Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 10/07/08 for Whiteacres Residential Care Home

Also see our care home review for Whiteacres Residential Care Home for more information

This inspection was carried out on 10th July 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere at the home was very relaxed and homely; people living in the home appeared relaxed and content. Interactions between staff and residents were very positive. All but one care staff member have achieved a National Vocational Qualification in care. Relatives spoken with said the service offered a `family environment, with regular staff on duty`. This means that people living in the home receive care from a consistent staff group who are familiar to people living in the home and aware of their individual needs and preferences.

What has improved since the last inspection?

Since the last inspection significant improvements have been made to medication management policies and procedures. An auditing system has been introduced and this enables staff to monitor procedures and ensure that medication is managed in line with safe, best practice guidance and therefore, people living at the home are protected form harm. Staffing levels have increased and this means there are enough staff on duty to meet the individual needs of people living in the home. The provider now includes a quality assurance audit within his monthly visits; this ensures that all aspects of the service are monitored for the quality of service experienced by people living at the home. Care plans in place met the assessed needs of people living at the home and also considered the `mental capacity` of people to make choices and decisions.

What the care home could do better:

When new staff are employed references should be obtained from the last employer and employment history and any gaps in this should be explored, this promotes protection for people living in the home by ensuring that people working at the home are fit to work in care home and of integrity and good character.

