Inspection on 22/07/08 for The White House

This inspection was carried out on 22nd July 2008.

CSCI found this care home to be providing an Good service.

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 White House 30/08/07

The White House 24/01/07

The White House 20/03/06

The White House 08/11/05

The White House 14/02/05

The White House 14/09/04

The White House 18/02/04

The White House 04/09/03

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The White House 95 Maidstone Road Chatham Kent ME4 6HY Lead Inspector Sue McGrath Unannounced Inspection 22nd July 2008 09:00 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 White House DS0000029048.V367778.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. 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 DS0000029048.V367778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House Address 95 Maidstone Road Chatham Kent ME4 6HY 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) 01634 848547 01634 845320 TheWhiteHouse95@aol.com Mr Chistos Adamou Nicolaou Mrs Lynn Nicolaou Care Home 25 Category(ies) of Dementia - over 65 years of age (25) registration, with number of places The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2007 Brief Description of the Service: The White House is registered to provide services for up to 25 older people who have Dementia. The home occupies detached premises on a main road and is situated within easy reach of Chatham town centre and railway station. The home is also on a main bus route. Residents’ bedrooms are arranged over two floors and offer a mix of double and single accommodation. There is a shaft lift installed giving access to the first floor on one side of the building. The home has one large communal lounge, with a dining area adjacent. There is a garden and patio area to the rear of the property for residents’ use. At the front of the building there is space available for car parking. The home employs care staff working a roster, which provides 24-hour cover. Ancillary staff for catering and domestic duties are also employed. The home offers residential care and accommodation but does not offer nursing care. Current fees range from £426:00 - £512:00 according to assessed personal need. Please contact the Proprietors for further information. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a Key Unannounced inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. The actual site visit to the service was carried out over one day by one inspector, who was in the home from approximately 09:00 until 16:30. The main focus of the visit was to review any improvements made since the last visit and the well-being of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the site visit the AQAA had been returned. Some relatives were contacted after the inspection to ask for their views on the home. Due to the nature of the service provided it is difficult to reliably incorporate accurate reflections of some of the residents’ views in the report and therefore greater emphasis has been given to relatives/representatives views of the service provided. Responses received from relatives, representatives and commissioning staff indicated people were generally very satisfied with the standards of care provided. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 6 At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. Mr and Mrs Nicolaou are the Registered providers with Mrs Nicolaou is the one accountable as Manager. The requirements made at the last inspection had been complied with. Overall this was a positive inspection with generally good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the management and their staff for their assistance and hospitality. What the service does well: What has improved since the last inspection? The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 7 The home has improved the environment and complied with all the requirements from the last inspection. Staff training has improved and four staff have recently completed a comprehensive training course in the safe administration of medication to ensure the residents are protected by good practice in this field. Care planning has improved and the new care plans have the potential to become an excellent working document. Staff need to continue their efforts to maintain the high standard they have achieved so far with these documents. The procedure for assessing quality assurance has also improved with the final report being informative and proactive. Several bedrooms have been decorated and new carpets have been fitted. A new boiler had been installed and a new sluice room with a disinfector sluice has been provided. The availability of Personal Protective Equipment (PPE) has improved. 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 summary of this inspection report can be made available in other formats on request. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 8 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 DS0000029048.V367778.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about moving into the home. The personalised needs assessment means that people’s diverse needs are identified and planned before they move to the home. EVIDENCE: Evidence was seen that the home has a current and updated statement of purpose, which reflects life at The White House and meets with Schedule One of the Care Standards Act 2001. The manager stated that it is available in various formats such as larger print and pictorial format. