Inspection on 21/06/05 for The White House

This inspection was carried out on 21st June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The White House 28/08/08

The White House 30/10/07

The White House 29/06/06

The White House 27/01/06

The White House 01/02/05

The White House 25/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The White House 1 Chichester Drive West Saltdean Brighton East Sussex, BN2 8SH Lead Inspector Jane Jewell Announced 21 June 2005 10:20 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 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 H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The White House Address 1 Chichester Drive West Saltdean Brighton East Sussex BN2 8SH 01273 302464 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr J & Mrs C Hall Mrs C Hall Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (OP), 14 of places The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users accommodated must not exceed fourteen (14). 2. The service users accommodated will be aged sixty-five (65) years or over on admission. Date of last inspection 1 February 2005 Brief Description of the Service: The White House is a residential care home for up to fourteen older people. The current providers have owned and managed the home since 2000 as a family business. The home is located on the main coast road close to the village of Rottingdean and to bus routes into Brighton and Eastbourne. The home is in an elevated position overlooking Saltdean Bay with many of the bedrooms providing panoramic sea views. The home is presented on four floors with resident accommodation in the basement, ground and first floor, with access to the first floor provided by stairs or a chair lift. There are ten single and two doubles all have toilet ensuite facilities. Currenlty all shared bedrooms are used as single occupancy giving a maximum no of twelve residents able to be accommodated. Some rooms have their own balconies overlooking the bay and one room has a small garden area. There is a combined lounge dining room and curved sun lounge. The garden is terraced and has various patio and decking areas, although is still undergoing major landscaping. The homes mission statement is “to provide a haven for older people combining a carefree and comfortable retirement with maximum independence without fuss or intrusion into privacy”. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced routine inspection, which took place between 10.20am and 3.40pm. The inspection was undertaken with Mrs C Hall (provider) and there were nine residents living at the home. The inspection involved a tour of the premises, examination of the homes records, discussion with the provider, consultation with the three staff on duty and eight residents. The inspector received seven feedback cards from relatives and residents with comments regarding the care and services at the home. Their views are reflected throughout this report. The focus of the inspection was to look at the experiences of life at the home for people living there. In order that a balanced and thorough view of the home is obtained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their hospitality and assistance during the inspection. What the service does well: The home has many attractive features including its position overlooking Saltdean Bay and personalised bedrooms decorated to a high standard creating a very homely and comfortable feel to the home. During the ongoing refurbishment of the home little disruption or inconvenience has been caused to residents, which is to be commended. There is a good standard of information about the homes services and facilities to help inform both prospective and current residents. The inspector observed that all residents’ needs were being promptly and calmly met by the available staff, with routines unhurried and flexible. The home works closely with health care professionals including GP’s, District nurses, chiropodists, opticians and dentists to ensure residents receive the necessary health care intervention. All residents consulted confirmed the sensitive care they receive from an established staff team who were observed by the inspector to operate in an appropriately caring and patient manner. It was clear that residents were treated as individuals and their choices and preferences respected. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 6 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 White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3 and 4 Prospective residents and their representatives have the information they need to make an informed choice about whether to live at the home. Residents are admitted to the home following an assessment of their needs. Residents looked cared for and relaxed in their environment and all appeared settled and content with the lifestyle of the home. EVIDENCE: There is a range of well-documented information about the home and the services it provides, this includes a statement of purpose and service user guide. These have recently been reviewed and provided in each bedroom. Two residents said that they and their representative were provided with enough information about the home to help make their mind’s up as to whether to live at the home. Subject to vacancies, the home accepts short term/respite care admissions. This is a popular service provided at the home as several people from a near by sheltered housing complex regularly use the service when their relatives take holidays. Two residents said that they initially came for respite and never wanted to go home and have stayed. