Inspection on 20/05/05 for Whitebriars Care Home

This inspection was carried out on 20th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whitebriars Care Home 18/02/09

Whitebriars Care Home 20/03/08

Whitebriars Care Home 23/01/07

Whitebriars Care Home 08/11/05

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 Whitebriars Residential Care Home 20 Bedford Avenue Bexhill on Sea East Sussex TN40 1NG Lead Inspector Kev Whatley Unannounced 20 May 2005 10:00 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. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitebriars Residential Care Home Address 20 Bedford Avenue Bexhill on Sea East Sussex TN40 1NG 01424 215335 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) Whitebriars Ltd Miss Noreen Twomey Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (OP) 19 of places Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only Older People may be accommodated. 2. That service users accommodated will be aged sixty-five (65) years or over on admission. 3. That the maximum number of service users to be accommodated will be nineteen (19). Date of last inspection 11th June 2004 Brief Description of the Service: Whitebriars is a care home providing personal care and accommodation for up to 19 older people. The home is located a short walk from Bexhill sea front and town centre with its shops, churches and other community services. There is good access to bus and rail routes. The house is a detached property set in its own grounds. Accommodation is provided on three floors, stair lifts are fitted to assist residents to access first and second floor accommodation, however those with bedrooms on these floors are still required to manage some stairs that are not covered by the stair lifts. The home has a large lounge and dining room area, whilst the outside of the building has a pleasant paved garden and fishpond. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Whitebriars will be referred to as ‘residents’. The unannounced inspection took place on a weekday in May and lasted for approximately five hours. At the time of the inspection the home was accommodating fifteen residents. This was the first inspection to be carried out at Whitebriars since Mr Dewhurst took over ownership in July 2004. Therefore the main purpose of this inspection was to talk to residents and staff regarding the new ownership and management of the home. The current staff team remains the same and this has helped to provide continuity of care for all service users living in the home. The inspection included a tour of the premises and it’s facilities, with many residents also consenting for their bedrooms to be viewed. Approximately four residents were spoken with individually, whilst several others commented on their care during lunchtime after the Inspector had been invited to join them for the meal. The proprietor, three members of care staff, the cook, and a visiting District Nurse were spoken with during the visit; whilst care staff were also observed carrying out their duties. A relative who was visiting a resident was also spoken to during the inspection, as was a friend of another resident. Records and documentation inspected included: Care staff files, residents files, residents care plans, the homes complaints and accident books, whilst various policies and procedures were also viewed. What the service does well: The home ensures it can meet the needs of residents prior to them being admitted and review care plans regularly. The home offers residents a high level of personal and social care. The maintaining of a majority of the original care staff has seen the home provide residents with a consistency of care despite the change of ownership. Residents state that care staff are ‘marvellous’ and ‘caring’. Care staff are experienced, competent, and committed to meeting the needs of residents. The homes premises are well Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 6 maintained with the overall atmosphere of the environment being relaxed and homely. The home meets the dietary needs of residents. 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. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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 Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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) 3, 4, and 5. The home ensure that they can meet the needs of residents prior to admission. Prospective residents, their relatives and carers are actively involved and supported during the admission process. EVIDENCE: Since the last inspection several new residents have been placed at the home. Residents files confirmed that relevant information had been obtained, such as medical details from hospitals and G.P’s, and social information from relatives and carers, prior to any resident being accommodated. Files also confirmed that either a senior member of care staff had visited the resident and had carried out assessments of their physical, emotional, social, and health care needs prior to admission. Two residents stated they had been visited at home prior to moving in to Whitebriars. One relative who was visiting on the day of the inspection, stated that they had been involved in the admission process from the beginning, and noted that the home had been ‘brilliant’ in the manner in which they had gone about their relatives referral. They stated that their relative had been admitted initially on a respite basis with a view to moving in permanently, and were aware that Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 9 there is a trial period of four weeks so as to establish suitability for both the home and their relative. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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, and 10. The home have developed a satisfactory system of care planning to ensure all residents care needs are met within the home. The home must develop suitable procedures for the safe and accurate administration of medicines. Residents are treated with respect, dignity, and care. EVIDENCE: Since the last inspection the home have developed a new format for the recording and reviewing of residents care needs. Residents care plans were viewed and these were found to be clearly prepared, up to date, and easy to follow. Care plans included all relevant information and risk assessments regarding day to day personal care needs such as bathing and dressing, whilst acknowledging any associated risks such as mobility and mental awareness. Care plans clearly document any health care needs and the manner in which any assistance or guidance should be given. Emotional and social care needs are recorded and guidance is given on how staff should address residents. Care plans viewed contained records of regular reviews and the details of any action/outcome. The homes medicine storage and administration system was viewed. The records of medicine administration showed that several recent entries had not been completed, therefore confirmation of whether a resident had been given Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 11 their medicine to take, or whether they had refused it, was unclear. On speaking to care staff it also became apparent that the next days morning medicines, left for night time staff to administer, are taken out of the blister packs and placed into individual pots prior to the day shift going home. As a result of this finding the CSCI Pharmacist has been requested to inspect the homes medicine administration and storage procedures. Staff were observed to interact with residents in a relaxed, caring, and respectful manner. Residents spoke highly of the level of care they receive at Whitebriars stating that care staff were ‘marvellous’ noting that the level of care, support, and ‘friendliness’ of staff has remained high since Mr Dewhurst took ownership. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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) 13, 14, and 15. Residents are encouraged to make individual choices about their lifestyles; the home must ensure all accompanying risks are addressed. Visitors are welcome to the home, whilst residents are supported to maintain contact with others outside of the home. The home meets the dietary needs of residents. EVIDENCE: Several residents spoken to felt that they are supported by the home to continue as independent a lifestyle as they can. Two residents said they visited the local shops ‘very often’ to pick up personal items, such as newspapers and sweets, whilst other residents stated that care staff assist them to walk to the nearby seafront whenever the weather is fine. No evidence of risk assessments being completed in relation to individual residents being away from the home without care staff assistance was available. The visitors book confirmed that the residents receive regular visits from relatives and friends. Three visiting friends and a visiting relative stated that the home make them feel ‘welcome’ and ‘appreciated’ every time they come to Whitebriars. The times of meals are not advertised around the home, however residents spoken to were aware of such times and stated that they were set at reasonable periods of the day. Residents also confirmed that morning and Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 13 afternoon tea, with ‘homemade’ cake, is available aside from breakfast, lunch and dinner. The Inspector was invited to have lunch with the residents, this took place in a pleasant dining room setting. The lunch was well prepared, nutritious, and tasty. The menu was viewed and this confirmed that the home offer a varied and balanced diet to residents, including a daily meal alternative. Evidence was seen of individual requirements and health needs being catered for. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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) 16 and 18. The home ensures that information is provided for residents, their relatives/carers and friends, to express any concerns or complaints. The home must ensure that staff receive suitable training so as to protect residents from the risk of harm, neglect, or abuse. EVIDENCE: The homes complaints procedure is displayed openly in the home, this was found to contain the necessary details of the manner in which any complaint must be addressed, including the length of timescale that any complaint must be dealt with and the contact details of CSCI. Residents stated that should they have any concerns or complaint that they felt able to inform a member of care staff or the proprietor. The complaints book was seen and this showed that no complaints had been made since the last inspection; CSCI have not received any complaints since the last inspection. Staff files were viewed and these confirmed that all necessary requirements had been followed including gaining confirmation of Criminal Records Bureau (CRB) checks and references prior to staff commencing work at the home. No evidence was found of compulsory adult protection training. Care staff spoken to were able to express an understanding of adult protection issues and the manner in which procedures must be followed. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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, 21, 22, 24, 25, and 26. Residents live in a well maintained and homely environment. The home must ensure that all health and safety regulations and requirements are considered and addressed. EVIDENCE: The homes environment provides residents with easy access to all areas, including the large and bright lounge and dining area, and paved rear garden. A stairlift is available for residents who require assistance to and from the upper floors. The last inspection report recommended that an assessment be carried out of the homes environment by an Occupational Therapist, this has still to be completed. Whitebriars was seen to be well maintained both inside and out, with a satisfactory standard of decoration visible throughout the home. The home was found to be clean, tidy, and free from offensive odours or smells. The home is furnished with domestic style fittings and carpets and was found to be warm and airy, with a satisfactory level of natural and artificial light. Several residents agreed to have their bedrooms viewed. These were found to be clean Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 16 and well maintained and had been individualised by the resident with personal items such as photographs, pictures, and ornaments. Eleven bedrooms have en-suite toilet facilities, whilst the home have an adequate number of additional communal toilet and bathroom facilities on all floors of the building. Since the last inspection a majority of the homes radiators have been fitted with guards, although several remain unguarded. Fire records confirmed that regular fire alarm and emergency lighting checks had been completed, whilst the fire safety equipment had been recently serviced. Evidence of staff attending fire safety training was seen, however there was no record of any recent fire drills taking place. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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, 28, and 30. The home must ensure that they deploys suitable numbers of care staff to meet the assessed needs of residents at all times of the day and night. The home employs care staff who are competent, skilled, and caring. EVIDENCE: The staff rota was viewed and this confirmed that during the daytime the home deploy a minimum of three members of care staff. In addition to this the acting manager is also available during office hours. During the night the home deploy one member of care staff to carryout ‘waking night’ duties with either the acting manager, or senior members of staff, facilitating an ‘on-call’ system as support. Records viewed indicated that a recent incident had occurred whereby the one member of night staff could not assist a resident back into bed after they fell during the night. Records confirmed that an Ambulance team were subsequently requested to attend the home, and they, after checking the resident for injuries, assisted the member of care staff to help the resident back to bed. Records indicate that many care staff employed at Whitebriars have had previous experience in the care industry. One member of the care staff team currently holds National Vocational Qualifications (NVQ) in care, whilst one other is nearing the completion of their award. A further three members of care staff are due to undertake NVQ qualifications this year. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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, 32, 36, 37, and 38. The home must ensure that all health and safety policies and procedures are followed. The management of Whitebriars lacks leadership and direction. EVIDENCE: Since the last inspection, and the subsequent departure of the then proprietor/manager, the proprietor has installed an existing senior carer as acting manager. This inspection took place during a period when the acting manager had applied to CSCI to be accepted as Registered Manager. Records indicated that there is currently no system in place for the formal supervision of staff. As previously noted (see also environment standards) there was no record of any recent fire drills being carried out. The atmosphere within Whitebriars is relaxed, supportive, and caring, however some residents stated that they were unsure as to who was ‘running the home’. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 19 All records relating to residents and staff are kept securely in the office, whilst the homes policies and procedures are suitably stored in the same area. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 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 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 2 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 2 x 3 2 3 STAFFING Standard No Score 27 2 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 x x x 2 3 2 Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 21 YES 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 OP9 Regulation 13(2) Requirement That the system of medicine storage and administration must adhere to the Care Homes Regulations 2001 (outstanding from the previous inspection). That risk assessments are carried out in respect of residents engaging in activities or interests away from the home. That all staff must undertake adult protection training (outstanding from the previous inspection). That guards are fitted to the remaining radiators. That the home arrange for an assessment of the premises to be carried out by an Occupational Therapist. That the staffing levels for nightime care meets the needs of residents. That the management of the home must implement a suitable system of formal supervision for staff. That the management team must ensure that fire drills are carried out and recorded Timescale for action Immediate 2. OP13 13(4)(b) 20th November 2005 20th November 2005 20th November 2005 20th November 2005 20th November 2005 20th November 2005 20th November 2005 Page 22 3. OP18 13(6) 4. 5. OP25 OP25 13(4) (a) & (c) 23(2)(n) 6. 7. OP27 OP36 18(1) (c) & (i) 18(2) 8. OP38 23(4)(e) Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 accordingly. 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. Refer to Standard OP15 OP28 Good Practice Recommendations That the home should advertise the times of meals and display the menu in a suitable place. That 50 of care staff achieve NVQ level 2 in Care. Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Whitebriars Residential Care Home H59-H10 S62356 Whitebriars V227934 200505 Stage 4.doc Version 1.30 Page 24 - 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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