Inspection on 01/02/06 for The White House (Curdridge) Ltd

This inspection was carried out on 1st February 2006.

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 (Curdridge) Ltd 11/01/07

The White House (Curdridge) Ltd 05/08/05

The White House (Curdridge) Ltd 20/01/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The White House (Curdridge) Ltd Vicarage Lane Curdridge Hampshire SO32 2DP Lead Inspector Beverley Rand Unannounced Inspection 1st February 2006 10:20 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 (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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 (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The White House (Curdridge) Ltd Address Vicarage Lane Curdridge Hampshire SO32 2DP 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) The White House (Curdridge) Ltd Ms Emma Hampton Care Home 42 Category(ies) of Dementia (42), Mental disorder, excluding registration, with number learning disability or dementia (42), Old age, of places not falling within any other category (42) The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the category MD are not to be admitted under 55 years. Service users in the category DE are not to be admitted under 45 years. 5th August 2005 Date of last inspection Brief Description of the Service: The White House is a care home providing care and accommodation for 42 older people including those with dementia. The home is located in a rural setting, in 18 acres of land. There are extensive gardens which are both secure and interesting, and are also home to animals such as pot bellied pigs and peacocks. The original home opened in 1983, and is an old, character property. In 2005, a new building was built, and accommodates twenty four people. The building links in with the main house, and is divided into three units for eight people. Each unit is themed on a local area, as well as a colour, and has eight, en-suite bedrooms, two lounge/diners, and bathing facilities. Residents can walk around in a square. The accommodation in the main house is provided in 3 double and 11 single rooms, plus a single, en-suite room specifically used for respite care. There are three lounges which incorporate dining facilities. There is a passenger lift and assisted baths. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year and looked at ten of the key standards: this report should therefore be read in conjunction with the previous report. Most of the residents have communication difficulties due to having dementia. The inspection took place over three and three quarter hours, and the inspector spent time observing staff interactions with residents, speaking with one resident, a visitor, staff, the manager and provider. The inspector also looked at records such as assessments and care plans. What the service does well: What has improved since the last inspection? What they could do better: This report does not make any suggestions regarding improvement. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 6 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 (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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 (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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. Standard 6 does not apply to The White House The manager ensures that residents only move in if the home can meet their needs. EVIDENCE: The inspector spoke with staff regarding how much information they received about new residents when they moved in. Staff said there was always a personal history profile, assessment forms and letters from hospital if appropriate. The manager confirmed that either she, or the provider, would visit prospective residents in their own home, or hospital, to do an assessment to ensure they could meet the identified needs. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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 & 10 The manager ensures that each resident has a care plan, and that staff treat residents with respect. EVIDENCE: Care plans all contain information about residents’ needs and are reviewed monthly. Personal history profiles are completed where appropriate, so that staff have a picture of the residents’ lives before they moved to The White House. Risk assessments are in place. The personal file contains a lot of information so an, ‘at a glance’ care plan is kept in residents’ bedrooms, which is designed for staff to look at quickly. Staff gave the inspector examples about how they respected privacy and dignity when attending to personal care, such as ensuring doors and curtains are closed, and being subtle when asking if someone would like to go to the toilet. Staff are ‘resident focussed’ in that they, ‘go with their wishes’: staff detailed how one resident was afraid to undertake a particular care task at night, so it was done in the morning instead. One staff member said they ensure they talk to the resident, not each other when they are working in pairs. Another said it was a calm environment, and that if someone was not The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 10 ready to get up and have personal care support, they would go back, when they were ready. The inspector observed staff talking to residents in a respectful way. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 The home ensures that residents can exercise choice in their lives. EVIDENCE: Residents are welcome to bring personal possessions into the home, such as ornaments, televisions and furniture. Small pets have also accompanied residents in the past. Residents could look after their own finances if they were able to do so. Staff told the inspector that residents made choices in every day life, such as when they got up. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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 The home’s policy and procedure ensures that residents are protected from abuse. EVIDENCE: Staff knew what procedures to follow if there was an allegation or suspicion of abuse, and were aware of the different types of abuse. The home has written procedures in place. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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): These standards were not assessed. EVIDENCE: The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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, 28, 29 & 30 The home ensures that residents’ needs are met by safe, skilled and trained staff. EVIDENCE: The staffing rota is different for each part of the home: the main house is staffed by three care staff and each unit has two care staff during the hours of 8am to 10pm. A senior staff member is always included in the rota, for each unit. At night there are three staff awake, who cover the whole home. The home also employs two cooks who cover the whole week between the hours of 8am and 5pm, two domestics, an activities co-ordinator and two activities assistants. The home employs a total of 44 care staff and is committed to a programme of NVQ training. The home expanded in 2005, which meant a lot of new staff were taken on at once, so the NVQ programme is ongoing and 50 have not yet achieved a qualification: however the percentage will be higher than 50 when all have competed their studies. Two have achieved NVQ2 and twelve have got NVQ3. Seven are currently studying for NVQ2, and a further nineteen are studying for NVQ3. The manager told the inspector that two references and a Protection of Vulnerable Adults check were in place before new staff started work. Two files looked at showed this to be the case. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 15 The manager explained that the induction was divided into six units, which she uses at her monthly supervision sessions with new staff, which is seen as good practice. The unit manager or a senior staff member conducts the first day orientation induction. However, there is not a system in place to ensure this orientation has been fully completed: one staff member had fed back that they had not been introduced to the residents and did not know where certain rooms were. The manager agreed to devise a checklist to ensure everything is covered. The home remains committed to training for all staff: fire training, first aid, health and safety/risk assessment, food hygiene, infection control, moving and handling, dementia, medication and adult protection. The majority of staff undertake each training course. Six staff have had training in ‘train the trainer’ so they can train other staff. Specialist training is bought in as necessary. Staff are paid to attend training. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 33 The manager and provider ensure they seek the views of residents and their families. EVIDENCE: Questionnaires are kept in the hallway for residents, families or visiting professionals to complete. An annual questionnaire is also sent to families when a letter is sent regarding fee increases. The inspector looked at the large number of completed questionnaires which were all positive. The home also receives thank you cards in large numbers. The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations The White House (Curdridge) Ltd DS0000059982.V281159.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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