Inspection on 27/01/06 for The White House

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 21/06/05

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 Unannounced Inspection 10:15 27 January 2006 th 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 DS0000014255.V256947.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 DS0000014255.V256947.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The White House Address 1 Chichester Drive West Saltdean Brighton East Sussex BN2 8SH 01273 302465 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) Mr J Hall Mrs C Hall Mrs Carolyn Hall Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fourteen (14). Service users must be older people aged sixty-five (65) years or over on admission. 21st June 2005 Date of last inspection 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 residents accommodation in the basement, ground and first floor. Access to the first floor is provided by stairs or a chair lift. There are ten single and two doubles all have toilet ensuite facilities. Currently all shared bedrooms are used as single occupancy giving a currently capacity of twelve. 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. 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 DS0000014255.V256947.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced routine inspection, which was undertaken over five hours. The inspection was undertaken with Carolyn Hall (Provider/ Manager). There were ten residents living at the home. The inspection involved a tour of the premises, examination of the homes records, consultation with staff, visitors and residents. The focus of the inspection was to look at the experiences of life at the home for people living there. An additional visit was undertaken subsequent to the inspection in order to assess the progress made towards addressing health and safety matters arising from this inspection. 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 assistance and hospitality during the inspection. What the service does well: What has improved since the last inspection? The home continues to undergo gradual refurbishment, this has improved parts of the garden and internal environment. Some care plans now include residents social care needs giving staff further guidance on their range of needs. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 6 Changes to the recording practices of medication provides for a safer system of medicines administration. 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 DS0000014255.V256947.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 DS0000014255.V256947.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): 1, 2, 3 4 and 5 Prospective residents and their representatives are provided with information on the services and facilities, this needs to include the range of needs that the home is able to meet. Resident’s needs are assessed prior to any admission. The needs of current residents are being met by the home. EVIDENCE: There is a range of information about the home and the services it provides, this includes a statement of purpose and service user guide. It was reported that these are given out to prospective residents and other interested parties. This information needs to make clear the range of needs that the home is able to meet. This was discussed in relation to the low level of needs catered for, this being based on current staffing levels and the layout of the building. This is to ensure that all parties are aware in advance of the range and type of needs that the home can meet. Not all residents had a written contract of terms and conditions of residency with the home. This remains outstanding from the previous inspection. This is needed to ensure that residents and their representatives are aware of the The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 9 placement arrangements and to clarify mutual expectations around rights and responsibilities. Subject to vacancies, the home accepts short term/respite care admissions. This is a popular service provided at the home with many residents originally admitted for short-term care and becoming permanent, with one resident saying that “I never wanted to go home” There have been few admissions to the home since the last inspection. Documents seen for admissions showed that residents had been accommodated only following an assessment of their needs. The assessment process involved obtaining copies of social services needs assessments, and the home conducting its own assessment of needs. Good practices were noted in resident’s needs being re-assessed following hospital admissions prior to any discharge. This helped identify any changes in needs and to determine whether their needs can continue to be met by the home. Residents looked relaxed in their environment and in their interactions with staff. All residents spoke positively about their experiences and said the following regarding life at the home: “we are all well cared for her” “home from home” “treated very well” “its like your own home” “it’s a very close knit home”. Resident’s needs are assessed as low to medium. The home demonstrated that it was able to meet most needs of current residents. The home had supported residents to move on when their needs had been assessed to significantly change and could not be safely met by the home. The first six weeks of occupancy is looked upon as a trial occupancy. Where social services are the placement authority it is usual practice that within this period a review be undertaken to determine whether the residents wishes to stay permanently or not. In the case of privately funded residents it was discussed that how the decision to become permanent was reached should be recorded in order to protect all parties in the future. . The White House DS0000014255.V256947.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): 7, 8, 9 and 10 Care plans provided a framework for the delivery of care with staff demonstrating a good understanding of resident needs. Improvements made to the recording of social care needs and risks management needs to be consistently applied to all care plans. The health needs of residents continue to be well met. The systems for the administration of medication are good ensuring that resident’s medical needs are being safely met. EVIDENCE: Four care plans were examined. Resident’s needs are identified 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. The social care needs of residents are being included in most care plans, in accordance with previous requirements. The manager reported that they are in the process of developing these for all care plans. In line with previous requirements the format for assessing risks has been reviewed to include the actions needed to manage identified risks. These had not yet been completed for all residents and needed to include the risks of some window restrictors and the use of kettles in bedrooms. