The food is nicely presented.’ A visitor said, ‘The food is all homemade, including the cakes. It looks very nice indeed and my (relative) is very pleased with it.’ The food is commended. The staff team is established (three have been at the home for 14 years) and turnover is low. This means residents have continuity of care and get to know the staff well. The Manager said, ‘Everything is good about my staff team. They’re supportive, loyal and committed. And every single one of them is The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 6 caring and sensitive to the residents’ feelings.’ All residents interviewed praised the Manager and staff and the following comments were made, ‘Cilla is the greatest manager in the world’, and ‘We couldn’t have a better staff team.’ Staff members were observed as being warm and professional and to have excellent relationships with residents and visitors. They are commended for their work. 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. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: The Manager or her Deputy assesses all potential residents in their own homes or in hospital. Assessments are recorded and include the views of residents, their families, and any other carers. Visits to the home are encouraged and residents can come for a meal or stay overnight depending on their wishes. Some come for respite prior to moving in. One relative said, ‘This home was recommended to us by a friend. We looked at three and this one turned out to be the best.’ The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Health and social care professionals help residents to maintain and improve their physical and mental health. EVIDENCE: Care plans set out residents’ needs and give instructions to staff on how best to meet them. Risk assessments are included. Records showed that care plans are regularly reviewed and updated. In discussion carers demonstrated a good understanding of residents’ needs. Care records showed that residents’ care health needs are monitored and there is input from GPs, District Nurses, and other health care personnel where necessary. GPs hold a surgery opposite the home once a week. Private chiropody is available in the home for £8.00 per session. Medication is administered by senior carers who have been trained in-house administer this. There are written procedures for staff to follow when carrying The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 10 out this task. The home’s contract pharmacist provides advice and training to the staff on request. Staff attitudes towards residents were seen to be good. Staff were respectful to residents, and patient and professional when requests were made to them. One resident commented, ‘I get up and go to bed when I want’, and another said, ‘I do my own thing here. No-one tells me what to do.’ A visitor said, ‘ If my (relative) wants to she can get up at ten and have her breakfast then.’ The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15 The quality outcome for this area is good. This judgement has been made using the available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. EVIDENCE: Residents are offered a range of recreational and social activities including: Armchair aerobics Old time sing-a-longs Bingo Coffee mornings Trips out round the village Visits to local fetes Church attendance Good relationships were observed between visitors and staff. The Manager said, ‘We keep in close contact with relatives and tend to get to know them well.’ One visitor said, ‘We are offered tea and cakes when we visit and are always made very welcome.’ The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 12 The home has a full-time cook who has worked at the home for 11 years. Healthy eating is encouraged and most food served is homemade. Shopping is done in the village and at local supermarkets and includes local produce. During the inspection a meal was served consisting of roast lamb, carrots, cabbage, roast and boiled potatoes, served with gravy and mint sauce. Dessert was rhubarb crumble and custard Residents made many positive comments about the food: ‘The food’s very good. ‘ ‘I used to have eggs for breakfast but then I wanted a change so I now have bran flakes. We always have a choice at meals.’ ‘The food is nicely presented.’ A visitor said, ‘The food is all homemade, including the cakes. It looks very nice indeed and my (relative) is very pleased with it.’ The food is commended. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: The home has a complaints procedure that is made available to residents and visitors and displayed in the entrance hall. The Manager said, ‘The residents would tell us if they weren’t happy and we generally have very good relationships with them. Also this is a small home and staff notice if a resident seems down. We talk a lot to the visitors too and they know we are happy to discuss anything with them. The home has a ‘Vulnerable Adults’ procedure in place. This is basic and does not explain to staff what to do if abuse is suspected. It would benefit from being re-written so that staff have clear instructions to follow. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is safe and well maintained. EVIDENCE: The accommodation is a detached period property. On the ground floor there is a large beamed L-shaped lounge and a beamed dining room. There are bedrooms on the ground and first floors. The home overlooks Arnesby village green and is close to the local post office. Patio gardens with seating areas surround the home. Weekly buses run through Arnesby to Leicester and Market Harborough. One relative commented, ‘This home looks like a small hotel. It is always clean and tidy and a pleasure to visit.’ A resident said, ‘I’ve got a lovely bedroom.’ The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 15 The home employs a part-time cleaner and a maintenance man. All areas inspected were well decorated, furnished and maintained, and clean and fresh. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets residents’ needs. EVIDENCE: Staff employed include the Manager, her Deputy, nine carers, a cook, a cleaner, and a maintenance man. There are two staff on duty during the day and one waking member of staff at night, with another member of staff on call. The Manager said, ‘Everything is good about my staff team. They’re supportive, loyal and committed. And every single one of them is caring and sensitive to the residents’ feelings.’ The staff team is established (three have been at the home for 14 years) and turnover is low. This means residents have continuity of care and get to know the staff well. Staff receive good supervision and training opportunities and recent courses attended include NVQs, Moving and Handling, First Aid, Basic Food Hygiene, and Safety and Compliance. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 17 All residents interviewed praised the Manager and staff and the following comments were made: ‘Cilla is the greatest manager in the world.’ ‘The staff are easy going.’ ‘The staff are so nice.’ ‘We couldn’t have a better staff team.’ Staff members were observed as being warm, friendly and professional and to have excellent relationships with residents and visitors. They are commended for their work. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Manager has been in post 14 years. She has just started her NVQ Level 4 Registered Managers Award. Her Deputy is studying for NVQ Level 3 in Care. The Manager said, ‘I want the Chestnuts to be as homely as possible. The care is good because I expect high standards from my staff. As Manager I lead by example and work alongside my staff carrying out care tasks. I am on call 24/7 and if needed I will come out to the home no matter what. This home is very friendly and many local people often drop in to see us.’ The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 19 As the home is small the Manager and staff talks to all residents individually every day and asks them for their views about the service. The Manager said, ‘Every Sunday night I sit and watch television with the residents. We all have a glass of sherry and some crisps and we talk. If residents have any comments or concerns this is when they tend to raise them.’ Staff will look after small amounts of cash for residents with appropriate records kept. Radiator covers are due to be fitted in the home and documentation was produced to demonstrate that this work will start on 22.05.06. These will reduce the risk of scalding in the home. Records showed that policies and procedures are in place to protect the health, safety and welfare of residents and staff in the home. The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 The Chestnuts Care Home DS0000064773.V292449.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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