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Inspection on 14/11/05 for The White House

Also see our care home review for The White House for more information

This inspection was carried out on 14th November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This was a positive inspection of a family-run residential home providing a comfortable and homely environment. Meals were varied, well balanced and offered choice. Residents spoken to said they were happy with the care they received and praised the staff for looking after them so well. One relative wrote to the inspector: "Every time I visit Dad, which is most days, he always looks smart, always looks happy................... We are always made to feel welcome, and have peace of mind knowing Dad is so well cared for."

What has improved since the last inspection?

As recommended in the last inspection the home has introduced a system to collate and analyse accidents. Several areas throughout the home have benefited from being re-carpeted. The provision of a free-view television and DVD player in the main lounge provides additional entertainment and stimulation for residents.

What the care home could do better:

Of the 12 standards assessed during this inspection only one was not met. The registered manager does not hold an appropriate care or management qualification, although he is currently working towards gaining them. To meet the standard he must achieve a qualification at NVQ level 4 in both management and care.

CARE HOMES FOR OLDER PEOPLE The White House High Street Brotton Saltburn-by-Sea TS12 2PJ Lead Inspector Ray Burton Unannounced Inspection 14th November 2005 11:30 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 White House DS0000000094.V251634.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. The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The White House Address High Street Brotton Saltburn-by-Sea TS12 2PJ 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) 01287 677106 Mrs A Jackson Mr R Jackson Mr R Jackson Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd June 2005 Brief Description of the Service: The White House is a two storey detached Victorian house converted for use as a care home in 1985. The building stands in extensive private gardens and occupies an elevated site set well back from the road. The home is within easy reach of local community facilities and is accessible to public transport. Accommodation is provided in twelve single and two double bedrooms, none of which have en-suite facilities. The main lounge, affording a pleasant view of the gardens, is appropriately furnished and contains television, music, books etc. A second lounge is a designated smoking room. The dining room also overlooks the garden. The home is registered to provide residential care for 16 persons over the age of 65 years. The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 14th November 2005 and lasted three hours. It was the second of two statutory annual inspections required by the Care Standards Act 2000. A tour of the building was conducted and documentation examined. The inspector spoke to six residents and interviewed the registered provider, manager and one member of staff. What the service does well: What has improved since the last inspection? As recommended in the last inspection the home has introduced a system to collate and analyse accidents. Several areas throughout the home have benefited from being re-carpeted. The provision of a free-view television and DVD player in the main lounge provides additional entertainment and stimulation for residents. The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The White House DS0000000094.V251634.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 The White House DS0000000094.V251634.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): 3,4 Residents and their relatives were able to visit the home and were given sufficient information to enable them to make an informed choice about the suitability of the home. The homes assessment procedure ensured that no one would be admitted unless their needs could be met. EVIDENCE: There had been only one admission to the home since the last inspection in June 2005. Examination of the care plan of the resident concerned showed that prior to admission a social work assessment had been received and staff from the home had conducted their own assessment to determine if the prospective resident’s needs could be met at the White House. It was recorded that the gentleman and his family had visited and spoken to residents and staff before reaching a decision whether or not the home was suitable for his needs. The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 9 The personal file was comprehensive and provided a clear and up-to-date picture of the resident, his likes/dislikes and needs including medical. There was information about specific medical conditions, the signs and symptoms indicating a problem and specific instructions to staff about the course of action to be taken. The home does not provide intermediate care, therefore Standard 6 does not apply. The White House DS0000000094.V251634.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): These standards were assessed during the inspection conducted on 3rd June 2005. EVIDENCE: The White House DS0000000094.V251634.R01.S.doc Version 5.0 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): These standards were assessed during the inspection conducted on 3rd June 2005. EVIDENCE: The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 12 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): These standards were assessed during the inspection conducted on 3rd June 2005. EVIDENCE: The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 13 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): The environmental standard was good, providing residents with an attractive and homely place in which to live. EVIDENCE: These standards were assessed during the inspection conducted on 3rd June 2005, however a walk around the home during this inspection indicated a pleasant and relaxing environment that was well maintained, clean, hygienic and free from offensive odours. Bedrooms were pleasant, individually decorated and had been personalised by the inclusion of small items of furniture and effects brought from the occupants own home. New carpets had been provided in the communal areas of the home and a Free-view television and DVD played had been installed in the main lounge. The White House DS0000000094.V251634.R01.S.doc Version 5.0 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 The home had a suitable recruitment policy & procedures and employed staff in sufficient numbers to meet residents needs. Members of staff were encouraged to undertake training. EVIDENCE: Observation during the inspection and examination of staffing rosters indicated that adequate numbers of staff were on duty at all times to ensure residents assessed needs would be met. The homes recruitment procedure ensured all necessary checks, including Criminal Records Bureau, were conducted and two suitable references received prior to confirmation of employment. Three personnel files were examined, each contained evidence that all necessary procedures had been carried out. Staff records and conversation with the manager and a member of staff revealed an appropriate induction programme was in place for new employees and that all members of staff were encouraged to take part in on-going training. Recently completed courses included: Infection Control, First Aid, Fire Safety. In addition the home had 60 of its staff qualified to at least NVQ level2. The White House DS0000000094.V251634.R01.S.doc Version 5.0 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): 31,33,35,36,37,38 The home was well managed and had policies, procedures and records in place to ensure the health, safety and welfare of residents. EVIDENCE: The manager was able to demonstrate an understanding of the management issues relating to the running of a care home and of the needs of older people. Although he does not hold an appropriate care or management qualification he is currently undertaking training leading to the NVQ 4 in Management. The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 16 Records were kept to safeguard residents rights and best interests. Policies and procedures to cover all aspects of their health, safety and welfare were in place and regularly reviewed. Staff supervision records evidenced that each member of staff received regular formal supervision and an annual appraisal. Residents financial affairs were dealt with by a designated representative, generally a family member, and only small amounts of cash were handled by the home. Any money or item of value held for safekeeping on behalf of residents was stored securely and appropriate records maintained. Six residents were spoken to during the course of the inspection, all expressed satisfaction with the running of the home and said they found the manager and staff very friendly and helpful. Comments received from residents included: • • • • “I have never been so well looked after in all my life.” “I am well cared for, have a lovely room and nothing is a trouble to the staff.” “I have a nice bedroom and enjoy sitting in it and looking out at the garden.” “I have gained weight due to the excellent food.” The White House DS0000000094.V251634.R01.S.doc Version 5.0 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 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 3 3 3 The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 9(2)(b)(i) Requirement The registered manager must hold an appropriate care and management qualification at NVQ level 4 or equivalent. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 White House DS0000000094.V251634.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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