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 11 Although some care staff have not been directly involved in the writing of care plans, staff said that they had read them and demonstrated a good understanding of residents needs. Staff were involved in writing daily notes which provided a clear account of actions and events that had occurred for each resident. The manager reported that they review care plans monthly, however not all care plans evidenced this. Most residents consulted expressed little interest in being involved in the development and review of their care plan but felt able to ask to see it if they wanted. Records of medical intervention showed that the home works closely with health care professionals including GP’s, District and specialist nurses to ensure residents receive the necessary health care intervention. Residents and visitors consulted said that when they have requested medical intervention, this has been sought promptly. Medication is dispensed directly from the packaging supplied by the pharmacy, namely bottles and packets. This system works safely as the home ensures that only staff with a sound working knowledge of residents medical needs administer medication. Medication is stored securely and medication records enable a clear audit trail of medication entering the home, being administered or being disposed of. Clear guidance is provided when a medicine has been changed. In order to fully eliminate the associated risk when copying prescribed instructions onto medication administration records, it is recommended that these records be checked and countersigned for accuracy by a second member of staff. The consensus of residents was that they felt that personal support is offered in such a way as to promote and protect their privacy, dignity and independence. The White House DS0000014255.V256947.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15 Social activities and meals continue to be both well managed, creative and provide daily variation and interest for people living in the home. Links with families are valued and supported by the home. Flexible routines are an integral part of daily practice at the home. EVIDENCE: Observation of the daily routines and discussion with residents confirmed that staff accommodate resident’s personal wishes with regard to meal times, going to bed, rising and bathing. Residents spoke of some organised activities being made available this included musical sessions undertaken by the provider, which residents spoke enthusiastically about. Many residents spoke of the activities that were organised over the festive period and how much they enjoyed them. Residents continue to feel that their time was suitably occupied with many preferring to make their own arrangements for occupation. One resident said that “they were not very sociably minded but staff popped in throughout the day to keep me company” another resident said that staff are always trying to encourage her to join in but never forced her. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 13 Residents have DVD players in their bedrooms with many residents watching films during the inspection. One resident said that there is a library of DVD’s available and each weekend staff go around offering a range of DVD’s to watch. Visitors told the Inspector how well staff treated them, especially in how they are given clear information, are always made to feel welcome and offered drinks during their stay. Some residents have a private telephone line in their bedroom and they spoke of how this enabled them to keep in regular contact with their relatives and friends. One residents who’s family live overseas keeps in contact with them via email using the homes computer. Some 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 staff to get it for them. The kitchen was clean and well equipped and provided suitable facilities for catering. The cook reported that no recommendations have been made from the last visit by Environmental Health. 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. All but one resident spoke positively about the food saying; “can’t complain” “extremely good choice available” “very good” and “always very good”. The home was aware of the individual preferences of one resident who expressed some dissatisfaction with the food. It was clear that many different meal options have been provided for the resident in order to improve their satisfaction. 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. The White House DS0000014255.V256947.R01.S.doc Version 5.0 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 the following standard(s): 16 and 17 There is a formal complaints procedure in place with residents and relatives feeling confident to approach the manager with any concerns that they might have. The home’s processes and procedures should protect residents in the event of any abuse or allegation of abuse. 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 since the last inspection. Residents and their representatives 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 demonstrated a knowledge of how to report any suspicions of abuse. It was previously required that CRB checks must be undertaken on staff under 18 years. This had not yet been undertaken for all part time staff. The White House DS0000014255.V256947.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 24 and 26 The home is still undergoing an update of its environment and where refurbishment has occurred then this has been done to a high standard. Not all parts of the home provide a safe environment in which to live. The home was found to be clean and free from odour. EVIDENCE: The home is still undergoing refurbishment in order to upgrade the environment. Areas that have been completed have been done to a high standard. Works undertaken since the previous inspection include: additional bedrooms, toilet, laundry room and parts of the dining room. The manager said that remaining works included two bedrooms, ground floor bathroom, and completion of lounge and garden. At inspection the refurbishment of a ground floor bathroom was being completed. Residents said that the noise being created did not disturb them. All residents consulted felt that the continuous building works had had little impact on them or had not caused any disturbance. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 16 Communal facilities include a combined lounge dining room leading onto a sun lounge. Furnishings were off a domestic character. Radiators in the sun lounge and in a corridor were unguarded or had a guarantee low surface temperature and need to be protected to prevent the risk of accidental scolding. Upon the request of the resident the top of a radiator guard had been removed to provide additional heat. Their relatives had placed a towel in front of the radiator due to the radiator being hot. It was immediately required that this radiator should be guarded to prevent accidental scalding. Several radiator covers in residents bedrooms were free standing and had not been attached which may cause accidental injury. Some hot pipe work in a newly refurbished bathroom had not been boxed to prevent the risk of accidental scalding. Most of the garden is sloping, further works have been undertaken to complete its landscaping. This has included additional decking areas and pathways, these provide for an attractive view over Saltdean Bay. While the landscaping is completing parts of the garden contain building rubble and is exposed. It was reported that CCTV cameras have been installed around the building due to some thefts from the garden. Several extensions to the timescales for the completion of the garden have been granted with the providers. The manager now felt that by the end of summer 2006 the garden would be completed. While parts of the top decking areas was awaiting completion it ended suddenly in a severe drop. It was immediately required that this be made secure to prevent any accidental falls. During a subsequent monitoring visit this had been addressed. Following the inspecting the provider states that a bench placed across the walkway was already in place during the inspection. 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 consulted said how much they liked their bedrooms. Bedrooms are provided with tea and coffee making facilities as well as a fridge. There are two communal bathrooms one of which is in the process of being refurbished. Bathing facilities on the first floor are provided which has a bath seat. It was previously required that the regulator tap fitted to this bath to restrict the temperature of hot water, which could be turned off, be made tamper proof to prevent accidental scalding. The manager stated that this was not felt necessary, as residents do not bath independently. It was discussed that this needs to be determined by a risk assessment process. 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. The provider has previously reported that extension cords are The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 17 available to call points so they can be reached from the bed if a resident became bed bound. All areas of the home were observed to be clean with a high standard of hygiene maintained. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 18 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 and 30 The numbers and deployment of staff are sufficient to meet the individual needs of residents. Residents particularly benefit from a stable staff team. Although it was unclear what formal training staff have undertaken they have some experience in working with older people and demonstrated some of the personal qualities needed to work sensitively and respectfully with residents. EVIDENCE: The staffing level at inspection was for two people to be on duty throughout the waking day, excluding the cook and cleaner. Staff confirmed that this is the usual staffing structure. Night duties are providing by sleep in cover. All staff consulted said that the staffing structure was sufficient to enable them to undertake their roles effectively and not have to rush. Resident’s consensus was that they received the help they needed in a timely manner. The staff employed at the home have been there for some years and have a good knowledge of residents likes and preferences. Residents spoke positively and affectionately about staff describing them as: “very kind” “extremely nice” “I like them all” and “you couldn’t wish for nicer people looking after you”. Staff were observed interacting sensitively with residents and responding promptly and calmly to calls for assistance. Staff choose to have their break while sitting talking to residents in the lounge. The manager stated that no staff have been recruited since the previous inspections and all staff are now aged over 18 years. As previously noted it The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 19 remains a requirement that all staff must undergo a CRB check prior to employment commencing. Staff said that they had undertaken medication training since the last inspection. One staff member said they were about to start a GNVQ. It was not possible to fully access what training had been provided for staff, as training documentation was not held at the home. In order to evidence that staff have been provided with the necessary training to undertake their roles safely it has been require that evidence be available of the training undertaken by staff. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 20 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 and 38 The manager has many years experience in working and managing care services and is well liked amongst staff and residents. Staff are appropriately supervised. Positive action must be taken by the manager to address the number of outstanding areas of concern. To ensure that the home is safe for people living there improvements need to be made to the management of risk and fire safety. EVIDENCE: Responsibility for the home rests with joint providers one of whom is the registered manager. The other provider is currently undertaking the building works at the home. The manager has many years experience in working with older people and was previously undertaking a diploma in social care but stated that they are currently on a gap year. All residents and staff spoke positively about the manager with particular reference to their friendliness and approachability. It remains clear that the staff team