Inspection on 11/08/05 for Whitby House Nursing Home

This inspection was carried out on 11th August 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.

Other inspections for this house

Whitby House Nursing Home 15/05/07

Whitby House Nursing Home 22/12/05

Whitby House Nursing Home 22/12/04

Whitby House Nursing Home 17/06/04

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

CARE HOMES FOR OLDER PEOPLE Whitby House Nursing Home 99 Pooltown Road Whitby Ellesmere Port Cheshire, CH65 7AE Lead Inspector Wendy Smith Announced Inspection 11th August 2005 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 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. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitby House Nursing Home Address 99 Pooltown Road Whitby Ellesmere Port Cheshire CH65 7AE 0151 357 1007 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashbourne Homes Limited Mrs Hilary Price Care Home 40 Category(ies) of OP Old Age (40) registration, with number of places Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Up to 40 people in the OP (Old Age) category. Date of last inspection 22nd December 2004 Brief Description of the Service: Whitby House is a care home providing nursing care and personal care for up to 40 older people. It is owned by Ashbourne Group Europe Ltd. The home is a purpose built two-storey building set in its own grounds in the Whitby area of Ellesmere Port. It is close to local amenities and is convenient for the local bus service. There is parking space at the front of the building and a garden to the rear. Bedrooms are on both floors. There are 34 single rooms and three double rooms. All bedrooms have washbasins and nurse call points. There are no en-suite facilities. Day space consists of a lounge and a separate dining room on the ground floor and a lounge with combined dining room on the first floor. A passenger lift and a staircase provide access to the first floor. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 11th August 2005. 32 residents were living at the home, of whom 21 were receiving nursing care and 11 receiving personal care. A tour of the building was conducted, including all communal areas and some bedrooms. Time was spent in conversation with the manager and other staff. Five service users were spoken with and a sample of records was inspected. Some of the information in this report was provided by the home manager in the pre-inspection questionnaire. Comments cards had not been received from any residents or relatives, but two had been received from professional visitors to the home. What the service does well: Prospective residents have a full assessment carried out by a senior member of staff from the home prior to admission being agreed. Care plans are drawn up and maintained to a good standard. Residents health needs are met in full. The privacy and dignity of residents are maintained. Residents and their relatives are given the care and support they need during their final days. A good range of social opportunities is provided for residents. Any complaints received are fully investigated and responded to within 28 days. The home is clean and well maintained. The home has a stable, experienced and mature staff team. Health and safety requirements are met. There is a very good standard of record keeping. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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 standard(s) 1 and 3, standard 6 is not applicable. Residents and their relatives are provided with information about the home to help them decide whether it will meet their needs. All prospective residents are visited and assessed by a senior member of staff from the home prior to admission being agreed. EVIDENCE: Written information is provided for prospective residents and their relatives. There is a range of information leaflets in the reception area of the home, and a Statement of Purpose for Whitby House is available to meet the required standard. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 9 There was evidence of assessments being received from care managers, however all prospective service users are visited and assessed by a senior member of staff from the home. The home has a pre-admission assessment document which was seen in the care plans. The manager has trained senior care assistants to assess prospective service users requiring personal care and they are now carrying out this process. A recently admitted resident was spoken with and she said everyone was very nice. She was concerned about contacting friends and family to let them know about her change of home and a senior carer was helping her to do this. Her family had brought in furniture and personal belongings and she was pleased to see her own things in her room. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10 and 11. Each resident has a care plan that meets the required standard. The health needs of residents are met in full. The privacy and dignity of residents are maintained. Residents and their relatives are given care and comfort in their final days. EVIDENCE: A sample of care plans for residents receiving nursing care and personal care was inspected. All had been well completed and kept up to date. The company policy is for care plans to be fully reviewed and re-written each year, and this had been done. The home has a weekly visit from the nursing homes’ doctor, and the nurses who work alongside the doctor provide support with tissue viability and with prescriptions for dressings. At the time of this inspection two residents had a superficial pressure sore, and this was recorded in their care plans. District nurses provide a nursing service for residents receiving personal care at the home. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 11 At the time of the inspection, five residents who were physically frail spent most of their time in bed, but the manager said that whenever possible they were encouraged to get up for a short while. Turn charts in their bedrooms recorded repositioning. These residents did not all have adjustable beds, and one person in particular would benefit from having a profiling bed. See recommendation. There was evidence that residents have access to all health services in the community. A resident with sensory impairments has a range of equipment in her bedroom to help with communication. She receives a weekly visit from a deaf support worker and attends a deaf club fortnightly. A folder in the reception area contains thank you letters. One recently received letter read the care and concern you have extended to Dad and to us is very much appreciated, and another thanked the staff for providing care in a thoughtful way that kept his dignity intact. On the day of the inspection one resident was reaching the end of her life. Her family were staying with her at all times and they had been offered a vacant room to rest in. A new care plan had been written to ensure that staff provided appropriate care at this time. There was evidence that her medication had been reviewed and appropriate analgesics were being administered. There was a record of discussion between the doctor and the resident’s family to agree the care to be given. