Inspection on 14/07/06 for White Rose House

This inspection was carried out on 14th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

White Rose House 17/07/07

White Rose House 14/09/05

White Rose House 11/05/05

White Rose House 22/11/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

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 White Rose House 165 Huddersfield Road Thongsbridge Huddersfield HD9 3TQ Lead Inspector Sally McSharry Key Unannounced Inspection 14th July 2006 07:00 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 White Rose House DS0000044462.V295813.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. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Rose House Address 165 Huddersfield Road Thongsbridge Huddersfield HD9 3TQ 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) 01484 690 100 01484 690 101 Meridian Care Limited Mrs Joanne Hempstock Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Mrs Joanne Hempstock obtains NVQ Level 4 in Care by May 2006 Date of last inspection 14th September 2005 Brief Description of the Service: White Rose House Nursing and Care Centre is a new, purpose built care home owned by Meridian Care Limited. The home is located behind the Holme Valley Hospital in Holmfirth and is built into the hillside. There are 60 single en-suite rooms for older people requiring nursing and personal care. Bedrooms are located on two floors, which are serviced by a passenger lift. Service users requiring personal care are accommodated on the ground floor and part of the first floor, while service users requiring nursing care are accommodated on the second floor. Communal lounges and dining areas are also provided on each floor. The lower ground floor area provides service facilities, kitchen, laundry, staff areas and storage. The home is located just off the main Huddersfield road, along which public transport travels. There is a relatively short walk up a steep gradient to the home. There is ample car parking at the home and a garden and patio area to the side of the home. The provider informed the Commission for Social Care Inspection on 14/07/06 that fees range from £343.00 to £505.00 per week. Additional charges include hairdressing, private chiropody, newspapers, toiletries, sweets, clothing and some selected activities/ hobbies materials. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on 14th of July. We arrived at the home at 07:00 am and left the home at 3:30pm. Since the last inspection carried out on 14th September 2005, a further additional visit has been carried out by the Commission for Social Care Inspection, as there were some concerns about the standard of care planning in the home. When this matter was looked into, the concerns were not upheld. During this visit the inspectors spoke to some of the service users, a visiting relative, some of the staff and the home’s management. The inspector read care records, audited a sample of medications, reviewed staff recruitment and training records, carried out a brief tour of the building and had lunch with some of the service users. Prior to the inspection fourteen service user questionnaires were sent to White Rose House Nursing and Care Centre to obtain service users’ views about living at the home. Two completed questionnaires were returned. Some service users in the home are very frail and may have difficulty completing a questionnaire. There were sixty service users resident in the home on the day of this visit. Relative surveys were sent out to 25 of the service users’ relatives or friends. Six GPs attend the home and questionnaires were sent to them. Eight health and social care professionals that have contact with the home and service users were also sent a questionnaire. When the inspector wrote this report 75 of the relatives had responded. Two responses had been received from GPs and three from health and social care professionals. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider, minutes of residents meetings and a pre inspection questionnaire completed by the provider and manager. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection work has been carried out to improve the care records on the resident unit, these are now of a better standard. Risk assessments are also now in place. The management of medications has also improved and is now of a satisfactory level. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 7 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. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. No service user moves into the home without having had their needs assessed and been assured their needs can be met. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users and relatives confirmed when spoken to and in questionnaires that they had information about the home before they came to live there and that their needs had been assessed. The sample of case records audited showed that service users admitted to the home recently had been assessed prior to admission. One service user was able to confirm that they had actively been involved in choosing the home, and had visited several home in the Kirklees area, including White Rose House before they made the decision to stay at the home. The home has admitted service users with a diverse range of needs and from a variety of cultural backgrounds. White Rose House does not currently provide intermediate care. White Rose House DS0000044462.V295813.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Service users health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and monitored. Service users are able to make decisions about lives with the support of staff. Medications are managed safely. Service users are treated with respect, their privacy and dignity is maintained by the staff in the home. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The standard of care planning has improved. Those care plans audited during this visit identified service users’ needs and how they are to be met by the staff in the home. Risk assessments are in place for the individual service users. Care plans and risk assessments are reviewed at least monthly. Care plans include service users’ individual preferences, cultural and spiritual needs. Where risk assessments have identified a health risk staff at the home seek specialist advice. All but one of the questionnaires returned by visiting health care White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 11 professionals acknowledge an improvement in the over all care standards and the level of communication with staff. There is written evidence to show that some service users and relatives have been actively included in the care planning process, however this could be further developed particularly on the residential unit. This has been made a recommendation of this report. The daily record relates to the care plan and the actual care given each day, however the content is brief. The medications management for four service users’ were audited and found to be correct. There were no signature omissions and the standard of medications management has improved. Arrangements have been made for the safe disposal of medications. Staff were observed caring for service users throughout the day of the visit. Staff were interacting with service users well. Service users appeared relaxed and comfortable with the staff, enjoying appropriate jokes and banter. Service users were well dressed, clean and well presented. Staff were observed respecting service users’ privacy and dignity and offering service users choice and encouraging service users to maintain independence where able. Service users who spoke to the inspector said that the staff were very good and caring. Relative questionnaires confirmed that all respondents are satisfied with the care provided in the home. Comments were positive and included statements such as “ The home is clean and the staff welcoming and pleasant. My Dad seems happy and content most of the time. Staff always keep me informed of his health needs and well-being.” The staff were observed to work competently and with confident at the time of this visit. White Rose House DS0000044462.V295813.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Service users’ social, cultural, religious and recreational needs are being met; they are helped to maintain contact with their families and the local community. Service users are able to exercise some choice and control over their lives. Meals provided are varied. Meals are served in a pleasant environment and service users who need support receive the assistance they require. