Inspection on 08/11/05 for The White House

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The White House 22/07/08

The White House 30/08/07

The White House 24/01/07

The White House 20/03/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The White House 95 Maidstone Road Chatham Kent ME4 6HY Lead Inspector Robert Pettiford Unannounced Inspection 8th November 2005 09:40 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.V265647.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 DS0000029048.V265647.R01.S.doc Version 5.0 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) Care Home 25 Mr Chistos Adamou Nicolaou Mrs Lynn Nicolaou Category(ies) of Dementia - over 65 years of age (25) registration, with number of places The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2005 Brief Description of the Service: The White House occupies detached premises, with accommodation provided over 2 floors; there is a shaft lift installed to the first floor. The home is on a bus route and is situated within easy reach of Chatham town centre. Within the home there is a large communal lounge, with a further lounge/dining area adjacent. There is a garden to the rear of the property for residents’ use; at the front of the building there is space available for car parking. Mr. & Mrs. Nicolaou (Proprietors) have many years experience in the ‘caring profession’ and subsequently in managing the home on a daily basis; the Proprietors hold professional and management qualifications. The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 8th November 2005 at 9:40am. The Inspector agreed and explained the inspection process with the Registered Manager. Documentation and records were read. Time was spent reading a sample of written policies and procedures, and records kept within the home. A tour of premises was also undertaken. The focus of the inspection was to assess The White House in accordance to the National Minimum Standards for Older persons. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. Time was spent by the inspector speaking to the service users and some of the relatives, discussing the standard of care within the home. What the service does well: What has improved since the last inspection? What they could do better: Several areas have been identified as needing to be addressed. These areas included contract/statement terms and conditions and activities. Please contact the provider for advice of actions taken in response to this The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The White House DS0000029048.V265647.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 DS0000029048.V265647.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): 1,2,3,4,5 Prospective service users have all the information they need to make an informed choice about whether they wish to live at the home. Service users’ rights are largely protected by a written contract / statement of terms and conditions which requires some minor amendments. Service users can be confident that their needs will be suitably assessed and that they will have the benefit of a trial period at the home prior to moving in. EVIDENCE: Service users are provided with a Statement of Purpose. It was found not to include all the information as required of Schedule 1 of the Care Home Regulations 2001. The contracts/terms conditions of residency on file did not contain details of the room to be occupied as required by the standards. The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 9 The pre assessments seen contained all of the information needed to make an informed decision as whether the home would be able to meet the prospective service users needs. The home does encourage prospective service users to come to the home for the day and have a meal, they also invite for a overnight stay. All service users coming into the home do so on a trail basis, during this time the assessment continues and the service user has the opportunity to see if they are happy at the home. If at the end of this period the home feels it can meet the service users needs and the service user/family are happy then the placement can become permanent. The White House DS0000029048.V265647.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): Not inspected on this occasion. EVIDENCE: The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 Service users do not always benefit from a range of activities that meets with their needs and wishes. Service users are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The service users benefit from the appetising meals and balanced diet offered by the home and those service users requiring specialist diets are well catered for. EVIDENCE: The inspector spent time talking with many of the service users who expressed an opinion that the activities were often limited. One spoke of her wish to access the community and go for walks on a regular basis. Another stated that not all of them liked the same activity and that there should be more variety. Activities are taking place. However the manager was requested to review the activities currently available to ensure that they meet with the service users needs and wishes. The manager reported that the home provides a wide variety of activities. Examples of which were indoor golf, sing songs, Reminiscing and other The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 12 activities. Some of the service users are a member of a Friendship Club and Luncheon Club. However it was difficult for activities to be evidenced due to incomplete recording of what was offered. The manager agreed to address this within the homes action plan. Flexible arrangements are in place so that friends and relatives are free to visit at any time. This was confirmed by the inspector who observed people visiting their relatives within the home. The Home has contact with local community groups including local church. The home employs a dedicated cook who prepares and cooks freshly food for the service users. From observation, records viewed and comments made by service users it was evident that service users had been offered a choice of menus that met their dietary needs and individual preferences. Meal times are flexible to suit the service users needs. Service users are able to choose where to eat, and also have facility to have drinks, meals and snacks made for them as and when requested. Service users confirmed that they had been involved in planning and choosing menus. During the inspection food storage areas were viewed along with quantity and quality of food. The kitchen and storage areas were seen to be well organised and clean. The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected on this occasion. EVIDENCE: The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Service users benefit from living in a clean comfortable home, which is suitable for their needs. EVIDENCE: The Inspector undertook a tour of the home including some service users rooms, bathroom/toilet facilities and communal areas. All areas viewed appeared bright, cheerful, and airy. Fixtures and fittings and general decoration were seen to be of a good standard, although some re-decoration was in need of being done in a few areas. This was discussed with the manager. Bedrooms were seen to be personal in nature with each service users expressing their own identity. The number of toilet and bathroom facilities provided by the Home meets current required standards. Toilets and bathrooms were lockable offering service users privacy, although staff are able to access toilets/bathrooms in an emergency if required. The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 15 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): 29 Service users are protected by the recruitment procedures within the home. EVIDENCE: The home showed that it undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of I.D and copies of qualification certificates, seeks two written references, confirms work status and also undertakes some telephone checks and retains all the information as required under schedule 2 of the Care Home Regulations 2001. The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 16 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): Not inspected on this occasion. EVIDENCE: The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x The White House DS0000029048.V265647.R01.S.doc Version 5.0 Page 18 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. 1 Standard 2 Regulation OP2 Requirement 5.—(1) The registered person shall produce a written guide to the care home (in these Regulations referred to as “the service user’s guide”) which shall include— (b) the terms and conditions in respect of accommodation to be provided for service users, including as to the amount and method of payment of fees; 16.—(2) The registered person shall having regard to the size of the care home and the number and needs of service users— (m) consult service users about their social interests, and make arrangements to enable them to engage in local, social and community activities and to visit, or maintain contact or communicate with, their families and friends; (n) consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to DS0000029048.V265647.R01.S.doc Timescale for action 30/01/06 2 12 OP12 30/01/06 The White House Version 5.0 Page 19 recreation, fitness and training. 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.V265647.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 DS0000029048.V265647.R01.S.doc Version 5.0 Page 21 - 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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