CARE HOMES FOR OLDER PEOPLE Whiteacres Residential Care Home 40 Whitehill Road Ellistown Leicestershire LE67 1EL Lead Inspector Debbie Williams Unannounced Inspection 10th July 2008 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 Whiteacres Residential Care Home DS0000068031.V368299.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. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whiteacres Residential Care Home Address 40 Whitehill Road Ellistown Leicestershire LE67 1EL 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) 01530 260415 01530 260415 genesishomes2003@yahoo.co.uk Genesis Homes (Essex) Ltd Mrs Melanie Partridge Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (18), Old age, not falling within any other category (18), Physical disability over 65 years of age (9) Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No one in the category PD(E) may be admitted into Whiteacres Residential Care Home when there are already 9 persons of category PD(E) accommodated in the home. No one in the category OP may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category OP already accommodated in this home. No one in the category DE(E) may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category DE(E) already accommodated in this home. No one in the category MD(E) may be admitted into Whiteacres Residential Care Home when there are already 18 persons of category MD(E) already accommodated within this home. No person to be admitted to Whiteacres Residential Care Home in the categories OP, PD(E), DE(E), or MD(E) when18 persons in total of these categories/combined categories are already accommodated in this home. 30th April 2008 Date of last inspection Brief Description of the Service: Whiteacres is a home situated on the main road in Ellistown, a village in the North of the County of Leicestershire. The home is situated on a bus route to Leicester and Coalville, and is closely situated to shops and green areas. The home can accommodate up to 18 people, and is registered to admit residents within the Dementia (DE) Mental Disorder (MD), Old age (OP), Physical Disability (PD) groups. The home has 18 single bedrooms some having en-suite facilities. A number of bedrooms are under the current regulation size, though this has been recognised appropriately with information contained in the Statement of Purpose. Resident accommodation comprises of 2 lounge areas and a dining room, bedrooms are split between both floors in the home and a passenger lift services both floors of the home. The weekly fees range from £319 to £379 per week - this information was provided on the day of the visit. There are additional costs for hairdressing, private chiropody, toiletries, newspapers, and the social fund that pays for outings, outside entertainments etc. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 5 A copy of the latest Commission for Social Care Inspection, inspection report is available at the home. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them, their relatives and care staff and observation of care practices. Because many people living at the home have some communication difficulties, discussion with them about the care they receive was limited. Two relatives and three staff members were spoken with and observation of care practices and staff interaction was used. Information supplied within the provider’s annual quality assurance assessment (aqaa) was also used to gather evidence for this inspection. Since the last key inspection in April of this year some significant improvements have been made, in particular, improvements have been made to the management of medication and to the staffing levels at the home. This means people living in the home are now better protected from harm and have their needs met by sufficient staffing numbers. What the service does well: The atmosphere at the home was very relaxed and homely; people living in the home appeared relaxed and content. Interactions between staff and residents were very positive. All but one care staff member have achieved a National Vocational Qualification in care. Relatives spoken with said the service offered a ‘family environment, with regular staff on duty’. This means that people living in the home receive care from a consistent staff group who are familiar to people living in the home and aware of their individual needs and preferences. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 7 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. Whiteacres Residential Care Home DS0000068031.V368299.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 Whiteacres Residential Care Home DS0000068031.V368299.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3 and 4 (standard 6 not applicable to this service). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed decision about moving in. Prospective residents have their needs assessed. EVIDENCE: Before moving into the home an information pack is provided to all prospective residents and a full needs assessment is carried out in order to ensure the service can meet the resident’s needs. Where possible prospective residents are encouraged to come and visit the home and possibly stay for lunch before deciding whether or not move in. People living at the home have a contract and this sets out the terms and conditions of residency. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 10 We looked at assessment records, these were detailed and included the psychological, social needs and individual preferences of people as well as the physical needs and personal support needs. Where possible information was obtained from relatives or friends regarding the life history and personal profile of residents, this was useful where residents had difficulty with communication and provided staff with a fuller picture of the residents individual needs. Risk assessments were also in place and part of the assessment process. Two relatives spoken with confirmed that a pre admission assessment had been carried out in order to ensure the residents needs could be met. Staff employed had received the appropraite training they needed to meet the needs of people living in the home. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 11 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): Standards 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policy, procedure and care practice at the home ensure that people living at the home have their health and social care needs met. EVIDENCE: Care plans were seen for three case tracked residents. Care plans were person centred and recorded people’s individual needs and preferences. Care plans gave staff clear instruction on how to meet people’s needs. Risk assessments were also part of the assessment and care planning process. Care plans also took peoples ‘mental capacity’ to make choices and decisions into account. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 12 People living at the home had good access to healthcare services, evidence was seen of GP and community nurse visits. Community nurses were consulted regarding the prevention and treatment of pressure sores. One person living at the home had high dependency physical needs, staff were able to support and meet these needs with daily input from community nurses. Relatives spoken with said that staff consulted with a GP whenever required and where good at commicating any changes with them. Interaction observed between reaidnets and staff appeared positive and respectful. Relatives spoken with felt that staff were always caring. Since the last inspection the providers have changed their pharmacy supplier and a new system of monitored dosage medication administration is in use. A sytem of daily audits of medication stocks has also been introduced. All staff responsible for administering medication have recived training. This means that policy and procedures in place for the management of medication promote safety and protect people who live in the home form harm. Staff had recived some training regarding best practice (Gold Standards Framework) in living and dying in a dignified way. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 13 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): Standards 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are helped to exercise choice and autonomy. Routines of daily living are flexible in order to meet individual expectations and preferences. EVIDENCE: The acting manager was spoken with regarding promoting autonomy and choice for people living in the home, the acting manager and other staff spoken with said that routines of daily living were made flexible in order to meet peoples needs. This means that people could choose how to spend their day, when to go to bed or to get up in the morning etc. Evidence of this was also seen in care records which stated the different ways people had chosen to spend their day. Peoples capacity to make day to day decisions was also recorded within care records. Meal times could also be flexible, staff had access to the kitchen at all times to make people a drink or snack. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 14 The prefered term of address for people living in the home was recorded within individual care plans. Minutes of residents and staff meetings recorded discussion around entertainment, trips out for a pub lunch to the supermarket or to the local working mans club. People were also informed of their data protection rights to see records kept about them. Information about advocacy services was available in the office. Relatives spoken with described the service as providing a ‘family environment’. There were no restrictions on visiting. During this isnpection a staff member was observed reading poetry to one resident who had previously been distressed and calling out. Menu records were seen, a varied and nutritious diet was on offer. A choice of meal was always available. Staff asked residents each morning what they would like from the menu available. A new picture menu was being introduced in order to help people with communication difficulties express their preferences. All meals are home cooked, the cook confirmed that enough resources were provided to enable the provision of a wholesome, nutritious and varied diet for people living in the home. At the time of this inspection diabetic and liquidised diets were also being provided. Staff spoken with were aware of the importance of food presentation and of the particular nutrition needs of people with dementia. The lunch time meal served during this inspection appeared appetizing and nutritious. One resident was able to say they had enjoyed their lunch. The atmoshere in the dining room was calm and relaxed. staff were seen assiting residents with their meals in a sensitive and appropriate manner. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 15 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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by complaints and safeguarding adults policies and procedures in place. EVIDENCE: The provider has a complaints procedure and this is included within the service users guide. Relatives spoken with said they would feel comfortable making a complaint to staff members and felt that any complaint would be taken seriously. Staff spoken with were able to demonstrate a good awareness and understanding of complaints and safeguarding adults policy and procedure. All care staff had recently attended safeguarding adults training. The provider’s complaints and safeguarding policy was in line with national guidelines. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 16 Since the last inspection peoples ‘mental capacity’ to make choices and decisions have been incorporated into the care planning and assessment process, this promotes protection for people living in the home. A recommendation was made that staff references should be obtained from the last employer and employment history and any gaps in this should be explored, this promotes protection for people living in the home by ensuring that people working at the home are fit to work in care home and of integrity and good character. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 17 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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home live in a safe, comfortable and homely environment. EVIDENCE: A partial tour of the premises was undertaken. All areas appeared clean and tidy. At the time of this inspection the outside garden areas were being improved, there was still some garden rubbish to clear up but the majority of the garden was attractive and accessible to people living at the home. A new maintenance person recently employed who is working towards finishing the garden. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 18 Bedrooms seen were personalised and appeared homely and comfortable. One resident spoken with said they were happy with their room and often chose to spend time in it. Environmental Health had recently visited the home and made some requirements regarding decoration and cleaning schedules in the kitchen. Staff had received training regarding infection control and therefore were able to protect people living in the home from cross infection/contamination. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 19 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): Standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meet the needs of people living in the home. EVIDENCE: Since the last inspection staffing levels had increased significantly. Staffing numbers on each shift were sufficient to meet the individual needs of people living in the home. All but one care staff member had achieved a National Vocational Qualification in care. One staff member spoken with who had recently commenced employment at the home confirmed they were working through an inductiontraining package and also planned to undertake NVQ training. Induction training provided was in line with national training organisation specifications. Staff spoken with said there was lots of training on offer and were given all the training they needed to do their job. Training records seen confirmed this. Staff were provided with the training they needed to meet peoples needs and protect them from harm. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 20 Relatives spoken with said there was a regular staff group. This provides consistency for people living in the home and means they are cared for by staff members they know and who are aware of their individual needs and preferences. Staff records were seen and found to contain all relevant checks such as references and Criminal Records Bureau checks, this is to protect people who live the home from harm. A recommendation was made regarding obtaining references from the most recent employer and exploring the employment history of new employees. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 21 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): Standard 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed and run in the best interests of people living in the home. EVIDENCE: At the time of this inspection there was an acting manager in post. Staff and relatives spoken with said that the management approach was open and supportive. Regular staff and relative meetings are held; minutes of these were seen. Procedures are in place for handling resident’s personal money, which minimises the risk of financial abuse. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 22 All mandatory health and safety training was provided to staff. One staff member was undertaking an occupation health and safety qualification. Risk assessments are carried out and regularly reviewed and this promoted protection for people living in the home and for staff. Regular routine maintenance work and testing was carried out in line with the relevant legislation and requirements. Evidence provided within the providers annual quality assurance assessment stated that all required routine maintenance and testing had been carried out. All accidents are reported and recorded. Safe working practices are included within staff induction training. A programme of quality monitoring was in place and this included seeking the views of residents and their relatives. A record of the providers visit to the home for June 2008 was seen. This report was detailed and addressed all the National Minimal standards for older persons and enabled the provider to audit and monitor all aspects of the service to ensure people were receiving good standards of care. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 23 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP29 Good Practice Recommendations Where possible references should be obtained from the employee’s last place of employment. Any gaps in employment history should be explored. This is to increase protection for people living in the home. Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Whiteacres Residential Care Home DS0000068031.V368299.R01.S.doc Version 5.2 Page 26 - 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!