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Inspection on 28/06/05 for The White House Care Home

Also see our care home review for The White House Care Home for more information

This inspection was carried out on 28th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a wonderful homely family atmosphere with fantastic views across the dams. All residents spoken to say how lovely it is living at the White House and how well they are cared for. A positive approach is taken by the providers and management and a commitment is demonstrated towards the inspection process and meeting the National Minimum Standards.

What has improved since the last inspection?

Two extra bedrooms have been registered since the last inspection. Both rooms are decorated and furnished to a high standard; some other areas of the home have been redecorated as well. New laundry equipment has been provided and the housekeeper said it had made a big improvement. Some staff have completed their NVQ qualification and a further four have nearly completed theirs.

What the care home could do better:

The residents care plans still need further development to include all information required to ensure that staff have the full details of each resident in their care. Staff training needs updating to ensure that all staff have completed statutory training. The manager has booked some training to start the process of updating.

CARE HOMES FOR OLDER PEOPLE White House Care Home Rivelin Dams Manchester Road Sheffield S6 6GH Lead Inspector Carol Makin Unannounced 28 June 2005 09:40am 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. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service White House Care Home Address Rivelin Dams Manchester Road Sheffield S6 6GH 0114 2301780 0114 2306638 Not known Mrs Julia Pauline Cobb Mr Simon Cobb Ms Julie Dawn Frith PC Care Home Only 32 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) Category(ies) of 1. OP Old age - 16 registration, with number 2. DE(E) Dementia - over 65 - 16 of places White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service users in the category DE(E) will be housed in one building and those in the category of OP in the other. 2. Staffing levels must comply with, at least, those in the publication `Residential Form Care Staffing in Care Homes for Older People` published April 2002. Date of last inspection 14th December 2004 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. The homes registered providers are Mrs Julia Pauline Cobb and Mr Simon Cobb. The home has beatiful views overlooking Rivelin Dams. There are large landscaped gardens and views of the Dams can be seen 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 White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four hours. The inspector carried out a brief tour of the building, interviewed one staff, one visitor and spoke to four residents. Present during the inspection was the newly registered manager and the providers care director. The inspector would like to thank everyone for their positive contribution towards the inspection process. What the service does well: 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. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 6 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 White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 7 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) 1, 3, 5. The admission process is well managed and residents are given clear information regarding the service. EVIDENCE: One resident spoken to said that they visited the home before they decided to move there and they were given information on the services provided. They also said that they were asked what their needs were. One file checked contained a full needs assessment completed by a social worker before the residents admission. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 8 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) 7, 8, 10. Residents’ are looked after well in respect of their health and personal care needs. Further attention needs to be given to the revision and review of care plans and the quality of the record keeping. This will ensure that staff have all the relevant information to meet the residents care needs. EVIDENCE: Care plans need further development. Follow up health care attention or treatment was not well recorded. Risk assessments are in place and had been reviewed however they do not contain all information relevant to that resident. There was evidence that the resident and relative had been involved in the care planning. Residents had signed to say they had given consent for their medication to be administered by the home. They had also signed to say what information they had been given and that they had been offered a key to their rooms. Action needed from staff to meet the identified health, social and personal care needs was not sufficiently recorded. Three residents when asked said that staff look after them well, they treated them with respect and their privacy was maintained. Staff could say how they maintained the resident’s privacy and dignity. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 9 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, 14, 15. Residents experience a stimulating and varied life at the home with visitors encouraged, various informal activities are made available. Residents said that there are activities if you want to join in and the choice was theirs. They said they had good meals and were offered a choice. Residents could be put at risk due to staff not receiving training in food handling safety. EVIDENCE: Staff undertakes activities with residents both individually and as a group. Residents and a visitor used the word “excellent” to describe the staff and the overall standard of their daily life. Everyone who commented on the food said how good it is and that they can choose what they want and are given ample portions. Not all staff have received training in safe food handling. