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Inspection on 28/10/05 for Whipton Barton House

Also see our care home review for Whipton Barton House for more information

This inspection was carried out on 28th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Home is well managed and has a good staff team who provide a high standard of care to residents despite local recruitment difficulties. Staff demonstrated a clear understanding of residents needs and rights as individuals. All residents spoken to were happy living at the Home and praised the caring staff. There were no complaints and the Home has a jovial, relaxed atmosphere. Three residents agreed that the Home was `beautiful in every way` and that they were `looked after lovely`. There are no requirements made during this inspection, which is commendable.

What has improved since the last inspection?

The Home continues to provide a good quality service and works closely with CSCI to achieve high standards. The Home has addressed all the recommendations from the previous report to improve the care plans, activities and access to staff from communal areas. It is noted that staff are very visible throughout the Home.

What the care home could do better:

The Home has only one requirement and no recommendations. This relates to the need for a more formalised system for recording the use of controlleddrugs. The inspector discussed this with the assistant manager on duty who will address the issue as a priority.

CARE HOMES FOR OLDER PEOPLE Whipton Barton House Vaughan Road Whipton Exeter Devon EX1 3JN Lead Inspector Rachel Doyle Unannounced Inspection 28th October 2005 12:20 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whipton Barton House Address Vaughan Road Whipton Exeter Devon EX1 3JN 01392 467584 01392 469417 sthomas@devon.gov.uk 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) Devon County Council Elaine Elizabeth Brown Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th April 2005 Brief Description of the Service: Whipton Barton House is a care home managed and operated by Devon County Council. It provides care for up to 33 elderly and/or frail service users. The rooms are in four self-contained wings designed to give a more homely, small group atmosphere. It also offers respite care for up to five service users. The building has two-storeys with a shaft lift and a wide staircase to access the first floor from the foyer. It is situated at the junction of Pinhoe Road and Vaughan Road in Whipton, Exeter close to local amenities. There is a small car park at the front and parking in the road. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 28th October 2005 at 12.20 by one inspector. There were 28 residents at the Home with 1 long stay resident in hospital and I resident receiving the respite service. There are 5 short stay beds at the Home. The inspector was welcomed by the manager and staff. A care manager was visiting the Home to discuss a resident. The inspector was able to wander freely around the Home where residents were preparing for lunch. There was a lovely friendly atmosphere with staff chatting to residents. The manager and the cook also go to see every resident at time to check that everything is ok for them. The inspector spent time talking in depth to 8 residents, 3 staff members and the manager and looked at various relevant documents, case-tracking 3 residents. All comments from resident and staff were very positive. The Home does not provide intermediate care. What the service does well: What has improved since the last inspection? What they could do better: The Home has only one requirement and no recommendations. This relates to the need for a more formalised system for recording the use of controlled Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 6 drugs. The inspector discussed this with the assistant manager on duty who will address the issue as a priority. 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. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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 Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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): Not judged during this inspection- see previous report. EVIDENCE: Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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, 10 The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is offered in such a way as to promote, privacy, dignity and independence as able Improvements are needed in the recording system of controlled drugs to ensure that residents are protected from errors. EVIDENCE: Three care files were looked at. Needs and actions were well documented. Staff were very knowledgeable about residents’ needs and able to discuss events and reasons why, including medical issues and conditions such as if and what to do if a resident had a vertigo episode. Medical information was available for staff about medical conditions. There is a key worker system and staff felt that they knew their residents well. Staff were seen to communicate well with residents in a kind, patient and friendly way such as admiring a resident’s new hair-do and with each other as a team. Residents all felt that their needs were well met and that the care was ‘very good’. One resident said Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 10 that they had never felt comfortable letting someone help them bath until this Home. There were clear records of health professionals’ visits such as flu jabs and catheter changes. All care plans matched residents’ needs in practice. In general medication practice is good and there are no concerns. Named topical medication was well-labelled and stored in residents’ rooms and dated to remind staff. The system of recording controlled drug stock on administration needs tightening to ensure that the number of controlled drugs in and out of the Home is monitored closely. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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 Social and leisure needs are well met, recorded and provide regular stimulation for residents taking into account their wishes and preferences. EVIDENCE: Staff have improved the recording of activities and social/leisure stimulation offered to residents and are now also recording residents’ choices and likes and dislikes in a more formalised way. Staff felt that the activities book was a good idea and were using it during the inspection. Staff are devising the format as they go. An external entertainer comes regularly and residents all said that they were able to do what they wanted, read books, stay in their rooms and go out as they wished. Lots of choice was offered at lunchtime and care was seen to be given as residents wished on an individual basis. Carers also reassured residents that they did not have to hurry. Family and friends are able to visit as they wish and residents were seen to pop out to the local shops freely. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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): 16 The Home has a robust complaints procedure and the residents feel that they can raise any issue, which will be listened to and acted upon. EVIDENCE: All residents spoken to felt that they were listened to and the inspector saw staff spending quality time listening during the inspection. One resident commented that the Home was ‘lovely with no complaints’. There is a comprehensive complaints procedure and the manager said that they run an open door policy. Complaints are recorded and acted upon thoroughly. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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, 22, 26 The environment is clean and well maintained. EVIDENCE: Although there are various environmental issues that need addressing at the Home every effort has been made to make the surroundings safe and comfortable. The window frames are old but are clean and have nets and curtains and no drafts were felt. Residents did not comment that they were unhappy with the décor when asked. The Home has various pieces of equipment to meet residents’ needs such as grab rails, frames, raised toilet seats and assisted bathrooms. One resident was happy with their new special chair. Some residents have pendant call bells. The Home was very clean and free from offensive odours. The domestic was very happy to work there and obviously valued by the staff team and residents alike. One resident had just had a bath and the domestic was cleaning the room immediately. All manual handling and other equipment was very clean as was furniture. The laundry system is well organised and residents’ belongings are obviously well cared including delicates. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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 Resident’s benefit from having skilled, experienced and friendly staff who have a good understanding of their needs. EVIDENCE: The staff rota was looked at and staff confirmed that there were sufficient numbers of staff on duty. There were 5 carers, the manager and assistant manager, cook and kitchen assistant and domestic on duty during the inspection. The manager uses regular agency staff to fill shifts and is actively recruiting. All staff spoken to were very positive about the management and working at the Home. One staff member commented that ‘I never wake up and don’t want to go to work, I feel like the residents are my friends.’ All residents also praised the staff and the atmosphere was relaxed and jovial. The Home works hard to encourage staff, including ancillary, to complete NVQ qualifications and 3 are currently undergoing the training with others to do in the future. One staff member had recently finished their training for NVQ 3 and said that they really enjoyed it with a good teacher one day a week. Staff were keen to learn. There is a core of long-term staff and newer staff also knew the residents’ needs well. One staff member should be retired but enjoys the work at the Home. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 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): 38 There is clear leadership and guidance to staff to ensure that residents receive consistent care in a safe environment. EVIDENCE: There is a good communicative management style with the manager offering staff an open door policy. Staff all felt good about working at the Home and felt that any issues were dealt with fairly. Teamwork was apparent and there were excellent communication channels between staff and management, who were also well supported. COSHH substances were stored correctly. Fire equipment was checked recently. Manual handling assessments were clear and accessible. The Home has a comprehensive range of policies and procedures covering health and safety, which are included in the training programme. There were plenty of gloves and aprons around the Home and covered radiators and window restrictors. The accident book was clear. Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 16 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 3 3 3 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 3 Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP9 Regulation 13 (2) Requirement You must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the Home. This refers to the system for recording and monitoring the number of controlled drugs in the Home. Timescale for action 28/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Whipton Barton House DS0000039159.V251872.R01.S.doc Version 5.0 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!