Inspection on 01/08/06 for Whitehaven

This inspection was carried out on 1st August 2006.

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

Whitehaven 25/10/05

Whitehaven 03/06/05

Whitehaven 19/01/05

Whitehaven 23/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Whitehaven Fosseway Midsomer Norton Bath Bath & N E Somerset BA3 4AU Lead Inspector Jon Clarke Key Unannounced Inspection 1st August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whitehaven DS0000045883.V304124.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. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitehaven Address Fosseway Midsomer Norton Bath Bath & N E Somerset BA3 4AU 01761 413143 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) Quality Care Homes Ltd Ms Lorraine Denise Davis Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 23 persons aged 65 years and over requiring personal care only. May accommodate a named person with a Mental Disorder (MD). Will revert when named person leaves. Sufficient communal space for 23 people be provided in the home by the 30th September 2004 to ensure compliance with Standard 20.4 of the current National Minimum Standards for care homes for older people. 25th October 2005 Date of last inspection Brief Description of the Service: Whitehaven is one of three care homes owned and managed by Quality Care Homes Ltd. It is registered for up to 23 older people and situated in the town of Midsomer Norton within walking distance of local shops and amenities. Accommodation is provided over two floors with lift access between floors. Ten of the rooms offer en-suite facilities and the rear of the building has 5 rooms with access to the attractive and accessible gardens. There is a separate dining room as well as dining area attached to a lounge area. The aim of Whitehaven is to ensure an excellent quality of life for residents by providing first class care in a friendly, relaxed yet stimulating environment and to ensure that living in a residential setting is a positive experience. (Taken from the homes Statement of Purpose) Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day, the manager was present throughout the inspection. As part of this inspection a number of documents were looked at these included care plans, recruitment, training and health & safety. There was also an opportunity to discuss with residents and staff their experience of living and working in the home. What the service does well: What has improved since the last inspection? The previous inspection identified the need to undertake risk assessments in relation to uncovered radiators in the communal areas of the home. This has now been addressed. The manager informed the inspector that it is planned to cover all radiators in these areas of the home. Since the previous inspection decoration of the communal lounge has taken place which has further improved the environment of the home. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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 the following standard(s): 3 The quality rating for this outcome group is good. This judgement has been made using available evidence including a visit to the service. The home undertakes full and comprehensive assessment of prospective residents so that they are able to make an informed decision about the capacity of the home to meet health and social care needs. EVIDENCE: A number of pre-admission assessments were looked at and they illustrated good practice with detailed information about the health and social care needs of perspective residents. Included were the daily routines, likes and dislikes of the individual. Where the local authority has undertaken an assessment of care needs copies of these assessments are obtained by the home to provide further information about care needs. In the event an individual has mental health difficulties the involvement of the local mental health team is sought so Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 9 that the home can make an informed decision about their ability to meet those needs. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10 The quality rating in this outcome group is good. This judgement has been made using available evidence including a visit to the service. Care Planning and arrangements for meeting health care are good providing staff with the necessary information so that the health and social care needs of residents are met. The home’s practice ensures that resident’s health needs are protected. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld EVIDENCE: A number of care plans were looked at and showed that care needs are clearly identified particularly physical needs about personal hygiene, bathing and dressing ability. Also included were life profiles which provide information about the family, social interests and life history of the resident. Reviews are undertaken regularly as were risk assessments and moving and handling assessments. Resident’s signatures are obtained providing evidence of the involvement of the individual when asked residents also confirmed that they had been asked about the “help I need” and were aware of their care plans. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 11 The home provides opportunity for resident to receive chiropody, dental and other community health services. The home has good links with the district nursing service who will visit the home where individuals require care of a medical or nursing nature. There is also good relationships with the mental health service and this has been used where they have concerns about the ability of staff to meet mental health needs of residents. In one instance the home has continued to provide care to an individual over a difficult period with the involvement and support of mental health services. They have regrettably decided that they are no longer able to provide the care this resident needs recognising not only the more specialist needs they require but also importantly the impact on other residents in the home. Medication administering records were looked at and evidenced accurate and appropriate recording of medication given to residents. The home has no residents at present who are taking responsibility for their own medication though this is an option if the individual can do so in a safe way. The storage arrangements are good with a separate secure storage for any controlled drugs required by residents. Any returns of medication are recorded and signed by the pharmacist or their representative as being received. All staff who have responsibilities around medication have received the necessary training. When asked about how staff treated them residents replied that they felt staff “understand me and how I am”, “they always treat me well”. One resident when asked about how they felt when staff were assisting with personal care replied that “staff are so good it doesn’t worry them or me, they don’t make me feel embarrassed at all”. Residents confirmed that they are given the opportunity and choice to see visitors (including their GP) in their rooms. When asked residents spoke positively of staff respecting their privacy. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14,15 The quality rating in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: When asked residents felt there were sufficient activities arranged in the home including quizzes, bingo. One member of staff has specific hours allocated to undertake and organise activities. Outside entertainers are invited into the home and “outings” are also organised. One resident spoke of attending a local club and religious service is held regularly in the home. Events have also been organised at which relatives and friends are invited. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 13 The manager and staff recognise the importance of residents maintaining links with family and friend. There is an open policy around visiting and when asked a couple of visitors to the home on the day of the inspection spoke of how they are “always made to feel welcome” “it’s a friendly place to come to” “staff always welcome you” In a letter of thanks to the home a relative spoke of “a kind and caring home, atmosphere always welcoming”. In the homes questionnaire to residents 94 of respondents said the home was “warm and welcoming”. Again in a questionnaire a relative said “I feel it is lovely to come into such a warm and friendly home”. Residents spoke of the flexibility of staff in particular they did not feel there were for example times to get up or go to bed it depends “on me”. One resident said that there were “no real routines--- can do what I like really” The home provides meals of a good quality and in looking at the menus there was a varied and interesting choice available. Residents were very positive about the food provided: “always very good” “can’ beat it” “I always enjoy the food here” “home cooked what I like”. There was particular praise for the chef “he always does good meals for us” “he knows what we like and don’t like” “always ask us what we would like and how the food is”. Residents have made suggestion about the meals provided in the home and these have resulted in changes in the variety of meals provided. The inspector joined residents for lunch and the meal was well presented and appetising. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 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 the following standard(s): 16,18 The quality rating for this outcome group is good. This judgement has been made using available evidence including a visit to the service. The home has clear procedures in place and this enables individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. EVIDENCE: The home has a complaints procedure and residents when asked were aware of this “though I have never had to”. Residents said that they could “always speak to staff” and how the manage was always “there if we have worries”. Residents said that they “certainly” felt they would be listened to and action taken if they did voice a concern or complaint. There was confidence that their views would be taken seriously and appropriate action taken in response to any grievance they may have. There is a Adults Protection policy and procedure in place in the home and staff have undertaken BANEs Protecting of Vulnerable Adults training. In discussion with staff at the time of this inspection they illustrated an understanding of abuse and what signs may indicate a resident has been abused. In talking with residents they all spoke positively of the attitude of staff and how they felt safe in the home. Whitehaven DS0000045883.V304124.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality rating for this outcome group is good. This judgement has been made using available evidence including a visit to the service. The home provides a safe and hygienic environment for the residents and staff. EVIDENCE: In walking around the home it was evident that there is a good standard of cleanliness residents spoke of the home as “always being clean”. There are procedures in place to inform staff of good practice around infection control and staff have also completed training in this area. At the time of this inspection the home was clean and free from offensive odours. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality rating in this outcome group is good. This judgement has been made using available evidence including a visit to the service. Staffing arrangements in the home are good and ensure that the needs of residents can be met in an efficient way with care being provided by skilled and competent staff. The recruitment and selection of staff is undertaken to make sure that as far as possible the health and welfare of resident is protected. EVIDENCE: Staffing rotas were looked at and showed that with the current needs of residents there are adequate staffing available. Over the previous month staffing was 3 am, 2 pm (2-10) with 1 waking night staff and 1 sleep-in night staff. Residents spoke of the availability of staff “have only to ask and they will help” “they are always there to help me if I want it”. In talking to staff they felt that extra staff would be arranged if the needs of residents changed. Quality Care Home place particular importance and values training of staff specifically the completion of NVQ and all staff have NVQ 2 or 3. Recruitment record was seen for a new member of staff. The necessary checks had been undertaken: two references obtained, CRB. There was a full application including medical declaration that the individual was fit to undertake the tasks associated with their position. The individual had also completed a full induction which looked at the procedures and practices of the home including health & safety. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 17 Training records were looked at for all night staff of the home (5). They showed that all had completed mandatory training: moving and handling, first aid, POVA. Additional training is available to staff in areas such as managing continence, food hygiene and working with individuals who have challenging behaviour. Staff said that training in the home was good and always available and residents described staff as “knowing their job”. In the homes questionnaire 80 respondents described staff as “competent”. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 The quality outcome in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The manager of the home is well qualified and competent to manage the home and makes a good effort to make sure that residents receive a good quality of care. There are opportunities for residents and others to express their views about the service they receive. The practices of the home help to make sure that the health, safety and welfare of residents and staff is protected. EVIDENCE: Ms Davis has been manager of the home for 21/2 years having previously been deputy of the home. She has extensive experience of working in a care home and has the NVQ 4 Registered Manager Award. Ms Davis is also the staff trainer for Quality Care Homes. Residents spoke of her as being “approachable” “someone you can always go to” “ I would always speak to Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 19 Raine” In observing Ms Davis it was evident that she has a warm and open approach with a sensitive and professional approach. She illustrated a good understanding of the varying and individual needs of residents. Residents and relatives are given the opportunity to voice their views and opinion about the service the home provides through the use of questionnaires. There are also regular residents meeting which again provide an opportunity for resident’s comments and also for the manager to inform residents of any changes in the home. A questionnaire in Jan 06 to friend and relatives provided positive feedback: “we are very happy with the care provided in the home” “very satisfied with the care and attention giving us peace of mind” “kind and caring home” In the homes questionnaire to residents 67 respondents felt there was a high standard of care comments included: “staff all very kind and helpful” “always ready to listen to what I have to say” “friendly staff at all times, very caring” Health & safety records evidenced the necessary checks take place with regard to fire and safety equipment in the home. Weekly fire alarms tests and monthly emergency lighting are undertaken as required as well as fire drills for all staff at the required intervals. Food hygiene inspection was undertaken 07/04/06 and two recommendations were made one of which the provision of fly screens has been met. The home has been awarded a Food Hygiene Award with Merit in recognition of achieving outstanding level in food safety practice. Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 X X X 3 Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Whitehaven DS0000045883.V304124.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!