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 10 Copies were seen of the contracts used for both private and social service funded residents and these were robust and informative. The manager confirmed all residents or their representatives were provided with a formal contract/terms of condition. Evidence was seen in resident’s files that a comprehensive assessment of need was completed by senior staff prior to admission to the home. The assessment could take place in the prospective residents home or current setting. If social services were involved a care management assessment was also obtained. The manager stated that she was confident a place would not be offered if it were considered the person’s needs could not be met within the home. The homes admission procedure encourages visits and a trial period is always offered. The manager confirmed this could be flexible according to need. Evidence seen indicated that relatives or representatives were involved in this process as much as possible to support residents in their choice. The home does not provide intermediate care and therefore standard 6 is not applicable. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Health needs are well met and people who live in the home have full access to all professional health care services as required. People who live in the home are protected by the home’s policies and procedures for dealing with medicines. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 12 EVIDENCE: The manager had introduced new care plans and the staff had worked hard to ensure all residents care plans had been changed to the new format. The manager admitted this had been an extensive piece of work but that she was now satisfied that it had been worthwhile. Staff also confirmed they now liked the new plans and had received training on them initially. Each care plan had an innovative pictorial front sheet which the proprietors state is still being further developed. This clearly identifies the individual’s needs and warns of associated risks for them or for staff in undertaking tasks or meeting needs. This is a simple and dynamic tool for staff to follow and is commendable. A further development is that each month a report is being drawn up from the information in the care plans and daily notes and a report is prepared by the manager. This report is available to relatives and further discussion about residents needs is promoted. Each month the manager looks to see if the previous months aims and objectives have been met and draws up aims and objectives for the following month. This system of care planning is still fairly new to staff but if it continues to be developed, it should provide a very useful tool. Several of the plans were viewed and were found to be very comprehensive and detailed. Risk assessments were detailed and where a high risk was identified clear instruction were given to staff on how to reduce the identified risk. Nutritional assessments were ongoing and emphasis was placed on providing a high quality nutritionally sound diet. Regular monthly assessments were completed and if any health conditions changed the original care plans were also changed to reflect the new need. There was clear evidence that health care needs were well met and well recorded. The homes administration of medication was viewed and found to comply with the guidelines of the Royal Pharmaceutical Society of Great Britain. Medication was correctly stored and there was a robust system in place for reordering supplies. The home uses a local Pharmacy and blister pack system for dispensing. Staff who administered drugs were trained in this field, with four members of staff recently completing an intensive course over three months. No errors were found in the medication administration records viewed and the controlled drugs were well managed, again with no errors found in the records viewed. Following comments made at the last inspection the home now has a dedicated medication fridge in the medical room. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 13 At the last inspection it was noted that the screening between the beds in double bedrooms did not extend the full length of the area between the two beds which had the potential to compromise individuals privacy. This situation has now been remedied and there are two curtains between each bed that now extend the whole length and width of the bed ensuring privacy when in bed and or dressing. One resident who shared a room stated she did not mind sharing and she was happy to do so. Throughout the day staff were seen to respect residents in the manner they addressed them and in the general way they cared for them. Good interaction between staff and residents was seen throughout the day. They appeared very friendly and supportive. All of the residents spoken with were very happy with the care they received and all spoke very highly of the staff at the home. Comments made included: ‘The staff are very good and I have no problems with them. They are very caring and like to have a few jokes, which I like’. ‘The food is good and we get a choice’. ‘We play games and often talk about current affairs from the newspapers. It keeps me aware of what is going on’. ‘I am very happy here, if I wasn’t I would tell someone at once’. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and stimulation are provided in the home and as much as possible ensure daily variation and interest for residents. People who live in the home benefit from the flexible routines in the home, they are able to exercise choice in relation to routines of daily living as far as they are able to. People benefit from the flexible visiting policy that enables friends and relatives to visit at all reasonable times. People who live in the home receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 15 The home has again reviewed the level of activities offered in the home following comments made during the last quality assurance assessment. The home had a dedicated programme of activities, which was written on a notice board for the residents. This notice board was written in bright colours and was taken around to the residents, so they can clearly see what was going on that day. A member of staff had arranged for the local library to loan an activity pack of useful items for reminiscence groups and residents said they enjoyed talking about the ‘old days’. Activities took place mainly in the afternoons with dedicated staff leading the activity of the day. Some residents spoke about how they enjoyed going out for short walks. The manager stated she was