Inspection on 30/06/05 for White Waves

This inspection was carried out on 30th June 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 26/10/05

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 Linda Riddle Unannounced Thursday 30 June 2005, 10:00am 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 V232212 300605 Stage 4.doc Version 1.30 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 Post Vacant Care Home 19 Category(ies) of PC Care Home only 19 registration, with number of places White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only Persons Over sixty five (65) Years of age to be admitted. Date of last inspection 14th December 2004 Brief Description of the Service: White Waves is a privately owned care home registered to provide acommodation and personal care for up to nineteen elderly (over 65 years) persons. The registered provider is Platinex Limited for whom the Responsible Individual is Mrs J M Satchell. The post of Registered Manager is currently vacant. White Waves is a detached two-storey building situated in a residential road in the village of Selsey. It is a short distance from local shops and the sea-front. Accommodation is arrranged in thirteen single and three double rooms. A lounge and dining area provide communal space on the ground floor. There is a passenger lift but this does not serve three rooms on a mezzanine level. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours and was carried out by two inspectors. Prior to the inspection the last two reports were read along with various documents and correspondence held on file. Four residents were spoken with individually and at some length and others were spoken with during a tour of the premises. Three staff were spoken with one of whom is the deputy manager who provided some of the information. Mrs Satchell was not present for the first part of the inspection but arrived before lunch and assisted the inspectors with their enquiries thereafter. Residents were found to be well cared for and the home was suitably staffed for the number and dependency of residents. Fourteen residents were being accommodated. Some care plans were in need of updating. A staff training programme is in place and three staff are undertaking National Vocational Qualification training at level 3. The home was found to be warm, clean, comfortable and homely. The home is without a registered manager at present but Mrs Satchell stated her intention to apply to the Commission for registration as manager. Appropriate action had been taken in respect of three requirements made in the last two inspection reports and recommendations for good practice, made in the last report, had been addressed. What the service does well: On entering the home a wealth of information is provided for residents and visitors. The published results from resident surveys are also displayed and copies of inspection reports available. The privacy and dignity of residents is respected by staff as was confirmed by residents spoken with. Residents receive a wholesome and well balanced diet. Menus seen showed that daily alternatives are offered along with special diets for those who need them. When asked if they can have extra food between meals if hungry a resident replied “yes, they give you what you want”. Residents are able to have their own possessions around them in their rooms and the home is comfortable and homely. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4, 5 Each resident has a written statement of terms and conditions with the home. Service users and their representatives know that the home will be able to meet their needs. They have opportunities to visit and assess the facilities and suitability of the home prior to admission. EVIDENCE: Each random resident’s file examined contained a signed copy of the contract/statement of terms and conditions with the home. Files, including that of the most recent resident to move into the home contained full assessments of need. For those admitted through Care Management (funding) arrangements, a copy of the Care Management assessment/Care Plan was on file. Residents were able to confirm that they and/or their relatives had been able to visit the home prior to admission. One resident said that she disliked living near the sea but her relative had made the decision for her to move there from London. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 9 White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 Care plans do not in all cases reflect the current needs of individual residents. Arrangements are in place to ensure that the health care needs of residents are identified and met. Residents are protected by the home’s policies and procedures for dealing with medicines. Residents feel that their privacy and dignity are respected. EVIDENCE: Individual plans of care are available, are easy to read and contain good information. Those examined however were not all up to date, not having been reviewed for two months. One of these was for a resident whose care needs had changed considerably in the last few weeks and who is now being cared for in bed. She is being attended by the district nurses. Information on her care and visits by her GP had been recorded in a day book but the information had not been transferred to her care plan. Risk assessments had also not been updated accordingly for this person and risk assessments for others were not being reviewed on a regular basis. Previous care plan reviews had not been signed by the person carrying out the review and there was no evidence to show resident involvement in those reviews or their agreements to any changes. Mrs Satchell agreed that these matters would be given priority and a recommendation has been made. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 11 Information in files showed that all residents have appropriate access to visits from their GPs and other health care services. A chiropodist was visiting at the time of the inspection and was seen to be attending to each resident in the privacy of a spare room. Comments from residents included “staff always knock on my door before entering” and “they all knock on the door”. The resident being cared for in bed said “I am very comfortable but tired”. Care staff were observed to be very gentle and knowledgeable about this person’s needs. The staff said that she has no strength to use her call bell but they go in to see her very regularly. Comments from other residents about staff included “the staff are very nice, I’m happy here” “carers are very kind”. No residents were self medicating at the time of inspection. Risk assessments had been undertaken and were seen to be on files. A new drugs trolley, controlled drugs cabinet and refrigerator are now in use. Records of medications received into the home and given to residents were signed and up to date. All recommendations made by the pharmaceutical inspector at the time of the last inspection had been addressed including the training of staff. Residents asked said that they receive their medicines and treatments from staff as they should. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Organised activities are fairly limited. Residents can have visitors when they wish and exercise choice in the course of their daily lives. Meals are well managed and provide daily variation and choice for those living in the home. EVIDENCE: A monthly forty-five minute session of musical activity takes place in the home led by an external organiser. A staff member spoken with said that each week someone comes in for an hour to organise various activities such as quizzes, games or whatever residents want. She said that one or two residents like to keep the window boxes weeded and looking nice and when they have time staff take some residents for walks. Residents can have books from a visiting library. Care plans do not focus greatly on the social, recreational and religious needs of residents or how these will be met one resident said “I would like to see a Baptist Minister”. The same person said she would like to be able to go out into the community. Another resident said he plays skittles and bowls, he said “I wasn’t asked what I would like to do but that’s OK”. A recommendation has been made. There are no restrictions on visiting and residents made such comments as “visitors can come any time,” “yes we can have visitors but I don’t have many”. It was observed that residents could receive visitors in the privacy of their rooms. Routines in the home seem to be flexible to suit individual White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 13 needs. A resident confirmed that she gets up and goes to bed when she wants to. Another said he gets up when he wants to and “if I am tired I have a liein”. A number of people living in the home were spoken with and nearly all said they enjoy the food. One, a vegetarian, said there is not much variety. Another said “the food is OK, we sort of get a choice”. Menus were displayed in the dining area for residents and showed meals to be varied. There were daily alternatives offered as well as vegetarian options. Residents in the dining room were observed to be enjoying the main midday meal and said it was very nice. It was well presented and appetising and included fresh vegetables. The published results of resident surveys indicated that overall residents were happy with the catering arrangements. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Policies and procedures are in place to protect residents from all forms of abuse and staff know how to respond to any suspicion or allegation of abuse. EVIDENCE: Policies and procedures including a copy of the West Sussex guidance on Adult Protection were seen to be in place and staff acknowledged that they had read and understood them. Since the previous inspection all except two new staff have received outside training in Adult Protection and the deputy manager said that arrangements will be made for those two staff to receive the training as soon as possible. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 Residents live in a safe and generally well maintained environment. The home is clean and most areas pleasant and hygienic. EVIDENCE: All areas used by residents are well decorated, pleasant and homely. A medication storage cupboard has been completed since the last inspection and the laundry alterations are almost complete with the exception of some floor covering which needs to be extended into the staffroom area and a small amount of upgrading which is still outstanding. The garden area outside the laundry showed the remains of a bonfire and was generally untidy. This area should be cleaned up and any rubbish or garden refuse disposed of. A recommendation has been made. The carpeting in the dining room and in the hallway outside the lounge is very stained and in need of deep cleaning; a recommendation has been made. The home meets the requirements of the local fire and environmental health departments. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 16 The laundry was untidy with piles of linen and other items strewn about. This needed tidying up. Policies and procedures were seen to be in place in respect of infection control. Suitable laundry equipment is provided. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29, 30 The numbers of staff available throughout each day are sufficient to meet the needs of current residents. The procedures for the recruitment of staff are now robust and provide safeguards to offer protection to people living in the home. Staff are trained and competent to do their jobs. EVIDENCE: Duty rotas for three weeks were looked at. These showed that sufficient cover is provided in the home to meet the needs of current residents. Residents generally indicated that they receive the help they need and want. A resident said “ if I need help in the night I ring the bell and someone comes quickly”. Six staff files were looked at including those of the last two staff to be recruited. These showed that thorough checks are being carried out and all required documentation obtained before staff commence employment. Mrs Satchell confirmed that all new staff work under supervision for at least two weeks until they are proficient at their work and familiar with the residents and the building. The home has a staff training programme. Three staff are currently undertaking National Vocational Qualification at level 3. Training records for individual staff and certificates gained were seen. New staff are formally inducted. Staff displayed a good knowledge of resident’s needs and were enthusiastic about training and the work they do. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,36, 37, 38 The home is without a registered manager. Staff are being supervised to ensure residents receive consistent and quality care. The safety and welfare of people using the service is being safeguarded. EVIDENCE: A requirement is made in respect of the home having no registered manager in post. Mrs Satchell has stated that it is her intention to apply to the Commission for Social Care Inspection to become the registered manager of White Waves. She said that when she does she will make a commitment to undertake the National Vocational Qualification at level 4 and the Registered Managers Award. Staff spoken with said that they receive formal supervision on a regular two/three monthly basis. They confirmed that this covers training needs as well as other aspects of their work and said that they are given a copy of the notes made during each session White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 19 All fire doors are fitted with magnetic closures to enable the doors to be held open. These automatically close if the fire bells sound. All radiators are covered, hot water temperatures regulated and window openings restricted. Records and certificates showed that staff have received recent training in health and safety topics such as lifting and handling, first aid, infection control, fire safety awareness and food hygiene. Inspection of records showed that regular testing of fire bells, emergency lighting, and extinguishers had been carried out. Documentation was available to show that other equipment is regularly serviced by appropriate contractors, this included the passenger lift. All accidents were seen to be recorded and where appropriate these had been notified to the Commission. White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 1 x x x x 3 3 3 White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 31 Regulation 8 Requirement A registered manager must be appointed. Timescale for action 30/09/05 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. Refer to Standard 7 Good Practice Recommendations Care plans should be reviewed monthly, any changes agreed with the resident and signed by both parties. They should always reflect the current needs and wishes of each resident. Any risk assessments should also be reviewed and updated accordingly. Residents should be regularly asked about any needs or wishes they might have in relation to social, recreational and spiritual activities. This should form part of the care plan review. Some consideration should be given, after consultation with residents, to expanding the amount and variation of organised activities so that there is something offered on more days of the week. The yard at the back of the laundry should be cleaned and tidied up. The carpeting in the dining room and hallway should be thoroughly cleaned. H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 22 2. 12 3. 12 4. 5. 19 19 White Waves White Waves H60-H11 S60930 White Waves V232212 300605 Stage 4.doc Version 1.30 Page 23 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. 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