Inspection on 05/08/05 for The White House (Curdridge) Ltd

This inspection was carried out on 5th August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The White House (Curdridge) Ltd 11/01/07

The White House (Curdridge) Ltd 01/02/06

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) Limited Vicarage Lane Curdridge Hampshire SO32 2DP Lead Inspector Beverley Rand Unannounced 5 August 2005, 07:30 th 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. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The White House (Curdridge) Limited Address Vicarage Lane, Curdridge, Hampshire SO32 2DP 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) 01489 786633 The White House (Curdridge) Limited Ms Emma Hampton Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Dementia (42) Mental disorder, excluding learning disability or dementia (42) The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users in the category MD are not to be admitted under 55 years. 2 Service users in the category DE are not to be admitted under 45 years. Date of last inspection 20/01/2005 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) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first unannounced one of the year, and was brought forward by eleven days to investigate a complaint. The inspection lasted for seven and three quarters hours, and began at 7.30am. Part of the complaint needed to be investigated by talking with night staff, who left the home at 8am. The complaint was found to be ‘not upheld’. The White House provides accommodation and care to residents with dementia, and many of them have communication difficulties. Because of this the inspector spoke with only two residents but was able to observe interactions. The inspector also spoke with seven staff, the manager and the provider. Records such as training records, medication records etc. were also studied. What the service does well: What has improved since the last inspection? The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 6 The home was not asked to make any improvements at 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. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 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 standard(s) These standards were not assessed. Standard 6 does not apply to The White House. EVIDENCE: The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 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 standard(s) 8 & 9 The home ensures that residents have access to the appropriate healthcare professionals and are protected by the medication procedures. EVIDENCE: The White House continues to maintain good links with healthcare professionals such as GPs, District Nurses, Community Psychiatric Nurses, Psychogeriatricians and the Continence Advisor. There is also a lot of involvement from the local specialist mental health team based at Moorgreen Hospital. The home has always worked with healthcare professionals to reduce the amount of medication necessary for residents, particularly those who display challenging behaviour. The current residents are not able to manage their own medication. The home’s procedures are based on two staff checking and signing when administering medication. Staff have varying degrees of training, but all have had basic, in house training on how to use the medication system (NOMAD), how to give medication and observe residents taking it, storage of medication, administration of PRN, (as required) medication, etc. A training course is planned for all staff in September. The home always seeks, in writing, information from GPs with regard to residents taking over the counter The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 10 medication. The inspector checked a drugs trolley in one of the units, as well as the records and found they appeared to be correct. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 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 standard(s) 12, 13 & 15 The home’s routines and understanding of people with dementia ensures that residents find the lifestyle matches their expectations, that they receive visitors as they wish and enjoy a balanced diet. EVIDENCE: Care plans showed individual preferences for getting up, going to bed etc. and the inspector observed that residents were still in bed early in the morning when the inspection began. The home employs an activities co-ordinator, and records showed a range of activities taking place, for example, trips out in the home’s mini-bus, visiting singers, singing and dancing, playing music and watching old films. Details of trips out, and photographs were displayed in the central lounge. In preparation for the home taking more residents with dementia, the provider had undertaken research into current good practice for activities. The home also runs a day centre on site, and residents can attend this if they wish. A lot of one-to-one, person centred activities are happening all the time, and these include ball games, hoopla, tactile activities, cooking, painting, collage, nail treatments, etc. The younger residents tend to make their own activities, for example, one goes running in the grounds. Records are kept about who does what activities so that the home can ensure that everyone is involved, and that everyone has the opportunity to go out. One staff member explained how they had incorporated knowledge of the resident as a younger person, into a beneficial activity. Sixteen of the eighteen The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 12 comment cards received from residents agreed that the activities were suitable. Visitors now access the building via a door entry system. Residents can spend time with their visitors in private in their bedrooms. A record of visitors is kept. If a resident did not wish to see a particular visitor, their wishes would be respected. Nineteen of the twenty comment cards received from relatives confirmed that they could see their relative or friend in private. The inspector spoke with the cook who now cooks for forty two people, and who said that she has adjusted to cooking for increased numbers. The food leaves the kitchen in hot trolleys and is still hot when it is dished up in the units. Menus are displayed a large print format with pictures, and show a choice of main meals. The menu appeared varied and all the residents’ comment cards said they liked the food. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 13 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 The home’s policies and procedures ensure that residents and visitors know how to complain. EVIDENCE: The home has an appropriate complaints procedure but has not received any complaints since the last inspection. The majority of residents who answered the question on the comment card, knew who to talk to if they were not happy with the care. An anonymous complaint was made to the Commission prior to the inspection. Therefore, the unannounced inspection was carried out eleven days earlier, and began at 7.30 am, as part of the complaint needed to be investigated by talking to the night staff. The complaint covered the following areas: the challenging behaviour of a resident and the way it was being managed, the number of night staff, a lack of incontinence pads, lack of training particular to younger people with dementia, staff administering medication without being trained and not having supervision sessions every two months. All aspects of the complaint were found to be ‘not upheld’. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 14 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 & 26 The provider ensures that residents live in a safe, comfortable and clean environment. EVIDENCE: Since the last inspection the home has opened a new building which accommodates twenty four residents with dementia. The new building is linked with the main house, and residents can walk around in a square, but it is divided into three units, each with eight en-suite bedrooms, two lounge/diners, a kitchenette, an assisted bathroom, two other toilets and a sluice room. Each unit has a theme from local areas: Botley, Bishops Waltham and Hedge End. The decoration follows a colour scheme, and there are pictures of the named area. The new bedrooms are furnished to a high standard, and care has been taken to match bed linen and curtains, whilst ensuring that all the rooms have a slightly different pattern/colour scheme. A new kitchen has been built, and the old kitchen refurbished to be an en-suite bedroom which is used for respite care. A new laundry has also been built in the new building and two extra machines purchased. Staff all wear protective gloves and aprons when The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 15 attending to personal care or laundry. Relevant professionals, such as the Environmental Health Officer, Health and Safety Officer, Fire Officer and Building Control have all approved the new building. Equipment checks have also been professionally undertaken recently, such as hoists, the lift, etc. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 16 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) These standards were not assessed. EVIDENCE: The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 17 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) 35, 36 & 38 The home’s financial procedures ensure that residents’ money is accounted for, by keeping good records. The home ensures that the health and safety of residents is maintained, and that staff are supervised. EVIDENCE: The inspector sampled records and money for two residents. Receipts were kept and the money matched the records. The manager undertakes supervision sessions every month for new staff, (up to six months) and every two months for existing staff. Supervising new staff more frequently is seen as good practice. The manager and provider work at the home six days a week, and ensure that all staff have supervision booked, and that night staff are on the rota until later in the morning so that they can attend supervision. Day staff and one night staff who were asked, confirmed that they received supervision and they generally found it a useful experience. One person said that supervision was good at enabling staff to look at the own The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 18 practice, and that the manager praises them, listens to concerns and always asks how improvements might be made. A small minority of staff do not attend their sessions, and the manager aims to re-arrange these as soon as possible. As part of the building process of the new units, various professionals were involved, such as the Environmental Health Officer and Building Control Officer. An independent Health and Safety assessment was also recently completed. Staff have received training in First Aid at work, Fire Safety, Moving and Handling etc. The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 19 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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 4 x 3 The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 20 N/A 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 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. 1. Refer to Standard Good Practice Recommendations The White House (Curdridge) Limited H54 S59982 The White House V243138 050805.doc Version 1.40 Page 21 Commission for Social Care Inspection Hampshire Area 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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