Inspection on 12/06/06 for Whiston Hall

This inspection was carried out on 12th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whiston Hall 04/06/08

Whiston Hall 03/10/05

Whiston Hall 18/10/04

Whiston Hall 10/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Whiston Hall Chaff Lane Whiston Rotherham South Yorkshire S60 4HE Lead Inspector Ms Rosemary Reid Key Unannounced Inspection 14th June 2006 7:45 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 Whiston Hall DS0000003111.V295635.R01.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. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiston Hall Address Chaff Lane Whiston Rotherham South Yorkshire S60 4HE 01709 367337 01709 365035 whistonhall@aol.com 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) Whiston Hall Limited Karen Ann Harding Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Whiston Hall is a care home looking after a maximum of 48 older people. It is a converted farmhouse with extensions undertaken in two phases. There is car parking for visitors. There is a range of four lounges area all on the ground floor and a communal dining room close to the kitchen. The bedrooms range is style and design from very modern to those with a lot of history attached. There are several enclosed patio areas and a large grassed area, which gives residents an excellent view towards the old village of Whiston. The home is situated in a village, which now forms part of Rotherham. It is situated close to the motorway M1 and Rotherham District General Hospital and is near to bus routes. There are local amenities and events as well as providing in house entertainment for the residents. The gardens are well tendered and provide for easy access to residents including those who use wheelchairs. The home has a car park to the front of the building. Fee for Residential care is £329 as at 1st April 2005 and additional charges are made for hairdressing from £5:00, Chiropody from £10:00, Optical, Dental services, specialised toiletries and magazines etc. The registered person makes information about the service available to residents and their families via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 14th and 16th June from 07:45am to 3:40pm and 9:00am to 1:00pm to assess National Minimum Standards for Older People and speak with visitors to the home. The inspection focused on the requirements from the previous inspection of 1st October 2005, four residents’ files were case tracked along with the key standards of the National Minimum Standards for Older People and four staff records were also assessed. Since the previous inspection the registered manager had left in April and a new manager appointed, who is Mr Tim Yates and has enrolled on the Registered Managers Award. Action had been taken on the requirements from the previous inspection. Four residents files were cased tracked. Each file examined had assessments, pressure care, and care plan, daily recording and reviewed on a monthly basis. Supporting documents were also seen for example home’s desk diary, medication records, staff files and Health & Safety records. Four staff files were also assessed. There is an activities organiser and an activities programme All residents in were observed and many were spoken with. Four visitors to the home was interviewed all spoke about the home in positive terms. The inspector spoke with four staff members, two senior care and the manager over the two visits. A tour of the premises/environment/front and rear gardens showed that on going maintenance work has been undertaken. Twelve survey satisfaction feedback cards and pre-paid envelopes were left at the home for the residents or relatives to make their comments were left at the home. None of the feedback cards had been returned to the Doncaster office. However, the new manager had recently circulated the company’s own questionnaires and the replies were read by the inspector. Feedback was given to the appointed manager Tim Yates. The Regional manager and the Operations Director also visited the home during the inspection. What the service does well: Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 6 The atmosphere in the home was friendly and welcoming. Of all the residents spoken with, said were highly satisfied with the delivery of care and had no complaints only compliments. The relatives who spoke with the inspector said, “the staff at Whiston Hall made us feel comfortable and all the staff were friendly, kind and extremely helpful” and “The chefs provide lovely meals and cakes. The home has medication policies and procedures, which are being followed by staff for the administration of medication. The domestic staff must be congratulated and keep the home at a high standard of cleanliness and free from unpleasant odours. What has improved since the last inspection? What they could do better: Care plans have much improved however; there is not sufficient information with regard to the recoding of social and emotional needs of service users. Since the previous manager had left the newly appointed manager had been in post for approximately two months, staff supervision sessions had not been undertaken. He has a plan for the future however this has not been put into practice at the point of the inspection. Please contact the provider for advice of actions taken in response to this Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 8 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 Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 9 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, 6 Quality in this outcome area is good, and this judgement has been made using the evidence available. Service users and prospective service users have up to date information regarding the registered provider. An assessment of need is undertaken and all service users have a contract/statement of terms and conditions of residency, which safeguards their legal rights. Intermediate care is not provided at Whiston Hall however, the service offers short stays and respite care. EVIDENCE: The service has developed a Statement of Purpose and the Service User Guide; which have been updated due to the recent change of manager. In discussions with service users, family and staff confirm that previously the Service User Guide had been given to prospective service users and/or relatives. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 10 The four service users’ files that were case tracked had copies of contract/statement of terms and conditions of their residency and delivery of care. Records show that pre-admission assessment was undertaken and was recorded within the individual service user’s care file to ensure that the home can meet their needs. Records show and in discussions with service users and families confirmed that the home welcome visits before admission to assess the quality, facilities and suitability of the home. The home does not offer intermediate care. There was evidence that respite care provision is used. