Inspection on 28/09/05 for The White House, Bodmin

This inspection was carried out on 28th September 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, Bodmin 17/11/09

The White House, Bodmin 02/12/08

The White House, Bodmin 04/01/07

The White House, Bodmin 16/03/06

The White House, Bodmin 20/10/04

The White House, Bodmin 27/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The White House 40 Castle Street Bodmin Cornwall PL31 2DU Lead Inspector Alan Pitts Unannounced 28 September 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The White House Address 40 Castle Street, Bodmin, Cornwall, PL31 2DU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01208 72310 01208 79381 thewhitehouse@surf3.net Platinum Care Limited Mrs Eves Carkeek Care Home 34 Category(ies) of Dementia - over 65 years of age (11), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (11), Old age, not falling within any other category (34), Physical disability over 65 years of age (5) The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to (MD[E]) Service users to include up to Service users to include up to (PD[E]) Service users to include up to Total number of service users 11 adults aged over 65 with a mental illness 11 adults aged over 65 with dementia (DE[E]) 5 adults aged over 65 with a physical disability 34 adults of old age (OP) not to exceed a maximum of 34 Date of last inspection 20/10/04 Brief Description of the Service: The White House is a care home providing personal care and accommodation for thirty four older people. Eleven of the thirty four beds are available to service users with a dementia or a mental disorder. The home provides a respite care service in a dedicated bedroom through a booking service which is well used. The home is a large premises situated on a hill overlooking Bodmin town to the Gilbert Memorial and the surrounding countryside. The premises has a garden on the West and North side of the home. Car parking is available in the grounds of the home. The building is a two-storey Victorian house, which has been extensively modernised including a three storey extension. Internally, the house has been adapted whilst retaining the characteristics and age of the building. Accommodation includes two separate dining rooms and two lounges, which are available on the ground floor as are some bedrooms. All bedrooms are for single occupancy use. A total of nineteen bedrooms on all floors of the home have en-suite facilities. Access between floors is aided by a passenger lift and a stairlift. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on 28th September 2005, between 9am and 1pm. It was the inspector’s first visit to this home. The Registered Manager and deputy manager were not available for this inspection. The inspection did not cover as many standards as would normally be expected as it was the inspector’s opinion that some would be better inspected with the Registered Manager available. The home has a proactive approach to the welfare and best interests of service users. Overall, the inspector left with a good impression of this home and the care provided to service users. What the service does well: What has improved since the last inspection? What they could do better: The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 6 The issues identified at this inspection are of a managerial nature, and should not detract from the overall impression gained by the inspector of a home that provides a high quality of care. 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 D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 6 The care needs of prospective service users are fully assessed prior to admission. EVIDENCE: The Registered Manager and deputy manager were on holiday at the time of this inspection. The senior carer on duty was not aware of where the Statement of Terms and Conditions for each service user was kept. It is noted from previous inspections “Each service user is provided with a contract of care that details the terms and conditions of the placement. Included in the contract is the weekly charge for the care and the room number that the service user occupies.” The Registered Manager must ensure that records are available for inspection. Two service user files were inspected, and both showed that the service user’s care needs had been assessed prior to admission. Relevant information is also collected from the referring agency, where possible. Standard 6 is not applicable to the home although the home provides a respite care service in a dedicated bedroom through a booking service, which is well The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 9 used. If the service user continues to stay in the home they will be offered the continuity of this room. Any rehabilitation required is provided by external staff coming into the home (physiotherapists for example). The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 10, 11 Service users were complimentary about the kindness of the staff and confirmed that their privacy and dignity is upheld. EVIDENCE: A sample of care documentation was inspected. The care documentation shows that service users have access to a wide variety of healthcare professionals (e.g. Community Psychiatric Nurse, ophthalmology appointments). All rooms are offered as single occupancy, and service users confirmed that their needs were well met in an appropriate manner. The ‘Resident Assessment Form’ in use at the home provides the facility for recording service user wishes in respect of dying and death. The three sample files inspected showed that this portion of the form had not been completed. The senior carer advised the inspector that the home liaises with relevant agencies (e.g. Macmillan Nurses) as appropriate. The Registered Manager should ensure that information pertaining to service user wishes in respect of terminal illness, dying and death is ascertained and recorded. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 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 standard(s) 12, 13 Service users were complimentary about the lifestyle they experienced at the home, and confirmed that they may have visitors as they wish. EVIDENCE: The inspector was advised that all the service users have breakfast in their rooms and they are free to remain in bed if they so wish. The service users spoken with confirmed that they are free to determine their own lifestyle and there is no expectation of set waking and bed times. There is a visitor’s book in the entrance to the home. The service user care documentation shows that visitors attend regularly and frequently. A variety of activities are planned on an almost daily basis, and service users confirmed that there was an activity planned for the afternoon of the inspection. Service users also confirmed that they had recently enjoyed a trip out to a local attraction. The sample service user care documentation seen showed that the ‘Social Activity Plan’ was not being regularly completed. The record of activities and participation by service users did not reflect the actual level of activities provided. The Registered Manager should ensure that staff record service user participation in social/recreational activities. The home should be commended on their commitment to the provision of social activities. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17, 18 Service user legal rights are protected. EVIDENCE: Service users spoken with confirmed that they had the opportunity to vote in the last General Election, and that they receive their mail unopened. The inspector was advised that assistance with mail is offered or kept for the service user family/representative. The home has in place a policy and procedure on adult protection, which includes information on whistle blowing. The senior carer was aware that any allegation of abuse should be reported, but was unsure as to the ‘who’ and ‘how’. The existing Protection Of Vulnerable Adults policy was seen to refer to an investigation being carried out by the home. The Protection Of Vulnerable Adults policy should be reviewed and amended to ensure it provides: 1. Clear instruction to staff as to the steps to be taken in the event of an allegation of abuse. 2. References local Protection Of Vulnerable Adults procedures. 3. Provides the relevant contact information. Service users spoken with were very positive about the kindness of the staff and confirmed that they would feel able to express any concerns they had. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 26 Service users live in a safe, comfortable, and well-maintained environment that is suitable for its stated purpose. EVIDENCE: The home is very well maintained externally and internally with a maintenance person being employed. Nineteen bedrooms in the home have en-suite facilities to include a wash hand basin and toilet. Two bedrooms have in addition to a toilet and wash hand basin a bath and two bedrooms have a shower. The home has a good range of assisted bathing facilities (six) to meet the needs of the more dependent service users. The home is well provided with handrails and grab-rails in toilets and bathrooms. A passenger lift is available along with a stair lift. There is one bedroom that is accessed by a number of steps. Service users can also have their own telephone lines should they so wish. The home was found to be very clean on the day of the inspection. Two cleaning staff members are employed. Protective equipment including gloves and aprons are readily available in the home. A staff member is employed for laundry duties and the laundry is very well equipped with industrial machines. The inspector was advised that fouled linen is hand sluiced before being placed The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 14 in the washing machine. The Registered Manager should ensure that staff make use of the red laundry sacks available for fouled linen and that these are placed directly into the washing machine. At the time of the inspection service users were seen to be making use of the communal facilities available to them. The environment is very homely and a credit to The White House. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staffing levels are appropriate to the care needs of the service users. EVIDENCE: At the time of the inspection there were 31 service users resident and 6 care staff were on duty. In the absence of the Registered Manager the staffing levels had been increased so that the senior carer was extra to the normal level of 5 care staff. There were also 2 domestic staff, 2 kitchen staff and a laundry person on duty. The duty rota was inspected and seen to refer to staff forenames only, which, should the need arise, might make the retrospective identification of staff difficult. The Registered Manager should ensure that the duty rota displays staff surnames. Staff were seen to carry out their duties in an unhurried and considerate manner, interacting professionally and courteously with service users. The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this time. EVIDENCE: The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 4 3 x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 2 x x x x x x x x The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. 2. 3. Refer to Standard 11 12 18 Good Practice Recommendations The Registered Manager should ensure that information pertaining to service user wishes in respect of terminal illness, dying and death is ascertained and recorded. The Registered Manager should ensure that staff record service user participation in social/recreational activities. The Protection Of Vulnerable Adults policy should be reviewed and amended to ensure it provides: 1. Clear instruction to staff as to the steps to be taken in the event of an allegation of abuse. 2. References local Protection Of Vulnerable Adults procedures. 3. Provides the relevant contact information. The Registered Manager should ensure that staff make use of the red laundry sacks available for fouled linen and that these are placed directly into the washing machine. The Registered Manager should ensure that the duty rota displays staff surnames. 4. 5. 26 27 The White House D52 D04 9143 White House V236258 280905 stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, PL25 4AD 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. 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