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 9 Although permanent residents are provided with terms and conditions of residency one residents receiving respite care did not. The provider has been required to ensure that all residents are provided with contracts. This is to ensure that resident and their families are aware of the placement arrangements and to clarify mutual expectations around rights and responsibilities. Documentation was examined for a recent admission to the home and this showed that the residents needs had been assessed by the provider and that their needs could be met at the home. As part of the assessment process the provider also speaks to health care professionals and others who know and understand the perspective resident to help inform their assessment. Where social services are the funding authority the provider stated that they would also obtain copies of their social care needs assessments to ensure that a comprehensive picture of needs is established. The majority of residents have lived at the home for many years and present as a close group. All residents consulted said that they were extremely happy living at the home and felt that all of their needs were being catered for. Residents used the following words to describe their feelings “Home from Home” “absolutely marvellous” “very homely” “Perfect” “Couldn’t wish for anything better” “free to do what you want when you want” and “This is an example to all other homes”. Resident’s needs are assessed as low to medium and there was clear evidence that residents assessed needs are able to be met at the home. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9, 10 and 11 Care plans seen provided a good framework for the delivery of any physical needs of residents but also need to include social care needs to ensure that all assessed needs are identified. The health needs of residents are well met. Generally medication arrangements were found to be good with some further work needed to ensure that residents are fully safeguarded by the homes practices. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: New care planning documents has now been fully introduced. Needs are recorded by ticking the appropriate level of need against a set of pre-printed sentences. When a need has been identified this is then supported by a more in-depth record of the need. Four care plans were sampled and these provided a clear account of the physical needs of each individual however, they did not provide adequate guidelines on social needs. The provider has been required to address this. Three residents consulted were aware of their care plans while others expressed little interest in being involved in its development and review but felt able to ask to see it. All care plans seen were signed by the resident. Care plans were regularly being reviewed in order to identify any changes in needs. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 11 Individual daily notes are maintained for each resident, which provided a clear account of any actions and events and were written in a respectful style and tone. Core risk assessments are undertaken, which include such areas as manual handling and the risk of falls. Discussion occurred on the need to provide clear guidance for staff on how to manage any risks identified. All residents consulted said that when they have requested medical advice or intervention this has been sought promptly. Records also showed that regular support is provided by GP’s, District nurses, dentists and opticians. One resident said that they make their own appointments and staff or relatives provide the supported to attend the consultation. Medication is dispensed directly from the packaging supplied by the pharmacy. It was discussed that that this system works safely at the home because there is a stable staff team. One resident who administers some of their own medication did not have a risk assessment to determine whether they are safe to continue to do so. The provider was given guidance on how to undertake such a risk assessment. A record is maintained of each prescribed medication and when it is administered. Where changes to the prescribed instructions have been made eg following GP’s advice or request from the resident the manager signs and dates the change, there is a also a need to provide a written explanation for the change. This is to evidence who and why the changes came about to ensure that any changes are being made by persons qualified to do so. Staff have recently undergone training in the care and control of medication and the supplying pharmacy visits three monthly to monitor practices and offer advice. Resident’s appearance was presented in a manner that preserved their dignity, namely appropriately clothing for weather conditions, which were laundered to a good standard and regular hairdressing input. All residents consulted felt that personal support is offered in such a way as to promote and protect their privacy, dignity and independence. The manager spoke of the support they had received in the past from Health Care professionals during the care of residents who were dying. Staff also spoke sensitively about the care and support provided to residents and their families when residents have become terminally ill. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. There are no set times for getting up or going to bed. Residents are encouraged and supported to keep in regular contact with family and friends. EVIDENCE: Residents said that there is flexibility in daily routines regarding meal times, going to bed, rising and bathing. Residents were observed moving around the home freely and choosing what room to be in and the level of company they wanted to enjoy. During the afternoon the cook is employed as an activities co-ordinator. All residents consulted felt that their time was suitably occupied with many preferring to make their own arrangements for occupation. Some organised activities are however undertaken which includes, jigsaw puzzles, musical entertainers, games and local walks. In addition there is a range of equipment suitable for in-house entertainment including a wide selection of books and audio equipment. Residents and staff both said that staff often spend time talking individually with residents. Six residents stated that their family regularly visit them and are always made to feel welcome, offered refreshments and can visit at any time. