Inspection on 22/12/05 for Whitby House Nursing Home

This inspection was carried out on 22nd December 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 11/08/05

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 Unannounced Inspection 22nd December 2005 13:00 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 Whitby House Nursing Home DS0000018820.V271613.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. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitby House Nursing Home Address 99 Pooltown Road Whitby Ellesmere Port Cheshire CH65 7AE 0151 3571007 0151 3568679 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) Ashbourne Homes Limited Mrs Hillary Price Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within maximum of 40, 12 OP beds for personal care only Date of last inspection 11th August 2005 Brief Description of the Service: Whitby House is a care home providing nursing care and personal care for up to 40 older people. 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 ensuite 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 DS0000018820.V271613.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 22nd December 2005 as part of the Commission for Social Care Inspection annual inspection programme. 35 residents were living at the home, of whom 21 were receiving nursing care and 14 receiving personal care. Most of the key National Minimum Standards were inspected at the announced inspection on 11th August 2005 and were found to be met in full. A tour of the building was conducted, including all communal areas and some bedrooms. Time was spent in conversation with the manager and a sample of records was inspected. Arrangements for medicines were inspected. Most of the staff on duty and a number of residents were also spoken with. The home is now part of the Southern Cross group. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations have been made as a result of this inspection, however the home is continually seeking improvement. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 6 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 DS0000018820.V271613.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 Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected on this occasion. EVIDENCE: Whitby House Nursing Home DS0000018820.V271613.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): 9 Medicines are well managed. EVIDENCE: Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 10 Policies and procedures, including a full risk assessment, are available for staff to implement for any resident who wishes to self-medicate. Policies and procedures are in place for the ordering, storage, administration and disposal of medicines. The home uses a monitored dosage system. Repeat prescriptions are all checked at the home before being sent to the pharmacy and no verbal orders for medicines are accepted. All handwritten medicine administration records had two signatures and recorded the quantities brought into the home. Medicines were stored in an orderly manner with no old stock retained. Administration records were completed in full. A contract is in place for the disposal of unused medicines. Medicines for residents receiving nursing care are handled only by registered nurses. Senior care staff have responsibility for medicines for residents receiving personal care, under the supervision of the home’s care manager. There was evidence that they had received medication training from the care manager using a training package provided by Ashbourne Homes and had completed a ‘Certificate in the Safe Handling of Medicines’ through a local college. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The social needs of residents are provided for. Visitors are made welcome at the home. Residents are able to exercise choice in daily living. The standard of catering is satisfactory. EVIDENCE: The home has an activities organiser who works 15 hours per week. She has attended training with Ashbourne Homes and can contact activities organisers in other homes for support. On the day of the inspection, residents were enjoying social activities in the main lounge, with some visitors joining in. A Christmas party had been held for residents and their families earlier in the month. Residents said that they had particularly enjoyed carol singing by local children and by a church group. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 12 Relatives are asked to assist with writing a life history for new residents when they are admitted. 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. A singing group from a local church visits the home regularly and a mobile library visits monthly. Some residents receive a ‘talking book’ service. Taxis are used for trips out and residents are able to use the taxi vouchers they receive from the local authority. There are no restrictions on visiting and a number of visitors were present in the home during the inspection. Residents may see visitors in the lounge or in their own room. Visitors are included in social events and a number of relatives were planning to have Christmas lunch at the home. The home does not act as agent or appointee for any residents and family members usually take responsibility for residents’ financial affairs. Advocacy is accessed for those who do not have families to act on their behalf, and this is done through a solicitor or through social services. Residents are able to bring personal belongings into the home and there was evidence of this in their bedrooms. A double room has been made very homely for a married couple, with some of their own furniture. Catering is provided by a catering company as part of a corporate contract. Over recent months concerns have been expressed regarding the standard of food provided at the home. A new cook is now in post and staff and residents considered that the standard had improved significantly. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 13 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): 18 Residents are protected from abuse. EVIDENCE: The home has policies and procedures for the protection of vulnerable adults. There was evidence that staff receive company training regarding abuse as part of their induction, and that this is updated annually for all staff. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 14 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 and 26 The home is clean and well maintained. EVIDENCE: The home was purpose built and all areas are accessible for residents. Space is very limited, however an ongoing programme of redecoration has ensured that all areas are well presented. Since the last inspection the main staircase area has been redecorated. The manager said that all bedrooms have been decorated at least once during the last three years. The maintenance programme includes plans to replace an unassisted bath on first floor with a shower The home has a new maintenance person, and he has received training with a maintenance person at another home and induction training at Whitby House. All areas of the home were clean, tidy and free from offensive odours. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 15 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 and 30 Staff are provided in appropriate numbers to meet the needs of residents. 50 of care staff have an NVQ qualification. Good recruitment practices are followed. A programme of regular staff training is implemented in full. EVIDENCE: At the time of the inspection the home had a full team of staff, and agency workers were not being used. At all times there is a registered nurse on duty with six carers in a morning, five in an afternoon/evening and three at night. 50 of care staff working at Whitby House have an NVQ qualification. Two staff have NVQ level 3, and two night staff are working towards NVQ level 2. Recruitment records for three new members of staff were inspected. The staff files examined showed that two references and Criminal Records Bureau disclosures are in place for all staff. Staff files were well maintained and contained the information detailed in Schedule 4 of the Care Homes Regulations. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 16 The files also contain a record of all training attended by staff including induction training. All new staff receive a two day induction training provided by Ashbourne Homes which meets NTO specifications. This is followed by a six week foundation programme. Records demonstrated that all care staff had received training in the following areas: Moving and handling Food Hygiene Resident Welfare Health and Safety Fire Safety Annual updates are carried out with respect to the first four of these. Fire training is updated three monthly for night staff and six monthly for all other staff. The home’s computer flags up when training updates are due and are overdue. All staff are currently completing an infection control course. Domestic staff have completed NVQ level1. The home has four staff who are qualified as company trainers, including one member of night staff. The Care Manager is allocated twelve hours per week for training purposes and staff training is carried out every Wednesday afternoon. Staff receive more than the minimum of three days training per year. Staff records are kept in very good order. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 17 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): 33 and 35 Quality assurance systems are in place to ensure that the home is run in the best interests of residents. Residents’ money is handled appropriately. EVIDENCE: Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 18 A range of quality monitoring tools are in place over a twelve month cycle. The manager audits: Health and Safety, Documentation, Medication, Food, Training, Housekeeping, Care, Infection Control, Facilities, Activities, Customer Care. In addition to this there is a twice yearly audit of the home by the regional manager, the divisional nurse and the regional administrator. The home has scored well on all of these inspections. Any shortfalls found result in an action plan being produced and this is reviewed as required. Regulation 26 visits are carried out by the regional manager and are reported to the Commission for Social Care Inspection. A service user survey has been conducted and the results of this were available for inspection. Relatives’ meetings are held regularly. Most residents have a small amount of personal money in safekeeping at the home. Records were examined and found to be well maintained. Some residents also have a lockable drawer in their bedrooms and the manager said that the handyman can arrange this for any resident who wishes. The home does not act as agent or appointee for any residents, however three residents have appointeeships through the local authority and receive their personal allowance on a regular basis. One resident manages her own finances. Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 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 X 17 X 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 X X X Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 20 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. 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. Refer to Standard Good Practice Recommendations Whitby House Nursing Home DS0000018820.V271613.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich 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. 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