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. A good range of recreational activities is provided for residents. Visitors are made welcome in the home. The standard of food has improved. EVIDENCE: The home has a new activities organiser who works 16 hours per week. She has attended training with Ashbourne Homes and can contact activities organisers in other homes for support. A programme of activities for the month of August was displayed. Arts and crafts sessions are held in the dining room, and games such as bingo in the lounge. Trips out have been organised approximately every two weeks over the summer and residents spoken with had really enjoyed these. Taxis are used for trips out and residents are able to use the taxi vouchers they receive from the local authority. The activities organiser also provides one to one time for residents who are unable, or do not wish, to join in group activities. Records are made in the care plans. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 13 Relatives are asked to assist with writing a life history for new residents when they are admitted. A quiz night for relatives and residents is being held in September. A singing group from a local church visits the home regularly and a mobile library visits monthly. Some residents receive a ‘talking book’ service. Catering is provided by a catering company as part of a corporate contract. Following recent concerns expressed regarding the standard of food provided at the home, a new cook is now in post and there have been changes to food service arrangements on the first floor. There is a food comments books in each dining room. Negative comments had been recorded in the upstairs dining room but not for last month, and staff said that the food had improved. Copies of the home’s menus showed that a good variety of meals is provided. Residents spoken with said that the food was better. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. Complaints are dealt with appropriately. EVIDENCE: Ashbourne Homes provides policies and procedures for dealing with complaints. These are displayed in the reception area of the home and complaints forms are available for anyone who wishes to make a complaint. Two complaints had been received since the last inspection. These had been fully investigated and well recorded. One complaint had been resolved and one remains ongoing. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19 and 26. Residents live in a home that is safe and well maintained. The home was found to be clean and hygienic. EVIDENCE: The front of the home is neat and tidy with hanging baskets. There is good parking space for staff and visitors. The home has a sheltered sitting area in a garden at the back of the home accessed through the ground floor lounge. New garden furniture has been provided. Another area of the grounds is overgrown with weeds and needs attention. See recommendation. The home has a new maintenance person who lives very close by. He has attended company training and is able to get advice from other homes. Bedrooms have benefited from new soft furnishings. All areas are decorated to a good standard. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 16 Work to address requirements made by the Fire Officer in December 2004 was almost completed and a follow up visit was expected the week after this inspection. Some bedroom doors have magnetic closers and the manager said that the other bedroom doors will be fitted with door guards. New fire doors have been fitted to store rooms. All areas of the home were found to be clean and there were no unpleasant odours. Good sluicing facilities are provided and are kept locked. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28. The home provides enough staff to meet the needs of residents. More care staff need to achieve NVQ qualification for the home to meet the Department of Health target. EVIDENCE: The home employs five nurses, 20 care staff, four domestic staff, an administrator, an activities organiser and a maintenance person. Catering is contracted to an outside company. Rotas showed that staffing levels are maintained in accord with the agreement in place. There was some use of agency nurses to cover for holiday and absence, but the shortfalls were mostly covered by the home’s own staff, including the manager. Five senior care staff have responsibility for the day to day running of the residential unit. All have done medicines and first aid training. The home is advertising internally and externally for a residential unit manager. A total of 40 of care staff have an NVQ qualification. Most of the day care staff have NVQ qualification or are working towards it, but no night staff currently are NVQ qualified. See recommendation. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 37 and 38. The home is well managed by a competent person. Record keeping is of a very good standard. Safeguards are in place to ensure the health and safety of staff and residents. EVIDENCE: The home manager is a registered nurse and is registered as manager with the Commission for Social Care Inspection. The manager is currently working towards NVQ level 4 and Registered Manager Award and hopes to complete these by the end of the year. In the reception area there is a signing in book, an up to date list of residents, a copy of the home’s insurance certificate, registration certificate, complaints policy, details of forthcoming social events and a range of information leaflets. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 19 All of the records inspected were complete and up to date. All of the records required to be kept in a care home were present. Records are kept securely. The standard of record keeping is consistently very high in this home. Maintenance records and fire records are kept in a Facilities Management file. This was inspected and provided evidence that regular checks are made of all equipment. The manager provided evidence that all plant and equipment had been serviced and maintained as required. Training records showed that staff all receive training in moving and handling and other health and safety topics. A satisfactory inspection report was received from the environmental health officer in January 2005. Health and safety warning notices were displayed appropriately. Only one resident had bedrails fitted. A risk assessment had been carried out and protective covers were in place. Bed rails can only be used following authorisation by the home manager. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x x x 4 3 Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 21 No Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP8 OP19 OP28 Good Practice Recommendations Residents receiving nursing care should be provided with adjustable beds. An outside area at the back of the home needs to be tidied up. Night care staff should be encouraged to achieve NVQ level 2 qualification. Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire, CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Whitby House Nursing Home F51 F01 S18820 Whitby House V231861 110805 Stage 4.doc Version 1.30 Page 23 - 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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