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 13 Several residents had private telephones fitted in their bedrooms, which enabled them to keep in regular contact with their friends and family. One residents who’s family live overseas said that he didn’t want his own phone but was provided with the homes mobile phone if he needed to contact them. He also said that he was able to email them using the homes computer. Many residents spoke of going out with their families to local shops and places of interest. For those residents not able to obtain their own personal shopping there is an on site mini shop for small items such as toiletries. In addition residents said that anything else could be obtained by asking the provider to get it for them. The kitchen was clean and well equipped and provided suitable facilities for catering. All records required to be kept for food safety were maintained and up to date. Meals are prepared by a cook who develops the menus based on resident’s likes and dislikes. The meal served at inspection was plentiful and appetising with individual preferences being catered for. Menus are displayed on each table to inform residents of the choices available. The inspector had lunch with residents and the mealtime was observed to be relaxed and appropriate support provided where needed. The majority of residents eat their meals in the dinning room with others preferring to eat in the privacy of their bedrooms. In addition to main meals snacks and drinks are provided throughout the day. A basket of fresh fruit is left in the lounge for residents to help themselves. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 The home has a satisfactory complaints system with residents feeling able to air any concerns. Staff know what to do if abuse is suspected. Police checks need to be undertaken for all staff in order to safeguard residents. EVIDENCE: There is an accessible complaints procedure for residents, their representative and staff to follow should they be unhappy with any aspect of the service. No complaints has been received or recorded by the home. All residents consulted felt confident to approach any member of staff with any concerns and felt that it would be dealt with promptly. There is an adult protection procedure to guide staff on what is abuse. Staff also undergo training on adult protection and demonstrated a knowledge of how to report any suspicions of abuse. In order to safeguard resident’s police checks must be undertaken for staff employed who are under 18 years. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19,20,21,22, 24 25 and 26 The home is still undergoing a gradual update of its environment and where refurbishment has occurred then this has been done to a high standard. Although there are still some areas in need of refurbishment the home is to be congratulated on how little disruption has been caused to resident throughout the refurbishment. EVIDENCE: The home is located near to Saltdean park swimming pool, a pub and close to bus routes into Brighton or Eastbourne. The home occupies an elevated position overlooking Saltdean Bay with many bedrooms and communal spaces providing panoramic sea views. The home is still undergoing major refurbishment in order to update the environment. Notwithstanding this much effort is made to create a homely environment. It was previously required that the lounge/dining room, laundry and remaining bedrooms be refurbished. Due to some bedrooms becoming vacant the provider reported that their redecoration became the priority. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 16 Therefore the lounge and dinning area have not yet been completed within the agreed timescales. The new occupants of these bedrooms were extremely pleased with the standard of decoration. Despite the ongoing refurbishment no resident felt that the works going on in the home had caused any disruption or inconvenience and some residents were unaware that there was still further works that needed to be done. Resident’s bedrooms have been decorated and furnished to a high standard. Some bedrooms have their own balcony or veranda and one has their own small garden area with a pond. All residents said how much they liked their bedrooms and all had personalised them. All bedrooms are provided with tea and coffee making facilities as well as a fridge. Most of the garden is downward sloping and currently contains building rubble and is overgrown in parts. There is a concrete path leading down into the garden, which ends suddenly with a slight drop. The provider was immediately required to secure the path to prevent anyone from falling off the end. The provider subsequently reported that this had been undertaken. Decking and patio areas have been built which provides seating and attractive views over Saltdean Bay. Many residents said how much they enjoyed sitting outside enjoying the views. It was previously required that the garden area be landscaped with timescales for completion being the 30/11/05. The provide was confident that this would be achieved. There are two communal bathrooms one of which the provider reported is due to be refurbished in line