Inspection on 23/05/05 for Whitegates Care Home

This inspection was carried out on 23rd May 2005.

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 12/02/07

Whitegates Care Home 13/01/06

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 BH24 1LL Lead Inspector Tracey Box Unannounced 23.05.05 9:30am 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. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitegates Care Home Address Gravel Lane, Ringwood, BH24 1LL 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) 01425 472302 01425 478124 Mrs A Dubois & Mrs J Dubois Mrs K Chapman CRH 21 Category(ies) of OP - 20; PD - 4; PD(E) - 4 registration, with number of places Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category PD must be at least 25 years of age. 2. A maximum of 4 service users in the categories PD/PD(E) may be accommodated at any one time. 3. Service users in the categories PD/PD(E) are only to be accommodated on the ground floor. Date of last inspection 14.02.05 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 maintanence, the garden is well presented. Mr JJ and Mrs A Dubois privately own the home which is managed by Mrs Kay Chapman. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours. The inspector was assisted during the inspection by Mrs Kay Chapman, the registered manager, and Mr JJ Dubois, the responsible individual. Despite work being carried out to replace internal doors, and decorating at the time of the inspection, the home was clean and appeared homely. The people living at Whitegates prefer to be referred to as residents. Nineteen of the twenty residents were at the home, the inspector spoke with the majority of the residents and two visitors. The local Doctor made a house call during the inspection. What the service does well: What has improved since the last inspection? The home continues to improve the internal décor Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 6 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. Whitegates Care Home H54 S42355 Whitegates V228880 230505.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 Whitegates Care Home H54 S42355 Whitegates V228880 230505.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) 3,6 A comprehensive procedure for assessing the needs of potential new residents is in place to ensure the resident and the homes needs are met prior to admission. Whitegates does not provide intermediate care. EVIDENCE: The inspector witnessed a residents file which included an enquiry form, and a completed assessment form which was completed during the residents day visit to the home. Family/representatives are invited to participate in the completion of the assessment to obtain as much information as possible. The manager confirmed this procedure and informed the inspector of the importance of the prospective resident spending a day at the home. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 Residents health, personal and social needs are fully met, as set out in individuals care plans and risk assessments. The system for the administration of medication, which included residents slf medicating, are good with clear and comprehensive arrangements being in place to ensure residents medication needs are met. EVIDENCE: One resident explored their care plan with the inspector, which demonstrated the amount of involvement the service user has in completing all aspects of their care plan and risk assessments. The care plans and risk assessments are reviewed on a monthly basis, unless needs change sooner. The inspector witnessed the administration of the lunch time medication, ( the home uses the monitoring dosage system and monitoring administration record sheets) and the records kept in conjunction with medication received and returned. One resident self medicates, as per their care plan, the inspector recommended a risk assessment be completed for this activity. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 10 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 Links with the local community are good, and contact with family, friends and representatives are encouraged. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. EVIDENCE: A record of visitors to the home was seen by the inspector, which showed family, friends, social workers and health professionals ( a Doctor visited his patient at the home at the time of the inspection which was carried out in the privacy of the residents bedroom). The inspector asked a small group of five residents what sort of activities they enjoy participating in, all explained each year the home organises a “family and friends” day which is held in the garden. The manager and one of the visitors confirmed this. A local taxi firm takes small groups of people to places of local interest, music/sing along afternoons are enjoyed within the home, so too are quizzes. . One service user said “I enjoy going for a walk by myself, I inform staff when I`m going and when I return, to be courteous, I am free to come and go as I please.” Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 11 The inspector witnessed each resident receive their choice of lunch, as requested earlier in the day. The majority of residents preferred a cold lunch, so the menu was adapted accordingly. The inspector witnessed one resident (who was enjoying a hot meal, not a salad) ask staff for some beetroot, as they saw it was provided with the salad, the request was provided promptly. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 12 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 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon, however, the procedure for logging complaints requires revising. EVIDENCE: The inspector witnessed the complaints log and found one complaint, the outcome of the complaint was not logged. The inspector recommended that the pages of the log be numbered consecutively to show a true record of complaints received. The homes complaints procedure was viewed by the inspector, a copy of which had been sent to “the plain English campaign” to be approved. Two visitors said they have not had the need to complain, if they did, they were sure adequate action would be taken. Residents stated they were sure their complaint would be taken seriously and be dealt with appropriately. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: At the time of the inspection, parts of the home were being re decorated, and new doors were being replaced which presents a well maintained, comfortable home. The gardens are well maintained and residents enjoy using it, to walk around, sit in or look at from inside the home. The inspector witnessed the homes procedures to ensure hygiene is maintained, visitors are requested to use the hand wash provided at the door before entering the home, staff use protective clothing whilst completing their duties of personal care, cleaning and supporting at mealtimes. Staff said they receive training on infection control, provided by “Pinnacle” training. The inspector witnessed the advice sought, and put into practice following a resident contracting MRSA. The policy on infection control was not available, as it had been sent with the complaints procedure to be approved. Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 14 Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 15 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) EVIDENCE: Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 16 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) EVIDENCE: Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 17 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 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 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 Standard No 16 17 18 Score 3 x x x x x x x x x x Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 29.3 Regulation 19 (1)(b)(i). Requirement New staff are confirmed in post following completion of a satisfactory CRB or POVA first check. Timescale for action 27/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 19 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Whitegates Care Home H54 S42355 Whitegates V228880 230505.doc Version 1.30 Page 20 - 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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