Inspection on 11/01/07 for The White House (Curdridge) Ltd

This inspection was carried out on 11th January 2007.

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 01/02/06

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 Mrs Michelle Presdee Unannounced Inspection 11th January 2007 10:00 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.V320263.R02.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 (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 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.V320263.R02.S.doc Version 5.2 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. 1st February 2006 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 fees for the home range from £530 to £762 per week. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the unannounced inspection both the manager and the proprietor of the home assisted the inspector. A tour of the building was undertaken and several bedrooms were chosen randomly to view. Several members of staff were spoken with. Some service users were spoken with, all seemed very happy and content but for some this was difficult to establish from their verbal communication due to their limited communication abilities. One visitor was spoken with and the district nurse was also spoken with. A range of written records including assessments, care plans, policies and procedures were viewed. Regulation 37 notifications have regularly been received by the commission and have been used to form evidence for this report. What the service does well: What has improved since the last inspection? The home continues to improve the physical environment of the home. The main home has improved the standard of décor and furnishings to meet the standard of the three units. Two bathrooms in the main home have been replaced and made into wet rooms. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are always assessed before moving into the home to ensure the home can meet their needs. EVIDENCE: The assessments of two service users were viewed, one who had recently come into the home and one who had been in the home for some time. The inspector was advised the same assessment process and records are held for all service users. Pre- admission assessments were completed before a service user moved into the home. The inspector was advised the manager or proprietor or a designated unit manager would always visit a service user before they moved into the home to make sure the home could meet their needs. If appropriate the service user will be invited to come and spend some time in the home. Following the pre-admission assessment, the assessment is added to identify further needs of the service user. Family members are The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 9 encouraged to give a family history of the service users family and social background. The assessments seen gave a good account of a service users needs and also reflected the changes of need at different times. The visitor and district nurse spoken to both confirmed they felt the home met service users needs and cared very well for service users. The home does not provide intermediate care. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide care staff with all information needed ensuring a service users needs are met and are regularly reviewed. Health care needs are well documented with a range of services available to meet service users needs. Medication procedures are well managed in the home, with staff that have knowledge of the medication. The core values of privacy and respect are promoted in the home. EVIDENCE: The care plans of the two service user’s assessment were looked at. It was found care plans gave a clear account of the service users needs. Care plans are broken down onto different needs and give account of how these should be met. Risk assessments have been completed for each service user and give explanations of how the risk can be minimised. Each service user has a shorter The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 11 version of the care plan in their room, which care staff can refer to should they need it. Care plans are reviewed on a monthly basis and evidence was seen that these are changed regularly. The inspector was advised an annual review is held, where all parties are invited to the review, if necessary reviews are held more often. If staff feel it is appropriate for the service user to attend the review they will be invited. Each service user has a notebook, which staff on each shift record all that has happened for each service user. One service user spoken to confirmed she felt she was very well cared for and felt the staff in the home were “excellent”. Health care needs are well met in the home. The proprietor stated she has good relationships with all health professionals in the area. She stated she felt the service users were well supported by district nurses, community psychiatric nurses, consultants and doctors. The home can arrange for service users to see a dentist and optician. A chiropodist calls into the home on a regular basis. The district nurse reported they have a good relationship with the home, and have always been called appropriately. She felt they worked well together in supporting service users. The home has a medication procedure. Each of the three units and the main building has their own medication trolley. The home uses a nomad system. The inspector was advised that staff in each unit is responsible for checking medication when it enters the home and for the re-ordering of medication. The inspector watched the administration of medication in one of the units and noticed the correct procedure was followed. On another unit the medication records were checked against the medication held. It was found to be accurate, but the member of staff was reminded to record all refused medication as refused and not leave the record blank. All staff that are involved with the administration of medication have received training and the member of staff spoken to showed a good knowledge of the medication she was administering. Staff spoken to were aware of the procedures to be followed when dealing with controlled drugs and showed the inspector the second lockable storage and the book where controlled medication was recorded. No service users are able to manage their own medication. Whilst most service users were unable to comment on if their privacy is upheld and if they were treated in a respectful manner, observations on the day supported that they were. One service user reported she felt care staff respected her privacy and gave examples of when she was assisted with personal care. Staff were observed to communicate with service users and aid them in a manner, which was both respectful and respected their privacy. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a wide range of social activities to meet service users needs in and out of the home. Service users are encouraged to exercise choice and be independent in their daily lives. Visitors are made welcome to the home and they can see service users in private. A varied menu is available and good quality food is served to service users. EVIDENCE: From observations on the day it appeared service users were content and happy with their environment. One service user spoken to confirmed she was very happy with the home and was unable to join in all the activities of the home because there was too many. Another visitor felt the home offered a good range of activities, which her relative enjoyed. The home has a religious service once a month, which at the present time meets service user’s needs but extra and alternative services can be offered if a service user wants this. The home arranges a wide selection of activities both in and out of the home. These are usually organised by the homes three activities co-ordinators, who The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 13 work in total seventy hours a week. The home has its own mini bus and people carrier and outings are often arranged. Recent ventures out include a trip to the local pub, a mystery tour, a visit to the seaside, a trip to the new forest and visits to a garden centre. One of the co-ordinators tends to spend more time in the home and work with service users on a one to one basis. One service user regularly attends a local luncheon club. Service users also have access to the homes large gardens and grounds and can watch all the animals including, pot bellied pigs, pygmy goats, an aviary, wallabies and an ornamental duck pond. Visitors can visit at any time and are made welcome. On the day, visitors came and took their relatives out to hospital appointments and on social visits. It was clear from observations on the day, staff and the ethos of the home is to promote choice for service users and give them as much freedom as possible. Service users are encouraged to choose their clothes on a daily basis. One staff member explained they always did personal tasks when a service user was ready and they would not push them into anything; this was recorded on a care plan seen. Service users have their lunch in the combined lounge and dining rooms. If a service user prefers they can have their meals in their rooms, but are encouraged to have some meals in the communal areas. Picture menus are available and demonstrate meals are varied and nutritious. A choice is always available and a record is maintained of all meals eaten. The inspector saw lunch being served, which was meat pasties or chilli with mashed potatoes and fresh vegetables, which looked attractive and assistance was given in a discrete and dignified manner. One service user at the dining table stated she always enjoyed the meals. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive complaints procedure is available, which service users and visitors felt able to use. Staff have knowledge and training on abuse, which offers protection for service users EVIDENCE: The home has a comprehensive complaints procedure, which details all the necessary information including names, addresses, telephone numbers and timescales. Details of the complaints procedure are included in the homes brochure, which is given to all service users. One service user confirmed she would feel comfortable complaining to the manager and one visitor confirmed she regularly spoke to the manager of the home and would be comfortable reporting a complaint to the manager. One complaint was recently made which has been investigated by social service the outcome was inconclusive. The home has relevant procedures and information relating to abuse and adult protection. Staff receive regular training on abuse from an outside trainer. Staff spoken to on the day confirmed they had a good knowledge of the different types of abuse and the procedures they would take if abuse were suspected. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, safe, pleasant and well-maintained environment for the enjoyment of service users. EVIDENCE: The home is made up of the older main building, which has 3 double and 11 single bedrooms, and three units each having eight single en-suite bedrooms. The home also has a day care facility this was not inspected. All units and the main building have their own staff, supervisor, medication trolley, office, at least two lounge/diners and bathing facilities. All parts of the home are connected and service users have the freedom to move around the home. If a service user chooses to have a meal in another part of the home this is arranged. All parts of the home have access to the The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 16 courtyard, which has two patios and access to part of the homes grounds. All this has been risk assessed and is safe for service users. The inspector looked around all areas of the home and randomly chose several bedrooms to view. The standard of the décor and furnishing was good with service users having the choice to bring in, items of their own furniture. The inspector was advised each bedroom has matching curtains and bed linen, which is unique to that room. All areas of the home on the day were clean, safe and no unpleasant odours were detected. The home has a large, functional kitchen, which was built when the three units were added to the home in 2005. On the day it was clean, well organised with plenty of space. The home has a separate laundry, where all the homes laundry is completed. The laundry is equipped with both industrial and domestic washing machines and dryers. One visitor spoken to expressed concern over the laundry as she was concerned some of her relatives clothing had been shrunk in the wash on more than one occasion. The manager was aware of this and was trying to get staff to separate the washing before it went into the washer. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels and a well trained staff group ensure all service users needs can be met. Recruitment procedures are followed for all staff ensuring the safety of all service users. EVIDENCE: The home good staffing levels to meet the needs of all service users. Each unit and the main home have their own staff for the continuity of service users. Each unit has two care staff and the main building has three care staff from the hours of 8:00am until 10:00pm. The home also has activity co-ordinators and domestic staff that over the week work 64 hours a week. The two cooks share the responsibility of ensuring the home is covered from 8:00am until 5:00pm seven days a week. The manager and the proprietor are also available in the home and work extra to the duty rota. The home employs 47 members of staff. Fourteen of these have completed a National Vocational Qualification (N.V.Q.) Level 2 and twenty-five have completed an N.V.Q. Level 3. Two members of staff have started an N.V.Q level 3 and one member of staff has started an N.V.Q. level 4. The home tries hard to encourage all staff to undertake training. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 18 The staffing records of the last two members to join the home were examined. The inspector was advised the same process is followed for all new staff. The files showed evidence of an application form being completed and interview notes were available. All necessary checks had been undertaken and each applicant had two written references. Each member of staff shadows an experienced staff member before starting work in the home. All members of staff undergo an induction period, which a record is maintained of that both the manager and staff member sign once they are competent in each area. The home takes training very seriously and it is promoted in the home. A clear training programme is available for all staff and includes annual manual handling, first aid, infection control, health and safety, fire training, food hygiene, abuse and first aid. The manager and senior staff from each unit have recently attended a five-day course on dementia, which they reported was very beneficial. There are now plans for the manager and supervisors to cascade this information to the rest of the staff. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Service user views are always considered when decisions are made in the home. Health and safety procedures in the home ensure service users are protected. EVIDENCE: The manager of the home has been registered for several years and previous to this she worked in the home as a senior carer. The manager has completed her Registered Managers Award and it was clear from discussions and observations on the day people respect her management style and she has a clear picture of the future of the home. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 20 From discussions with the proprietor and manager it was clear the aim of the home is to meet service users needs. Care staff spoken to were aware service users needs come first and the routines of the home come second. One service user was observed at lunchtime to be sleeping, staff gently tried to wake him, but then agreed to keep his lunch warm whilst he slept. The home carries out a quality audit on an annual basis and the results are printed each year in the brochure. The inspector sampled some of these and noted comments were all positive, including, “warm and friendly”, “everything is just excellent”, “carry on doing what you do” and staff are “absolutely brilliant”. The home manages the personal allowance of several service users monies. The inspector was advised appropriate records are maintained with receipts kept and all monies recorded in and out maintaining the balance. From observations on the day it was clear health and safety is promoted in the home. All areas were safe and staff were aware of maintaining a safe environment for service users. Control of substances harmful to health had been carried out and all hazardous products were locked away. Practices in the kitchen complied with health and safety legislation. The temperature of the fridge and freezers were recorded on a daily basis. There was a good selection of food, which was being stored appropriately. The laundry room was clean and kept locked. Disposable gloves and aprons were seen around the home and were used appropriately by staff. The home keeps up maintenance contracts for equipment in the home. The home takes fire safety in the home seriously and has just brought all fire precautions in the main building to the standard in the new three units. All staff working in the home attends at least one session of fire training a year provided by Hants Fire and Rescue service. All staff in addition have in-house training on what to do in the event of a fire every three months. The videos are part of Hants Fire and Rescue training. The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 21 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 X X 3 X 4 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The White House (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 22 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. 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.V320263.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 (Curdridge) Ltd DS0000059982.V320263.R02.S.doc Version 5.2 Page 24 - 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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