Inspection on 04/01/07 for The White House, Bodmin

This inspection was carried out on 4th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 16/03/06

The White House, Bodmin 28/09/05

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 Elaine Bruce Key Unannounced Inspection 4th January 2007 08:50 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 DS0000009143.V324090.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 DS0000009143.V324090.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House Address 40 Castle Street Bodmin Cornwall PL31 2DU 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) 01208 72310 01208 79381 thewhitehouse@surf3.co.uk 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 DS0000009143.V324090.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 11 adults aged over 65 with a mental illness (MD[E]) Service users to include up to 11 adults aged over 65 with dementia (DE[E]) Service users to include up to 5 adults aged over 65 with a physical disability (PD[E]) Service users to include up to 34 adults of old age (OP) Total number of service users not to exceed a maximum of 34 Date of last inspection 16th March 2006 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 DS0000009143.V324090.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection at The White House took place on the 4th January 2007 between the hours of 0850 and 1610. The registered manager and deputy manager were on duty during the course of the day. All the service users spoken to during the course of the day expressed very positive comments on the standard of care being delivered at the home. All the service users expressed very positive comments on all aspects of life at the home to include the good food, the kindness of the staff and management and the pleasant environment. They also expressed their appreciation of the wonderful Christmas that they had had at the home. Case tracking took place with four service users during the course of the day. Additional service users were spoken to. Comment cards were received from three service users and two relatives. These indicated complete satisfaction with the standard of care at The White House. The range of fees for the weekly care are from £331 to £450. What the service does well: All the staff employed at The White House receive regular training to allow them to do their jobs to the best of their ability. The registered manager works very hard to access a wide range of training to the benefit of the staff and service users. All the service users spoken to expressed very positive comments on the standard of the meals at the home. The home has a cook on duty every day, all day taking the responsibility of any meal preparation off care staff. The home has recently carried out a quality monitoring of it’s delivery of care in the form of questionnaires to relatives, service users and visitors to the home. A lot of work and effort has been put into this with very positive results received. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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 DS0000009143.V324090.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose and service user guide documentation as well as a brochure provide prospective service users with details of what the home provides helping an informed decision about admission to the home. The registered manager assesses all service users prior to admission to the home to ensure that the home will be able to meet their care needs. EVIDENCE: The pre admission assessment document is completed during the assessment process by the registered manager. In her absence the deputy manager or a senior staff member undertake this process. The document includes important information on the specialist care needs of the service users being admitted to The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 9 the home. Admissions to the home are not made until a full needs assessment has been undertaken. The statement of purpose document advises prospective service users that they are welcome to visit the home prior to admission. The White House has a respite bed available all year. The majority of admissions to the home have stayed in the respite bed and therefore had an excellent opportunity to have a trial stay at the home prior to a long stay admission. This resource is also accessed via professionals providing intermediate care with a view to maximising independence for service users so that they can return home. The home has an admission policy and procedure in place to guide staff. The documentation clearly states that as much information as possible must be gathered on potential service users prior to admission. The manager ensures that she receives all pre admission documentation from adult social care when they have a funding responsibility. As discussed at the time of the inspection it is recommended that more information be included in the statement of purpose on diversity and equality. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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. 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. The service user’s health, personal and social care needs are being met by the staff and multidisciplinary staff as required. Medication is being administered correctly to the service users but one good practice recommendation is made as a result of this inspection. During the course of the inspection the care team were noted to treat the service users with considerable kindness and patience. EVIDENCE: Each service user has a detailed care plan in place which evidences the involvement of the service user in care planning. Regular monthly reviews of care needs are taking place. Daily records support the care plans and the care The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 11 plan is used as a working took and is understood by all staff. Additional information to include risk assessments, nutritional screening and moving and handling assessments are available in care planning. All the staff have a responsibility for recording in care planning. Service users are registered with a general practitioner on admission to the home. Evidence is in place in the care plan of health care needs being met on a multidisciplinary sheet. The home has a good working relationship with local general practitioners who visit the home regularly. Service users are weighed regularly and this is also documented in the care plan. Records are in place of chiropody services. The chiropodist was in the home on the day of the inspection and visits regularly every six weeks. The home has in place a medication policy and procedure. The local Boots pharmacy provides medication to the home in the monitored dosage system. The system is regularly inspected by the pharmacy and a recent inspection was carried out on the 21st November 2006. All the staff who administer medication to include the manager have received medication training at a local college. Certificates are awaited from the pharmacy for recent training that they have provided. There were some signature “gaps” in the medication administration records which should be addressed. During the course of the inspection staff were noted to interact well with the service users and treat them with respect and dignity. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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. 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. The home provides the service users with opportunities to meet their social care needs. Visitors to the home are encouraged and welcomed. The meals provided at the home are good with a choice of meal always available. EVIDENCE: Documentation in care planning includes information on the history of the service user to include information on their family/representatives, life and interests. Daily records indicate how the service users are spending their time in the home to include when they have joined in an activity. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 13 During the course of the day the service users expressed very positive comments on the Christmas arrangements and activities that took place. A sample of activities for January includes: Bingo, Chi movements, fitness, piano entertainment and PAT a dog. The hairdresser was in the home during the course of the day. Sufficient staff resources are provided to allow time for activities and stimulation. During the course of the day a number of visitors were in the home and one group of visitors were spoken to. They expressed very positive comments about the home and the good standard of care being delivered to their relative. Visiting to the home is open with all visitors to the home being asked to sign into the home. Meals can be provided to visitors if required. Service users can choose to entertain visitors in their own rooms or a communal area. All the service users spoken to during the course of the inspection expressed very positive comments on the standard of the meals at the home. Staff members who are employed to cook the meals in the home are qualified to the basic and intermediate food hygiene level. The cooks (three) have the support of a kitchen assistant, with the kitchen being covered from 7.30 to 6.00 Monday to Sunday. The home is following good practice guidance from the district council on healthy eating. There is a very good choice of meals and drinks available at all times. The menu is displayed in central areas for the service users and visitors to the home to see. The main meal on the day of the inspection was Hungarian goulash with cabbage, swede and broccoli followed by latticed plum tart and clotted cream. The alternative meal to the goulash was omelette. Fresh fruit is available to the service users at all times. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure provided to the service users in the service user guide/statement of purpose. The home has in place adult protection policy and procedures and training to provide staff with the knowledge and understanding of adult protection issues to protect service users from abuse. EVIDENCE: The home has in place a simple, clear and accessible complaints procedure. It is named “we welcome your views” and states that suggestions and compliments are most welcome. The home has received no complaints but are aware they should keep any records of any concerns/complaints. Service user comment cards indicate that they are extremely satisfied with the service provision and very importantly feel safe at The White House. The home has in place a policy and procedure on adult protection which includes information on whistle blowing. It is recommended that this documentation is reviewed in line with recent updated policy and procedure guidance from the local adult social care department. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 15 All the staff (except two) have attended the adult social care department training on adult protection. There are plans for the two existing staff to receive this training. Supervision documentation evidences that adult protection is discussed with staff. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, comfortable and well maintained environment that is suitable for it’s stated purpose. EVIDENCE: The White House is situated five minutes (by car) from the centre of Bodmin. Car parking is available in the grounds of the home. The gardens are provided with seating. The White House is very well maintained externally and internally with on going maintenance apparent. This has recently included new carpets in the main hallway, corridor and lounge. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 17 Communal areas are spacious and comfortable. Bedrooms are available on the ground, first and second floor of the home. A lift is available to the first and second floor of the home if required. On going maintenance takes place to the bedrooms prior to a new admission. Aids and equipment are provided to meet the needs of the service users as required. A staff member is employed for laundry duties at the home. The laundry is well equipped and suitable for the demands of the home with industrial machines provided. The home was found to be very clean on the day of the inspection with staff members employed for these duties. An inspection of the premises by the fire brigade took place on the 4th April 2006 from which everything was found to be satisfactory. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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. 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. Staffing levels are appropriate to meet the needs of the service users. Staff training is ongoing and encouraged by management. Service users are supported and protected by the home’s recruitment procedures. EVIDENCE: On the day of the inspection the manager and deputy manager were on duty in the office. On the floor there were five carers, with one senior care staff member on duty. In addition there were domestic, laundry and kitchen staff on duty. All the staff, except one have a qualification, the majority of these have an NVQ 2 in care, three staff have obtained an NVQ 3 in care and two have a BSc qualification in Nursing. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 19 Staff training is highly valued and encouraged by management. Statutory training to include moving and handling, fire drill and first aid are all up to date. Good practice training regularly takes place and includes for example: eye care, swallowing, blood glucose and dementia. Evidence is also in place of staff receiving induction training. It is though recommended when this information booklet is taken home this is recorded. Staff files evidence that references and criminal records bureau checks are in place for the recruitment and employment of staff. All staff members have been issued with terms and conditions of employment documentation. The home has in place an equal opportunities policy and procedure. The recruitment of good quality carers is seen as integral to the delivery of a good service. Staff receive regular supervision. This has recently included supervision on religious practice. Service users speak highly about the staff team that care for them. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team are committed to delivering a high standard of care delivery at The White House. All the service users spoken to during the course of the inspection expressed very positive comments on the standard of care that they are receiving. EVIDENCE: The registered manager is very experienced to include having been at the home for nineteen years as a manager. She has obtained her registered managers award qualification along with her deputy manager. The manager is The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 21 a D32 and D33 assessor. She regularly undertakes training which has recently included adult protection training. During the course of the inspection the service users expressed very positive comments about the manager. She in turn presents as very service user focused as well as being aware of current developments in practice. A director from the Company visits the home regularly and provides reports to the CSCI from their visit. The November 2006 and December 2006 Regulation 26 reports are anticipated. The home has carried out it’s own quality monitoring and quality assurance system which has resulted in a large return of questionnaires from relatives and professionals. The results of the questionnaires are analysed and a lot of work has gone into this. The results are due to be published in the next newsletter. The feedback from the questionnaires is very positive. All records held on behalf of the service users finances are in place. Service users, if they wish and are able are encouraged to take responsibility for managing their own money. Health and Safety policies and procedures are in place to guide staff. The service users have confidence in the safe working practices of the staff. Kitchen and domestic staff have received health and safety training. The White House DS0000009143.V324090.R01.S.doc Version 5.2 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 3 x 3 x x 3 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 23 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. 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. 4. Refer to Standard OP1 OP9 OP9 OP18 Good Practice Recommendations To include more information in the statement of purpose on diversity and equality. To ensure that the medication administration records are consistently signed. To use the index in the controlled drug register. To update the adult protection policy and procedure and ensure that all staff have read this important documentation. The White House DS0000009143.V324090.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 DS0000009143.V324090.R01.S.doc Version 5.2 Page 25 - 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. 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