trying to arrange a minibus so that residents could enjoy a short trip out during the better weather. Once a month sessions are held for motivational work, which is led by an outside specialist. Activities are arranged in the home to suit the residents and the home tries hard to avoid rigid routines. Staff are instructed to be flexible in their approach. Occasionally outside entertainers are bought in and other events include strawberry teas, parties and musical sessions. The local school entertain at Christmas time and the local church provides Christmas and Easter services. Holy communion is offered during the church’s monthly visits for those who wish to participate. Several visitors and relatives were spoken with and all confirmed they could visit at any time and were always made very welcome. Residents also stated that there was no restrictions on visiting times and that they could see who they wished. The home cares for people with varying degrees of dementia and lifestyles can be very challenging for some. With the levels of dementia within the home it was not always easy to ensure full choices were given at all times, however staff were seen to offer choices where possible and where not possible gave full support and consideration. The home has a rolling three-week menu and it was evident that choices were offered. Some of the residents confirmed they always had a choice and that the food was ‘very nice and tasty’. Fresh fruit was seen in the home and residents were seen to be encouraged to drink extra due to the hot weather. Records are now maintained of all food intake and the home has started to complete nutritional risk assessments on all residents. Several have already been highlighted as needing specialist diets and the GP had been contacted for advice. This is very positive, as the previous report had highlighted nutritional assessments as not being completed. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 16 The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are protected by a robust complaints system and residents and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that people who live in the home are protected from abuse. EVIDENCE: The home has a comprehensive complaints procedure, which gives contact details and the process for investigating complaints with appropriate timescales for resolution. The home had received one complaint and was currently dealing with it. The Commission has not received any complaints since the last inspection. Some residents spoken with knew who they would speak to if they had concerns. Most felt they would rely on relatives or representatives to raise issues on their behalf. The complaints procedure had been made available in a large print format for residents. A pictorial version was also available. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 18 The home is advised to record all complaints with their outcomes in a complaints and compliments folder so they can easily evidence any complaints and compliments in the future. The home has adopted Kent and Medway’s Adult protection Policy and most staff have received training in this field. All of the staff spoken with were able to discuss this subject in detail and felt confident they would be able to report any concerns to the appropriate authority. Staff were also aware of the whistle blowing policy in the home. Staff files evidenced that appropriate CRB/POVA (Criminal Record Bureau/ Protection of Vulnerable Adults) and reference checks were made for all staff before they commence employment to ensure residents were protected. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from living in a clean, safe, wellmaintained environment and have safe access to comfortable indoor and outdoor communal areas. EVIDENCE: In September 07 the home was visited by the Health Protection Agency with regard to infection control in the home. Several recommendations were made which the home has now complied with. The recommendations included the fitting of a sluice disinfector, wider availability of personal protective equipment The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 20 (PPE), such as gloves and aprons and the use of paper towels and liquid soap in the bedrooms and toilets. Alcohol gel has also been made more available. One toilet pan and both bathroom floors had also been replaced to assist in infection control. Residents have also benefited form the installation of a new boiler, which ensures all have access to hot water. The manager confirmed all of the taps had thermostatic mixers valves fitted, which are regularly checked and that water temperature was now monitored. This means that residents are protected from scalding. All of the radiators in use had been guarded also to protect residents. The home is advised to ensure there are no exposed hot pipe work any where in the home. A tour of the building was undertaken and all bedrooms were found to be clean and tidy. Several rooms had been decorated and six had new carpets fitted since the last inspection. Residents’ bedrooms were personalised to meet their individual needs and they were encouraged to bring in some of their own belongings to make the rooms more homely and to aid orientation. All of the rooms had the residents name and photographs on to aid resident with dementia to find their rooms. All of the bedroom furniture seen was of a reasonable quality and was in good working order. Over bed lights had been fitted to most rooms. Those that did not wish to have lights fitted had been provided with a bedside lamp. This requirement from the last inspection has been met. The manager confirmed that all upstairs windows now had restrictors fitted as required from the last inspection. The manager also confirmed there is now a formal system in place for staff to report and record anything not working/ broken/ or unsafe in the home and this is now robustly monitored by the provider. Further requirements from the last inspection included the securing of support frames used around toilets and fire doors not being wedged open. These requirements had also been met fully. The home was generally clean and fresh and provided a safe and homely environment in which to live. Residents also had access to pleasant outside The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 21 garden with appropriate garden furniture and sunshades. The gardens were well maintained. