Inspection on 12/02/07 for Whitegates Care Home

This inspection was carried out on 12th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Whitegates Care Home 14/11/07

Whitegates Care Home 13/01/06

Whitegates Care Home 23/05/05

Whitegates Care Home 14/02/05

Whitegates Care Home 04/10/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Whitegates Care Home Gravel Lane Ringwood Hampshire BH24 1LL Lead Inspector Keith Hopkins Unannounced Inspection 12th February 2007 12:00 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 Whitegates Care Home DS0000042355.V325233.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. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitegates Care Home Address Gravel Lane Ringwood Hampshire BH24 1LL 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) 01425 472302 01425 478124 jean_jacquesdubois@btconnect.com Mr Jean Jacques Dubois Mrs Adele Melody Dubois Mrs Kay Chapman Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (4), Physical disability of places over 65 years of age (4) Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th January 2006 Brief Description of the Service: Whitegates care home provides accommodation and support for twenty-one older people, four of whom with physical disabilities may also be accommodated on the ground floor of the home. The home is situated in a quiet residential area, just north of Ringwood town centre. The already much improved home continues to benefit from regular decoration and maintenance, and the garden is well presented. Mr JJ and Mrs A Dubois privately own the home, which is managed by Mrs Kay Chapman. Fees range from £544 to £650 per week. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four and three quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to one of the owners and the manager. The inspector also spoke privately with a member of the care staff. Most of the service users were observed making use of communal areas and their bedrooms and a number were spoken with briefly during the tour of the building. Two service users were spoken with at greater length. The inspector was not able to speak with any visitors on this occasion. What the service does well: 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. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 6 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 Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 7 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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Three service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a very good level of detail. There was, for example, information regarding standing, walking, use of the toilet and bathing. There was a detailed medical history together with information regarding any allergies or special needs. There were also details of family contact and evidence that assessments were reviewed by the service user’s keyworker regularly, with the service user being involved in the process. The manager explained that prospective service users were asked to spend a day at the home for the assessment to be undertaken. Staff completed the assessment by observing without intrusion, how the resident is able to manage with daily living activities such as the ability to walk around the Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 8 home. The person’s likes and dislikes for food items and their social interests and hobbies are also documented. More detailed care plans were developed from the initial assessment over the first three months. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit service users for intermediate care. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. The home has a good care planning regime, which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. Plans are reviewed on a regular basis, with service users and care staff fully involved in this process. Service users said that staff knew how to help them. One person, for example, said she was ‘well looked after’ and went on to explain that her particular health care needs were met. Another service user said that ‘the girls are good’ and that ‘they take care of me’. Plans contained information regarding more specific needs such as chiropody and dentistry and of any need to access the district nursing service. Plans also Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 10 contained a physical health assessment together with various risk assessments. There was also a section about the service user’s sleeping patterns and habits. The home has a policy and procedure for dealing with medication, which enables service users to exercise choice over whether they wish to deal with their own medication. One service user, for example, is currently dealing with her own medication, this decision being made after consultation with the GP. There is also a policy regarding household remedies remedies. Medicines are stored in a room that has a keypad entry system to ensure only staff have access to the room. Records are kept of all medicines entering the home and the disposal of unwanted medicines. Records relating to three service users were examined and were in order and up to date. Medication requiring refrigeration was kept in a clearly labelled dedicated space in the home’s refrigerator. Staff responsible for dealing with medication have been trained. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy their meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each service user’s likes and dislikes are. For example, one plan stated that the person concerned ‘likes knitting’ and ‘likes to read’ but then also went on to record that the person ‘does not like…exercises’. Service users themselves confirmed, variously, that they enjoyed activities such as playing bingo and doing quizzes. The home aims to provide a wide variety of activities, which included exercise classes every week, crafts, a quiz every other week and a singer once a month. There are large-print books available for those service users who like reading. There was a Church service in the home on a regular monthly basis, which was reported as being well attended. The inspector was unable to speak with any visitors to the home on this occasion but was informed by a service user that visitors could be welcomed at Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 12 any time with no restrictions. This was reinforced by information available to new service users through the home’s ‘Welcome Pack’. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. Menus at the home were varied and the inspector noted an attractively presented meal being served at lunchtime. One service user said that ‘the food is appropriate for elderly persons‘ and went on to say there was ‘a good choice’ and that the cook would ‘always find an alternative’. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users. Two of the service users spoken with said that they had no complaints and were aware of what to do if they had. One added that we have ‘no complaints ……they would be addressed if we had major concerns ’. Service users all appeared to have a good degree of confidence that any issues raised would be dealt with. A member of staff spoken with said that she would report to a more senior person any complaints made to her by service users. The home has had no formal complaints to deal with since the most recent inspection. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Not all staff yet have been trained in this but when spoken with confirmed their understanding of what to do in the case of suspected abuse. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 14 Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include three separate lounges and a dining room. The inspector viewed five service users’ bedrooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. A further number of bedrooms were inspected and, likewise, had been personalised. One service user was said to spend a great deal of time in her room and was supported by staff in doing this. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 16 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with industrial machines capable of meeting disinfection standards, automatically fed with detergent. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staff were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained and the inspector noted that upgrading of some areas was taking place on the day of the visit. The home continues to upgrade existing bedrooms when they become vacant to a very good standard, with hand made curtains and new carpeting. Necessary aids, such as hoists and handrails were also available around the building. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Service users are well supported by a well-trained staff team, recruited through a sound process, and who are deployed in sufficient numbers to meet their needs. EVIDENCE: Three staff files examined contained evidence of written references being obtained following the completion of an appropriate application form and interview. The member of staff spoken with confirmed that a Criminal Records Bureau (CRB) check had been made in respect of herself. The obtaining of such checks was evidenced in the files examined, and it was confirmed to the inspector that no new staff started without a check in place. The three files contained evidence of a sound and comprehensive induction process and further details of short courses undertaken. Courses included Safe Handling of Medicines, Food Hygiene, Health and Safety, First Aid Dementia. It is understood that of the thirteen care staff employed, two of whom are ‘bank’ staff, nine have obtained a National Vocational Qualification (NVQ) at Level 2 with two of these thirteen people also having obtained NVQ Level 3. During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 18 normally be three members of the care staff on duty in the mornings and two in the afternoons, supported by the manager, the owner and ancillary staff. There are two waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service users’ needs and the inspector observed staff assisting service users in a calm and unhurried manner. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 19 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): 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 home is managed by a qualified and competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for several years having previously been deputy manager. She has obtained the Registered Manager’s Award, a National Vocational Qualification at level 4, and is clearly liked and respected by staff and service users. Service users are consulted on a regular basis regarding the services offered, by way of a quarterly meeting. Minutes of the meetings held in November 2006 and February 2007 contained clear indications that service users had Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 20 confidence to raise issues and concerns and there was evidence of these being followed up. The home holds some sums of monies on behalf of service users. At the time of the visit these were securely stored in the home’s safe. Records relating to two service users were checked against amounts held and tallied correctly. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in a locked cupboard and staffs were aware of health and safety issues. The home has a health and safety policy known to staff. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s fire records and accident book. The inspector did however point out to the owner that the records of accidents to staff could be better cross-referenced to staff files. Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 22 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 Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Whitegates Care Home DS0000042355.V325233.R01.S.doc Version 5.2 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. 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