with previous requirements and is currently not in use. The other is an assisted bath and is decorated to a high standard. A regulator tap had been fitted to the bath to limit the temperature of hot water , however the inspector was able to turn the regulator off which then delivered hot water in access of the safe temperature range. The provider was asked to address this to prevent any accidental scolding. In line with previous requirements the provider also undertakes regular checks of hot water outlets. It was discussed that this should also include bath temperatures. The home is not designed to offer a service to people with physical disabilities and the access arrangements within the home would make it unsuitable for residents with significant permanently restricted mobility. The provider is mindful of this and residents mobility forms part of the admission criteria to the home. There is a chair lift to the first floor and call points are fitted throughout. Those checked were in working order and promptly answered by staff. The provider reported that extension cords are available to call points so they can be reached from the bed if a resident became bed bound. The inspection was undertaken during a very hot summers day and residents had been provided with regular cold drinks in order to ensure that they remained cool. Much effort was also made to ensure that the home was well ventilated and maintained at a comfortable level. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28,29 and 30 The home particularly benefits from a stable staff team and manager, who know and understand resident’s individual needs and preferences. The staffs experience and training means that they are well qualified to undertake their roles. EVIDENCE: The staffing level at inspection was for two people to be on duty throughout the waking day, excluding the cook and cleaner. Due to the low level of needs of residents this staffing level is sufficient to meet the assessed needs of residents. The inspector observed many sensitive interactions between staff and residents and much good practice was seen in the way that support was provided. The staff employed at the home have been there for many years and have a good knowledge of residents likes and preferences. All staff consulted spoke affectionately and respectfully about residents. Residents described staff as “ Very Helpful” “Can’t do enough for you” “lovely” “Really friendly” and “they all know what they are doing”. The home employs several staff under the age of 18 yrs. They do not undertake personal care but assist with catering and social needs at weekends and occasional evenings. It was not possible to establish the level of training they had undertaken as training records could not be inspected as the provider had temporarily removed them to work on at home. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 18 The manager reported however that all young employees are aware of their responsibilities and have sufficient knowledge of health and safety matters to safeguard residents and had obtained the necessary working permission for them to be employed. It is recommended that induction records, job descriptions and risk assessments be in place, which make clear their roles and responsibilities and evidence that they are aware of health and safety matters and any potential risks are identified. Two residents commented that they enjoyed being around younger people as it made them feel young. Two care staff have undergone NVQ training which means that the target of 50 of care staff achieving this training has been met. As previously noted it was not possible to fully assess the training undertaken by staff as training records were not available for inspection. Staff confirmed that they have undertaken all core training topics such as manual handling, adult protection, first aid and fire safety. The provider, using a training manual, undertakes most of the training in house. Since the previous inspection additional training in infection control and confidentiality has been undertaken. There have been no staff employed for some time and the provider confirmed that all of the required recruitment documentation would be sought. It was subsequently clarified with the providers that staff under the age of 18 yrs must undergo police checks in order to safeguard residents. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,36,37 and 38 The home is managed effectively with a strong sense of leadership and direction being provided and is openly managed in the best interests of residents. Generally the homes practices safeguard the health and safety of residents, staff and visitors with some further work needed to improve standards of fire safety. EVIDENCE: Responsibility for the home rests with joint providers one of whom is the registered manager. They have many years experience in working with older people and are currently undertaking a degree in health and social care. Although they reported that they have not undergone any additional training, as they remain focused on undertaking their degree course they continue to demonstrate that they are familiar with the conditions and diseases associated with old age. All residents and staff spoke positively about the manager/provider with particular reference to their friendliness and approachability. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 20 Residents all said that they felt comfortable to discuss anything with them. One member of staff said that they are able to suggest new ways of working and felt listened to when they had done this and that they are often asked for their opinion on service matters. It was clear that the staff team and providers work as a close unit with good levels of communication and respect for one another’s role. One resident felt that this closeness created the relaxed nature of the home. Feedback questionnaires on the services provided and the performance of the home are sent out yearly to residents. In line with previous recommendations this has been extended to seek the views of stakeholders, eg health care professionals. Due to the preferences of residents the preferred way for residents to affect the way the service is run is through informal discussions with the provider rather than residents meetings. Staff said that there were regular staff meetings where they are encouraged to discuss any issues affecting residents or the home. Supervision is largely informal and takes the form of the provider generally overseeing staff within the work place and recording a brief outline of any significant points discussed. Staff stated that they felt supported to undertake their roles and were observed to operate with a clear sense of direction. Practices that were noted which promote the health and safety of resident’s, staff and visitors include: • A clear account of accidents is maintained, with no specific patterns identified. • Regular servicing and testing of fire safety equipment is undertaken, along with fire drills and training. • Radiators have been fitted with guards to prevent accidental scolding. Window restrictors have not been fitted to all bedroom windows as per the resident’s insistence. The provider is aware of the potential dangers this creates and reported that risk assessments are undertaken to try and limit any risks of falls or security. One bedroom has its own balcony overlooking the garden. This room was vacant at the time of inspection. The provider assured the inspector that any residents would be fully risk assessed from the risk of falls and any additional safety measures needed would be provided prior to anyone moving in. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 21 Elements of fire safety that must be addressed are: • The procedure on what to do in the event of a fire or on the alarm sounding needs to be displayed near to fire call points. This is to ensure that any persons raising the alarm is informed of what to do next in accordance with the homes fire safety procedures. • Fire extinguishers need to be securely fixed to prevent accidental injury. • A fire risk assessment needs to be in place, which records the actions being undertaken and regularly reviewed to ensure adequate fire safety precaution in the home. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 3 x x 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 2 2 2 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x 3 x x 3 2 3 The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 23 YES 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. 2. Standard 2 7 Regulation 5(1)(b) 15(1) Requirement That all residents are provided with a written terms and conditions of residency. That care plans detail the actions needed to ensure that all aspects of the social care needs of service users are identified and which make explicit the actions needed to meet these needs. That comprehensive written personal risk assessments are completed for all service users which are reviewed regularly and records the actions to manage identified risks. That risk assessments are completed to determine whether service users are safe to self medicate. That these are reviewed frequently and records the actions to be taken to manage any risks identified. That alterations made to medication record sheets are authenticated by a senior member of staff and a written explanation provided. That Criminal Record Bureau checks are undertaken for all employees. Timescale for action 30-8-05 30-10-05 3. 7 13(4)(c) 30-8-05 4. 9 13(4)(c) 30-7-05 5. 9 13(2) 30-7-05 6. 18, 29 19(1)(b) Sch2 (7)(b) 30-7-05 The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 24 7. 19 23(2)(a) (b) That the refurbishment of the lounge/dining room, be completed within the agreed timescales. (Timescales of 30-505 not met) Laundry room and bathroom to be completed by November 2005. (Made at inspection of 1/2/05) The home must be assessed by a suitably qualified person following completion of work. That the landscaping of the garden is completed by 30th November 2005. (Made at inspection of 1/2/05) That appropriate measures are put into place to prevent anyone from falling off the end of the garden path. That the regulator tap in the first floor bathroom is tamper proof to ensure that hot water is delivered within the safe temperature range at all times. That the Fire risk assessment is completed, reviewed frequently, records significant findings and the action taken to ensure adequate fire safety precaution in the home. That the procedure on what to do in the event of a fire or on the alarm sounding to be displayed near to all fire call points. That all fire extinguishers are securely attached to their fixtures to avoid accidental injury. 30-9-05 30/11/05 8. 19 23(2)(b) 30/11/05 9. 20 13(4)(c) Immediate 10. 25,38 13(4)(c) 30-7-05 11. 38 13(4)(c) 30-8-05 12. 38 17(2) Sch 4 (15) 13(4)(c) 30-7-05 13. 38 30-8-05 The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 30 Good Practice Recommendations That induction records, job descriptions and risk assessments for employees under the age of 18 yrs are in place. That make clear their roles and responsibilities and evidence that they are aware of health and safety matters and any potential risks are identified. The White House H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 H59-H10 S14255 The White House V222874 210605 Stage 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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