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from staff that are well trained and competent to do their jobs and who enjoy good morale. EVIDENCE: There was sufficient staff on duty to meet residents needs on the day of the site visit. The home does not use agency staff, which ensures residents receive continuity of care from individuals they know and trust. To achieve this substantive staff take on additional hours to cover vacant shifts on the rosters. Access to staff training had improved. There was evidence that further training courses were being planned and booked throughout 2008/9. Four staff had recently completed a comprehensive training in the safe administration of medication to fully protect residents and to ensure the home’s practices are in line with current good practice. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 23 Three staff have also completed an in depth dementia course and all other staff have completed a one day course. There are plans for all staff to eventually complete both the intensive medication and dementia course. Of the fourteen care staff, eight have completed a National Vocational Qualification (NVQ) to level two or above with three having completed NVQ three. Four more staff are currently working towards their level 2 award. This exceeds the required minimum level of 50 . One of the home’s senior carers is undertaking the Registered Managers Award at NVQ 4 Level with a view to taking on additional operational responsibility in the home. 95 of care staff and 100 of catering staff had completed Basic Food Hygiene training. Moving and handling training was also up to date. As required from the last inspection all staff had completed fire awareness training. The majority of staff had completed adult protection training. Newer staff had yet to undertake this training but arrangements were in place for the training to be undertaken as soon as possible. Evidence was seen that the home now uses the Common Induction Standards for the induction of new staff as recommended by ‘Skills for Care’. Staff spoken with were found to be highly motivated and keen to improve and develop their skills. Staff files evidenced all the requirements of regulation. The home has robust recruitment procedures in place. CRB/POVA checks are made on staff before they commence work to protect residents from any potential for abuse. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from a service that is safe and well managed. Sound financial procedures protect residents. The health, safety and welfare of residents and staff are promoted and respected. EVIDENCE: The owners, Mr and Mrs Nicolaou, manage the care home between them on a daily operational basis with Mrs Nicolaou taking main management The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 25 responsibility. They clearly demonstrated that they have the necessary experience and knowledge to run the home. Mrs Nicolaou is in the process of completing a National Vocational Qualification to level four and hopes to complete the Registered Managers Award next year. All staff spoken with confirmed they felt well supported by the management team and that morale was high. Relatives spoken with also confirmed the providers were approachable and kept them well informed of any changes in their relative’s condition. Regular staff and resident meetings were now being undertaken with minutes kept. Details of action taken following these meetings were recorded. The owners undertake regular survey of residents and relatives and the results of the latest one undertaken was available on the homes notice boards. The owners had produced a written report with comprehensive charts that identified areas of success and possible improvements. Action had been taken in several areas where issues had been highlighted. The owners clearly listen to the opinions of the service users and relatives. Relatives and representatives spoken with felt the home was run with the residents best interests at heart. The home has very little to do with residents personal finances. The owners are responsible for invoicing residents’ relatives or representatives for any expenditure incurred. The owners confirmed that they keep comprehensive records. Neither residents, relatives or their representatives raised any concerns about residents’ finances. Secure storage is available in the home if required. Staff records complied with regulation and regular staff supervision has now been implemented. Records and staff confirm this was now happening on a regular basis. This ensures staff are kept well informed, aware of their responsibilities and the owners expectations of them. Training issues are also identified at these sessions. The owners work hard to comply with health and safety requirements and all the necessary checks and records were in place. The home has developed a health and safety policy together with other policy and procedure documents that seek to meet good practice requirements and the demands of legislation. Staff have received fire awareness training and fire drill are regularly undertaken. The home was advised to record all the names of the staff who undertake the fire drills to ensure all staff have the opportunity to practise at least once a year. The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 26 The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 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 3 3 4 X 3 3 3 3 The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The White House DS0000029048.V367778.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000029048.V367778.R01.S.doc Version 5.2 Page 30 - 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!