Inspection on 16/06/05 for Whitegates Private Nursing Home

This inspection was carried out on 16th June 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

Whitegates Private Nursing Home 26/06/07

Whitegates Private Nursing Home 12/09/05

Whitegates Private Nursing Home 27/09/04

Whitegates Private Nursing Home 02/06/04

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 Whitegates Private Nursing Home Condor Road Laleham Staines Middlesex TW18 1UG Lead Inspector Kathy Martin Announced 16/06/05 09:00 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. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitegates Private Nursing Home Address Condor Road, Laleham, Staines, Middlesex, TW18 1UG 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) 01784 441287 Whitegates Private Nursing Home Ltd Elizabeth Mendelssohn CRH N 38 Category(ies) of OP - Old Age - 38 registration, with number of places Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: In the case of this service residents may be admitted from the age of 60 years. Date of last inspection 27/09/04 Brief Description of the Service: Whitegates is a privately owned nursing home which provides care for 38 residents with old age and situated in Laleham near Staines. It is well appointed to the major main routes by car. The river is within walking distance from the home. The home employs nursing and care staff and have internal catering. The home has ample car parking facilities and also have a garden which is accessible. The bedrooms are arranged over two floors which can be accessed by a lift. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced which means that everyone was aware that an inspection was taking place. This is the first of two CSCI inspections to be carried out this year before the end of March 2006. The inspection was undertaken in the daytime and the inspector had opportunity to meet with several residents, a few relatives, receive comments cards (completed beforehand by the residents/ relatives), look at documentation and the premises and discussing with the manager and the staff. A pre-inspection questionnaire was also submitted to the CSCI ahead of the inspection with relevant details of how the home operated. The inspector was made very welcome by all. The owner also telephoned the inspector from his holiday abroad for a quick feedback on the day, which demonstrated that everyone cared very much for this service and were keen to know how it was operating. The home was being run efficiently. Staff were observed dealing with residents in a very encouraging, positive and sensitive manner. The staff knew their residents well and were able to talk about their documentation and care with ease. There was a calm atmosphere throughout the home. Several relatives were around and gave very good feedback on the home and the staff. The comments received on the day included: “The home does very well. The room is slightly small. The staff do all they can for…(relative). We get on with everyone” “I join in activity when I want. I have everything I need right here” “I like all the staff, they do everything I want”. There is open visiting and relatives are included in the activities. One relative was participating in the quiz on the day. Another relative stated that the home had purchased a birdbath for the resident to be able to observe the birds from the bedroom window. Comments from staff expressed that they liked working there, had access to relevant training, felt supported and were able to discuss their working experiences with the manager and the deputy. The inspector wishes to thank all the residents, the staff, the relatives (who helped with providing feedback), the management team for their kind hospitality and assistance on the day. What the service does well: Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 6 It was apparent that the home encourages a good rapport to be maintained between the relatives, residents and the staff. The manager and the staff were very aware of the residents’ care plans. There was good improvement in the training especially the NVQ training and supervision of staff. The home provides a comfortable, clean, calm and caring environment. The staff are very friendly to each other and worked well in the team. 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. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 and 6 There is a new statement of purpose, which complies with the regulations and standards. The assessment procedures were in place and were working well to ensure all applicants are assessed thoroughly and the home is prepared to meet the needs of the applicant before a placement is confirmed. Standard 6 was not relevant to this service. EVIDENCE: The assessment procedures were looked at and the inspector inspected two recently admitted residents’ admission notes and care plans (which are discussed further in the report). The assessments were conducted by either the manager or the deputy manager and covered a range of documentation. The manager stated that the home encouraged the prospective residents, their relatives and care managers to visit and meet staff and fellow residents and also to view the home and ask questions. The relatives of residents in the home during this inspection also confirmed that this was the case when the inspector spoke with them. Sometimes this is not possible due to the distance for travelling or if the prospective resident is too unwell in hospital. The needs are individually assessed and included physical/ nursing needs, the social care and any psychological or emotional needs. The nursing assessments include Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 9 nutrition, moving and handling, procedures for the use of any equipment or nursing interventions, falls, wandering and pressure sore risk assessments. Any correspondence from the hospital or district nursing staff was present in the file. Some hospitals also offered very thorough written assessments prior to transfers, which is very useful. A new care plan is then generated once the admission is complete. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 and 8 There are care plans available for each resident, which clearly sets out their care needs. Residents were looked after well and had access to all the relevant health care professionals. EVIDENCE: The inspector inspected 4 care plans, which were written very clearly. There was a lot of information relating to their actual needs and also the risk assessments for various tasks considered to pose a risk, such as moving and handling or taking medication. There was evidence that the home referred to the relevant health care professionals regularly such as the tissue viability nurses, consultants, doctors, chiropodists, dentists, opticians and dieticians. Daily notes are maintained and both night and day staff were expected to document their observations from their shifts on individual logs. Staff spoken with during this inspection were very aware of the residents’ needs. They were observed looking after the residents with confidence whilst undertaking their tasks with sensitivity. They were not rushing around unnecessarily despite being very busy and they helped each other. This gave more confidence to the residents and encouraged them to participate in their care and also in conversation. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 11 The management has retained a GP practice who provides doctors to the home whom the manager, the residents and the relatives knew well. This made communications easier when health care needs are discussed. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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) 12 and 13 The home seeks information about each resident involving their relatives and friends to enable them to participate in activities of their choice and maintain all their past contacts in the community. EVIDENCE: The activities coordinator who is employed by the home sees each resident, shortly after admission. The task involved seeking all the information about previous interests, wishes and important events, dates in the life of each resident. Birthdays are celebrated and in fact on the day of the inspection one resident received a beautifully personalised cake from the chef. This particular resident liked a game of cards and the chef decorated the cake with playing cards. The chef later spoke about her skills at cake decorating, which the residents enjoyed very much. Some residents were able to talk about the different styles of cake decoration done at events such as Easter, Christmas, parties and birthdays. There were several photograph albums available to demonstrate the events, which were shown to the inspector (intended for residents and visitors to see). Daily activities are provided and a programme is available. Each activity participated by residents is clearly logged. There was a quiz being facilitated on the day of the inspection and several residents took part with the visitors. The community support is reported as “tremendous” by the activities organiser. A local grocery provides a bunch of flowers daily to the residents. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 13 Most residents living in Whitegates are quite frail physically to go out unaccompanied. A few relatives are reported to take residents out regularly to the local pub or the river (which is a short walk away). Some received regular visitors and were able to share a meal with them if they wished to. Relatives and friends are invited to all the parties organised by the home. There have been entertainers also organised to come to the home including the animal farm. The home also owns a taxi car that can take two wheelchairs. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 a 18 The home has a complaints procedure in place, which is used. The home has procedures in place to deal with the protection of residents in their care. EVIDENCE: The home has a procedure to deal with complaints. There was no open complaint at the time of inspection. Each complaint is clearly logged and all information is available in a dedicated file. The CSCI has not been contacted to deal with any complaint relating to this home under this legislation. The manager and the deputy stated that they aimed to resolve issues as soon as they are raised and they felt that they were proactive in their management style. They also knew their residents and their relatives well and made themselves available to talk to everyone regularly. The home has procedures in place to deal with any suspected cases of abuse. The staff had training in the protection of vulnerable adults and are able to use many contacts to whistle blow should they feel the need to. There have not been any cases of abuse investigated under the protection of vulnerable adults procedures under the new legislation. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 a 26 The home has not undergone any building work of late. It still provides a comfortable, decorated and maintained, homely, clean and safe environment. EVIDENCE: The inspector looked around the home inside and outside and found no obvious health and safety issues that could pose a risk to those who live and work there. There were no health and safety issues raised to the inspector’s attention. Residents felt that they were safe and were looked after well. There have been no structural changes to the premises since the last inspection last year. The bedrooms and communal areas are decorated in a homely manner. There were ample areas to relax and eat. Residents were able to choose if they wanted to stay in their rooms to receive visitors and have privacy or sit in the communal areas. The home was clean and tidy throughout during the inspection. Staff wore protective clothing as necessary and as appropriate to the tasks they performed at the time. All the disposal of clinical waste was handled appropriately and in accordance with the home’s clinical waste management procedures. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 16 Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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) 30 The home provides a range of training and encouraged staff to undertake relevant training to ensure a competent workforce. EVIDENCE: The home employs a large number of workers including first level nurses, carers, a deputy manager, an activities organiser, catering and cleaning staff. The home facilitates NVQ qualification and so far achieved 9 staff members with at least level 2 NVQ. A further 4 members of staff are about to commence this course. The deputy manager is undertaking level 4 NVQ in Management. Other training courses offered and covered by staff include manual handling, protection of vulnerable adults, heath and safety and food hygiene. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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) 35 and 38 The home was operating well and to full capacity at most times indicating that there were no financial issues. There were procedures to ensure that residents and staff were living and working in a safe environment. EVIDENCE: The home employs an accountant and a business manager to take care of the financial issues. The manager is involved in setting the budget. Funds are made available for all necessary expenses to enable the manager and her team to provide a quality service. The comments received from both relatives, residents and staff were encouraging and were very positive. They all felt that this was an efficiently run service which the owner took pride to visit regularly and give practical help to achieve a reasonable standard of care. There are procedures in place to enable staff to deal with emergencies including fire and first aid. The equipment is serviced regularly and the home is well maintained. There were no health and safety issues reported or observed on the day. The inspector however discussed the consent forms for the use of Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 19 cot sides. A recommendation was made for these forms to include a clearer description of the risks involved from the use of cot sides for those who were asked to sign it (residents/ relatives) to make an informed choice. Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 4 STAFFING Standard No Score 27 x 28 x 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 3 x x x x 3 x x 3 Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 21 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 38 Good Practice Recommendations For the use of cot sides onsent form to tbe reviewed to clearly state the exact risk they involved Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 Whitegates Private Nursing Home h09-h58 s17651 Whitegates v225241 160605 stage 4.doc Version 1.30 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. 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