Inspection on 07/11/05 for Whitebourne

This inspection was carried out on 7th November 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

Whitebourne 22/07/06

Whitebourne 29/04/05

Whitebourne 22/07/04

Whitebourne 14/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 Whitebourne Whitebourne Burleigh Road Frimley Surrey GU16 2EP Lead Inspector Kathy Martin Announced Inspection 7th November 2005 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 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitebourne Address Whitebourne Burleigh Road Frimley Surrey GU16 2EP 01206 854555 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) Care UK Community Partnerships Limited Mrs Rosalyn Gaye Hampson Care Home 63 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (57), Old age, not falling within any other of places category (5), Sensory Impairment over 65 years of age (1) Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide a placement for 1 named service user with (DE) over the age of 55 years. 29th April 2005 Date of last inspection Brief Description of the Service: Whitebourne is a purpose built home designed for older people with dementia care needs. It is located in a residential area in Frimley and within walking distance of shops and local facilities. The home is owned and managed by Care UK Limited and is registered to accommodate 63 older people. The reception and managers office are off the main entrance area. Residents accommodation is arranged on the ground and first floors, with the second floor being for staff only. Residents live in one of five suites, two of which are on the ground floor, and the other three on the first floor. The suites are interlinked and have a number of lounges and communal areas. Each floor has a dining room and a small kitchen. There is a passenger lift. The homes other facilities include a kitchen and laundry room. The home has a pleasant grassed area enclosed by wooden fencing, and there is adequate parking to the front and rear. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection therefore residents, manager and staff were made aware that the inspector was visiting ahead of the day of inspection. This was the second inspection undertaken by the Commission for Social Care Inspection this year. Therefore all of the key National Minimum Standards for Older People have now been assessed during both inspections this year. The inspector was introduced to the new manager of the service who previously worked as the deputy in Whitebourne. The new manager was present during the inspection. Also present was the Support Manager who has responsibility for line management of the other managers of Care UK Partnerships Ltd homes in the area. The new manager was settling in well and taking on board the changes of roles and getting to know her responsibilities as a prospective registered manager with the CSCI. An application to be registered has been forwarded to the CSCI and receiving attention. During this visit the inspector had opportunity to meet with several residents, a relative and members of staff. The feedback obtained was very complimentary of the services residents received and the general atmosphere in the home was friendly and open. The inspector also toured the premises and looked at a range of documentation. The residents were observed in different areas of the home and many were involved in group activity, which they seemed to be enjoying. Some residents were walking around the different areas of the home. Prior to the inspection, the CSCI had sent out a pre-inspection questionnaire that was completed by the manger and contained a lot of information that contributed to this report. The CSCI also sent out several questionnaires to obtain feedback from residents, relatives, staff and visiting professionals. Some were returned back to the inspector. It is acknowledged that due to the residents’ mental frailty it was not always possible to gain a full understanding of their personal experiences wholly based on their written responses. The inspector verified their responses in discussion with the staff and whilst looking at records and direct observation on the day. Please note that the name of the registered manager from the front of this report refers to the previous manager who has now left Whitebourne. The details will be updated once the new manager is registered with the CSCI. What the service does well: Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 6 The interactions between staff and residents were observed as friendly and courteous. The staff knew their residents and were able to respond to their needs. There was an open culture in the home and staff spoke easily with the inspector. The residents said that they were comfortable and had everything they needed. The residents were dressed appropriately for this time of the year and there was a homely atmosphere. Some responses were not appropriate at times which is understandable due to the poor short-term memory of several residents who live in Whitebourne. Feedback questionnaires from relatives expressed that: “the home is always clean and tidy and the residents seem content.” “I know the care they give at Whitebourne is excellent” 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 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 There is a lot of information provided to applicants and their significant others (relatives and care managers) to enable residents and their family to make an informed choice about living in Whitebourne. A good range of information is obtained at the assessment process to ensure that the home is able to care for the applicant’s needs. EVIDENCE: The notes of a recent admission were inspected and these discussed with the manager in detail. The home’s policy and procedure for admission is thorough and involve a large number of people from the prospective resident, their family, care managers, doctors, hospital staff and community health care professionals, the manager and key worker. The home provides a good range of documentation such as their Service Users’ Guide, Statement of Purpose and brochure, which enlists the services and facilities they provided. The home receives applications from both social services or privately. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 10 The manager encourages prospective residents to visit with their family and meet other residents. This offers opportunity for any questions to be answered and to lessen anxiety. The manager visits prospective clients as well to complete an assessment of their needs. This includes their physical, emotional and their psychological/ mental health needs. Also obtained is information about their behaviour management, nutrition, Waterlow pressure sore assessments, falls and if they need any help with moving and handling. The inspector had opportunity to meet with a new resident and his relative who was particularly pleased with the way the home welcomed the resident and her. Visits are encouraged and the relative felt that the assessment process was well managed. She felt able to discuss the care of the resident with ease and was able to visit as often as possible and talk to the staff as needed. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 Care plans inspected were maintained in good detail. All residents had a personal care plan with details of their personal and social care needs demonstrating the level of input from the health care professionals and family. It was evident that residents and their relatives considered that they were treated with dignity and respect in Whitebourne. EVIDENCE: Standard 7: All residents have a care plan, which the staff aim to start as soon as possible after admission. The admission notes are largely used as a base for elaborating on their needs and to plan a care programme. All staff are responsible to document on care plans but all have varying styles, to present their information. This was discussed with the manager. However the range of documentation was very good. These evidenced that their likes and dislikes and aspirations were also noted. Risk assessments were also completed. The staff maintained daily notes on all residents as a current log of Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 12 what took place every day. Residents were able to have access to their doctors, district nursing services, hospital specialists, chiropodist, dentist and opticians as needed. Standard 10: The residents spoken with on the day of the inspection were observed being treated with utmost respect and courtesy by the staff present. Furthermore the feedback cards completed by their relatives expressed their reassurance that residents were treated appropriately with care and attention and their rights as individuals were being respected. Residents were encouraged to take part in activity, go in the garden or their bedrooms and mingle with each other if they wished in the communal areas. Staff received induction and training in respecting privacy and the rights of residents. The home has policies and procedures that encourage the staff to pay attention to their principles of care. There is a key working system in place that also promotes staff to work closely with residents and have continuity of care, which encourages staff to know the residents well and also to ensure their needs are met. The home is designed to provide an en suite toilet and sink for all bedrooms. Residents wear their own clothes and have a choice as to where they liked to sit and eat (bedrooms or lounge/ dining areas). Residents can receive relatives and visitors in private as there are ample areas in the home to do so. Some residents have a telephone in their bedrooms and some have a key to their bedrooms after being risk assessed as safe to do so for health and safety reasons. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14 The home offers practical assistance to residents to maintain contact with their relatives and friends as often as possible and also to take part in activities within the home itself. There is a lot of effort exerted to ensure residents received maximum choice in their daily life and are helped to maintain as much control in what they do. The home encourages community involvement and visitors to come to the home and add to the stimulation of the residents on a daily basis. EVIDENCE: Standard 13: The feedback obtained from residents/ relatives/ staff suggest that there is open visiting hours to the home and telephones can be connected in individual bedrooms which is paid for by the residents. The hairdresser visits regularly. Birthdays are celebrated. The home offers a cake on these occasions. There are parties organised. In fact on the day of the inspection Thai Dancers were expected for the afternoon which residnets looked forward to as this had been a great success before. The manager also stated that theme meals were being discussed. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 14 Standard 14: The residents received choice in a variety of ways from the food they choose to eat and the clothes they wear and where they liked to sit and walk. The staff encouraged residents to choose but sometimes choices are not always appropriate due to their memory loss and staff know how to manage this once they know their residents well and have time to adjust in the home. Relatives’ input is encouraged as much as possible. The next of kin, power of attorneys or solicitors often assist the residents in exercising control over their lives. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed during the previous inspection. EVIDENCE: There were no ongoing complaints at the time of this visit. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed during the last inspection. EVIDENCE: There were no changes to the environment. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed during the last inspection EVIDENCE: Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 A new manager is in place and not yet registered by the CSCI at the time of the inspection. There are policies established to help residents manage their money although the home does not take responsibility for their finances. There were policies and procedures for health and safety. EVIDENCE: Standard 31: The new manager has made an application to the CSCI to register. The application is receiving attention. The manager is going to undertake her level 4 NVQ in management. A deputy is also in place, which strengthens the management input in the home. It is not appropriate at the time of this report to make any further comment on the manager’s fitness, as the manager is not yet registered with the CSCI. However it was apparent that the home was Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 19 running well and staff got on with each other. She said that she felt supported by her line manager who was present during this visit. The communication between staff was very good and polite. Records were well organised and maintained. Standard 35: The home has polices and procedures to deal with residents’ finances. The residents’ families and solicitors mainly dealt with those if residents were unable to do so themselves. Staff did not take responsibilities to manage residents’ monies. There are procedures to safeguard residents from potential financial abuse and they are not encouraged to keep money if they can’t look after this themselves. Standard 38: There are a number of good health and safety policies and procedures in the home. The staff received training in all aspects of health and safety with regular yearly updates including fire. There is a maintenance man available to take care of any day-to-day repairs and general checks on premises and equipment and contractors are also used. Health and Safety issues are also discussed in all staff meetings and checked for the Regulation 26 reports undertaken by the support manager. A copy of this report is duly sent to the CSCI, to the manager and to the responsible individual on behalf of Care UK Community Partnerships ltd. Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Whitebourne DS0000039537.V270956.R01.S.doc Version 5.0 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!