Inspection on 04/06/08 for Whiston Hall

This inspection was carried out on 4th June 2008.

CSCI found this care home to be providing an Good service.

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

Whiston Hall 12/06/06

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Whiston Hall Chaff Lane Whiston Rotherham South Yorkshire S60 4HE Lead Inspector Sarah Powell Unannounced Inspection 4th June 2008 09:20 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 Whiston Hall DS0000003111.V366545.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.V366545.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 Post vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2006 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. Fees may vary for up to date information contact the home. Additional charges are made for hairdressing, Chiropody, 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.V366545.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This was an unannounced visit, which took place on the 4th June 2008 it commenced at 09:20 and finished at 15:15 hours. The visit included talking with people living at the home, a number of relatives, the manager, deputy manager and five staff. A walk around the building to gain an overview of the facilities and we checked a number of records. Some surveys forms were sent to people who live at the home and their relatives. At the time of this visit eight were completed and returned to the Commission. The comments received were very positive. The manager completed an annual quality assurance assessment (AQAA) and returned this prior to the visit this focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. What the service does well: Good assessments were seen in people’s plans of care; this demonstrated a person was only admitted to the home if staff were confident they could meet their needs. Health care needs were clearly identified and met by suitably qualified staff. Good evidence was seen in people’s plans of care. Good meals were provided giving people a wholesome, balanced diet. Choices were available and one lady said, “The meals are lovely”. People spoke very highly of the staff they told us “staff are lovely”. “We are looked after well”. “Couldn’t be looked after better”. The environment was well maintained and cleanliness was generally a good standard. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 6 Recruitment procedures were robust protecting people. Quality monitoring was carried out; the manager did regular audits and had regularly sent quality-monitoring questionnaires to people in the home and their relatives. This ensured the home was run in the best interests of the people who lived there. 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. The summary of this inspection report can be made available in other formats on request. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 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.V366545.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home had their needs assessed prior to moving into the home and each was provided with a written contract and statement of terms and conditions to ensure these could be met. EVIDENCE: Suitably qualified staff carried out the pre admission assessments on people who wanted to move into the home. The assessments were very detailed with all peoples needs identified, ensuring that the home could meet their needs before a place was offered to them, Every person in the home had a contract, and terms and conditions issued at the time of moving in. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 9 The home does not offer intermediate care so standard 6 does not apply. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person in the home had a plan of care with clearly identified needs, these were met, and people were treated with respect. Medication procedures protected people. EVIDENCE: Three people in the home were case tracked; this meant their plans of care were looked at in detail. The plans had identified the needs of the people with good recordings of the measures to take to meet their needs. The plans were regularly reviewed; people and their relatives were involved in this process. This ensured their views were listened to and their needs met. People spoken to were aware of the plans and said “I know the home keeps records about me and I can look at them if I want”. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 11 Relatives said, “I am aware of the plans and have been involved in changes and reviews”. This ensured their relatives’ needs were being met. All health care needs were met and regular input from health care professionals was obtained. Their advice was followed and well documented in the plans ensuring the wellbeing of the people who lived in the home. People were treated with respect and privacy and dignity upheld. During the visit we observed staff interacting very well with people and their relatives. One person told us, “The staff are good they work very hard and look after us well, I am very happy with my care”. Medication policies and procedures safeguarded the people. Medication was well documented on receipt, administration and return. All staff who administer medication regularly receive medication training and undergo competency assessments to ensue people are protected. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People exercised choice and control over their daily lives and activities ensuring their needs were met. EVIDENCE: The manager has recently employed a new activity co-ordinator; she worked 25 hours a week, group activities and 1 to 1 sessions were organised depending on the people’s needs and choices. Activities were varied and changed depending on the choices of the people who attended on the day. The home had been without an activity co-ordinator for some time, so there were still outings and external activities to be organised. The manager was aware improvements were still required in this area to ensure people’s needs were met. However he was working with the new coordinator to ensure people’s views were obtained and suitable activities Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 13 provided. This would ensure a good state of wellbeing for people who lived at whiston Hall. The people and their relatives we spoke to all said that contact with family, friends and the local community were encouraged by the staff and relatives were always made welcome. A varied, balanced and wholesome diet was provided for the people with good choices available. We observed a meal, which was well presented, there was good communication to the people from staff when it was served, seconds were offered, people were asked if they were finished before plates were taken and a choice of drinks were also offered. This ensured peoples needs and choices were met. People told us, “The food is very good”. We saw the last environmental health report, which identified that improvements were required in the kitchen. During our visit we found the standard of cleanliness in the kitchen was poor. We discussed this with the manager, he was aware that improvements were required. He had organised a chef from another home to work at Whiston Hall to rectify the problems and improve the cleanliness and work routines in the kitchen. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who lived in the home were listed to and protected. EVIDENCE: There was a comprehensive complaints procedure, which was clearly displayed, in the entrance hall. All people we spoke to were aware of the procedure and told us they would either speak directly with the manager or staff. The manager had received four concerns in the last twelve months, which had been resolved, good records were kept of outcomes. This showed they had been fully investigated, acted on and taken seriously. There were policies and procedures for adult safeguarding and the manager had the new Local Authority adult safeguarding document. However not all staff had received training in adult safeguarding, only three had received training in the last twelve months. The manager had identified the training requirements and was organising training for all staff. However staff we spoke to had a reasonable knowledge of the procedures and what to do should an Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 15 incident occur. Staff were also aware of the whistle blowing policy, which safeguards people in the home. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26. People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was clean, pleasant and comfortable ensuring people lived in a wellmaintained environment. However the call system was not available in every room and therefore did not always maintain safety. EVIDENCE: The environment was maintained to a good standard. It was homely and well decorated. The standard of cleanliness observed during the visit was good except in the kitchen, which was in need of a thorough clean to ensure food safety. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 17 Some toilets and bathroom had been identified by the manager as requiring redecoration. These were in the planned maintenance schedule to ensure the home was maintained in a good state of repair. The home had five small lounges and people use four of these regularly. The lounges did not have a call system available for people to use if they required assistance. Staff were not always present in the lounges due to the number of lounges, so a call system was required to maintain peoples safety. One person told us, “I have had to wait an hour to go to the toilet as there is no call bell, and staff are very busy so don’t always come in here”. The laundry room was very small; we saw clean washing next to dirty soiled clothes due to be washed. This could be a cross contamination risk. The manager told us that the bedding and table clothes go to a contract cleaning company so only people’s clothes are washed in the laundry. He also told us the providers had looked to extend the laundry so they could cease the contract with the cleaning company. However this had not progressed with any plans, should the contract cease the laundry may require extending to cope with the additional work load to ensure the risk of cross contamination was reduced and safeguard people. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People who use the service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were not appropriately trained. The recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. EVIDENCE: There was a good staff structure and staff supported each other to meet the needs of the people. There was always the manager, deputy or senior on each shift. The care staff numbers were determined by the number and needs of the people on each unit and appropriate levels were maintained on the day we visited ensuring peoples needs were met. However appropriate training to meet peoples needs was out of date staff told us, “Since the new company has had the home training is not as good, we haven’t been offered much training”. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 19 The manager gave us an up to date training record, which showed us at least 50 of staff had not attended fire safety, food hygiene, health and safety, adult safeguarding and infection control training. This means staff are not appropriately trained to meet peoples needs. A thorough recruitment procedure was in place, four staff files were seen on the day of the visit and contained all the required information. Protecting people who lived there. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administration safeguards people, health and safety policies and procedures were in place ensuring the safety of people in the home. EVIDENCE: The manager was qualified and experienced to run the home. He had been in post for over two years yet he was still not registered with the Commission for Social Care Inspection. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 21 Staff told us, “The management are good they support us, but sometimes there are too many managers on a shift and not enough carers”. Quality monitoring was carried out; the manager did regular audits and had regularly sent quality-monitoring questionnaires to people in the home and their relatives. This ensured the home was run in the best interests of the people who lived there. The home managed some people’s finances and personal money and we checked some records. These were well recorded and all receipts were kept, ensuring peoples financial interests were safeguarded. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 22 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 3 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 3 17 X 18 3 3 X X 2 X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 23 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 OP22 Regulation 16 Requirement Call systems with an accessible alarm facility should be provided in every room to ensure peoples safety. Should the contact cleaning for the bedding and table clothes cease then laundry facilities must be reviewed to ensure adequate space is provided to ensure safety and reduce the risk of spread of infection. Staff must receive training to make sure they can meet the needs of people. This should include updating infection control, fire safety adult safeguarding and food hygiene. Timescale for action 01/10/08 2. OP26 13 01/10/08 3. OP30 18 01/10/08 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.V366545.R01.S.doc Version 5.2 Page 24 1. 2. 2. OP19 OP38 OP31 It is recommended that the decoration of the toilets and bathrooms is completed. The requirements identified by the environmental health inspection should be addressed. The registered person must ensure that a candidate is put forward to be the registered manager. Whiston Hall DS0000003111.V366545.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V366545.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. 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