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 10 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) 16, 17, 18. Arrangements for protecting residents and responding to their concerns are in the main satisfactory. Arrangements are made for the residents to receive postal votes ensuring that their legal rights are maintained. Not all staff had received training on adult protection issues, therefore the promotion the protection of residents could be at risk. EVIDENCE: Residents, visitors and staff comments showed that people feel very comfortable discussing any concerns with the homes management. No complaints have been received either by the home or CSCI. Residents said that they had nothing to complain about but knew who to speak to if they had any concerns and were sure that things would be sorted out. One resident said that they had been able to take part in the recent election by using a postal vote. Due to changes in the staff team the majority of staff had not received training in adult protection. One staff interviewed could say what action they would take if they witnessed any abuse. The home has policies and procedure on adult protection but the staff spoken to had not read these. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 11 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, 23, 24, 25, 26. A comfortable and safe standard of accommodation is provided for the residents with extensive mature gardens and spectacular views. EVIDENCE: A brief tour was carried out of the building; all rooms seen were clean, well decorated and furnished. Residents spoken to said that they liked their rooms, they were comfortable and had their own personal possessions to make them feel at home. They said the home was always kept clean and they loved the wonderful views overlooking the dams and forrest. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 12 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) 29, 30. The recruitment practices at the home are sufficient to ensure the protection of residents. The homes induction programme is implemented consistently. Staff training is not up to date that would ensure that the residents are protected. EVIDENCE: One staff interviewed confirmed that they had to provide documentation sufficient to prove that they were suitable before being employed as a carer. The also received an induction training day however they were not aware of the homes policies and guidelines on adult protection. Residents spoken to said that they felt the staff were competent to care for them and they thought there was sufficient staff on duty to meet their needs. Training is well planned and will support the staff in providing for the varied needs of the residents. However due to changes within the staff team statutory training is needed for the majority of the staff. The manager stated that eight staff had completed NVQ level 2 qualification and a further four were near to completion. Some of the staff are working towards their level 3 qualifications. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 13 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) 31, 33, 37, 38. The management of the home should be transparent therefore the results of the homes quality assurance systems should be published and made public. The home is managed efficiently but attention needs to be given to improving the records kept of residents’ files. The providers make monthly-unannounced visits to the home and a thorough detailed report is produced. The environment is maintained to a standard that ensures the safety of the residents. Staff mandatory training was not up to date; see comments in other sections of this report. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 14 EVIDENCE: Since the last inspection the new manager has been successfully registered with the CSCI. From observations and comments from residents it was clear that the home is run in the best interests of the residents. The manager stated that she had commenced the process of collecting the information that was part of the homes quality assurance system but as yet the findings of this had not been published. Comments relating to records are in other sections of this report. The records of temperature tests to the water supply were in place and health and safety issues appeared well managed. On a tour of the building fire exits were clear and no safety issues were noted. White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 15 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 3 x 1 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 1 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 x STAFFING Standard No Score 27 x 28 x 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 1 3 x 2 x x x 1 1 White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 16 YES 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 OP3, OP7, OP37. Regulation 12, 15, 17, 43, Schedule 3. Requirement The service users plan of care must be completed in full to ensure that all the health social and personal care needs of service users are recorded and also specific instructions for staff to ensure that identified needs are met. Risk assessments on all plans of care must be reviewed and updated. Risk assessments on falls and prevention of falls must be undertaken for all service users. The previous timescale of 31.3.05 was not met. All staff members who handle or serve food must have food hygiene training. The previous timescale of 31/3/05 was not met. Staff must undertake all mandatory training that includes Adult Protection, Health and Safety, First Aid, Infection Control, Manual Handling, and Fire. Staff must be aware of the homes policies and procedures and ensure that guidelines set are followed. Timescale for action 1 Sept 05 2. OP3, OP7, OP38. 13, 15, 43. Shedule 3. 1 Sept 05 3. OP15, OP38. 12, 13, 18, 43. 1 Sept 05 4. OP18, OP30, OP 38. 13,18. 1 Dec 05 5. OP30. 18, 43. 1 Sept 05 White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 17 6. OP33, OP37. 12, 24, 43. The results of the homes quality assurance system surveys must be published and made available to current and prospective service users and other interested parties, including the CSCI. The previous timescale of 31/3/05 was not met. 1 Sept 05 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 None Good Practice Recommendations White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 White House Care Home J55 S61514 White House V230011 28.06.05 UI Stage 4.doc Version 1.40 Page 19 - 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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