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Activities are provided in the home and service users confirmed that regular activities take place. A variety of activities occur and service users spoke to the inspector of two recent trips out. Entertainers also visit the home; again service users said they enjoyed this. On the day of this visit four service users were painting with the activities organiser. All four service users that took part had thoroughly enjoyed the session. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 13 One relative questionnaire said that at times there were insufficient staff on to duty to allow service users to be taken out of the home on short walks in the local area. This was discussed with the manager at the time of the visit. Service users are able to maintain contact with their family and the community. The home is ideally placed for access into Holmfirth and those service users assessed as being safe to leave the home independently often visit, maintaining their independence. Some service users are able to attend church independently. Less able service users confirmed that there is a monthly service held at the home, which they liked to attend. There was evidence in care plans and during the visit to show that staff are offering service users choices within their daily life in the home. Staff were observed asking service users when they would like to get up in the morning, choices were offered at meal times and some service users opted for a cooked breakfast, during the morning. Service users also confirmed that there are able to make choices in all areas of their life in the home. Meals are varied and service users said the lunch being served was nice. This was sampled by the inspector and was very tasty. Questionnaires returned also said the food was all right. The meals were served individually and were hot. Any service user who does not like the main meal choices are offered an alternative. Staff assisted service users who have difficulty with eating, in a sensitive manner. Some service users were offered nourishing drinks and meal supplements. Although alternatives are offered at meal times the homes menus could better reflect the cultural diversity of service users’. White Rose House DS0000044462.V295813.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Service users and their relatives and friends are confident to make complaints and that these will be listened to and taken seriously. Service users are protected from abuse. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Since the last inspection one concern has been referred directly to the Commission for Social Care Inspection. This related to care planning and although recommendations were made, the concern was not upheld. Most service user and relative questionnaires said that they were aware of the complaints procedure and how to make a complaint. Service users and a visiting relative who spoke with the inspector felt that if they need to they would be confident to raise any concerns they might have. The manager maintains a record of all complaints and concerns raised. This includes outcome of the complaint and the action taken by the home. Service users are protected from abuse in the home. Staff have had adult protection training and there have been two recent incidents in the home where members of staff have alerted the manager to possible poor practice. These incidents have been appropriately referred and investigated. Where necessary protection of vulnerable adults (POVA) referrals have been made. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 15 The inspector spoke to four members of staff on duty at the time of the visit, one of them had only worked in the home for a month, all had received adult protection training and were aware of what to do if they had any concern that service users were being abused in any way. White Rose House DS0000044462.V295813.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users live in a safe, well-maintained environment. The home is clean pleasant and hygienic. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home is relatively new and the standard of accommodation, fixtures and fittings is good. Service users advised that bedrooms have been redecorated and service users also said the home was always clean. One relative questionnaire also commented on the high standard of cleanliness in the home. One service user stated the cleaners do a “fantastic” job. The home has a maintenance person who sees to day-to-day repairs. There is also a system of planned maintenance and service checks carried out. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 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 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. Suitable numbers of staff are employed. The staff receive induction and foundation training and are competent to work in the home. Staff recruitment policies and records protect service users. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Planned staffing levels are adequate to meet the current service users needs. However four of the ten relative questionnaires returned to the CSCI prior to the inspection stated, in their opinion there was not always sufficient staff on duty. The two service user questionnaires said there was “usually” staff available. This was discussed with the manager, who advised some staff shortages were experienced from time to time due to staff sickness. This should be monitored to ensure sufficient staff are on duty at all times. Training in the home has progressed and now there is 51 of the care staff with National Vocational Training (NVQ) level 2 or above. The recruitment and training records of four members of staff were audited. Recruitment records were complete and included all the required references and checks. Training records included details of induction and on going training for staff. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 18 Those staff that spoke with the inspector confirmed that they had had a detailed induction and had attended movement and handling training, fire training, and protection of vulnerable adults training. Other training sessions covered included, first aid, food hygiene, diabetes, catheter care and nutritional awareness. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Service users live in a home with an experienced and competent manager of good character. The home is run in the best interest of service users. Service users financial interests are safe guarded. The health, safety and welfare of service users and staff are promoted and protected. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Ms Hempstock holds the registered managers award and is working toward achieving NVQ level 4 in care. She anticipates completing the award in the next three months. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 20 The home and company carries out regular detailed quality audits. The results of the most recent quality audit are available in the home. Regular monthly management reviews take place and minuted resident meetings are also held. Relatives are kept informed generally of the home and what has been happening via a newsletter. Relatives wishing to discuss specific issues are able to see the manager. The home holds some finances on behalf of service users. A sample of four records was audited at the time of the visit. All were found to be correct. A service user who is quite independent said that when they are going out they call into the office and ask for whatever money they require and the staff provides this. The service user then signs to confirm they have received this money. The home carries out weekly fire safety checks and these are recorded. Since the last inspection the records relating to hot water temperatures has been made more specific, as recommended. There is evidence of routine maintenance and servicing of equipment in the home. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 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 X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 22 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. 1. 2. 3. Refer to Standard OP7 OP27 OP31 Good Practice Recommendations All service users and relatives should be encouraged to be included in the care planning process. Staffing levels and staff sickness should be monitored to ensure at all times sufficient staff are on duty to meet the needs of the service users. The manager should continue to work toward completing the NVQ level 4 in care. White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 White Rose House DS0000044462.V295813.R01.S.doc Version 5.2 Page 24 - 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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