Inspection on 01/09/05 for Whetstone Hey

This inspection was carried out on 1st September 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

Whetstone Hey 06/03/07

Whetstone Hey 31/01/06

Whetstone Hey 19/11/04

Whetstone Hey 06/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Whetstone Hey Old Chester Road Great Sutton South Wirral CH66 3PB Lead Inspector Paul Ramsden Unannounced 1st September 2005 09:30 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. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whetstone Hey Address Old Chester Road Great Sutton South Wirral CH66 3PB 0151 339 6233 0151 339 7486 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) CLS Services Ltd Ms Joanne Turner Care home only 42 Category(ies) of Old age, not falling within any other category 42 registration, with number of places Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 42 service users in the category of OP (old age not falling within any other category) 2. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 19 November 2004 Brief Description of the Service: Whetstone Hey is a three-storey care home standing in its own grounds; residents are accomodated on the ground and first floors only. Access between floors is via the shaft lift or the stairs. The home is owned by CLS care services, a registered charity and is located in the Great Sutton area of Ellesmere Port, close to the local shops and other community facilities. There are adequate car parking facilities available. Residents accommodation consists of 40 single and one double bedroom, of these thirty-eight single and the double room are fitted with wash hand basins. The remaining two single bedrooms have en-suite facilities. A variety of lounge and dining areas are provided for residents. There are an adequate number of toilets and a variety of bathrooms within the home. There is a garden area, with greenhouse, and an enclosed patio area available for residents. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 1 September 2005 by Paul Ramsden and Denise Donovan and lasted six hours and ten minutes. The new home manager was on duty together with the agreed numbers of senior, care and ancillary staff. Thirty-nine people were living in the home at the time of the visit. During the inspection twelve residents, a visiting relative, the manager and three of the staff on duty were spoken with. A range of care, health and home records were examined and a tour of the premises, including all lounges, other shared areas and a number of bedrooms, was undertaken. Comment cards for residents and relatives/visitors were given to the manager upon arrival. What the service does well: What has improved since the last inspection? The manager’s office and visitors’ room have been changed around. This has improved the sitting area for residents’ and their visitors and has made the manager more accessible to them. A new care planning system is in the process of being implemented. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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 Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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) 3 and 6 Residents are assessed prior to admission to ensure that the home will be able to meet their needs. EVIDENCE: As part of the inspection process the care files of four people living at the home were reviewed. Pre-admission assessments that demonstrated that resident’s individual needs were being assessed in an accurate and consistent way had been carried out. Those seen contained enough information for staff to be able to meet individual needs. Residents, relatives and other healthcare professionals are involved with the pre-admission assessment. Various risk assessments were also completed. The manager explained that a number of residents had been referred for a re-assessment of their needs. Intermediate care is not provided at Whetstone Hey. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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) 7,8,9 and 10 All residents have a care plan that shows how their individual needs are being met. The health, social and emotional needs of people living at Whetstone Hey are being identified and met. The procedures for the administration of medicines require improvement. EVIDENCE: The care team leaders are responsible for drawing up a resident’s plan of care. The four care plans seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. There was written evidence to confirm that care plans were being reviewed and where necessary re-written on a regular basis. The care plans seen contained evidence of consultation with residents or their families/advocates. A new care planning system is currently in the process of being implemented. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 10 All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. Residents spoken with confirmed that they had been able to express their opinions and wishes about their daily routines. CLS has a written policy on the receipt, administration [including selfadministration] safekeeping, handling, recording and disposal of medication within its homes. The home uses a blister pack system dispensed by a local pharmacist. An inspection of the medication systems within the home demonstrated that a number of errors being made. These were discussed with the home manager. See requirement No 1. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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 and 15 Whilst residents are generally positive about the home and the services provided they raised some concerns about activities and bathing arrangements. Residents are able to maintain contact with their family and friends and make choices regarding their own lives. The food provided to residents is of a good quality. EVIDENCE: Residents confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living, for example times of rising and retiring, where to spend time and with whom. Staff members were observed to knock on the door and to await permission before entering a resident’s bedroom. Comments made by residents during the inspection included “I would be surprised if anyone had any complaints”, “it has to be good or I would leave”. Five of the residents spoken with said that they had raised two issues with the home manager, firstly there was a lack of organised activities and secondly there were some problems with bathing arrangements, they were not always able to have a bath as often as they would like. The manager had already mentioned these issues to the inspectors and was in the process of addressing Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 12 them. A new activities co-ordinator had just been appointed; the relevant recruitment checks were being carried out prior to the person commencing employment. In the meantime some activities were being organised by one of the care staff members. The bathing problems were to be discussed with the care team leaders and a system of monitoring was to be introduced. This will be based upon the residents’ personal choices. These issues will be looked at again during the next inspection visit. Visitors are free to visit the home at any reasonable time. Meals can be eaten in the dining room or in the privacy of residents’ own rooms. There is a menu that has the flexibility to meet individual needs and choices. All of the residents that commented said that the food was good and that choices were available. Special diets are prepared where necessary. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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 and 18 Residents are able to voice their opinions and are confident that appropriate action would be taken to address any problems or complaints. Policies, procedures and staff training are in place to protect residents from abuse. EVIDENCE: There is a written complaints procedure for the home. This is also included in the Statement of Purpose and Service User Guide. Residents were aware of their right to complain if they were unhappy with any aspect of the service they received at Whetstone Hey. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance No Secrets. Staff confirmed that they had received training regarding Adult Protection. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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, 24 and 26 The home, which is purpose-built, provides facilities to meet the needs of older people. Standards of hygiene and cleanliness are generally good but some of the décor is showing signs of wear. A good laundry service is provided. EVIDENCE: A tour of the premises was undertaken; this included all communal areas and a number of bedrooms. Whilst redecoration/refurbishment is ongoing some of the areas within the home are showing signs of wear. See recommendation No 1. Since the previous inspection the managers office and small visitors room have changed over. This has improved the sitting areas available to residents and their visitors and has also made the manager’s office more accessible to them. Bedrooms seen during the inspection were personalised, comfortable, wellfurnished and contained items of furniture belonging to residents’. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 15 The home was found to be clean and tidy on the day of inspection. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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) 27 Staff members were seen to be working positively with residents, families and visiting professionals to improve the quality of life of people living in the home. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff were adequate to meet the needs of the residents within the home. Staff members were cheerful and friendly and residents were complimentary about staff attitude and competence. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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) 31,33 and 38 The home is being well run and managed on a day-to-day basis. EVIDENCE: The home has a new manager who is currently undergoing registration with the CSCI. Staff members that commented spoke positively about how the home was currently being managed. Attempts are being made to seek the opinions of residents about the quality of service provided by the home; comments cards and a feedback box are located in the entrance area. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided was being undertaken. Copies of the results will be made available to residents, families and the Commission. All staff members are supervised on a continuous basis; in addition they all receive formal supervision regularly. There was evidence that staff were Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 18 receiving training in areas such as moving and handling, first aid and fire safety. The fire precautions record book was up to date and demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 3 STAFFING Standard No Score 27 3 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 3 3 x 3 x x x x 3 Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 20 NO 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 9 Regulation 13 Requirement Suitable arrangements for the recording, handling, administration and disposal of medication are made. Timescale for action 01/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 19 Good Practice Recommendations A programme of redecoration throughout the home should be undertaken. Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whetstone Hey F51 F01 S6501 Whetstone Hey V227246 010905 Stage 4.doc Version 1.30 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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