and providers work as a The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 21 close unit with good levels of communication and respect for one another’s role. Staff continue to feel supported to undertake their roles. Tools currently used to gauge the success of the home in achieving its aims and objectives include reviews with placing authorities and feedback questionnaires on the services provided and the performance of the home, which were reported to be sent out yearly to residents and other stakeholders. The manager reported that they plan to use quality assurance documentation provided by a management consultancy manual to audit the services and facilities at the home. This is needed in order to self-monitor and review the homes practices to identify any shortfalls in practices promptly and to inform future service development Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then this responsibility is taken on by a relative or another responsible persons external to the home. A clear account of accidents is maintained, with no specific patterns identified and regular checks on fire safety equipment are undertaken. One bedroom has its own balcony overlooking the garden. In line with previous requirements the occupant of this room has been risk assessed from the risk of accidental falls. The manager was unable to locate the certificate of Electrical fixed wiring installation as confirmation that residents were being safeguarded. It was previously required that a fire risk assessment be completed which should be reviewed frequently, record significant findings and the action taken to ensure adequate fire safety precautions in the home. The manager reported that they were unable to locate this and therefore this requirement is repeated in this report. It was previously required that all fire extinguishers be securely attached to their fixtures to avoid accidental injury and that the procedure on what to do in the event of a fire or on the alarm sounding be displayed near to all fire call points in order to inform as to what to do. These had not been undertaken and are repeated in this report. A fire exit route which lead out onto a patio area, had some rubble and wood stored on it creating a potential trip hazards. It was immediately required that this be removed to provide a safe exit route. This had not yet been undertaken at the time of the additional mentoring visit. Concerns were raised by visitors of unguarded steps, which lead off from a resident’s patio area. It has been required that this area be risk assessed to establish whether any safety measures are needed. The White House DS0000014255.V256947.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 2 2 2 3 x 3 x 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 3 X 1 The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP1 Regulation 4(1)(c) Sch 1 (6) Requirement That the Statement of Purpose includes all areas listed in the National Minimum Standards, in relation to the range of needs that the home is intended to meet. That all service users are provided with a written terms and conditions of residency. (Made at inspection of 21/06/05 with timescales of 30-8-05 not met) That comprehensive written personal risk assessments are completed for all service users which are reviewed regularly and records the actions to manage identified risks. (Made at inspection of 21/06/05 with timescales of 30-8-05 not met). That Criminal Record Bureau checks are undertaken for all employees. (Made at inspection of 21/06/05 with timescales of 30-7-05 not met). That Criminal Record Bureau checks are undertaken for all DS0000014255.V256947.R01.S.doc Timescale for action 30/03/06 2 OP2 5(1)(b) 30/03/06 3 OP7 13(4)(c) 30/03/06 4 OP8 19(1)(b) Sch2 (7)(b) 27/01/06 4 OP29 19(1)(b) Sch2 27/01/06 The White House Version 5.0 Page 24 (7)(b) 5 OP19 23(2)(b) 6 OP21 23(2)(a) (b) 7 OP25 13(4)(c) 7 OP38 13(4)(c) 8 OP25 13(4)(a) 8 OP38 13(4)(a) 9 10 OP30 OP33 18(1)(c) (i) 24(1) 11 OP38 13(4)(c) employees. (Made at inspection of 21/06/05 with timescales of 30-7-05 not met). That the landscaping of the garden is completed (Made at inspection of 1/2/05 with timescales of 30-11-05 not met). That the ground floor bathroom be refurbished. The home must be assessed by a suitably qualified person following completion of work. (Made at inspection of 1/2/05 with timescale of Nov 05 not met). That service users are safeguarded from hot water being delivered to outlets assessable to them above 43°c. That service users are safeguarded from hot water being delivered to outlets assessable to them above 43°c. That all hot pipe work and radiators are securely guarded or have guaranteed low temperature surfaces. That all hot pipe work and radiators are securely guarded or have guaranteed low temperature surfaces. That evidence is available of the training undertaken by individual staff. That a system be established and maintained for monitoring the quality of the care provided, which includes a system for obtaining feedback from service users their representatives and other stakeholders on the services provided and the performance of the home. That all fire extinguishers are securely attached to their fixtures to avoid accidental DS0000014255.V256947.R01.S.doc 30/09/06 30/03/06 27/01/06 27/01/06 27/01/06 27/01/06 30/03/06 30/04/06 27/01/06 The White House Version 5.0 Page 25 12 OP38 17(2) Sch 4 (15) 13 14 15 OP38 OP38 OP38 12(1)(a) 13(4)(c) 13(4)(c) injury. (Made at inspection of 21/06/05 with timescales of 30-8-05 not met). 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. (Made at inspection of 21/06/05 with timescales of 30-7-05 not met). That evidence is available of an up to date electrical fixed wiring installation certificate. That wood and rubble be removed from a fire exit route on the first floor. 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. (Made at inspection of 21/06/05 with timescales of 30-8-05 not met). 27/01/06 30/03/06 27/01/06 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations That hand written Medication Administration Records are checked and countersigned by a second member of staff for accuracy. The White House DS0000014255.V256947.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection East Sussex Area Office 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 DS0000014255.V256947.R01.S.doc Version 5.0 Page 27 - 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. 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