Inspection on 03/10/05 for Whiston Hall

This inspection was carried out on 3rd 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 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 12/06/06

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 Unannounced Inspection 3rd October 2005 09:30 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.V251308.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. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 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 Mrs. 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.V251308.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2003 Brief Description of the Service: Whsiton Hall is a care home looking after a maximum of 48 older person. 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 serveral 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 and Rotherham District General Hospital. There are local amenitied and events as well as providing in house entertainment for the residents. The gardens are wll tendered and privide for easy access to residents including those who use wheelchairs. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 3rd October 9:30 – 2:30pm. Four staff on duty, eight residents and one visitor to the home were spoken with. Notices were placed in the entrance and corridor to inform residents, staff and visitors to the home that an unannounced inspection was taking place. Comment cards and prepaid envelopes were left at the home so that service users or their representatives can contact the CSCI with their views about the home, none of which has been received at the time of writing the report. The inspection focused on the requirements from the previous inspection, four residents files were case tracked along with medication, complaints, staffing rota, training, and Adult Protection issues. The manager had recently returned to work after a long period of sickness and in her absence the deputy manager has managed the home with the support of senior management input from the parent company. The home was purchased in the early part of this year and is still in the transitional stages of changing to the new company’s policies and procedures. The parent company has and will continue to give support to all staff and monitor the progress through audits and quality assurance system. What the service does well: The parent company has focused on the administration of the home, mandatory and care plan training along with implementing company policy in the kitchen since the previous inspection. There was entertainment in the afternoon, which many of the residents said they had enjoyed. There is a varied activities programme in and outside the home to provide stimulation for residents. Of all the residents spoken with said were highly satisfied with the delivery of care and had no complaints had been recorded from residents or their relative. The home has medication policies and procedures, which are being followed by staff for the administration of medication. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whiston Hall DS0000003111.V251308.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 Whiston Hall DS0000003111.V251308.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): 1, 2 Prospective service users receive information they need, to make an informed choice about where to live. Assessment or contract/statement of terms and conditions were in place to ensure the home meets residents’ needs. EVIDENCE: A copy of the home’s Service User Guide is in each bedroom for resident/visitor to read. All residents have copies of contracts/terms of condition. Whiston Hall DS0000003111.V251308.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, 9 The residents file and care plan system is clear and staff have received training on the care plan system however the care plans had not been reviewed on a monthly basis. Staff are working to the policies for the administration of medication, which promotes the wellbeing of residents EVIDENCE: The four residents files examined had a pre-admission assessment and care plans other residents files/care plans were in the process of being completed and the resident/family were being asked to sign that they had been involved in formulation and had read the care plan. Staff do write on a daily basis in the daily working notes however, care plans are not being reviewed on a monthly basis. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 10 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, 15 The home is promoting activities for the stimulation and enjoyment, which will benefit service users. EVIDENCE: The home has a person responsible for activities and the inspector observed her encouraging residents to do movement to music and a sing-a-long on the afternoon of the inspection. The activities organiser had brought her dog, which many of the residents patted and stroked. Most of the residents said that they enjoyed themselves. The hairdresser visits on Tuesdays and Thursdays. There is a concert booked for each month. There are no restrictions for visiting and visitors can be seen in the individual resident’s bedroom or in a quiet area of the home. The company has put into action the policies and procedures for good hygiene in the kitchen for example food is probed and temperatures recorded and residents had been consulted about the new menus that had been formulated. The home has a four-week menu and the second week had just started. Six of the eight residents said that the food was good. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 11 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 - 18 The home has policies and procedures to protect service users from abuse. The home has a clear complaints system, which service users and relatives have used to register their grievances and/or concerns EVIDENCE: No complaints had been recorded from residents or their relatives. The complaints procedure had been up dated. All staff has received training on Adult Protection matters. All residents are issued with a contract/statement of terms and conditions to protect each resident’s legal rights. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 12 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 Service users lived in a safe well-maintained environment, which was clean pleasant and hygienic. EVIDENCE: The domestic staff were observed to keep all areas used by residents were clean and tidy without offensive odours. All bedrooms and single occupancy and 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”. Four bedrooms had been decorated since the previous inspection and there is a rolling maintenance plan for the home. The manager said that bedrooms are redecorated when they become vacant. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 13 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 -30 The company is working towards ensuring there are sufficient and suitably qualified experienced staff that are trained in providing care for residents’ assessed needs. EVIDENCE: The staffing levels are one officer and four staff members on in the morning, four in the after noon shifts and three on night duty to ensure that service users have their care needs met. The training record was examined which showed that staff had training on abuse, first aid, and fire prevention, infection control, dementia, moving and handling training. Induction has been changed to the parent company’s induction programme and staff start the induction before working with residents and the induction programme must be completed within thirteen weeks from starting. Action has been taken in that staff are working to achieve the NVQ level 2 awards. Four staff that have completed National Vocational Training (NVQ) level 2 in Care with one staff achieved NVQ 3. Four staff are working to achieve the NVQ level 2 qualification and three staff have started NVQ level 3. The home has nineteen care staff with sixteen either have the award of working towards the qualification. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 14 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): 31,32,33,34, 37, 38 The company are working to support the manager to change from one company to the new company policies and procedures and for the home to be managed for the best interests of the service users. EVIDENCE: The parent company is putting extra management support into the home to ensure that all their policies and procedures are in place and followed. The Line Manager visits each Tuesday to undertake audits in different areas of delivering care to residents and to the health and safety and employment of the staff group and to give support to the manager. The home is being run for the best interest of the residents. At the previous inspection in May 2005 health and safety certificates were up to date. Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 15 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 3 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 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 3 3 3 3 X X 3 3 Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 16 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 are reviewed on a monthly basis. Timescale for action 01/12/05 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 Whiston Hall DS0000003111.V251308.R01.S.doc Version 5.0 Page 17 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.V251308.R01.S.doc Version 5.0 Page 18 - 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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