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 11 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, 11 Quality in this outcome area is good, and this judgement has been made using the evidence available. Arrangements for dealing with resident’s health issues are adequately met by staff at the home, with support from health professionals, and care planning systems are sufficiently detailed to enable staff to deliver the care to residents who have specific identified needs and promoting good health. Senior staff work to the organisation’s policies and procedures for administration of medication. EVIDENCE: Care plans were case tracked and four care plans were examined. Care plans have now been changed to the parent company’s format. Care plans are reviewed monthly. There is evidence within individual residents’ care plans that consideration is given by staff to the areas of race, ethnicity, sexuality, gender, disability and belief. The home has policies for the administration of medications. The temperature of the fridge for medications is taken and recorded. Senior care staff administer medicines to the residents and have undertaken training on the Administration of Medications. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 12 Records for the administration of medications were assessed and found to be correct. When a resident needs medication at a certain time senior staff uses the timer on her mobile phone to ensure that the mediation was given at the correct time and then put the timer on for the next dosage. Records were examined and discussion with the staff confirmed resident’s healthcare needs are met. District nurses also attend the home to carry out injections, take bloods and attend to dressings for residents. The home’s diary was assessed which showed that appointments to hospital, reviews are recorded and there is a good system in place to remind residents and staff to ensure appointments are not missed. There were many examples of good practise observed on the day, good interactions between staff, residents and visitors. Staff were observed to actively promote independence but residents were given respect and dignity when staff were giving any aspect of care. The home will contact the spiritual advisor of the individual resident’s choice and the wishes of the individual resident with regard to their arrangements they want after death are discussed and recorded. It is also recorded if the resident does not want to discuss this matter. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 13 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, 15 Quality in this outcome area is good, and this judgement has been made using the evidence available. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and choices. The new manager is planning to increase the social interaction and the activities programme to provide stimulation and interest for residents. EVIDENCE: Ten residents were spoken with and everyone who commented on the food said they enjoyed their meals times and they liked the choices offered. A four weekly menu is offered, which provides a balanced and varied diet. A relative said, “The chefs provide lovely meals and cakes”. Records show that all residents have nutritional assessment completed and dietician is used when needed. Sit on weighing scales have been obtained and residents are weighed and this is recorded. . Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 14 Social activities were limited and took place on a Tuesday and Thursday plus in house entertainment. The new manager has advertised for an activities coordinator to ensure that more activities are available on a daily basis. Visitors are welcomed at all reasonable times and residents can choose to entertain their visitors in the lounges or their bedrooms. There were residents who used their bedrooms as bed-sitting rooms and did not really want to be involved in the social activities in the home. Service users and/or relatives are asked with regard to the resident’s religious/spiritual needs as part of the admission process so that the staff can contact the local religious representative to visit. The inspector spoke with four visitors to the home. They confirmed they could visit at any time, and could see their relative in either the lounge areas or the resident’s own bedroom. They said that they were highly satisfied with the delivery of service in all areas of care at Whiston Hall. Where possible families are involved in care planning. The manager said that he was planning to have a residents/relatives meeting. Staff were openly and indirectly observed throughout the inspection, good interactions between staff and residents the staff members encouraged residents to make choices whenever possible, for example options at meal times. Tour of bedrooms found that most had been made very homely and residents had some personal possessions in their rooms. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good, and this judgement has been made using the evidence available. Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. Staff had knowledge and understanding of adult protection issues, which promotes protection of residents from abuse and training, has taken place on this matter. EVIDENCE: Whiston Hall’s complaints policy and procedure is clear and accessible to all residents and visitors. Records show no complaints had been made since that the previous inspection. From past inspections the company have shown that action had been taken to resolve the issues. The company’s questionnaires that had been completed by residents and relatives that had been returned showed that service users and relatives were highly satisfied with the service and new how to use the complaints procedure. One relative said, “the staff at Whiston Hall made us feel comfortable and all the staff were friendly, kind and extremely helpful”. The home has policies and procedures for adult protection staff spoken with confirm they are aware of these polices and procedures and training sessions have taken place. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 16 The company have a staff induction and records show that residents’ welfare/rights are discussed, which includes Adult Protection matters. It is the company’s policy for staff to have annual mandatory training, which includes Adult Protection matters. The company have adult protection procedures and the home had a copy of Rotherham Metropolitan Borough Council Social Service Adult Protection Procedures, all of which promotes the residents rights to complain and uphold their protection while at Whiston Hall. No Adult Protection investigations have taken since the previous inspection. