Inspection on 31/01/06 for Whetstone Hey

This inspection was carried out on 31st January 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

Whetstone Hey 06/03/07

Whetstone Hey 01/09/05

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 Cheshire CH66 3PB Lead Inspector Paul Ramsden Unannounced Inspection 13:25 31 January 2006 st 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 Whetstone Hey DS0000006501.V277965.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. Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Whetstone Hey Address Old Chester Road Great Sutton South Wirral Cheshire CH66 3PB 0151 339 6233 0151 339 7489 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) www.clsgroup.org.uk CLS Care Services Limited Ms Joanne Turner Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 42 service users in the category of OP (old age not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 1st September 2005 Date of last inspection Brief Description of the Service: Whetstone Hey is a three-storey care home standing in its own grounds; residents are accommodated 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 DS0000006501.V277965.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 31 January 2006 and lasted three hours and fifty-five minutes. The home manager was on duty together with the agreed numbers of senior, care and ancillary staff. During the inspection five residents, 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 and other shared areas 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? What they could do better: The ongoing review of care plans could be improved. The standards of decoration within the home could be improved. Two recommendations regarding the above have been made. Whetstone Hey DS0000006501.V277965.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. Whetstone Hey DS0000006501.V277965.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 Whetstone Hey DS0000006501.V277965.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 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. Intermediate care is not provided at Whetstone Hey. Whetstone Hey DS0000006501.V277965.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, 8 9 and 10 All residents have a care plan that shows how their individual needs are being met. They are not all being reviewed on a monthly basis. The current system is in the process of being updated The health, social and emotional needs of people living at Whetstone Hey are being identified and met. EVIDENCE: Whilst the care plans seen as part of the case tracking process generally provided staff members with the necessary information for them to look after a person’s needs a number of issues were identified during the inspection. These were, the implementation of new care plans is not yet completed, the care plan for one resident was not in her file, a number of residents’ photographs were missing and although ongoing review was evident it was not taking place monthly for all residents. With regard to the above the manager has since confirmed in writing that the following issues have been addressed. The missing care plan is now in place and all care plans now have a photograph of the resident concerned. A requirement relating to these issues has therefore Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 10 not been made. See recommendation No 1 regarding the monthly review of care plans. The care plans seen contained evidence of consultation with residents or their families/advocates. Records relating to support from other professionals such as GP visits, community nurses, optician, dentist and chiropodist were available. It was evident that the health and well being of residents was carefully and appropriately monitored, and a record of development and actions taken is being kept. 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. Staff members were observed interacting with them in an appropriate, dignified and respectful way. 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 medication and the Medication Administration Record [MAR] sheets indicated that these policies were being adhered to at the time of this inspection. Whetstone Hey DS0000006501.V277965.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): 12, 13, 14, and 15 Routines at the home are flexible to suit residents’ individual preferences and they are able to maintain contact with their family and friends. 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 and where to spend their time. Staff members were observed to knock on the door and to await permission before entering a resident’s bedroom. The residents spoken with made wholly positive comments during the inspection; these included comments about the staff members providing care, the quality of food and the hygiene standards within the building. Residents confirmed that they could receive visitors at any time in the lounges or in the privacy of their own rooms and that they could exercise personal choices whilst staying at the home. Meals can be taken in the dining areas 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 DS0000006501.V277965.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): None of the standards were inspected during this visit. The key standards were assessed as having been met during the previous inspection. EVIDENCE: None of the standards were inspected during this visit. The key standards were assessed as having been met during the previous inspection. Whetstone Hey DS0000006501.V277965.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): 19, 20 and 23 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. EVIDENCE: A tour of the premises was undertaken; this included all communal areas and a number of bedrooms. Whilst redecoration/refurbishment is ongoing and since the last inspection visit two lounges have been redecorated there are still a number of areas within the home that are showing signs of wear. The manager explained that two more lounges and some of the corridors are due to be decorated in the near future. See recommendation No 2. Bedrooms seen during the inspection were personalised, comfortable, wellfurnished and contained items of furniture belonging to residents’. The home was found to be clean and tidy on the day of inspection. Whetstone Hey DS0000006501.V277965.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 and 30 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. Robust recruitment procedures are in place and the new staff members undertake a thorough induction-training programme. 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. The staff members seen on the day were cheerful and friendly and residents were complimentary about staff attitude and competence. The manager confirmed that the home is currently on target to have in excess of 50 of staff members qualified to NVQ level 2. A robust recruitment process was in place for the protection of residents. The staff files inspected contained all of the information required under both the regulations and the relevant standard. New staff members are routinely inducted through the company’s six-week induction scheme to ensure that they are suitably trained when starting work. Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 15 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): 31, 33, 35 and 38 The home is being well run and managed on a day-to-day basis. The service collects feedback regarding the quality of the care provided. Residents’ personal allowances are being handled appropriately. EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. She has completed the registered managers award. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided has been undertaken. Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 16 Residents’ personal allowances are being handled appropriately. Personal monies were being kept securely and those inspected had correct balances and accurate records. There is a comprehensive health and safety manual as well as policies and procedures in relation to safe working practices in place. There was evidence that staff were receiving training in areas such as moving and handling, first aid and fire safety. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out Whetstone Hey DS0000006501.V277965.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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 X X 3 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 3 X 3 X 3 X X 3 Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 18 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. 1 2 Refer to Standard OP7 OP19 Good Practice Recommendations The registered person should ensure that all care plans should be reviewed on a monthly basis or as needed. A programme of redecoration throughout the home should be undertaken. Whetstone Hey DS0000006501.V277965.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Northwich Local Office 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 DS0000006501.V277965.R01.S.doc Version 5.1 Page 20 - 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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