Inspection on 11/10/06 for White Waves

This inspection was carried out on 11th October 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 Waves 12/11/08

White Waves 14/05/08

White Waves 26/10/05

White Waves 30/06/05

White Waves 14/12/04

White Waves 19/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE White Waves 17-19 Seal Road Selsey Chichester West Sussex PO20 0HW Lead Inspector Mrs H Church Unannounced Inspection 11th October 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address White Waves DS0000060930.V315781.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 Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Waves Address 17-19 Seal Road Selsey Chichester West Sussex PO20 0HW 01243 602379 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) whitewaves@fsmail.net Platinex Limited Mrs J M Satchell Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only Persons Over sixty five (65) Years of age to be admitted. Date of last inspection 26th October 2005 Brief Description of the Service: White Waves is a privately owned care home registered to provide accommodation and personal care for up to nineteen elderly (over 65 years) persons. The registered provider is Platinex Limited for whom Mr Satchell is the responsible individual. Mrs J M Satchell is registered as the manager in charge of the day to day running of the home. White Waves is a detached twostory building situated in a residential road in the village of Selsey. It is a short distance from local shops and the seafront. Accommodation is arranged in thirteen single and three double rooms. All rooms with the exception of one were being used for single occupancy at the time of the inspection. A lounge and dining area provide communal space on the ground floor. There is a passenger lift which serves all rooms with the exception of three which are on a mezzanine level. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place over one day and planned to take part in the morning and over the lunch time period. The manager was not present during this site visit, as she had taken an agreed sabbatical following a number of periods of poor health. The Commission for Social Care Inspection has received a number of letters expressing concerns for the health of the registered manager and her ability to manage the care home whilst her health is poor. The Responsible Individual has made suitable arrangements for the management of White Waves during this period and the inspector noted that these arrangements were in place and working well. When Mrs Satchell is fit to return to work, the Commission for Social Care Inspection will discuss with the Responsible Individual and the Registered Manager how White Waves will be managed in the future. The inspector noted staff spending quality time with individual residents, either in the lounge or in their rooms. A homely, friendly and relaxed atmosphere prevailed and the inspector was welcomed into all areas of the home. For the site visit, the inspector examined previous information and the Statement of Purpose and Service Users Guide that informs residents about the service. During the inspection, eight residents, three visitors and a district nurse gave their views to the inspector. Without exception all comments were enthusiastic about the staff and their life there. One resident commented, “One of the best that I have heard about”. The visitors commented that “Few homes are as homely” and “I doubt if we could have found better”. Two members of care staff said they felt very supported by the deputy manager and carried out their duties in a positive manner. The care plans showed that the care provided is appropriate according to the needs of the residents and the right amount of support to maintain independence and ensure resident’s lives continue to improve was given. There were no requirements or recommendations made at this inspection. What the service does well: White Waves is a well-established care home providing a friendly, homely arena where residents feel well supported. It is well maintained with rooms exceeding the National Minimum Standards. The staff are providing a good standard of individual care and the care plans were extremely comprehensive White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 6 giving staff excellent information about the care needed. Care staff are promoting care with independence and it was clear that White Waves are maintaining a care home where resident’s needs continue to be the central focus. 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. White Waves DS0000060930.V315781.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 White Waves DS0000060930.V315781.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): 1,2,3,4,5. All new residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Four residents, one new and three existing residents were case-tracked. The manager was absent during the inspection but the deputy manager, who has been working in this position for a number of years, was present throughout. All residents had been assessed prior to their admission to the home and the inspector found the pre-admission assessments were comprehensive and included all the areas required for making a decision. The Statement of Purpose and Service Users Guide have been updated since the previous inspection and the Commission for Social Care Inspection and residents have all received the updated copies. Residents are either self-funding or funded by the local authority. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. All residents had an individual care plan set out for staff to follow. The home operates a policy where all medication is managed by care staff. Care staff are meeting the health care needs of the residents in a respectful manner. Quality in this outcome area is excellent. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector examined four care plans and noted that the assessments were very thorough and extremely comprehensive, including the health, physical, mental and social care needs of each resident. Risk assessments and nutritional assessments were comprehensive and formed part of the care plans. The care plans comprehensively reflected the needs of residents and potential and actual risks to their health, safety and welfare, including falls and pressure areas. It was clear both from the records and discussions with staff, residents and visitors, that staff are well informed of each resident’s current White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 10 situation. Care plans were up to date and reviewed regularly. The involvement of the resident and/or their relative was seen in some of the care plans with new residents care plans awaiting the relatives or their representatives signatures to agree to the care being provided. The home’s medication procedures ensure safe practice with the handling, administration, storage and disposal of medicines. Staff have received training and assessed as competent to undertake the medication procedure. Although no resident is currently managing any part of their medication, staff are trained to closely monitor any arrangement to ensure the agreement to manage and store this safely is maintained. MAR charts were accurate with no gaps noted in recording of administration of medicines. Links are made between residents needs and determine the care provided. Where district nurses are providing a service, the information was current and relevant to the care being provided. A district nurse was providing a service during the site visit and confirmed that staff are referring and following instructions to a good standard. Where specialist equipment had been identified, this had been provided. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,1,4,15. Activities are suitable for current residents, visiting is positively encouraged and residents are served meals that are nutritious and appetising. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: There are twelve residents living in the home at present and care staffing hours are sufficient giving care staff opportunity to spend individual time with the residents. According to three visitors, they are always made welcome with refreshments and offers of a meal. The visitor’s book confirmed that visitors are welcomed at any time and there are frequent visitors to the home. A programme of activities was observed and residents confirmed this was provided. Currently, activities are based on resident’s wishes and abilities with any new activities being provided from residents’ requests. Activities range from individual to group activities and range from music and movement White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 12 sessions to games led by a professional organisation. Residents are proactive in using the Selsey Mini Bus and joining in activities in the community. One new resident had brought his motorised scooter to remain independent and go out without the need for assistance. When pre-arranged, staff will accompany residents out either to the local shops or look at the sea. The dining room looked very inviting and was arranged to encourage residents to sit at tables laid for up to four persons but also to communicate with other residents. The resident’s comments included praise for the home cooked food and found it fulfilling with good choices. The inspectors spoke with the deputy manager and the staff allocated to the kitchen and it could be seen that dishes were prepared according needs and wishes of the residents. The inspector observed the high quality of the home-made meal, all prepared from fresh ingredients. The menus are changed regularly according to feedback. Where residents prefer an alternative, this is provided although there on the day of the inspection, all residents were having the roast chicken with fresh vegetables and the homemade sweet to follow. Where residents need soft or liquidized food, this is provided. It was clear that meals are a high focus for all residents. The kitchen was fitted with spacious and well-organised work surfaces with well-maintained equipment giving staff the means of providing a good choice of meals in a hygienic and specialist area. Where residents are unwell or prefer to eat in their rooms, individual trays are laid with napkins, drinks condiments and a good range of cutlery. At the time of the inspection, all residents were able to eat without assistance. Dietary needs are recorded in the individual care plans and these are taken into consideration when planning meals. Weight charts showed that all aspects of health care and meal planning are linked. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Residents are confident that complaints are taken seriously and acted upon appropriately. Staff have had in-house training in adult protection procedures so are equipped to protect residents from abuse. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The complaints procedure was displayed in the hallway with the Visitor’s Book and included in the Statement of Purpose and Service Users Guide. The complaints log was examined but there had been no complaints recorded although a number of concerns had been raised with the Commission for Social Care Inspection about the management of the home. With regard to the residents currently being accommodated, four residents told the inspector that they had no hesitation in speaking to the staff if there was anything they felt unhappy about. The staff confirmed that in-house training for Adult Protection Training had been given in July 06 and the training was certificated. The induction and foundation training included some training aspects of this. The West Sussex Multi Agency Guideline was present in the office and made available to staff at all times. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 inclusive. The indoor and outdoor areas used by residents are clean, safe and homely with good access to all parts. Resident’s rooms are suitable and homely. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector toured the building and examined specialist equipment to ensure residents are safe and enjoy surroundings. The indoor communal areas, garden and individual room areas are safe and well arranged to maximise independence without compromising a sense of freedom. The inspector examined the risk assessments for all indoor and outdoor areas and found it to be comprehensive and well thought out. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 15 Throughout the tour the home presented as clean, pleasant and hygienic, equipment was being maintained and the redecoration, refurbishment programme continues. All residents have keys to their room doors and some also have lockable furniture in their rooms. All of the radiators are guarded and thermostatic valves are in place to restrict water temperatures to safe levels and protect residents from burns and scalds. As residents leave rooms, these are well decorated according to the residents wishes, furnished and arranged to the needs of residents. One new resident and his family were very complimentary about the care taken to ensure his room was decorated and furnished and re-arranged with his furniture according to his wishes. He said it made him feel very much at home. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 16 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. The duty rota indicated that sufficient staff with a suitable mix of skills and experience are on duty over the 24 hours period to ensure needs can be met. Recruitment processes were in place to ensure residents are protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The inspector observed that the staffing rota, examined in conjunction with care plans, showed that the staffing levels do ensure residents needs can be met at all times and that staff are spending quality time with residents, both in the communal areas or with residents who chose to remain in their rooms. However, it was clear from the rota that staff are working additional hours to cover hours needed. Although this was previously agreed from a temporary arrangement, this arrangement has now become the norm causing staff to be concerned as to the future of the staff team. The team believe that either more staff are recruited to ensure working hours are reduced to an agreed level or that the Registered Person provides monies for the deputy manager to engage agency staff in emergencies. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 17 During the fieldwork, the inspector spoke to residents about the time spent with staff and all of the comments were good. Residents also felt their privacy and dignity is maintained and three residents and two visitors commented that “staff were kind and thoughtful” and one resident said “Staff are really wonderful, patient and caring, I haven’t had to ask for anything yet”. The inspector observed that domestic and catering tasks are staffed separately with staff having clearly defined roles for these. The inspector examined recruitment procedures to ensure that the home continues to meet this standard. Two staff records were examined in conjunction with their training records and noted that the recruitment process was good and that all staff, whether care or ancillary, trained or new to care work, complete the induction and foundation training course work. All staff have received mandatory training at appropriate intervals with periphery courses on the care needs of this group of residents also provided. National Vocational Qualifications at levels 2 and 3 are provided although currently only 14 of care staff has National Vocational Qualifications. Records showed and staff on duty confirmed that they had only been employed following a Criminal Records Bureau clearance. The two staff on duty confirmed this had happened and that training has been provided as per the training schedule. All staff had received some training applicable to their roles and level of expertise. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,38. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. Quality in this outcome area is good. This judgment has been made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The manager was on sabbatical leave recuperating from poor health but the arrangements made by the Registered Person to continue running the home was working exceptionally well. All the staff are relating well to this arrangement. The deputy manager is considering undertaking National Vocational Qualifications level 4 in Care. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 19 A Quality Assurance System has been completed and the results displayed in the hallway. The inspector examined the survey and found it to be user friendly for residents and included Care and Staff, Environmental aspects, Meals and Activities. Residents, visitors and visiting professionals, use the Suggestion Box in the hall for ad hoc suggestions. The home has ad hoc meetings with residents according to the comments made. The inspector observed the informal and on-going system of seeking views from residents and visitors at every opportunity during the site visit. Residents are generally encouraged to manage their own finances or if this is not viable and a representative of the resident cannot take on the responsibilities for this, the home do keep records of financial transactions and provide receipts for representatives to ensure records are maintained accurately. The inspector examined two records and both were being maintained appropriately. The supervision procedure was examined and noted to be provided at the required intervals with training needs identified from this procedure. The inspector noted that the documents used to record accidents meet the Data Protection Act. Health and safety is maintained through training and servicing of necessary equipment. All equipment checks and servicing is carried out within the safe guidelines. Good moving and handling practise was observed that minimises risks to residents’ health safety and welfare. Policies and procedures were in place and had been updated recently. The inspector concluded that the health care needs of all of the residents were being safely met. White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 4 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 3 3 3 3 White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 21 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 White Waves DS0000060930.V315781.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 White Waves DS0000060930.V315781.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!