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 17 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, 26 Quality in this outcome area is good, and this judgement has been made using the evidence available. Service users live in a safe well-maintained environment, which was clean and tidy. The appointed manager and the staff group are working to ensure an environment free from offensive odours. EVIDENCE: The domestics were observed working extremely hard to ensure a clean and hygienic environment on both visits to the home. All areas used by residents were clean and tidy without offensive odours this was confirmed by residents and relatives said, “The staff group take pride in keeping the environment as you would at home” and “the home is like a home from home”. There was evidence that many of the residents had personalised their bedrooms. Residents said the home was “lovely and clean” “ my room is very comfortable, it has everything I need”. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 18 The home has an on going decoration programme and a number of bedrooms and corridors had been decorated and carpets re-fitted since the previous inspection. There is a rolling maintenance plan for the home the manager and there are plans to have some new chairs for the lounges. The home meets the requirements of the Disability Act and the layout is suitable to meet the needs of the all the residents of Whiston Hall. There is a selection of communal areas throughout the home. There is a redecorating programme in place for all areas of the home. There is a choice of bathing facilities for example, assisted baths and showers with a number of toilets placed around the home. Gardens are at the rear and side of the home, which are used for service users and a care park to the front of the building. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is good, and this judgement has been made using the evidence available. Staff seen on the visits were enthusiastic and are working positively to meet residents care needs and improve their quality of life. There is a training and development plan that shows the staff receive regular training on different aspects of care to meet the changing needs of residents. EVIDENCE: Rotas were examined which showed that there was sufficient staff on duty. Records show that staff had induction and training courses had been booked for Health and Safety, Food Hygiene, First Aid, Moving and Handling training had taken place ensuring that service users are in safe hands at all times. The manager is working to formulate a training plan to show that the staff had received 3 days paid training per year so that they can keep up to date with care practices. Four care staff members have NVQ level 2 with one of having NVQ level 3. Six care staff have registered on National Vocational Qualification level 2 with a further sixteen to have interviews to be enrolled on the course. One member of staff has completed medication training for staff that administer drugs has taken place by an accredited body. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 20 The organisation has recruitment policies and procedures, which include equality and diversity for residents who live and for staff who work at Whiston Hall. Staff files show that these policies and procedures were completed in a correct manner for example two references are obtained and CRB/POVA checks are undertaken. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 21 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, 36, 38 Quality in this outcome area is good, and this judgement has been made using the evidence available. The company and the appointed manager are working to ensure leadership; guidance and direction to staff to ensure residents receive consistent quality care. This results in the health, safety and welfare of residents and staff being promoted and protected. Staff members have had supervision sessions infrequently, which does not support or develop staff and that does not benefit the care given to residents or the development of the staff group. EVIDENCE: The appointed manager has been in post for a less than two months. Mr Yates is experienced in working in nursing/residential social care setting and is working to complete the Registered Managers Award. He is aware of his responsibilities and aims to run the home in the best interest of service users. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 22 Mr Yates is not the registered manager but said that he will be sending an application in the near future to become the registered manager. Supervision sessions and appraisal of staff were discussed with the manager and staff that were interviewed who confirmed that these sessions have not taken place, a plan is now in place to ensure that staff have six staff supervision sessions in a year. The organisation has policies on all areas of care and employment matters and is aware of current legislation. It is company policy to undertake audits as part of their quality assurance system. The regional manager and the appointed manager have undertaken audits to ensure adherence to policies and procedures in their day-to-day practice. All staff sign when given their copy of the company’s handbook and sign when they have read the new policies and procedures. The appointed manager has taken action to ensure health & safety measures are undertaken and are up to date. The home has a handyman who is responsible for fire prevention testing measures and testing of water temperature. Fire prevention procedures have taken place. Hoists have been serviced. Accident records were examined and records show that staff complete appropriate documentation. Records show that some residents take responsibility for their own financial matter while for other residents their families deal with all monetary issues. The service provides receipts and receipts are obtained for any financial transactions. All necessary insurance cover is in place to enable it to fulfil any loss or legal liability. Monitoring visits are undertaken on a monthly basis from a representative of the parent company. Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 23 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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X 3 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 X X 3 X 3 2 X 3 Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation Reg 15 Requirement The registered person must ensure that care plans have up to date information with regard to social/emotional needs. The registered person must ensure that a candidate is put forward to be the registered manager. The registered person must ensure that staff have supervisions sessions. Timescale for action 01/09/06 2 OP31 Reg 9(1)(2)(3) 01/09/06 3 OP36 Reg 19 & 19 01/09/06 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 Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Whiston Hall DS0000003111.V295635.R01.S.doc Version 5.2 Page 26 - 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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