Inspection on 26/10/05 for White Waves

This inspection was carried out on 26th October 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

White Waves 12/11/08

White Waves 14/05/08

White Waves 11/10/06

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 L Riddle Announced Wednesday, 26 October 2005 th 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. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service White Waves Address 17-19 Seal Road, Selsey, Chichester, West Sussex, PO20 0HW 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) 01243 602379 Platinex Limited Mrs J M Satchell Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 19 Both of places White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Only persons over sixty five (65) years of age to be admitted. Date of last inspection 30 June 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 now registered as the manager in charge of the day to day running of the home. White Waves is a detached two-story 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 H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over a period of four hours by two inspectors as part of the yearly inspection process. Prior to the inspection the previous inspection report was read along with other documents and correspondence relating to the home. A pre-inspection questionnaire returned by the home to the Commission provided some of the information which contributed to the inspection process. Six comment cards were received back from residents and visitors, all of which confirmed satisfaction with the Service. Some records and documents were examined and a tour of the premises was undertaken. Four residents, A visiting relative and three staff members were spoken with and there was discussion with Mrs Satchell. Sixteen residents were being accommodated at the time of inspection. What the service does well: The home provides a warm, homely and friendly environment for residents confirmed by resident’s comments such as “the home is always nice and warm” and “everyone’s very friendly”. Residents are cared for by a stable staff group who know them well and understand their needs and abilities. Comments included “they give me what help I need, they seem to know, if I haven’t slept well I need more help”. Care plans in place for each resident are very comprehensive and provide clear information as to what needs each person has and how they should be assisted. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 Prospective residents have sufficient information to make an informed choice about whether or not they wish to live in the home. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which contain all relevant information about the home including it’s stated aims and objectives. Mrs Satchell said that she is in the process of updating the information to show herself as the registered manager and her son as the responsible individual for the company. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 standard(s) 7, 8 There are good arrangements in place to ensure that the health and personal care needs of residents are met. EVIDENCE: New care plans have been put in place since the last inspection which provide very clear information about the care needs of each resident. Four plans were examined. They were clear and easy to read and showed what action is needed by staff to help meet the assessed needs. The mental health aspect of the plans could be expanded upon to include such areas as memory loss, confusion and depression for example and a recommendation has been made in this respect. Records of visits by resident’s GPs and other healthcare professionals such as district nurses, chiropodists were seen. There was evidence of a resident receiving attention for a hearing aid that wasn’t working properly. A resident said, “the doctor comes if I need him, he’s the one I had before I came here”. It was seen that the whole care plans are being reviewed monthly and updated as necessary. Where possible residents or their relatives had signed agreement to the plans and any changes made. The risk assessment for one resident who had cot sides fitted to her bed did not include sufficient information to show how any risk attached to the use of White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 10 the cot sides could be minimised. A recommendation has been made in respect of this. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 standard(s) 12, 15 Social activities and meals are both well managed to provide interest and daily variation for residents. EVIDENCE: The manager and staff had worked at providing more activities for residents on a more frequent basis since the previous inspection. A member of staff was seen providing manicures for those who wanted this. An exercise class was also seen to take place run by an outside organiser who comes weekly. This was well attended, residents were seen to join in and clearly enjoyed it. A resident said we have exercises, quizzes and manicures, I think that’s enough, it is for me anyway”. A further exercise to music class is held monthly and there is an in-house library, gardening corner, TV/DVD and cassette player for entertainment as stated in the pre-inspection questionnaire. Pastoral visits are arranged. Menus submitted with the pre-inspection questionnaire were examined. These showed that meals are varied and provide a balanced and nourishing diet for residents. Alternatives including vegetarian options are offered. One resident said “we have good food, I’m vegetarian and they make me nice things with prawns and cheese” another said “the food is good”. A visiting relative spoken with said she had had a meeting with the registered manager regarding a special diet needed and was happy with this and with the care in general. Care White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 12 plans identified where each resident chose to eat his/her meals, for example in his/her own room, in the dining room, lounge or lobby. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 standard(s) 16 Complaints are handled appropriately and residents know who they should tell if they have any concerns. EVIDENCE: The home has a detailed complaints procedure which includes timescales and details of the Commission for Social Care Inspection. A copy of the procedure is clearly displayed in the home. Residents asked said they would tell a senior member of staff or ‘Jackie’ (the registered manager) if they needed to complain or had any concerns. All of the comment cards received from residents and relatives/visitors confirmed that they knew about the complaints procedure and who to speak to should they have a complaint. Mrs Satchell said that no complaints had been made to her since the previous inspection. None had been received by the Commission in that time. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 standard(s) 19, 24, 25 Residents live in safe and comfortable surroundings where they can have their own possessions around them if they wish. EVIDENCE: The home is suitably decorated throughout and furnishings are in good condition. Seating is sufficient and appropriate for the resident group accommodated. Communal areas are bright and cheerful and the general feeling is one of homeliness. The home meets the requirements of the local fire service and environmental health department. Resident’s rooms were seen to be comfortably appointed and contained various personal possessions belonging to the occupants. The carpeting in the hallway and the communal areas had been cleaned since the last inspection. The yard at the back of the laundry had been tidied and unwanted articles previously stored there, disposed of. The home throughout was very clean. All radiators are covered for safety and regulating valves fitted to all hot water outlets to maintain safe temperatures. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 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 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 Staffing cover in the home is suitable to meet the needs of current residents. EVIDENCE: Copies of duty rotas for four recent weeks were provided with the preinspection questionnaire. These were examined and seen to provide suitable staff cover throughout the day and night. At the time of inspection in addition to the registered manager, her deputy, a senior carer and two other carers were on duty. A cleaning person was also on duty. A cook is not employed, different members of staff undertake this task throughout the week. The registered manager confirmed that when a carer is responsible for cooking tasks she remains in the kitchen and does not provide any hands-on care for that period. Residents said that there are enough staff available each day to look after them, comments included “yes staff are attentive, there always seems to be enough of them” and “they are always there when needed”. Staff and residents were observed to chat and relate to each other in a warm and friendly manner. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 16 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, 33, 35 37 Staff have leadership and receive direction and guidance to ensure residents receive consistent quality care. EVIDENCE: Since the previous inspection Mrs Satchell has been registered as the manager of the home and has commenced training for the Registered Managers Award. She lives on the premises and works in the home on a daily basis. She also provides much of the ‘on call’ cover at night. A quality assurance system is still being developed. Surveys are sent out to residents and their relatives at regular intervals and the results of these are published and displayed in the entrance hall of the home. Residents and relatives are notified of announced inspections as was seen by the notice on display and confirmed in the comment cards. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 17 Where monies of residents are handled by the home all transactions are recorded. These records were examined and random checks made by ensuring that individual balances of cash held, matched the recorded balances shown. These were all found to be very accurate. The manager confirmed that from time to time the home is asked to hold valuables for safe keeping. These were seen to be recorded but receipts had not been issued. When items are taken out of safe-keeping by the owners they should be signed for and dated. A recommendation has been made in respect of these matters. Records of all furniture brought into the home by residents are not currently maintained and a recommendation is made in respect of this. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 18 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 3 x STAFFING Standard No Score 27 3 28 x 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 3 x 2 x 2 x White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 19 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. 4. Refer to Standard 7 8 35 37 Good Practice Recommendations The mental health section of the care plans should be further developed. More detail should be provided in the risk assessment relating to the use of cot sides. More attention should be given to the issuing and obtaining of receipts in relation to items held for safekeeping. A record should be kept of all furniture brought into the home by a resident. White Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Waves H60-H11 S60930 White Waves V247527 261005 Stage 4.doc Version 1.40 Page 21 - 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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