Inspection on 04/03/08 for The White House Care Home

This inspection was carried out on 4th March 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

The White House Care Home 05/01/09

The White House Care Home 13/09/07

The White House Care Home 11/09/06

The White House Care Home 12/12/05

The White House Care Home 28/06/05

The White House Care Home 14/12/04

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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 Michael O`Neil Key Unannounced Inspection 4th March 2008 09:20 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.V360522.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 Care Home DS0000061514.V360522.R01.S.doc Version 5.2 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 none None Mrs Julia Pauline Cobb Mr Simon Cobb Ms Julie Dawn Frith Care Home 32 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) 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.V360522.R01.S.doc Version 5.2 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. 13th September 2007 Date of last inspection Brief Description of the Service: The White House is a converted property providing personal care and accommodation for thirty-two older people, some who have dementia. 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 homes registered providers are Mrs Julia Pauline Cobb and Mr Simon Cobb. The home has beautiful 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 weekly fees range from £338 to £385. This does not include costs for items such as hairdressing or chiropody. The registered manager supplied this information to the Commission For Social Care Inspection (CSCI) on the 4th March 2008. Information about the home is available in the entrance halls to both units of the home. The latest CSCI inspection report and the complaints procedure are also available in the entrance halls. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. This was an unannounced key inspection carried out by Mike O’Neil and Sue Turner, regulation inspectors. This site visit took place between the hours of 9:20 am and 3:40 pm. Julie Frith is the registered manager and was present during the visit. Prior to this and the visit in September 2007 the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of this report. Questionnaires, regarding the quality of the care and support provided, were sent to people staying in the home, their relatives and any professionals involved in peoples care. We received ten questionnaires from people using the service, five from relatives and six from staff. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to six staff, two relatives and five people who live there. We checked all key standards and the standards relating to the requirements outstanding from the homes last inspection in September 2007. The progress made has been reported on under the relevant standard in this report. We wish to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the service does well: The home were regularly consulting with and requesting reviews from health professionals when the person’s needs were quite complex and had been changing. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 6 People and/or their relatives were involved in drawing up and reviewing the care plans. People looked clean, well dressed and appeared to have received a satisfactory level of personal care. People said “The staff are very friendly and they are great” “I’m very satisfied with the care” “I’m happy and content” Relatives said “Staff are very caring towards residents” “Staff show genuine concern and affection toward residents” The menus and food served was varied. People said “We always get a good meal” “The food is very good, with a lovely variety”. People and relatives said they had no concerns about the home, staff or service provided. They said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. The home was clean and tidy and no unpleasant odours were noticeable. Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. There were good quality assurance systems in place. These will help to ensure that the service is operating in the best interest of the people who live there. The manager had many years experience within the caring profession. She was committed to ensuring that people staying in the home were consistently well cared for, safe and happy. What has improved since the last inspection? Peoples care plans were now being regularly reviewed and the changes in people’s health were being more closely observed and recorded. Staff were signing Medication sheets as required. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 7 The home has appointed another activities coordinator, which has meant that the frequency of activities available has improved since the last CSCI visit. The home was now keeping a clearer record of complaints, which detailed the action taken and outcomes. Since the last inspection refurbishment of the dementia unit has occurred. The unit is now bright and cheerful and peoples doors have been individually painted and customised. Touches have been added to help people with orientation, such as directions to their rooms, toilets and other communal areas. Staff showed a real pride in the unit and were keen to show us round. Relatives said they were really pleased with the cleanliness and general aesthetics of the unit. The service must be commended on the real transformation of the dementia unit. Agreed levels of staff were being maintained. Recruitment practices had been improved. What they could do better: Peoples care plans and risk assessments need to be improved so that they contain sufficient detail to ensure that people receive a consistently high standard of care .The daily notes recorded must also link with what was recorded in the care plans. Staff need to make sure they protect people’s privacy and dignity. On several occasions staff were heard discussing people’s conditions or behaviour within earshot of other people or visitors. The lunchtime period needs to be improved for people on the Dementia Unit. We saw that as soon a people sat at the dining table staff started to clean the adjoining lounge carpet. The noise from the carpet cleaner was very loud making the ambience unpleasant for people eating in that environment. Some staff still need to be provided with specialist training to enable them to recognise, understand and deal with verbal and physical aggression appropriately. Staff did raise concerns over the lack of a specialised hoist to safely move people. Staff said they had to move the hoist from one building to another because several people in both units of the home needed this hoist to be safely moved. Suitable arrangements must be provided so a safe system is in place for moving and handling people. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 8 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 Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 9 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.V360522.R01.S.doc Version 5.2 Page 10 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): Standard 3.Standard 6 is not applicable to this home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before moving into the home to make sure it is the right place for them to live. Pre admission information ensured the home was able to meet peoples health, social and care needs. This home does not provide intermediate care services. EVIDENCE: Three peoples files were checked and each contained a copy of their full needs assessments. Prior to admission taking place, professionals and staff from the home assessed people. This confirmed that the service was appropriate for the The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 11 person and provided staff with information to formulate an individual plan of care. Evidence was seen that the home were regularly consulting with and requesting reviews from health professionals when the person’s needs were quite complex and had been changing. The home does not provide intermediate care. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 12 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): Standards 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person had a plan of care, however these did not include sufficient detail to ensure that peoples individual needs were being met. Medication procedures protected people’s health and welfare. Staff did not fully protect people’s privacy and dignity. EVIDENCE: Three peoples care plans were checked. The peoples care plans checked were good in that they contained some details about the person’s biography, personality and their preferences and choices. Previous requirements made at the last inspection had been addressed in that the plans were being regularly The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 13 reviewed and the changes in people’s health were being more closely observed and recorded. The care plans however were still inadequate because: They did not contain detailed information as to how the persons’ mental, physical health and personal needs could be fully met. In the dementia unit the care plans only touched on the actions the staff needed to take when a person displayed some challenging behaviour. The home must seek the assistance of specialist health professionals as a matter of urgency to develop these plans. This will help to keep the person, other people and staff at the home safe and ensure that all staff use a consistent approach when providing support to people. Daily notes were completed but these did not always link with what was recorded in the care plans. We discussed the legality of the documents with the manager and stressed the need for staff to be aware of what and how they were recording information. Evidence recorded showed that people and/or their relatives were involved in drawing up and reviewing the care plans. As already highlighted under standard 3 the care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People looked clean, well dressed and appeared to have received a satisfactory level of personal care. People said “The staff are very friendly and they are great” “I’m very satisfied with the care” “I’m happy and content” Relatives said “Staff are very caring towards residents” “Staff show genuine concern and affection toward residents” Medicines were securely stored in locked trolleys within locked cupboards. Medicine Administration Records (MAR) checked were completed with staffs’ The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 14 signatures. Staff said they had completed an in-depth training programme. This gained them the competencies needed to administer medications. There was evidence that managers and trained staff were auditing medication administration procedures. A requirement made at the previous two inspections for the medication administration records to contain General Practitioners or two members of staffs’ signatures alongside any directions regarding the dosage of the medication or the time the medication to be given had been carried out on all the record sheets checked. Staff spoken to were aware of the need to treat people with dignity and respect and were observed interacting in a friendly and pleasant way. However, staff of all grades/levels did not protect people’s privacy and dignity on several occasions. It seemed the norm to talk about people’s condition or behaviour within earshot of other people or visitors. Staff on several occasions were heard to have telephone conversations about people. The telephone may need moving as it is sited in the lounge, a public area of the home. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 15 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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had a choice of lifestyle within the home and were able to maintain contact with family and friends ensuring that they continued to be involved in community life. A range of activities were on offer, and the frequency of the activities provided had improved. Activities on offer promoted choice and maintained interests. Meals served at the home were of a good quality and offered choice to ensure people receive a balanced diet. However some people’s meals were not served in pleasant surroundings. EVIDENCE: People said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. We saw that everyone coming to the home was offered hospitality and staff took time The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 16 to make sure friends and family were made to feel comfortable whilst visiting. Some people said they preferred to stay in their room at certain times of the day and that the staff respected their decision. The home has appointed another activities coordinator, which has meant that the frequency of activities available has improved since the last CSCI visit. Quizzes, games, crafts and singing were advertised as taking place on both units of the home. Relatives said that they appreciate that there was more stimulation for people at The Whitehouse but that they would still like to see a further increase in the amount and type of activities available. On the day of the site visit, there was no planned activity, however staff were seen spending time with people on a one to one basis. People’s social activities were recorded in their plans of care. However, the home needs to offer people who have dementia activities that will help them maintain their life skills, and suit their individual needs and capabilities. Care plans should be formulated with the help of people and their advocates to highlight these types of activities. The lunchtime period was not a positive experience for people on the Dementia Unit. We saw that as soon a people sat at he dining table staff started to clean the adjoining lounge carpet. The noise from the carpet cleaner was very loud making the ambience unpleasant for people to eat in that environment. The mealtime experience for people in the homes other dining room however was very positive. Tables were set nicely with cloths, condiments and matching crockery. Staff were supporting people with their meal in a polite and discreet way. The menus and food served in both dining rooms were varied. People said “We always get a good meal” “The food is very good, with a lovely variety”. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures were in place and people and their relatives felt confident that any concerns they voiced will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected from abuse. EVIDENCE: People and their representatives had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This contained details of who to speak to at the home and who to contact outside of the home to make a complaint should they wish to do so. People and relatives said they had no concerns about the home, staff or service provided. They said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. The home kept a record of complaints, which detailed the action taken and outcomes. (Previous requirement met) The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 18 A complaint had been received by the Commission about the care a person had received. This complaint was taken through adult safeguarding procedures .A conclusion had been reached and an action plan had been agreed with the home to address certain issues relating to communication with advocates, referrals to health professionals and record keeping. An adult protection procedure was in place. Staff had undertaken formal training on adult protection, which had equipped them with the skills needed to respond appropriately to any allegations. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 19 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): Standards 19, 24 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment within the home was well maintained, furnished to a good standard and in the main clean, providing a comfortable, safe environment for people. EVIDENCE: The home was clean and tidy and no unpleasant odours were noticeable. Lounge and dining areas were domestically furnished to a good standard. Since the last inspection refurbishment of the dementia unit has occurred. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 20 The unit is now bright and cheerful and people’s doors have been individually painted and customised. Touches have been added to help people with orientation, such as directions to their rooms, toilets and other communal areas. Staff showed a real pride in the unit and were keen to show us round. Relatives said they were really pleased with the cleanliness and general aesthetics of the unit. The service must be commended on the real transformation of the dementia unit. Bedrooms checked were comfortable, homely and reflected peoples personal tastes. People said their beds were comfortable and bed linen checked was clean and in a good condition. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 21 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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were employed in sufficient numbers and recruitment procedures promoted the protection of people. People receive care from a generally well-trained staff team, however some staff required specialist training to ensure they had the skills to maintain the safety of themselves and other people at the home. EVIDENCE: People and relatives spoke highly of the staff team and questionnaires returned identified staff always listened and acted on what people said. People said that staff were “always” or “usually” available when needed. Staff and the manager confirmed that staffing levels were more than adequate and said that staffing levels had also been bolstered by the appointment of another activities coordinator. (Previous requirement met) Currently the home is not at full occupancy and has nine empty beds. The manager confirmed that staffing levels would increase again as more people were admitted to the home. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 22 Three staff files were checked. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. For the member of staff recently recruited it demonstrated that a Protection Of Vulnerable Adults check had been carried out before they commenced employment. This confirmed thorough recruitment practices were in place, which was sufficient to safeguard people. (Previous requirement met) Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. Staff were able to talk about the various training courses that they had attended. Health Professionals from the Primary Care Trust had provided some of this training and staff said they had found this specialist training in dementia care very helpful. Some staff did say however that they needed specialist training to enable them to recognise, understand and deal with verbal and physical aggression appropriately. These concerns were raised at the last CSCI visit and still need addressing. Over 50 of the staff team had achieved their NVQ Level 2 or above and others were due to commence this training shortly. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 23 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): Standards 31, 33, 35,and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures and ethos of the home ensure that the home is run in the best interests of people who use the service. In the main the homes procedures promote the health, safety and welfare of people who use the service and the staff. EVIDENCE: The registered manager has a registered managers award and her national vocational qualification level four in care. The manager had many years The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 24 experience within the caring profession. She was committed to ensuring that people staying in the home were consistently well cared for, safe and happy. People spoken to and information from questionnaires confirmed that people, staff and relatives were all happy to approach the manager at any time for advice, guidance or to look at any issues. They all said that they were confident that she would respond to them appropriately and swiftly. The home had an active quality assurance system. There was evidence of internal auditing of the homes environment, services and records. Staff meetings were held and minutes of these meetings were seen. The responsible individual visited the home on a regular basis, a report was written following the visits. People who use the service met with the management of the home. Minutes of these meetings were seen. A relative forum has also commenced at the home. The first meeting involving relatives/advocates of people took place last month. These quality assurance systems will help to ensure that the service is operating in the best interest of the people who live there. The registered manager explained no money is kept on the premises; people are invoiced directly for any extra costs. The registered manager confirmed that since the last CSCI visit there had been no incidents in the home, which adversely affects the well being, or safety of any people who live there. She said she was fully aware of her responsibilities to inform the CSCI of such events. (Previous requirement met) The fire risk assessment had been reviewed in February 2008. No issues requiring attention were highlighted in the review. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. Staff did raise concerns over the lack of a specialised hoist to safely move people. Staff said they had to move hoist from one building to another because several people in both units of the home needed this hoist to be safely moved. At the time of the visit fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. This will promote the safety and welfare of the people. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 25 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 2 The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 Peoples care plans and risk assessments must contain sufficient detail to ensure that people receive a consistent high and safe standard of care. Daily notes recorded must link with what was recorded in the care plans. The privacy and dignity of people must be respected at all times. Meals must be served in pleasing surroundings. All staff need to be provided with specialist training to enable them to recognise, understand and deal with verbal and physical aggression appropriately. Suitable arrangements must be provided so a safe system is in place for moving and handling people. Timescale for action 01/06/08 2. 3. 4. 5. OP7 OP10 OP15 OP30 12,15 12 16 13(6) 01/06/08 01/05/08 01/05/08 01/07/08 6. OP38 13 01/06/08 The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 27 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 OP12 Good Practice Recommendations All the people who live in the home should be given the opportunity for stimulation through suitable leisure and recreational activities. The White House Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Care Home DS0000061514.V360522.R01.S.doc Version 5.2 Page 29 - 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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