Inspection on 12/12/05 for The White House Care Home

This inspection was carried out on 12th December 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 Care Home 05/01/09

The White House Care Home 04/03/08

The White House Care Home 13/09/07

The White House Care Home 11/09/06

The White House Care Home 28/06/05

The White House Care Home 14/12/04

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The White House Care Home Rivelin Dams Manchester Road Sheffield South Yorkshire S6 6GH Lead Inspector Stuart Hannay Unannounced Inspection 09:15 12 December 2005 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 Care Home DS0000061514.V263981.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 Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The White House Care Home Address Rivelin Dams Manchester Road Sheffield South Yorkshire S6 6GH 0114 230 1780 0114 230 6638 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) Mrs Julia Pauline Cobb Mr Simon Cobb Ms Julie Dawn Frith Care Home 32 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (16) of places The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service users in the category DE(E) will be housed in one building and those in the category of OP in the other. Staffing levels must comply with, at least, those in the publication `Residential Form Care Staffing in Care Homes for Older People` published April 2002. 28th June 2005 Date of last inspection Brief Description of the Service: The White House is a converted property providing personal care and accommodation for thirty two service users over the age of sixty-five. Sixteen of these places are in a separate extension for service users with dementia. There are landscaped gardens and views of Rivelin Dams from the majority of the rooms. The home is located some distance away from shops and other amenities. The accommodation is on two floors with lift access, and the majority of rooms are single. All areas of the home are accessible to wheelchairs. There is a parking area to the rear of the home The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Service users from both units were spoken with during the inspection in order to obtain their views on the service. A check was made of a number of records relating to the care of service users and staff training. The inspector went into most parts of the home to check the environment. What the service does well: What has improved since the last inspection? What they could do better: The manager was aware of the need to fully implement the system of professional staff supervision and appraisal. The new care planning system The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 6 needs to be fully monitored in forthcoming months to ensure that all service users’ needs are fully monitored and reviewed in conjunction with their wishes or the wishes of their advocates. 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 Care Home DS0000061514.V263981.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 Care Home DS0000061514.V263981.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): 3 A full assessment is made of potential service users prior to them coming into the home in order to ensure that their needs can be met. EVIDENCE: Assessments were checked in four care plans. They had been fully completed by the manager and included assessments of a wide range of needs. Two service users spoken with said that they had been able to visit the home prior to moving in if they wished. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 9 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 10 The care plans contain information that guides staff on what assistance the service users want, and need, to meet their health and personal care needs. EVIDENCE: Four service users’ plans were checked in detail – two from each unit. All areas of need had been covered and there was guidance in place for staff as to how to meet these needs. Health care needs had been identified, along with all contact or prescribed care from other health care professionals. Eleven of the service users who were asked confirmed that staff treat them with respect, that they were friendly and polite and make every effort to ensure their dignity and privacy is maintained. Staff interviewed were aware of the varying needs of the service users and how these would be met. The home has worked hard to ensure that the information around service users’ needs is more easily accessible and easier to follow. The system needs to be monitored over the forthcoming months to ensure that the current good standard of entries is maintained and that the care and wishes of the service users are fully monitored and reviewed. Minor amendments were discussed on the day with the manager. The daily notes in one care plan contained some jargon that was difficult to understand and this should be avoided. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 10 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 The home provided a varied range of activities and entertainment, which the service users said they enjoyed. Spiritual and social needs are recognised in the care plans and service users felt these were met. EVIDENCE: All the service users who were asked said that they could have visitors whenever they wanted and that their visitors were made very welcome. People interviewed said that they could get up and go to bed when they wished – they felt that the food was generally good and that there was a good choice of food with plenty of it. Eight service users spoken with said that they were happy with the range of activities made available by the home. They said that they played games, had exercise groups, sing-alongs and craft activities, especially around Christmas, Easter, and Halloween. There was a lot of conversation and interaction between the service users in the ‘residential’ unit. Some service users who wanted to attend church said that were able to do so. The atmosphere in both units was relaxed on the day of the inspection. Staff were observed speaking to service users throughout the home in a friendly manner, without being condescending. People interviewed said that they could get up and go to bed when they wished – the provision of food was not fully checked but all those spoken with said that the food was generally good and that there The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 11 was plenty of it. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 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 the following standard(s): 18 Training is provided for staff to raise their awareness of adult protection issues. EVIDENCE: A structured plan is now in place to ensure that all staff receives training on adult protection issues. A significant proportion of staff had already undertaken training since this requirement was made in the last inspection. Staff and service users interviewed with said that they would have no hesitation in reporting concerns and stated that they are encouraged to do so. No complaints have been received either by the home or the Commission for Social Care Inspection. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 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 the following standard(s): 19 20 23 26 The home was very clean and tidy. Service users’ bedrooms were clean and personalised to their taste. EVIDENCE: The communal areas of the home were well maintained and pleasantly decorated. Eight service users’ bedrooms were checked. These were welldecorated and furnished with a high level of personalisation by service users. The service users interviewed said that they were happy with their bedrooms and could use them whenever they wanted and that they could lock them if they wished. The home was very clean and tidy on the day of the inspection, with no unpleasant odours and no obvious environmental hazards. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 14 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 30 Staff were employed in sufficient numbers and they had undertaken training which enabled them to meet the needs of the residents in the home. EVIDENCE: Staff and service users interviewed felt that there were sufficient staff numbers at the home. On most day shifts there were 2 staff on each unit of 16 service users. This included a senior carer and there was often with an additional staff member working between both units. Since the previous inspection the home has established a structured programme of training to ensure that all staff receive required statutory training such as food hygiene and manual handling training. Some staff have also received training on understanding the needs of service users with dementia. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 15 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 32 33 35 37 38 The manager fosters an ‘open’ atmosphere at the home which encourages staff and service users to express concerns and make positive comments about the service. The home takes measures to ensure the health and safety of staff and service users. EVIDENCE: Staff and service users spoke positively about the attitude and commitment of the manager. Both groups said that they would have no hesitation in speaking with her if they had any concerns. They said she was supportive and provided good leadership. The manager said that information obtained from the service users as part of the quality assurance monitoring process is now available to interested parties. Staff appraisals have taken place but the home has yet to fully implement its plans for bi-monthly professional staff supervision. Records show that staff have received regular fire training and two staff members The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 16 interviewed were able to describe the procedures to be followed in the event of a fire. The White House Care Home DS0000061514.V263981.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X X 3 X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X 3 The White House Care Home DS0000061514.V263981.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 OP7 Regulation 12, 15 Requirement The registered manager must ensure that the newly implemented care planning system is consistently monitored and reviewed. Reviews must include the wishes and opinions of the service users or their advocates. The registered manager must implement the plan of formal bimonthly staff supervision. Timescale for action 30/03/06 2 OP36 18 (2) 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 OP7 Good Practice Recommendations The registered manager should check care records to ensure that abbreviations are not used inappropriately and that the meaning of the written entries is clear. The White House Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Care Home DS0000061514.V263981.R01.S.doc Version 5.0 Page 20 - 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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